Literature DB >> 33693451

Development, implementation, and evaluation of a health outcomes and research program at an integrated health-system specialty pharmacy.

Autumn D Zuckerman, Nisha B Shah1, Megan E Peter1, Jacob A Jolly1, Tara N Kelley1.   

Abstract

PURPOSE: Health-system specialty pharmacies (HSSPs) provide high-quality, efficient, and collaborative care to patients receiving specialty therapy. Despite proven benefits of the integrated model, manufacturer and payer restrictions challenge the viability and utility of HSSPs. Vanderbilt Specialty Pharmacy developed a health outcomes and research program to measure and communicate the value of this model, drive improvement in patient care delivery, and advocate for recognition of HSSP pharmacists' role in patient care. The purpose of this descriptive report is to describe the development and results of this program.
SUMMARY: The health outcomes and research program began as an initiative for pharmacists to evaluate and convey the benefits they provide to patients, providers, and the health system. Early outcomes data proved useful in communicating the value of an integrated model to key stakeholders and highlighted the need to further develop research efforts. The department leadership invested resources to build a research program with dedicated personnel, engaged research experts to train pharmacists, and fostered internal and external collaborations to facilitate research efforts. As of March 2021, the health outcomes and research program team has published 33 peer-reviewed manuscripts, presented 88 posters and 7 podium presentations at national conferences, and received 4 monetary research awards. Further, the program team engages other HSSP teams to initiate and expand their own health outcomes research in an effort to empower all HSSPs in demonstrating their value.
CONCLUSIONS: The health outcomes and research program described has pioneered outcomes research among HSSPs nationwide and has proven valuable to specialty pharmacists, the health system, and key specialty pharmacy stakeholders. © American Society of Health-System Pharmacists 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  access; and evaluation; healthcare quality; integrated delivery of healthcare; pharmacy; specialty pharmacy

Mesh:

Year:  2021        PMID: 33693451      PMCID: PMC8142709          DOI: 10.1093/ajhp/zxab082

Source DB:  PubMed          Journal:  Am J Health Syst Pharm        ISSN: 1079-2082            Impact factor:   2.637


  18 in total

1.  Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

Authors:  Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde
Journal:  J Biomed Inform       Date:  2008-09-30       Impact factor: 6.317

2.  Impact of an integrated oral chemotherapy program on patient adherence.

Authors:  Katherine P Morgan; Benyam Muluneh; Allison M Deal; Lindsey B Amerine
Journal:  J Oncol Pharm Pract       Date:  2017-04-05       Impact factor: 1.809

3.  Advancing Patient Care Through Specialty Pharmacy Services in an Academic Health System.

Authors:  Autumn Bagwell; Tara Kelley; Alicia Carver; Jennifer B Lee; Brandon Newman
Journal:  J Manag Care Spec Pharm       Date:  2017-08

Review 4.  Integrated clinical and specialty pharmacy practice model for management of patients with multiple sclerosis.

Authors:  Rebekah L Hanson; Mitra Habibi; Nehrin Khamo; Sherif Abdou; JoAnn Stubbings
Journal:  Am J Health Syst Pharm       Date:  2014-03-15       Impact factor: 2.637

5.  Specialty pharmacies and other restricted drug distribution systems: financial and safety considerations for patients and health-system pharmacists.

Authors:  Bonnie E Kirschenbaum
Journal:  Am J Health Syst Pharm       Date:  2009-12-15       Impact factor: 2.637

Review 6.  Implementation of a patient-focused specialty pharmacy program in an academic healthcare system.

Authors:  Matthew H Rim; Lonnie Smith; Michael Kelly
Journal:  Am J Health Syst Pharm       Date:  2016-04-28       Impact factor: 2.637

7.  Risk Factors for Medication Nonadherence to Self-Injectable Biologic Therapy in Adult Patients With Inflammatory Bowel Disease.

Authors:  Nisha B Shah; Jennifer Haydek; James Slaughter; Jonathan R Ashton; Autumn D Zuckerman; Rochelle Wong; Francesca Raffa; Ailish Garrett; Caroline Duley; Kim Annis; Julianne Wagnon; Lawrence Gaines; Robin Dalal; Elizabeth Scoville; Dawn B Beaulieu; David Schwartz; Sara N Horst
Journal:  Inflamm Bowel Dis       Date:  2020-01-06       Impact factor: 5.325

8.  High rates of medication adherence in patients with pulmonary arterial hypertension: An integrated specialty pharmacy approach.

Authors:  Nisha B Shah; Rhonita E Mitchell; Stephanie Terry Proctor; Leena Choi; Joshua DeClercq; Jacob A Jolly; Anna R Hemnes; Autumn D Zuckerman
Journal:  PLoS One       Date:  2019-06-06       Impact factor: 3.240

Review 9.  An Integrated Health-System Specialty Pharmacy Model for Coordinating Transitions of Care: Specialty Medication Challenges and Specialty Pharmacist Opportunities.

Authors:  Autumn D Zuckerman; Alicia Carver; Katrina Cooper; Brandon Markley; Amy Mitchell; Victoria W Reynolds; Marci Saknini; Houston Wyatt; Tara Kelley
Journal:  Pharmacy (Basel)       Date:  2019-12-03

10.  Closing the Gap: Identifying Rates and Reasons for Nonadherence in a Specialty Population.

Authors:  Dominic Paolella; Elizabeth Cherry; Jacob A Jolly; Joshua DeClercq; Leena Choi; Autumn Zuckerman
Journal:  J Manag Care Spec Pharm       Date:  2019-11
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