A pharmacy's journey toward the patient-centered medical home

Authors, Primary Erickson,S.;Hambleton,J.
Title Primary A pharmacy's journey toward the patient-centered medical home
Periodical Full Journal of the American Pharmacists Association
Pub Year 2011
Volume 51
issue 2
Start Page 156-160
Abstract OBJECTIVE: To describe the integration of a clinic pharmacy with a patient-centered medical home (PCMH). SETTING: Primary care clinic in Monroe, WA, from 1981 to January 2011. PRACTICE DESCRIPTION: Pharmacists and physicians with a previous working relationship in a family practice residency program established colocated practices in 1981. In addition to traditional pharmacy services, collaborative practice agreements were developed and clinical pharmacy services expanded over time. Reimbursement challenges for clinical pharmacy services existed in the fee-for-service environment. The acquisition of the clinic and pharmacy by Providence Health and Services created a new financial alignment with additional opportunities for collaboration. PRACTICE INNOVATION: An internally funded grant established a PCMH pilot that included pharmacist participation. PCMH pharmacists and the care provider team identified areas to improve physician and clinic efficiencies and to enhance patient care. RESULTS: Clinical pharmacy services expanded under the PCMH model. Pharmacist activities included value-added refill authorization services, coordinated patient visits with the PCMH pharmacist and physicians, medication therapy management, diabetes and anticoagulation services, hospital discharge medication reconciliation, and participation in the shared medical appointment. CONCLUSION: Clinical pharmacy services are woven into the PCMH fabric of this clinic. New pharmacists will be challenged and rewarded in this evolving health care model.
Publisher Not Available
Place of Publication United States
Author/Address Providence Regional Medical Center Everett, Monroe, WA School of Pharmacy, University of Washington, Seattle, WA, USA. steven.erickson@providence.org
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Care Coordination;Cost and Reimbursement;Primary Care Workforce Issues;Demonstrations
Special Population(s) Not Available
Case Study Yes
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No