Medicare annual wellness visits conducted by a pharmacist in an internal medicine clinic

Abstract

A Medicare AMV administered by a CPP resulted in a wide variety of patient interventions and reimbursement for services provided.

Assessing pharmacist-led annual wellness visits: Interventions made and patient and physician satisfaction

“…3 Research has begun to explore the feasibility of alternative care models in which the AWV is led by nonphysician health professionals, including pharmacists. [4][5][6][7] Preliminary work has described the pharmacistled AWV and demonstrated the financial implications of the AWV for pharmacists in primary care settings. [5][6][7] Park et al showed that AWVs provide a way for pharmacists to support their salary in a physician's office.…”

“…One study briefly detailed the interventions made by a pharmacist during an AWV. 5 Perceived barriers to the pharmacist-led AWV include lack of patient acceptance and physician support; however, there is no current information published assessing patient or physician satisfaction with the pharmacist-led AWV.…”

The Integral Role of the Clinical Pharmacist Practitioner in Primary Care

“…Each visit lasted a mean of 73 minutes, and 4.5 interventions were made per patient during the encounter [10]. Interventions included referrals to other providers such as nutritionists and physical therapists; education interventions about topics such as advance directives and home safety; laboratory tests; immunizations; and medication initiation [10].…”

The Position of Clinical Pharmacists in Delivering Advanced Pharmacy Practice Education and Services: Short Communication

“…Oral chemotherapy services, wellness services, cognitive memory screening, psychotherapy, pharmacogenetic testing, health education, concordance, counselling, medication therapy management (MTM), follow-up and referral services Determine educational and training opportunities for community pharmacists, thereby improve patient-centred experiences that supplement their confidence, knowledge, and skill in providing advanced pharmacy services [35][36][37][38][39][40][41][42][43][44][45][46] Surgical department Cardiopulmonary resuscitation (CPR) Determine pharmacist participation on CPR teams in health care delivery organizations [47,48] Regulatory scrutiny Drug Pricing Evaluate and monitor drug pricing through the use key metrics on cost savings achieved, maintenance costs, and other aspects of program involvement [49] In-patient Pharmaceutical care Provision of pharmaceutical care, identification of drug therapy problems, prevention of adverse drug reactions and monitoring of drug therapy management [48,50,51] Out-patient department Ambulatory care, patient education Assertively advancing ambulatory care practice, to achieve the national priorities of improving patient care, adherence, patient health, and affordability of care [48,52,53] Pediatric department Pediatric care Provision of advanced pediatric care [48,54] Intensive care units and oncology department Palliative care services Introducing the concept of 'advanced practice roles' in pharmacy within the new integrated regionalized palliative care service [48,55,56] …”