Annie Y Lam1, Yang Chung. 1. Department of Pharmacy, Health Sciences Center, University of Washington, Seattle, WA 98195, USA. aylam@u.washington.edu
Abstract
OBJECTIVE: To describe the establishment, implementation, and economic outcomes of a pharmacist-conducted on-site influenza vaccination service in an assisted-living facility (ALF). DESIGN: Retrospective descriptive report. SETTING: 75-unit senior housing complex in the International District of Seattle, WA, during the 2004 flu season. PATIENTS: 58 indigent, multiethnic, older Asian adult patients, of whom 44 were ALF residents and 14 were adult day health (ADH)/independent-dwelling clients. INTERVENTION: Patient charts were reviewed for contraindications, vaccines were administered, and postvaccination satisfaction surveys were conducted. MAIN OUTCOME MEASURES: Number of residents vaccinated, satisfaction survey results, time spent by a pharmacist and an assistant and their salary rate, cost of vaccines, cost of supplies, and reimbursement data. Service outcomes included vaccination rate and resident satisfaction. A cost analysis reflects the economic outcome. RESULTS: In two 2-hour sessions, 58 ALF residents and ADH clients (age 83.5 +/- 7.7 years [range 65-98]) were vaccinated. The immunization rate in the population improved from 64% in the previous year to 83% with the on-site service. Both the clients and the facility staff rated the service highly. The pharmacist spent a total of 22 hours and the assistant 4 hours providing vaccination services. A net income of $13 per vaccination was realized after making adjustments for costs (vaccines, supplies, and salaries). CONCLUSION: An on-site pharmacist-conducted influenza vaccination service in the ALF setting expanded the scope and economic outcome of pharmacist-provided pharmaceutical services. Influenza vaccination rates were improved, and patients and staff were highly satisfied with the service.
OBJECTIVE: To describe the establishment, implementation, and economic outcomes of a pharmacist-conducted on-site influenza vaccination service in an assisted-living facility (ALF). DESIGN: Retrospective descriptive report. SETTING: 75-unit senior housing complex in the International District of Seattle, WA, during the 2004 flu season. PATIENTS: 58 indigent, multiethnic, older Asian adult patients, of whom 44 were ALF residents and 14 were adult day health (ADH)/independent-dwelling clients. INTERVENTION: Patient charts were reviewed for contraindications, vaccines were administered, and postvaccination satisfaction surveys were conducted. MAIN OUTCOME MEASURES: Number of residents vaccinated, satisfaction survey results, time spent by a pharmacist and an assistant and their salary rate, cost of vaccines, cost of supplies, and reimbursement data. Service outcomes included vaccination rate and resident satisfaction. A cost analysis reflects the economic outcome. RESULTS: In two 2-hour sessions, 58 ALF residents and ADH clients (age 83.5 +/- 7.7 years [range 65-98]) were vaccinated. The immunization rate in the population improved from 64% in the previous year to 83% with the on-site service. Both the clients and the facility staff rated the service highly. The pharmacist spent a total of 22 hours and the assistant 4 hours providing vaccination services. A net income of $13 per vaccination was realized after making adjustments for costs (vaccines, supplies, and salaries). CONCLUSION: An on-site pharmacist-conducted influenza vaccination service in the ALF setting expanded the scope and economic outcome of pharmacist-provided pharmaceutical services. Influenza vaccination rates were improved, and patients and staff were highly satisfied with the service.
Authors: Lan My Le; Sajesh K Veettil; Daniel Donaldson; Warittakorn Kategeaw; Raymond Hutubessy; Philipp Lambach; Nathorn Chaiyakunapruk Journal: J Am Pharm Assoc (2003) Date: 2022-06-24