Using quality improvement frameworks to develop, implement, and evaluate a novel ambulatory oncology pharmacy practice model: A descriptive example

Author:

Underhill Hayley1,LeBlanc Michael2,Macfarlane Robyn3,Hutton Lauren4

Affiliation:

1. College of Pharmacy, Dalhousie University, Halifax, NS, and Pharmacy Research, Queen Elizabeth II Health Sciences Centre, Central Zone, Nova Scotia Health , Halifax, NS , Canada

2. Clinical Pharmacy Services, The Moncton Hospital, Horizon Health Network, Moncton, NB, and College of Pharmacy, Dalhousie University , Halifax, NS , Canada

3. Medical Oncology, Queen Elizabeth II Health Sciences Centre, Central Zone, Nova Scotia Health , Halifax, NS , Canada

4. Oncology, Queen Elizabeth II Health Sciences Centre, Central Zone, Nova Scotia Health , Halifax, NS , Canada

Abstract

Abstract Purpose To describe the application of the Plan-Do-Study-Act quality improvement framework in the development, implementation, and evaluation of a novel pharmacy practice model in ambulatory oncology. Summary Four iterations of the Plan-Do-Study-Act framework were completed to develop a patient-facing, pharmacist-led ambulatory oncology clinic program. The clinic provided care to patients with prostate cancer on oral anticancer therapy. Metrics were collected throughout all stages of development to inform target processes for improvement. The pharmacist saw 136 patients between July 2019 and January 2023, resulting in 464 total encounters. The pharmacist provided clinical interventions and counseling to patients newly starting on oral anticancer therapy and those established on therapy using a longitudinal model of care. Conclusion Application of the Plan-Do-Study-Act quality improvement framework to a novel pharmacy practice model supported the development, evaluation, and sustainability of a pharmacist-led ambulatory oncology clinic providing care to patients with prostate cancer on oral anticancer therapy.

Publisher

Oxford University Press (OUP)

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3. Medical oncology workload in Canada: infrastructure, supports, and delivery of clinical care;Fundytus;Curr Oncol,2018

4. Implementation of performance metrics to assess pharmacists’ activities in ambulatory care clinics;Schmidt;Am J Health-Syst Pharm,2017

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