Essential factors demonstrating readiness of primary care practices for clinical pharmacy services

Carrington, Anne; Pokallus, Ashley; Ulrich, Irene Park; Scott, Mollie Ashe; Fay, Allison E.; Drake, Evan S.; Wilson, Courtenay Gilmore

doi:10.2146/ajhp180129

Cited by 7 publications

(4 citation statements)

References 17 publications

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“…As of November 2019, the challenges of billing and expanding pharmacist-run services, especially within small, rural communities continue and will do so, until federal and state laws agree and recognize pharmacists as billable providers. This difference between federal and state law in recognition of pharmacist as providers further supports a claim by a group of panelists reported by Carrington et al (2018) "that the billing capability of the pharmacist should not be considered when approaching practices so as not to associate revenue generation with the value added of the pharmacist." 10,11 However, this strategy is in stark contrast to other types of providers (including those not authorized to diagnosis or independently prescribe medication, such as physical and occupational therapists) who are financially sustainable.…”

Section: ■■ Discussionmentioning

confidence: 53%

“…This difference between federal and state law in recognition of pharmacist as providers further supports a claim by a group of panelists reported by Carrington et al (2018) "that the billing capability of the pharmacist should not be considered when approaching practices so as not to associate revenue generation with the value added of the pharmacist." 10,11 However, this strategy is in stark contrast to other types of providers (including those not authorized to diagnosis or independently prescribe medication, such as physical and occupational therapists) who are financially sustainable. We suggest that in addition to the positive patient outcomes and contributions resulting from pharmacist-run services, such services should be equally and universally billable at the state and federal levels.…”

Section: ■■ Discussionmentioning

confidence: 53%

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Financial Sustainability of an Oregon Rural Health, Primary Care, and Pharmacist-Run Comprehensive Medication Management Program Through Direct Medical Billing

Hoover

Turner

Sampson³

et al. 2020

JMCP

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BACKGROUND: Although several states recognize pharmacists as providers and allow credentialing, this practice is not recognized nationwide. Following adoption of Oregon House Bill 2028, pharmacists are recognized as providers, allowing "health insurers to provide payment or reimbursement for their services to patients." Before this law, and in several instances currently, pharmacist-run programs were financially justified through soft dollars saved by improving patient outcomes, reducing emergency department use, and decreasing readmission rates.

show abstract

Section: ■■ Discussionmentioning

confidence: 53%

Section: ■■ Discussionmentioning

confidence: 53%

Financial Sustainability of an Oregon Rural Health, Primary Care, and Pharmacist-Run Comprehensive Medication Management Program Through Direct Medical Billing

Hoover

Turner

Sampson³

et al. 2020

JMCP

View full text Add to dashboard Cite

show abstract

“…For two decades, a change of paradigm has been observed in the healthcare system. The focus is being predominantly directed toward patient-centred care, improving population health, access to services, illness prevention, cost reductions, and provider satisfaction (Carrington et al, 2018). However, obstacles such as the shortage of healthcare providers have hindered and disrupted this shift, making it difficult for the workforce to change, implement, sustain, and improve.…”

Section: Tensions Between Education and Workplace In The Domain Of Ph...mentioning

confidence: 99%

Transition to practice in pharmacy: An ill-defined concept?

Arsenault

Leclerc

David

et al. 2022

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Commonly described as the passage from school to practice, transition to practice, as a concept, as yet to be explored in-depth, is clearly circumscribed and conceptualised to better address the issues experienced by new health professionals when they begin their professional practice. This study intends to describe how the process of transition to practice is represented and studied within various health disciplines, particularly in pharmacy. A scoping review design was chosen to sort out a corpus of published papers on the transition to practice. The primary objectives of this review are to clarify the key concepts related to the transition to practice, make sense of the available literature and evidence on the transition to practice in health disciplines, detect gaps in the current knowledge, particularly in pharmacy, and identify relevant lines of inquiry that would provide a better understanding of this critical and vital process.

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“…Once this needs assessment is complete, identifying a physician champion is a key factor to endorse, support, and promote new pharmacist services [ 47 ]. Depending on the area of need or patient population, a physician practicing in that area is a natural starting point.…”

Section: Success Factor 2: Collaborations and Clinical Practice Agreementsmentioning

confidence: 99%

Transferring Key Success Factors from Ambulatory Care into the Community Pharmacy in the United States

et al. 2021

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In the United States, pharmacists’ scope of practice continues to expand, with increasing opportunities for pharmacists in all practice settings to enhance health in society. In ambulatory care, pharmacists remain integral members on the healthcare team and have demonstrated positive impacts on patient care. Sharing similar characteristics as pharmacists in the community setting, a deeper look into common elements of a successful ambulatory care practice that can be applied in the community pharmacy setting is warranted. Key success factors identified from ambulatory care include (1) maximizing a pharmacist’s unique knowledge base and skill set, (2) forming collaborations with physicians and other providers, (3) demonstrating outcomes and value, and (4) maintaining sustainability. Opportunities exist for pharmacists in the community setting to utilize these success factors when developing, implementing, and/or expanding direct patient care services that improve accessibility to quality care and population health.

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Essential factors demonstrating readiness of primary care practices for clinical pharmacy services

Cited by 7 publications

References 17 publications

Financial Sustainability of an Oregon Rural Health, Primary Care, and Pharmacist-Run Comprehensive Medication Management Program Through Direct Medical Billing

Financial Sustainability of an Oregon Rural Health, Primary Care, and Pharmacist-Run Comprehensive Medication Management Program Through Direct Medical Billing

Transition to practice in pharmacy: An ill-defined concept?

Transferring Key Success Factors from Ambulatory Care into the Community Pharmacy in the United States

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