Care team perspectives on community pharmacy enhanced services

Fay, Allison E.; Ferreri, Stefanie P.; Shepherd, Greene; Lundeen, Kristin; Tong, Gretchen; Pfeiffenberger, Trista

doi:10.1016/j.japh.2018.05.009

Cited by 15 publications

(20 citation statements)

References 13 publications

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“…Studies demonstrate that healthcare professionals can successfully partner informally with community pharmacists, [57][58][59][60][61][62][63] with the most successful physician-pharmacist relationships characterized by open communication, mutual trust, agreement on role specifications, and high-quality pharmacist contributions that are performed consistently and within a well-defined structure. 64,65 A strong working relationship between pharmacists and prescribers is necessary to optimize healthcare for each patient. 26,66,67 In addition to informal relationships, formal steps can be taken to enhance collaboration.…”

Section: Considerations For Incorporating Mtm Into the Health Care Teammentioning

confidence: 99%

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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Medication therapy management (MTM) services have evolved as a means for pharmacists and other providers to assist patients and caregivers in improving therapeutic outcomes and reducing health care expenditures. More than a decade has passed since the Medicare Modernization Act of 2003 provided pharmacists with the opportunity to deliver MTM services to Medicare beneficiaries. MTM continues to offer pharmacists the opportunity to use their knowledge; yet, pharmacists have reported challenges with service delivery. Identifying the challenges that affect MTM services in pharmacy practice is necessary in order to seek improvement to MTM delivery. This narrative review explores the current challenges pharmacists face with MTM delivery, summarizes potential solutions for addressing challenges, and seeks to incite further debate, service reconfiguration, and ultimately service improvement of pharmacist-provided MTM services.

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Section: Considerations For Incorporating Mtm Into the Health Care Teammentioning

confidence: 99%

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

View full text Add to dashboard Cite

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“…One such model is joining a CPESN network whose primary goal is to reduce medical expenditure and improve patients’ health-related outcomes with the provision of PCS [ 3 ]. Community pharmacies through these networks demonstrate the ability to impact care and justify reimbursement from entities supporting the medical mission [ 7 , 22 ]. This was identified by our participants as a way to potentially increase contracting opportunities for CPESN pharmacies to increase PCS reimbursement.…”

Section: Discussionmentioning

confidence: 99%

“…Patient barriers to care that community pharmacists face on a daily basis range from the following: low health literacy, low socioeconomic status, insurance coverage limitations, lack of transportation, and limited access to primary care. To directly combat these barriers, community pharmacists are positioned to offer customized, unique solutions to help overcome these gaps [ 7 ]. They include, but are not limited to: offering PCS, hand-to-hand delivery, medication synchronization, adherence packaging, preventative medicine (e.g., immunizations), and patient education (e.g., smoking cessation) [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…The pharmacy is one of the most accessible and frequently used front-line healthcare entities. Fay et al highlighted, when analyzing North Carolina Medicaid claims data, that the portion of the population most in need of medication management visit their local pharmacy 20–35 times annually [ 7 ]. These high-risk patients were targeted for coordination efforts by pharmacists having the ability to complete multiple patient interactions throughout a work day [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Other underlying barriers are that some pharmacies currently lack the proper layout to accommodate certain PCS, such as a separate and confidential room for patient-specific medical consultations [ 11 ]. There is also the concern over the lack of proper resources and available technology to have productive services such as access to electronic health records and the ability to document these patient services [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

et al. 2020

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Background: Pharmacists are positioned as an accessible source of patient care services (PCS). Despite the adversity community pharmacies continue to face, the expanding opportunity of offering PCS continues to be a pathway forward. Objective: To identify community pharmacists’ perceptions to deliver PCS within an enhanced service network. Methods: One-on-one semi-structured phone interviews were conducted as part of a mixed-methods approach. Interview transcripts were analyzed using a consensus codebook to draft thematic findings. Participants were recruited from an electronic survey targeting community pharmacists from the New York chapters of the Community Pharmacy Enhanced Services Network (CPESN). Results: Twelve pharmacists were interviewed with four main themes identified. The majority of study participants were pharmacy owners (92%) devoting an average of 15 h/week to PCS and 8 h/week addressing social barriers. The main themes identified include: (1) perceptions of pharmacy profession, (2) reimbursement models and sustainability of PCS, (3) provision of patient care services, and (4) how PCS address social determinants of health. Conclusions: Offering PCS opportunities for patients is a direction many community pharmacists have embraced and are working to succeed. Ongoing research is needed focusing on community pharmacists’ self-perceptions of the clinical impact and role they hold in an evolving healthcare system.

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Pharmacists' perceptions on patient care services and social determinants of health within independent community pharmacies in an enhanced services network

Daly

Costello²,

Mak

et al. 2021

J Am Coll Clin Pharm

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BackgroundHealth care is transitioning from fee‐for‐service towards value‐based care. Community pharmacies are providing an increasing number of patient care services (PCS) that improve medication adherence, medication knowledge, and overall patient health. The provision of these services may differ based on the socioeconomic characteristics of the patient population. There is a lack of information on PCS delivery in independent community pharmacies and how these services are provided to underserved populations.ObjectivesThe objectives of this study were to: (a) Evaluate the current level of commitment and readiness of independent community pharmacies in delivering PCS, and (b) Assess community pharmacists' perceptions of addressing social barriers and health disparities among underserved populations.MethodsThis was a cross‐sectional electronic survey distributed to independent community pharmacies who were members of a pharmacy advocacy or PCS organization in New York State.ResultsOne‐hundred and twenty‐five surveys were distributed, with 65 responses (52% response rate) from a high proportion of pharmacy owners (75%). A majority of pharmacies (53%) devoted more than 10 hours per week to PCS, such as immunizations and home delivery. Many pharmacies (47.7%) were willing to devote more than 20 hours per week to PCS with proper reimbursement and were willing to hire additional staff to support these services. Most pharmacies did not use their pharmacy software to target patients for PCS, instead enrolling via staff recommendation or self‐referral. Many pharmacies (48%) reported that greater than 30% of their patient population experienced social‐related barriers including low income and transportation issues. Pharmacies addressed social barriers by offering tailored services towards patient needs.ConclusionsIndependent community pharmacies remain diligent and actively involved in delivering PCS. Many pharmacy patients experience social‐related barriers towards care, and pharmacies are responding by offering tailored services. Further research is needed on the implementation and economic sustainability of PCS in community pharmacy settings.

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Care team perspectives on community pharmacy enhanced services

Abstract: Community-based pharmacies have an opportunity to collaborate with patient-centered medical home teams to provide enhanced pharmacy services, but provider outreach and education on enhanced services offered and the referral process are necessary to maximize this collaboration.

Cited by 15 publications

References 13 publications

<p>Medication Therapy Management: Current Challenges</p>

<p>Medication Therapy Management: Current Challenges</p>

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

Pharmacists' perceptions on patient care services and social determinants of health within independent community pharmacies in an enhanced services network

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