Case Example. Minnesota In the early 1980s, Xxxxxxxx Pharmacy, a locally owned community pharmacy in Minnesota, began entering into medication substitution agreements with local doc- tors. With the adoption and evolution of MTM services in the 1990s, Xxxxxxxx expanded to five sites around the Twin Cities by 2010. The pharmacy now provides extensive MTM and patient care services through CPAs for chronic disease care and patient education with the Anoka River Way Clinic. Xxxxx Xxxxxxxx, president of Goodrich Pharmacy, stated that “patient-focused collaborative care has improved as a result of closer relationships that we established with other health care providers.” Two to three patients are referred for MTM services each day. The majority of patients participate in the University of Minnesota’s employee health plan, UPlan, which provides MTM services at no cost to eligible patients. According to Xxxxxxxx, university officials support efforts to improve employee health, and they recognize pharmacists’ contributions to better MTM services.11,12 Use simple, understandable, and empowering language when referring to pharmacists’ patient care services. Different terms are used to describe similar patient care services provided by pharmacists. Simple terms can promote understanding and help create meaningful CPAs that include pharmacists’ services in routine patient care. Pharmacists need to make sure others know that their clinical capabilities include the following: Communicating and collaborating with doctors and other prescribers to provide patient care. Improving the quality of medication management and health outcomes.2 Improving public health outcomes.3 Case Example: Arizona Since 2000, Arizona law has authorized CPAs between pharmacists and doctors in specified health facilities (ARS §32-1970 [A–D]). The law was amended in 2011 by Senate Bill (SB) 1298 (Ariz Sess Laws Ch 103 [2011]) to allow pharmacists in any setting to enter into CPAs with doctors and nurse practitioners. Pharmacists at El Rio Community Health Center8 have worked with local doctors since 2000. El Rio is the largest local provider of medical services to uninsured and Medicaid patients in Pima County. Each pharmacist and provider negotiates the terms of the CPA to allow the pharmacist to care for patients with diabetes, high blood pressure, and high cholesterol. Compared with other health centers, El Rio reports lower costs, more screenings, and fewer emergency room visits among its patients.9 SB 1298 ...
Case Example. El Rio Community Health Center At Arizona’s El Rio Community Health Center, switching to an EHR system helped providers set up CPAs with local pharmacists for the center’s 800 patients who are receiving diabetes management services. Doctors and nurse practitioners refer patients to the pharma- cist through the EHR. The pharmacist care plan is then documented in the EHR, along with a copy of the CPA. Changes to patients’ medications—such as the intro- duction of a new medication or a change to a current prescription—are tracked in the system, and this infor- mation is accessible to the provider and pharmacist. The new system has created demand for more resources to be devoted to health information technology services and data collection and storage.10
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