ROLES FOR PHARMACISTS IN PATIENT CENTERED MEDICAL HOMES- SUCCESSES AND BARRIERS

Author(s)

Kim D, Lovett A
Mercer University, Atlanta, GA, USA

OBJECTIVES: The primary aim was to describe the various patient centered medical home (PCMH) models and discuss the roles for pharmacists. A secondary aim was to discuss implementation strategies and potential barriers. METHODS: A literature search accessed articles published from 2008 to 2013 through electronic databases PubMed, pharmacy association websites, and the Agency for Healthcare Research and Quality website. Key terms utilized in the search were “PCMH” and “pharmacists.” Articles without a description of a PCMH model were excluded. The reference list of each article was searched for additional related articles.  Results were summarized in a table, which included the year of publication, author, title, study design, source and findings. RESULTS: Thirty-one articles were included in this review with subtopics; role of the pharmacist, implementation strategies and barriers. Literature review suggests that while pharmacists can make positive impacts both financially and in patient outcomes, the current system and infrastructure may make support of a pharmacist difficult. Significant changes in a PCMH model must be integrated for pharmacist participation. Specifically, a pharmacist’s scope of practice should be established.  Major themes included pharmacist collaboration with other health professionals, the provision of medication therapy management services, and chronic disease management. Implementation strategies that proved to be successful were consistent in allowing for open communication between the pharmacist and the team, a clearly defined structure for reimbursement, and taking an active role in monitoring or quality improvements. Barriers are related to reimbursement, health information technology and collaborative practice agreements. CONCLUSIONS: The body of literature from this 5-year period provides continued evidence of the benefits of a pharmacist within a PCMH to patients and health systems. This reemphasizes the need for future pharmacists to assume a greater role on the health care teams within PCMHs.

Conference/Value in Health Info

2014-05, ISPOR 2014, Palais des Congres de Montreal

Value in Health, Vol. 17, No. 3 (May 2014)

Code

PHS140

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Hospital and Clinical Practices

Disease

Multiple Diseases

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