Development and validation of a systematic process for expansion of clinical pharmacy activities for comprehensive medication management in primary care within the Department of Veterans Affairs

2021 ◽  
Vol 4 (9) ◽  
pp. 1126-1133
Author(s):  
M. Shawn McFarland ◽  
Heather Ourth ◽  
Dana Frank ◽  
Scott Mambourg ◽  
Michael Tran ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Medication Management ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Systematic Process ◽  
Development And Validation

scholarly journals Increasing rural patient access using clinical pharmacy specialist providers: Successful practice integration within the Department of Veterans Affairs

2021 ◽  
Author(s):  
Julie A Groppi ◽  
Heather Ourth ◽  
Michael Tran ◽  
Anthony P Morreale ◽  
Michael Shawn McFarland ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Pain Management ◽  
Clinical Pharmacy ◽  
Medication Management ◽  
Veterans Affairs ◽  
Direct Patient Care ◽  
Fiscal Year ◽  
Department Of Veterans Affairs ◽  
Primary Care Mental Health

Abstract Purpose Access to care is a critical issue facing healthcare and affects patients living in rural and underserved areas more significantly. This led the Department of Veterans Affairs (VA) to launch a project that leveraged the expertise of the clinical pharmacy specialist (CPS) provider, embedding 180 CPS providers into primary care, mental health, and pain management across the nation. Methods This multidimensional project resulted in hiring 111 CPS providers in primary care, 40 CPS providers in mental health, and 35 CPS providers in pain management to serve rural veterans’ needs. From October 2017 to March 2020, CPS providers provided direct patient care to 213,477 veterans within 606,987 visits. This was an average of 43,000 additional visits each quarter to support comprehensive medication management services, demonstrating an additional 219,823 visits in fiscal year 2018 and 232,030 visits in fiscal year 2019. Over the course of the project, the team provided mentorship to 164 CPS providers, performed consultative visits at 27 VA facilities, and trained 180 CPS providers in educational boot camps. Conclusion VA funding of rural health initiatives adding CPS providers to primary care, mental health, and pain teams has resulted in positive measures of comprehensive medication management, interdisciplinary team satisfaction, facility leadership acceptance, and multiple positive outcomes.

Applying the interprofessional patient aligned care team in the Department of Veterans Affairs: Transforming primary care.

2014 ◽  
Vol 69 (4) ◽  
pp. 399-408 ◽  
Author(s):  
Lisa K. Kearney ◽  
Edward P. Post ◽  
Andrew S. Pomerantz ◽  
Antonette M. Zeiss
Keyword(s):  
Primary Care ◽  
Veterans Affairs ◽  
Care Team ◽  
Department Of Veterans Affairs

scholarly journals Development of the Department of Veterans Affairs Centers of Excellence in Primary Care Education Trainee Participant Survey: Measuring Trainees’ Perceptions of an Interprofessional Education Curriculum

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jessica A. Davila ◽  
Shubhada Sansgiry ◽  
Kathryn Wirtz Rugen ◽  
Shruthi Rajashekara ◽  
Samuel King ◽  
...  
Keyword(s):  
Primary Care ◽  
Interprofessional Education ◽  
Unmet Needs ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Education Curriculum ◽  
Centers Of Excellence ◽  
Care Education ◽  
The Core ◽  
Primary Care Education

Background: The Trainee Participant Survey was developed for the evaluation of the Department of Veterans Affairs, Centers of Excellence in Primary Care Education (VA CoEPCE), which developed and delivered an interprofessional education (IPE) postgraduate curriculum to learners of multiple professions at seven geographically diverse VA facilities across the United States.Methods and findings: Perceptions of the curriculum by learners across professions were assessed to identify differences in curricular perceptions and unmet needs to inform programmatic changes. The comparison of responses by profession revealed no statistically significant differences across the core domains; precepting, supervising, mentoring; or program practices. Trainee professions differed significantly on satisfaction and system impacts.Conclusion: The Trainee Participant Survey has excellent psychometric properties and can serve as a model for evaluating future IPE programs.

scholarly journals Telemedicine Specialty Support Promotes Hepatitis C Treatment by Primary Care Providers in the Department of Veterans Affairs

2017 ◽  
Vol 130 (4) ◽  
pp. 432-438.e3 ◽  
Author(s):  
Lauren A. Beste ◽  
Thomas J. Glorioso ◽  
P. Michael Ho ◽  
David H. Au ◽  
Susan R. Kirsh ◽  
...  
Keyword(s):  
Primary Care ◽  
Hepatitis C ◽  
Primary Care Providers ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Care Providers ◽  
Hepatitis C Treatment

scholarly journals The Integrated Care Team Approach of the Department of Veterans Affairs (VA): Geriatric Primary Care

2018 ◽  
Vol 33 (3) ◽  
pp. 280-289 ◽  
Author(s):  
Donna Rasin-Waters ◽  
Valerie Abel ◽  
Lisa K Kearney ◽  
Antonette Zeiss
Keyword(s):  
Primary Care ◽  
Integrated Care ◽  
Veterans Affairs ◽  
Care Team ◽  
Team Approach ◽  
Department Of Veterans Affairs

scholarly journals Preparedness and response activities of the US Department of Veterans Affairs (VA) home-based primary care program around the fall 2017 hurricane season

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tamar Wyte-Lake ◽  
Claudia Der-Martirosian ◽  
Karen Chu ◽  
Rachel Johnson-Koenke ◽  
Aram Dobalian
Keyword(s):  
Primary Care ◽  
Large Scale ◽  
Care Program ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Home Based Primary Care ◽  
Home Based ◽  
Early Implementation ◽  
Hurricane Season ◽  
At Risk Populations

Abstract Background Large-scale natural disasters disproportionally affect both the medically complex and the older old, groups that are responsible for most medical surge after a disaster. To understand how to ameliorate this surge, we examined the activities of the nine US Department of Veterans Affairs (VA) Home Based Primary Care (HBPC) programs impacted during the 2017 Fall Hurricane Season. Methods Convergent mixed methods design, incorporating independently conducted qualitative and quantitative analyses. Phase One: 34 clinical staff were interviewed from the nine VA HBPC programs impacted by Hurricanes Harvey, Irma, and Maria to examine the experiences of their HBPC programs in response to the Hurricanes. Phase Two: Secondary quantitative data analysis used the VA’s Corporate Data Warehouse (CDW) to examine the electronic health records of patients for these same nine sites. Results The emergency management activities of the HBPC programs emerged as two distinct phases: preparedness, and response and recovery. The early implementation of preparedness procedures, and coordinated post-Hurricane patient tracking, limited disruption in care and prevented significant hospitalizations among this population. Conclusions Individuals aged 75 or older, who often present with multiple comorbidities and decreased functional status, typically prefer to age in their homes. Additionally, as in-home medical equipment evolves, more medically vulnerable individuals are able to receive care at home. HBPC programs, and similar programs under Medicare, connect the homebound, medically complex, older old to the greater healthcare community. Engaging with these programs both pre- and post-disasters is central to bolstering community resilience for these at-risk populations.

scholarly journals Developing Interprofessional Primary Care Teams: Alumni Evaluation of the Department of Veterans Affairs Centers of Excellence in Primary Care Education Program

2019 ◽  
Vol 6 ◽  
pp. 238212051987545
Author(s):  
Nancy D Harada ◽  
Shruthi Rajashekara ◽  
Shubhada Sansgiry ◽  
Kathryn Wirtz Rugen ◽  
Samuel King ◽  
...  
Keyword(s):  
Primary Care ◽  
Training Program ◽  
Nurse Practitioners ◽  
Training Programs ◽  
Veterans Affairs ◽  
Advanced Training ◽  
Department Of Veterans Affairs ◽  
Centers Of Excellence ◽  
Care Education ◽  
Primary Care Education

Purpose: The Centers of Excellence in Primary Care Education (CoEPCE) is an interprofessional graduate training program within the Department of Veterans Affairs (VA). In this project, we describe career paths of CoEPCE graduates, their perceptions of CoEPCE program value, their overall satisfaction with the training, and suggestions for program improvement to enhance interprofessional education and workforce development. Methods: The Graduate Participant Survey was developed and administered in 2018 to CoEPCE graduates from 2012 to 2017. Quantitative data from closed-ended questions were analyzed through descriptive and non-parametric statistics to test for significant differences by profession. Qualitative data from the single open-ended question were analyzed using content analysis with inductive and deductive approaches. Results: The survey was completed by 180 graduates. Greater proportions of pharmacists and psychologists than nurse practitioners and physicians were employed in VA, and greater proportions of nurse practitioners and pharmacists than physicians and psychologists were employed in primary care. Although smaller proportions of physicians were currently employed in primary care ( P < .0001), a greater proportion completed advanced training programs ( P < .0001). Overall, graduates perceived that their CoEPCE training was highly valued by advanced training programs and employers and improved their chances of finding a job. They reported high levels of satisfaction (mean = 4.3 ± 0.9 out of 5 total) with the training program, continued to use skills they learned during training, and believe their CoEPCE experiences made them better health care providers. Conclusions: Ninety-four percent of the CoEPCE graduates were employed at the VA and/or primary care at the completion of their training, although there were significant differences by profession. Graduates continued to practice interprofessional skills learned during their training and were highly satisfied with the program. Taken together, the findings indicate that continued enhancements to the interprofessional clinical learning environment are warranted.

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