Journal article
Evaluation of a Pharmacist-Led Diabetes Collaborative Drug Therapy Management Service
Journal of pharmacy practice, Vol.35(6), pp.846-852
12/2022
DOI: 10.1177/08971900211008622
PMID: 33840299
Abstract
Objective:
To evaluate the pharmacist-led diabetes collaborative drug therapy management services in a family medicine and internal medicine clinic.
Design:
Mixed methods of evaluation based on the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.
Results:
Reach: 71.3% of patients who were independently consulted (n = 184/258) and 1.6% (n = 11/680) of patients who triggered a best practice advisory (BPA) were enrolled. Effectiveness: 27.7% of patients (n = 54/195) enrolled were lost to follow-up. Adoption: 55% of eligible providers (n = 77/140) have placed a consult. Implementation: Providers independently choose to refer patients and are also prompted to place consults by a BPA that triggers for patients with an HbA1c >= 9%. Common reasons providers did not place a consult include: alignment with workflow, patient refusal, and patients followed by other services. Regarding patient perceptions, patients valued the service. Patients reported increased accountability with disease state maintenance and increased self-efficacy. Regarding how to improve the service, patients wanted more information on expectations before engaging with the pharmacist. Patients suggested to replicate this service for pain, cancer, and blood pressure management. Maintenance: 96.7% of providers (n = 30/31) reported they were very likely/likely to place a consult in the future and 60% of providers (n = 18/30) reported they were very likely/likely to place a consult when prompted by the BPA.
Conclusion:
These results can be utilized to make improvements to the pharmacist-led diabetes collaborative drug therapy management service to ensure sustainability. This study also provides lessons learned and strategies for future adoption, implementation, and maintenance of similar services for other disease states.
Details
- Title: Subtitle
- Evaluation of a Pharmacist-Led Diabetes Collaborative Drug Therapy Management Service
- Creators
- Elizabeth M. Bald - University of UtahChad Triplett - University of Iowa Hospitals and ClinicsRandi Beranek - University of IowaKorey Kennelty - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of pharmacy practice, Vol.35(6), pp.846-852
- DOI
- 10.1177/08971900211008622
- PMID
- 33840299
- NLM abbreviation
- J Pharm Pract
- ISSN
- 0897-1900
- eISSN
- 1531-1937
- Publisher
- Sage
- Number of pages
- 7
- Grant note
- American College of Clinical Pharmacy Ambulatory Care Pharmacy Research Network Seed Grant R01HL139918; R18HL116259; R01HL116311; U01CE002961 / National Institutes of Health and Centers for Disease Control and Prevention
- Language
- English
- Electronic publication date
- 04/12/2021
- Date published
- 12/2022
- Academic Unit
- Family and Community Medicine; Pharmacy Practice and Science; Injury Prevention Research Center
- Record Identifier
- 9984297452902771
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