Practical implementation insights from 2 population health pharmacist project approaches to improve blood pressure control

Mulrooney, Mary; Smith, Marie; Lewis, Kara; Vuernick, Erika; Anderson, Daren; Channamsetty, Veena; Giannotti, Tierney E.

doi:10.1016/j.japh.2021.07.012

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…With medication adherence, the telephone group had a larger decrease in diastolic BP ( p = 0.03) Electronic health record enabled interventions Jaffe [ 69 •] Quasi-experimental study An integrated health system in Northern California Group of randomly selected patients with HTN within the Kaiser Permanente Northern California (KPNC) Hypertension program compared with state and national estimates. HTN control was assessed using EHRs Patients in the KPNC program had a higher increase in hypertension control ( p < 0.001) when compared to controls (national and state specific means) Mulrooney [ 80 •] Quality improvement A federally qualified health center with 14 sites throughout Connecticut Two population health pharmacist (PHP) interventions were evaluated. The PHP completed assessments and sent recommendations using EHRs.…”

Section: Applying the Chronic Care Model To Design Htn Population Hea...mentioning

confidence: 99%

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations

et al. 2022

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Purpose of Review There is a growing evidence base describing population health approaches to improve blood pressure control. We reviewed emerging trends in hypertension population health management and present implementation considerations from an intervention called Team-supported, Electronic health record-leveraged, Active Management (TEAM). By doing so, we highlight the role of population health managers, practitioners who use population level data and to proactively engage at-risk patients, in improving blood pressure control. Recent Findings Within a population health paradigm, we discuss telehealth-delivered approaches to equitably improve hypertension care delivery. Additionally, we explore implementation considerations and complementary features of team-based, telehealth-delivered, population health management. By leveraging the unique role and expertise of a population health manager as core member of team-based telehealth, health systems can implement a cost-effective and scalable intervention that addresses multi-level barriers to hypertension care delivery. Summary We describe the literature of telehealth-based population health management for patients with hypertension. Using the TEAM intervention as a case study, we then present implementation considerations and intervention adaptations to integrate a population health manager within the health care team and effectively manage hypertension for a defined patient population. We emphasize practical considerations to inform implementation, scaling, and sustainability. We highlight future research directions to advance the field and support translational efforts in diverse clinical and community contexts.

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Section: Applying the Chronic Care Model To Design Htn Population Hea...mentioning

confidence: 99%

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations

et al. 2022

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“…In a federally qualified health center, a pilot project was conducted with a full-time PHT pharmacist who performed CMM for patients with both uncontrolled hypertension and diabetes during a 3-month period. 42,43 Patients eligible for CMM had both uncontrolled hypertension (systolic blood pressure [BP] between 140 and 150 mm Hg) and uncontrolled diabetes (A1C between 9% and 10%). A registry report identified 41 patients attributed to 27 PCPs from 10 practice locations at the start of the project.…”

Section: Example Of Pct Modelmentioning

confidence: 99%

Primary Care Pharmacist Practice Models Shape the Comprehensive Medication Management Process

Mulrooney

Smith

2021

Ann Pharmacother

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Pharmacists are well positioned to collaborate with primary care providers (PCPs) to conduct comprehensive medication management (CMM). However, depending on organizational needs and pharmacist staffing resources, different pharmacist practice models have been implemented. In this commentary, we (1) describe 2 common pharmacist practice models in primary care settings, (2) explain variations in the CMM process based on 2 practice models, and (3) outline outcomes and implications of this expanded CMM process. By tailoring the CMM process to their practice model, pharmacists can follow consistent delivery of CMM services to create a common understanding among patients, PCPs, and other care team members.

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Factors influencing primary care organization commitment to technical assistance for pharmacist clinical services integration

Mulrooney¹,

Smith²,

Sobieraj³

et al. 2022

Journal of the American Pharmacists Association

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Practical implementation insights from 2 population health pharmacist project approaches to improve blood pressure control

Cited by 3 publications

References 21 publications

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations

Primary Care Pharmacist Practice Models Shape the Comprehensive Medication Management Process

Factors influencing primary care organization commitment to technical assistance for pharmacist clinical services integration

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