Effective Decentralization of a Pharmacy Technician to Facilitate Delivery of Medications Prior to Discharge in a Community Hospital

Gorder, Charles M Van; Yost, Scott H.; Negrelli, Jenna; Anderson, Scott H.; Chew, Christine

doi:10.1177/8755122517705398

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Pharmacy technicians and/or other support personnel can be integral in carrying out the plan of care designed by the clinical pharmacist and interprofessional health care team by supporting patient assistance programs, 51,76 entering orders, 46,48,77 facilitating transitions of care, 33 communicating cancellation of refills for discontinued medications, authorizing refills according to established protocols, 78 helping with prior authorizations 32 or nonformulary requests, 46 organizing and stocking patient education materials, 46,74 administering immunizations to patients, 41,79,80 and assisting with medication delivery to the bedside before discharge in hospitalized patients. 81 In both hospital and community settings, it is well established that pharmacy technicians enter medication orders into the electronic medical record for pharmacist review and approval. In the ambulatory care setting, a technician may be able to serve in a similar capacity 60…”

Section: Development and Implementation Of A Plan Of Carementioning

confidence: 99%

Best practices: Incorporating pharmacy technicians and other support personnel into the clinical pharmacist's process of care

Borchert

Phillips

Bastin

et al. 2018

J Am Coll Clin Pharm

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Changes to the U.S. health care landscape have increased the focus on the quality and use of alternative payment models, with a growing focus on value. As health care costs continue to rise, clinical pharmacists will increasingly engage in roles to expand the breadth and depth of clinical services in providing comprehensive medication management (CMM) to improve patient outcomes. The roles of pharmacy technicians and other support personnel must evolve to meet the needs created by this practice change and allow pharmacists to focus their services on activities that use their expertise to improve medication outcomes. Support personnel, including pharmacy technicians, should be identified to assist with clinical pharmacy tasks on the basis of their skills. To ensure competence, support personnel should be adequately trained and (if applicable) certified. Moreover, support personnel should be optimally incorporated into appropriate components of the clinical pharmacist's process of care to expand the reach and depth of clinical pharmacy services. When supervised by the pharmacist or others as defined in state practice acts, support personnel may be able to assist in the clinical pharmacist's provision of CMM. Finally, research should be conducted and disseminated on the utility and outcomes achieved using support personnel in the clinical pharmacist's process of care.

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Section: Development and Implementation Of A Plan Of Carementioning

confidence: 99%

Best practices: Incorporating pharmacy technicians and other support personnel into the clinical pharmacist's process of care

Borchert

Phillips

Bastin

et al. 2018

J Am Coll Clin Pharm

View full text Add to dashboard Cite

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Impact of a pharmacist collaborative drug therapy management protocol on utilization of a discharge prescription program and hospital readmissions

Rafferty

Mills

Morano³

et al. 2023

American Journal of Health-System Pharmacy

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Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose To evaluate the impact of a collaborative drug therapy management (CDTM) agreement allowing a pharmacist to automatically prescribe refills of discharge medications to patients’ preferred outpatient pharmacy on utilization of a hospital discharge prescription program and hospital readmission rates. Methods This was a single-center, quasi-experimental pre-post intervention study. Patients aged 18 years or older discharged from the cardiology services to home were eligible for inclusion in the study. The CDTM agreement was initiated on July 1, 2019. Patients discharged to home from July 1, 2018, to June 30, 2019, were assigned to the historical control group. The primary outcome was the difference in the proportion of patients who used the bedside medication delivery service at hospital discharge between the groups. Secondary outcomes included 30-day hospital readmissions and a descriptive analysis of medications prescribed by a pharmacist through the program. A χ2 test was used to assess the primary outcome, and multivariable logistic regression was used to assess hospital readmissions. Results In total, 1,704 and 2,200 patients were discharged in the control and CDTM groups, respectively. The CDTM group had a greater proportion of patients who participated in the discharge prescription program compared to the historical control group (77.8% vs 68.7%; P < 0.0001). There was no difference in 30-day hospital readmission rate between the groups (adjusted odds ratio, 1.01; 95% confidence interval, 0.83-1.23; P = 0.94). Conclusion A CDTM protocol to improve the availability of medication refills at a patient’s regular outpatient pharmacy improved utilization of a bedside medication delivery service but did not change 30-day readmission rates.

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Effective Decentralization of a Pharmacy Technician to Facilitate Delivery of Medications Prior to Discharge in a Community Hospital

Cited by 2 publications

References 6 publications

Best practices: Incorporating pharmacy technicians and other support personnel into the clinical pharmacist's process of care

Best practices: Incorporating pharmacy technicians and other support personnel into the clinical pharmacist's process of care

Impact of a pharmacist collaborative drug therapy management protocol on utilization of a discharge prescription program and hospital readmissions

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