Sarah J Choi1, Roberta Storey1, Sagar V Parikh1, Jolene R Bostwick1. 1. Choi and Storey, PharmD Candidates of 2020, University of Michigan. Parikh, MD, John F. Greden Professor of Depression and Clinical Neuroscience, Professor of Psychiatry, Professor of Health Management and Policy - School of Public Health, Associate Director, University of Michigan Comprehensive Depression Center; Bostwick, PharmD, BCPS, BCPP, Clinical Associate Professor and Associate Chair, Department of Clinical Pharmacy, and Clinical Pharmacist in Psychiatry, Michigan Medicine, University of Michigan.
Abstract
Objectives: To enhance depression care by improving medication information available prior to initial patient consultations. Experimental Design and Sample: Single-center, with intervention delivered to all new patient referrals at a tertiary care depression clinic. Trained pharmacy students utilizing a standard script prior to the first consultation visit conducted a medication review and depression treatment telephone assessment. Results: From 225 individuals contacted once by phone in the week prior to scheduled initial consultation, 141 (62.7%) were reached and 113 (50.2%) completed the full phone assessment. An average of 4-5 medication discrepancies were identified per respondent, of which one-third were considered potentially clinically significant and more than 96% of patients having at least one reported discrepancy. Individuals who completed the call were also more likely to attend the initial consultation. In the medical record, 55 of the 106 (51.9%) pharmacy notes were incorporated in the clinical assessment note. On survey, clinicians reported that access to the pharmacy note saved clinician time, with all prescribing clinicians indicating the pharmacy note significantly influenced subsequent medication recommendations. Conclusions: Telephone assessments conducted by pharmacy students prior to an initial depression clinic consultation was associated with higher consultation attendance, identified a large number of medication discrepancies, were successfully reviewed and received by clinicians, potentially saved clinician time, and influenced subsequent medication prescribing.
Objectives: To enhance depression care by improving medication information available prior to initial patient consultations. Experimental Design and Sample: Single-center, with intervention delivered to all new patient referrals at a tertiary care depression clinic. Trained pharmacy students utilizing a standard script prior to the first consultation visit conducted a medication review and depression treatment telephone assessment. Results: From 225 individuals contacted once by phone in the week prior to scheduled initial consultation, 141 (62.7%) were reached and 113 (50.2%) completed the full phone assessment. An average of 4-5 medication discrepancies were identified per respondent, of which one-third were considered potentially clinically significant and more than 96% of patients having at least one reported discrepancy. Individuals who completed the call were also more likely to attend the initial consultation. In the medical record, 55 of the 106 (51.9%) pharmacy notes were incorporated in the clinical assessment note. On survey, clinicians reported that access to the pharmacy note saved clinician time, with all prescribing clinicians indicating the pharmacy note significantly influenced subsequent medication recommendations. Conclusions: Telephone assessments conducted by pharmacy students prior to an initial depression clinic consultation was associated with higher consultation attendance, identified a large number of medication discrepancies, were successfully reviewed and received by clinicians, potentially saved clinician time, and influenced subsequent medication prescribing.
Authors: Lisa McCarthy; Xinru Wendy Su; Natalie Crown; Jennifer Turple; Thomas E R Brown; Kate Walsh; Jessica John; Paula Rochon Journal: Am J Health Syst Pharm Date: 2016-11-15 Impact factor: 2.637
Authors: Caroline Keogh; Allen Kachalia; Karen Fiumara; Dorothy Goulart; Jonathan Coblyn; Sonali P Desai Journal: Jt Comm J Qual Patient Saf Date: 2016-04