Utilizing pharmacy students in transitions-of-care services

L’Hommedieu, Timothy; DeCoske, Michael A.; Lababidi, Rania El; Ladell, Nicholas

doi:10.2146/ajhp140561

Cited by 4 publications

(3 citation statements)

References 13 publications

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“… 16 There is limited published information regarding the role of pharmacy technicians and student pharmacists in providing TOC services in the community setting, however, the success of inpatient programs has been highlighted. 3 , 36 Many postgraduate year 1 and 2 pharmacy residency programs include exposure to TOC programs. In addition to providing a learning experience for the resident, the resident can serve as a resource for the implementation and provision of TOC services.…”

Section: Reported Barriers and Proposed Solutionsmentioning

confidence: 99%

Optimizing care transitions: the role of the community pharmacist

Melody

McCartney

Sen

et al. 2016

IPRP

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Transitions of care (TOC) refer to the movement of patients across institutions, among providers, between different levels of care, and to and from home. Medication errors that occur during TOC have the potential to result in medical complications that are serious for the patient and costly to the health care system. Positive outcomes have been demonstrated when pharmacists are involved in providing TOC services, including reducing preventable adverse drug reactions, medication-related problems, and rehospitalizations, as well as improving the discharge process. This review explores TOC models involving community pharmacy practice, the current impact of pharmacist interventions in TOC, and patient satisfaction with TOC services provided by community pharmacists. Common barriers and potential solutions to TOC services provided in the community pharmacy, such as patient identification, information gathering, standardization of services, administrative support, reimbursement, and time restraints, are also discussed.

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Section: Reported Barriers and Proposed Solutionsmentioning

confidence: 99%

Optimizing care transitions: the role of the community pharmacist

Melody

McCartney

Sen

et al. 2016

IPRP

View full text Add to dashboard Cite

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“…6,7 Another publication continues the positive benefits of organized student involvement in TCM showing a decrease in 30-day hospital readmission rates and cost-effectiveness. 8 The unique approach explored in this pilot study allowed a focus on ED-specific TCM, which has not been previously shared in the literature.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Student Pharmacist Pilot Focused on the Transitions of Care Process From Emergency Department Visits to Family Medicine Follow-Up in a Rural Patient Setting

DeRemer

Lyons

Harman

et al. 2020

Journal of Pharmacy Practice

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Introduction: Few would argue that emergency department utilization volumes do not tax the health system. Currently, there is not a process defined by Centers for Medicare and Medicaid Services for transitioning this patient population back to their primary physicians following emergency department visits. Resource limitations in a rural family medicine setting create barriers to dedicate focus on this important transitional care management from urgent care visits to primary care office. Objective: To describe a novel pilot process for transitional care management from the emergency department utilizing pharmacy student extenders to overcome resource limitation at a rural family medicine clinic and establish follow-up primary physician contact. Methods: From a master list provided, student pharmacists proactively telephoned patients and reviewed medication changes while assisting with scheduling follow-up appointments at the patient’s primary physician clinic. Results: The result of these efforts increased the communication with patients and resulted in a 26% (10/38) increase in follow-up appointments scheduled with a total increase of an additional 7 patients adhering to follow-up transitional appointment. Conclusion: This approach utilizing student extenders is a feasible and sustainable process that can increase patient contact when resources are limited, while serving as an educational tool for next generation providers.

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“…1 Ideally, experiential programs should benefit host organizations 1 or at least minimize the added workload of staff. One way to achieve these goals is to utilize students as “extenders of service.” 2 The advantages of such a strategy are widely recognized, including reduced workload for preceptors and benefits to the pharmacy such as low-cost provision of clinical or educational services. 2,3 However, capitalizing on students to provide meaningful service to real-world settings may be difficult.…”

Section: Introductionmentioning

confidence: 99%

An Advanced Pharmacy Practice Experience for Community Pharmacies Based on a Clinical Intervention Targeting Patients With Inflammatory Bowel Disease

Blackburn

Fowler

Crawley

et al. 2019

Journal of Pharmacy Practice

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Experiential education is a critical component of any pharmacy undergraduate curriculum. Establishing new, high-quality practice sites can be challenging. We designed a new advanced pharmacy practice experiential rotation suitable for implementation in most community pharmacy settings. The aim of this article is to describe the design of this rotation entitled the Targeted Pharmacy Intervention in Inflammatory Bowel Disease (TPI-IBD) and to determine its impact on student knowledge and confidence using a before-after survey design. The TPI-IBD utilizes a student-delivered intervention as a platform for experiential learning in community pharmacy practice. The TPI was focused on patients with IBD, and implementation was guided by a co-preceptor from the university in collaboration with onsite-preceptors at each pharmacy. The TPI-IBD rotation was delivered from 6 community pharmacies during 5 weeks in 2018. Students conducted standardized monitoring on patients with IBD and met weekly with the university preceptor for case presentations and therapeutic discussions. Electronic charts were maintained by students who were responsible for ensuring detailed documentation on each patient. Knowledge, confidence, and overall satisfaction were assessed by a survey given to students before and after the rotation. Students were highly satisfied with the learning experience and improvements in knowledge and confidence were clearly demonstrated. The TPI strategy was an effective way to expand rotation options in community pharmacy sites with minimal burden on local preceptors.

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Utilizing pharmacy students in transitions-of-care services

Cited by 4 publications

References 13 publications

Optimizing care transitions: the role of the community pharmacist

Optimizing care transitions: the role of the community pharmacist

Impact of a Student Pharmacist Pilot Focused on the Transitions of Care Process From Emergency Department Visits to Family Medicine Follow-Up in a Rural Patient Setting

An Advanced Pharmacy Practice Experience for Community Pharmacies Based on a Clinical Intervention Targeting Patients With Inflammatory Bowel Disease

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