Implementation of a health information exchange into community pharmacy workflow

Hohmeier, Kenneth C.; Spivey, Christina A.; Boldin, Samantha; Moore, Tara B.; Chisholm-Burns, Marie A.

doi:10.1016/j.japh.2017.05.009

Cited by 32 publications

(39 citation statements)

References 13 publications

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“…Access to the patient's full EHR by the community pharmacist was important to foster bi‐directional communication between pharmacists and the referring physicians. Community pharmacist access to the EHR continues to be sparsely reported in the literature . Finally, dedicated time for scheduled patient appointments at the community pharmacy was crucial to the success of this partnership.…”

Section: Discussionmentioning

confidence: 99%

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Improving hypertension control through a collaboration between an academic medical center and a chain community pharmacy

Vordenberg

Lindell

Sheerer³

et al. 2019

J Am Coll Clin Pharm

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Introduction Approximately one‐third of adults in the United States have hypertension (HTN), leading to increased morbidity and mortality. Objectives This quality improvement intervention was designed to improve HTN control among community‐dwelling adults through collaboration between patient‐centered medical homes (PCMH) within an academic medical center and chain community pharmacies. Methods Four PCMH sites in Ann Arbor, Michigan that were in close proximity to two Meijer pharmacies participated in this study between September 2016 and March 2017, which compared HTN outcomes for patients seen at two community pharmacies where the pharmacists received training on HTN management for patients who received usual care at their PCMH. The primary outcome was percent of patients who met their blood pressure (BP) goal of either <140/90 mmHg or < 150/90 mmHg compared with matched controls who received usual care at the PCMH. Secondary outcomes included number of medication recommendations made, percent of recommendations accepted by the primary care provider (PCP), and patient satisfaction. Results Patients who received care at the community pharmacy (n = 155) had a higher rate of BP control at 3 months than matched controls (61.8% vs 47.7%, P = 0.013). A total of 29 medication recommendations were made by community pharmacists and 26 were accepted by the PCP. Nearly 95% of patients rated the care they received as excellent or very good and over 95% stated that they would recommend the pharmacist at the Meijer pharmacy to their family and friends. Conclusion Patients who received HTN management services as part of a collaboration between an academic medical center and chain community pharmacy were significantly more likely to have controlled BP at 3 months compared with matched controls who received standard care. This model shows promise as being a strategy to expand access to care for patients while being mutually beneficial for community pharmacies and health systems.

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Section: Discussionmentioning

confidence: 99%

“…Community pharmacist access to the EHR continues to be sparsely reported in the literature. [28][29][30] Finally, dedicated time for scheduled patient appointments at the community pharmacy was crucial to the success of this partnership.…”

Section: Discussionmentioning

confidence: 99%

Improving hypertension control through a collaboration between an academic medical center and a chain community pharmacy

Vordenberg

Lindell

Sheerer³

et al. 2019

J Am Coll Clin Pharm

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show abstract

“…Many advances are under way to better connect community pharmacists to data that support safe patient care and facilitate collaboration with other members of the health care team . These innovations are driven by the growing provision of community pharmacist patient care services, through which community pharmacists provide care to patients across the entire medication use process.…”

Section: Discussionmentioning

confidence: 99%

“…This widespread use of EHRs by physicians in outpatient settings highlights an opportunity for connectivity with community pharmacists, who are encouraged to capitalize on this opportunity for this enhanced connectivity to optimize patient safety across the medication use process. Thus many innovative efforts in community pharmacy practice integrate dispensing and patient care services via HIE …”

Section: Health Information Exchangementioning

confidence: 99%

“…As the Systems Engineering Initiative for Patient Safety 2.0 model describes, six components of a work system affect safety: persons, tasks, tools and technologies, organization, internal environment, and external environment . Critical work toward achieving this broadened approach to patient safety currently focuses on tools and technologies that address one of community pharmacists’ biggest challenges in providing patient care services: connectivity . This article focuses on how connectivity can increase the community pharmacist's access to patient data across all health care settings.…”

Section: Introductionmentioning

confidence: 99%

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Innovative Advances in Connectivity and Community Pharmacist Patient Care Services: Implications for Patient Safety

Bacci

Berenbrok

2018

Pharmacotherapy

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The scope of community pharmacy practice has expanded beyond the provision of drug product to include the provision of patient care services. Likewise, the community pharmacist's approach to patient safety must also expand beyond prevention of errors during medication dispensing to include optimization of medications and prevention of adverse events throughout the entire medication use process. Connectivity to patient data and other health care providers has been a long-standing challenge in community pharmacy with implications for the delivery and safety of patient care. We describe three innovative advances in connectivity in community pharmacy practice that enhance patient safety in the provision of community pharmacist patient care services across the entire medication use process. Specifically, we discuss the growing use of immunization information systems, quality improvement platforms, and health information exchanges in community pharmacy practice and their implications for patient safety.

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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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Implementation of a health information exchange into community pharmacy workflow

Cited by 32 publications

References 13 publications

Improving hypertension control through a collaboration between an academic medical center and a chain community pharmacy

Improving hypertension control through a collaboration between an academic medical center and a chain community pharmacy

Innovative Advances in Connectivity and Community Pharmacist Patient Care Services: Implications for Patient Safety

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

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