An Assessment of Future Clinical Pharmacy Service Delivery in the Patient-Centered Medical Home

2015 ◽  
Vol 49 (1) ◽  
pp. 26-32
Author(s):  
John Gettens ◽  
Timothy R. Hudd ◽  
Alexis D. Henry ◽  
Todd Brown ◽  
Claire Santarelli
Keyword(s):  
Service Delivery ◽  
Clinical Pharmacy ◽  
Medical Home ◽  
Pharmacy Service ◽  
Clinical Pharmacy Service ◽  
Patient Centered Medical Home ◽  
Patient Centered

Provider Perception of Pharmacy Services in the Patient-Centered Medical Home

2016 ◽  
Vol 30 (6) ◽  
pp. 612-620 ◽  
Author(s):  
Nicole P. Albanese ◽  
Alyssa M. Pignato ◽  
Scott V. Monte
Keyword(s):  
Nurse Practitioners ◽  
Medical Home ◽  
Pharmacy Service ◽  
Perceived Barriers ◽  
Dose Titration ◽  
Educational Services ◽  
Patient Centered Medical Home ◽  
Pharmacy Services ◽  
Patient Centered ◽  
Adherence Assessment

Background: Despite the positive data on clinical outcomes, cost savings, and provider experience, no study has surveyed providers to evaluate what pharmacy services they find to be worthwhile. Objective: To determine what clinical, cost/access, and educational pharmacy services providers in a patient-centered medical home (PCMH) consider worthwhile and the perceived barriers to successful pharmacist incorporation. Methods: A cross-sectional online survey was distributed to primary care physicians, nurse practitioners, and physician assistants in a PCMH physician group. Results: The survey response rate was 78%. Top-tier clinical services were identified as medication counseling, reconciliation, adherence assessment, polypharmacy assessment, and drug information. Formulary review was the only top-tier cost- or access-related service. Top-tier educational services included new black-boxed warnings, drug market withdrawals, and new drug reviews. Ninety-one percent of providers were comfortable referring to a pharmacist for diabetes medication selection and dose titration, but no other disease state eclipsed 75%. More than twice as many providers found the pharmacy service to be very or extremely valuable when the pharmacist is physically located in the office versus virtual interactions (70% vs 34%). Conclusion: Top-tier clinical, cost/access, and educational services considered worthwhile by providers in a PCMH have been identified. In addition to these services, when developing or evaluating a pharmacy service, special attention should be paid to provider preference for physical location in the office and perceived barriers to the pharmacist availability, concern over complex disease management competency and patient confusion as to the role of the pharmacist.

scholarly journals Patient-Centered Medical Home Knowledge and Attitudes of Residents and Faculty: Certification Is Just the First Step

2015 ◽  
Vol 7 (4) ◽  
pp. 580-588 ◽  
Author(s):  
Fadya El Rayess ◽  
Roberta Goldman ◽  
Christopher Furey ◽  
Rabin Chandran ◽  
Arnold R. Goldberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Situated Learning ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Individual Interviews ◽  
Knowledge And Attitudes ◽  
Positive Attitudes ◽  
Level 3 ◽  
The Impact

ABSTRACT Background The patient-centered medical home (PCMH) is an accepted framework for delivering high-quality primary care, prompting many residencies to transform their practices into PCMHs. Few studies have assessed the impact of these changes on residents' and faculty members' PCMH attitudes, knowledge, and skills. The family medicine program at Brown University achieved Level 3 PCMH accreditation in 2010, with training relying primarily on situated learning through immersion in PCMH practice, supplemented by didactics and a few focused clinical activities. Objective To assess PCMH knowledge and attitudes after Level 3 PCMH accreditation and to identify additional educational needs. Methods We used a qualitative approach, with semistructured, individual interviews with 12 of the program's 13 postgraduate year 3 residents and 17 of 19 core faculty. Questions assessed PCMH knowledge, attitudes, and preparedness for practicing, teaching, and leading within a PCMH. Interviews were analyzed using the immersion/crystallization method. Results Residents and faculty generally had positive attitudes toward PCMH. However, many expressed concerns that they lacked specific PCMH knowledge, and felt inadequately prepared to implement PCMH principles into their future practice or teaching. Some exceptions were faculty and resident leaders who were actively involved in the PCMH transformation. Barriers included lack of time and central roles in PCMH activities. Conclusions Practicing in a certified PCMH training program, with passive PCMH roles and supplemental didactics, appears inadequate in preparing residents and faculty for practice or teaching in a PCMH. Purposeful curricular design and evaluation, with faculty development, may be needed to prepare the future leaders of primary care.

scholarly journals Recommendations for a Mixed Methods Approach to Evaluating the Patient-Centered Medical Home

2015 ◽  
Vol 13 (2) ◽  
pp. 168-175 ◽  
Author(s):  
R. E. Goldman ◽  
D. R. Parker ◽  
J. Brown ◽  
J. Walker ◽  
C. B. Eaton ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Mixed Methods Approach
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