JAPhA Practice Innovations最新文献

{"title":"Utilizing pharmacists for billable services related to disease state management","authors":"Kristen N. Pierce,&nbsp;Lakedra White,&nbsp;Chelsea A. Keedy","doi":"10.1016/j.japhpi.2023.100006","DOIUrl":"https://doi.org/10.1016/j.japhpi.2023.100006","url":null,"abstract":"<div><p>Pharmacists are uniquely trained to optimize pharmacotherapy regimens for chronic disease states such as type 2 diabetes as part of an interdisciplinary health care team. Although pharmacists can enter into collaborative practice agreements (CPAs) with physicians that allow them to adjust pharmacotherapy, it is difficult to align these agreements with billable services to sustain pharmacists’ salaries in the primary care setting. Although pharmacists cannot bill directly, they can participate in certain billable services under varying levels of provider supervision. Services such as chronic care management, remote patient monitoring, and continuous glucose monitoring specifically allow for pharmacist participation in care and present opportunities to link CPAs to billable care.</p></div>","PeriodicalId":100737,"journal":{"name":"JAPhA Practice Innovations","volume":"1 1","pages":"Article 100006"},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949969023000064/pdfft?md5=a94d32ec8a30c78b2008efbe885cea05&pid=1-s2.0-S2949969023000064-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes technology: Continuous glucose monitoring and the role of ambulatory care pharmacists","authors":"Ravi Patel,&nbsp;Rebecca Schoen,&nbsp;Kathryn Litten","doi":"10.1016/j.japhpi.2023.100005","DOIUrl":"10.1016/j.japhpi.2023.100005","url":null,"abstract":"<div><p>This commentary discusses the role of ambulatory care pharmacists in diabetes care and the evolving use of continuous glucose monitoring (CGM) technology. As the clinical burden and costs related to care for diabetes grows, ambulatory care pharmacists are uniquely positioned to realize the potential of and implement technology in the patient care process. Although previous technologies often focused on phone-based interventions, rapidly evolving technology, such as CGM, offers great insight related to disease state management. Despite the growth of CGM technology, there is still limited recognition of the value of pharmacists in the utilization of diabetes technology. Ambulatory care pharmacists have the appropriate resources and training to navigate barriers and support effective use of CGMs. They can provide guidance in selecting the best device based on patient-specific needs and accessibility. Pharmacists can also educate patients on how to use devices, interpret data, and integrate it with mobile applications for monitoring and data sharing. In addition, pharmacists can assist in ongoing management by reviewing data reports and making necessary adjustments to therapy. Pharmacist-led education and multidisciplinary coordination can support integration of CGMs in clinical settings. Pharmacists can deliver in-service education, provide clinical support to administrative workflow related to care, and provide consultations to increase provider comfort in prescribing CGMs. Pharmacists’ potential with CGM and diabetes technology in primary care would be best realized through better characterization of pharmacists’ interventions in diabetes care, increased recognition of their role on the interprofessional team, and describing viable reimbursement pathways available to pharmacists. This article describes how pharmacists in ambulatory care can use CGM as an example of diabetes technology to improve patient care through a patient case. A call to action is provided for further education, research, and support for pharmacists leveraging technology in these roles.</p></div>","PeriodicalId":100737,"journal":{"name":"JAPhA Practice Innovations","volume":"1 1","pages":"Article 100005"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949969023000052/pdfft?md5=45b928746092ec59efa3e51d54340f2b&pid=1-s2.0-S2949969023000052-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135564805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scaling the optimizing care model in community pharmacy using implementation mapping and COM-B theoretical frameworks","authors":"Kenneth C. Hohmeier,&nbsp;Kea Turner,&nbsp;Michael Harland,&nbsp;Kelsey Frederick,&nbsp;Leanne Rein,&nbsp;Daniel Atchley,&nbsp;Ashley Woodyard,&nbsp;Valerie Wasem,&nbsp;Shane Desselle","doi":"10.1016/j.japhpi.2023.100002","DOIUrl":"10.1016/j.japhpi.2023.100002","url":null,"abstract":"<div><h3>Background</h3><p>There has been increasing evidence that “task shifting,” when a provider entrusting specific responsibilities to another member of their team, can increase care access and may lead to better patient care outcomes. This has been particularly underscored in underserved communities throughout the world where task shifting has led to increased health care access in areas of provider shortages. Within the profession of pharmacy, pharmacy technicians are the primary pharmacist assistants and recipients of pharmacist-delegated tasks. Recently, such task delegation has placed the pharmacist in more direct patient care responsibilities beyond medication dispensing—and one such model with a growing evidence base is the optimizing care model. The optimizing care model is an novel approach to community pharmacy practice centered on expanded clinical service delivery by means of task delegation. Through task shifting, the optimizing care model has been shown to reduce medication errors and increase the quantity of patient care services offered by the pharmacist. However, means to spread and scale the model have yet to be reported in the literature.</p></div><div><h3>Methods</h3><p>This article describes the development of a package of implementation strategies designed to facilitate implementation of the optimizing care model in a single division of nationwide supermarket pharmacy chain. The implementation mapping approach was used to systematically develop strategies. In this approach, a protocol is prospectively developed to guide the implementation of a novel evidence-based interventions into a given setting, including the development of implementation strategies.</p></div><div><h3>Results</h3><p>The application of the 5 steps of implementation mapping is described in detail. Implementation objectives, models, and strategies are outlined, as well as the final implementation protocol. There was an overall increase in weeks meeting the 10% optimizing care model threshold—33% at baseline to 83% after the intervention.</p></div><div><h3>Conclusions</h3><p>The implementation mapping process led to development of multifaceted implementation strategy for implementing the optimizing care model into community pharmacy practice. The strategy improved optimizing care model implementation. Further research is needed to understand which strategies were most impactful.</p></div>","PeriodicalId":100737,"journal":{"name":"JAPhA Practice Innovations","volume":"1 1","pages":"Article 100002"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949969023000027/pdfft?md5=462af70b30ea8c769ba0ee684a3fa36f&pid=1-s2.0-S2949969023000027-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new framework for elevating and updating clinical language: RAISED patient-centric communication","authors":"K. Ashley Garling,&nbsp;Morgan P. Stewart","doi":"10.1016/j.japhpi.2023.100001","DOIUrl":"10.1016/j.japhpi.2023.100001","url":null,"abstract":"<div><p>Patient-centered care has been a key priority in health care for the last decade. However, successful execution of patient-centered care is dependent on health care team self-awareness and effective communication skills. Team awareness and communication are essential between health care providers across all communication modalities within the health care system. Patient-centric communication places the needs, wants, preferences, and motivations of the patient foremost to create an overall open, receptive, and honest patient-provider encounter. To best provide patient-centric communication in all patient-provider interactions, we propose a new communication framework: “Recognition, Awareness, Inclusivity, Stigma-free, and making patient-centric Educated Decisions” (RAISED). This communication framework encompasses techniques and strategies that can be used by any health care providers with any patient encounter through in-person, telehealth, verbal, or written modalities. The purpose of using the RAISED framework in practice is to improve patient-centric communication skills through stigma-free and inclusive language during shared decision making, resulting in improved patient satisfaction and health outcomes.</p></div>","PeriodicalId":100737,"journal":{"name":"JAPhA Practice Innovations","volume":"1 1","pages":"Article 100001"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949969023000015/pdfft?md5=9cc3a8ca591c945c43dcdf6213f2e947&pid=1-s2.0-S2949969023000015-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}