Impact of pharmacist participation in the patient care team on value-based health measures

Author:

Patti Michael1,Colmenares Evan W2,Abrahamson Anna3,Weddle Sarah4,Cavanaugh Jamie5,Deyo Zack6,Vest Mary-Haston7

Affiliation:

1. PACE Southeast Michigan , Pontiac, MI , USA

2. UNC Health, UNC Eshelman School of Pharmacy , Chapel Hill, NC , USA

3. UNC Health–UNC Medical Center , Chapel Hill, NC , USA

4. UNC Department of Family Medicine, UNC Health–UNC Medical Center , Chapel Hill, NC , USA

5. UNC School of Medicine , Chapel Hill, NC , USA

6. UNC Health–UNC Medical Center, UNC Eshelman School of Pharmacy , Chapel Hill, NC , USA

7. UNC Health, UNC Eshelman School of Pharmacy , Morrisville, NC , USA

Abstract

Abstract Purpose To evaluate whether pharmacist engagement on the interdisciplinary team leads to improved performance on diabetes-related quality measures. Methods This was a retrospective observational study of patients seen in primary care and specialty clinics from October 2014 to October 2020. Patients were included if they had a visit with a physician, nurse practitioner, physician’s assistant, or clinical pharmacist practitioner (CPP) within the study period and had a diagnosis of diabetes. The intervention group included patients with at least one visit with a CPP, while the control group consisted of patients who were exclusively managed by non-CPP providers. The primary outcome of this study was the median change in glycosylated hemoglobin (HbA1c) from baseline to follow-up at 3, 6, and 12 months. The secondary outcome was the probability of achieving the HbA1c targets of <7% and <8% at 3, 6, and 12 months. Results Patients referred to a CPP had higher HbA1c levels at baseline and were more likely to have concomitant hypertension (P < 0.01). Patients seen by a CPP had 0.31%, 0.41%, and 0.44% greater reductions in HbA1c compared to patients in the control group at 3, 6, and 12 months, respectively (P < 0.01). Patients managed by a CPP were also more likely to achieve the identified HbA1c targets of <7% and <8%. Conclusion Patients referred to a CPP were more complex, but had greater reductions in HbA1c and were more likely to achieve HbA1c goals included in the organization’s quality measures. This study demonstrates the value of pharmacists in improving patient care and their role in supporting an organization’s achievement of value-based quality measures.

Funder

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Health Policy,Pharmacology

Reference14 articles.

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