An Ambulatory Care Clinic and Community Pharmacy Collaboration to Address Prescription Abandonment

Purpose: The purpose of this research is to evaluate a collaborative workflow aimed at decreasing prescription abandonment. Setting: A federally qualified health center and a 340B contracted grocery store-based community pharmacy. Practice Workflow: An ambulatory care clinic with an established partnership with a community pharmacy chain identified a need to decrease prescription abandonment rates. A process was developed whereby an ambulatory care pharmacy technician received a report from the pharmacy of prescriptions filled for at least 7 days since the initial fill date and at risk for abandonment at the community pharmacy. The pharmacy technician identified health-system barriers, attempted to remedy any identified barriers, and conducted patient reminder phone calls. Health-system barriers were classified by the following categories: incorrect contact information at the community pharmacy, incorrect 340B copayment, incorrect insurance information at the community pharmacy, and need for prior authorization. Evaluation: A prospective cohort study was conducted from February 2016 to April 2016 in order to evaluate the effectiveness of this workflow. Results: 551 prescriptions and 350 patients were included in this cohort. Of the 551 prescriptions, 362 had at least one identified barrier that may have led to prescription abandonment. There were 111 health-system identified barriers, and 96 of these barriers were acted upon. Additionally, there were 459 patient identified barriers, and 179 of these barriers were acted upon. When a pharmacy technician was able to identify and act upon at least one barrier, 106 prescriptions (46.9%) were picked-up from the pharmacy. Conclusion: From the information gathered in this quality improvement project, operational changes have been implemented at the ambulatory care clinic and community pharmacy as a means to further decrease modifiable health-system barriers that may lead to prescription abandonment. Article Type: Clinical Experience

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Discordance between ambulatory care clinic and community pharmacy medication databases for HIV-positive patients

Journal of the American Pharmacists Association ◽

10.1331/japha.2007.06131 ◽

2007 ◽

Vol 47 (5) ◽

pp. 613-615 ◽

Cited By ~ 3

Author(s):

Christie A. Robinson ◽

Jennifer Cocohoba ◽

Conan MacDougall ◽

Malcolm D.V. John ◽

B. Joseph Guglielmo

Keyword(s):

Community Pharmacy ◽

Ambulatory Care ◽

Hiv Positive ◽

Care Clinic ◽

Ambulatory Care Clinic

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Effects of Advanced Pharmacy Practice Experience Characteristics on Postgraduate Year 1 Residency Match Rates

Journal of Pharmacy Practice ◽

10.1177/0897190020958263 ◽

2020 ◽

pp. 089719002095826

Author(s):

Marisa Censi ◽

Nathaniel J. Rhodes ◽

Jacob P. Gettig ◽

Amy Lullo ◽

Jill Borchert

Keyword(s):

Infectious Diseases ◽

Community Pharmacy ◽

Ambulatory Care ◽

Pharmacy Practice ◽

Care Clinic ◽

Practice Experience ◽

Ambulatory Care Clinic ◽

The Impact ◽

Selection Of ◽

Residency Match

Background: Mentors often provide advice to students regarding selection of Advanced Pharmacy Practice Experience (APPE) rotations to strengthen their candidacy for a residency position. However, the impact of APPE characteristics on the chances of matching is unknown. Objective: To determine the impact of APPE characteristics on Post Graduate Year-1 (PGY1) residency match rates at a Midwest US college of pharmacy. Methods: Graduates from a single college of pharmacy who participated in the PGY1 match in 2015 or 2016 were included. Match data were obtained from National Matching Services. APPE characteristics (e.g., rotation timing relative to the Midyear Clinical Meeting [MCM], rotation type, and setting) were stratified by matched status. Independent predictors were identified using multivariate logistic regression and tree-based models. Results: Ninety-nine students were included with 57 matching (57.6%). Students completing an infectious diseases rotation (75 vs. 51%; p = 0.028), a hospital rotation before the MCM (67 vs. 47%; p = 0.039), or a rotation in an ambulatory care clinic (67 vs. 47%; p = 0.045) were more likely to match. Students completing an independent community pharmacy rotation were less likely to match (8.3 vs. 64%; p < 0.001). After multivariate adjustment, all of these factors were associated with the likelihood of matching except completion of an infectious diseases ( p = 0.077) or ambulatory care rotation ( p = 0.073). Conclusion: A hospital rotation prior to the MCM was positively associated with matching while completion of an independent community pharmacy rotation was associated with non-matched status. The utility of these findings in guiding APPE selections for students pursing residency should be explored.

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