Cognitive Services in Nutrition Support Pharmacy
Many new opportunities are available to the clinical pharmacist in search of an appropriate environment in which to tailor specific clinical services. This is an opportune time for pharmacists to become more creative in their practice settings and to become more involved with, and responsible for, the therapy process of patients. Cognitive services provide a value-added service to the patient, physician, and third-party payor. The value of pharmaceutical cognitive services becomes more evident in the outpatient setting. The value of cognitive services varies depending on the practice setting, demographics of the patient, and resources of the pharmacy organization. This article describes a pharmacist's experience in developing nutritional support cognitive services to patients and targeted physicians in an outpatient home infusion pharmacy. If properly developed, a well-marketed cognitive service can add tremendous revenue to a pharmacy by creating respect and loyalty from physicians and third-party payors, creating a formidable patient base. Cognitive services are not reimbursed separately at present, but future studies should show the value of these services if more pharmacists will provide cost-effective cognitive services and be able to show more positive patient therapy outcomes.