Category: Federal Forum Posters
Purpose: Primary Care Clinical Pharmacy Specialists are recognized throughout the VA health care system as highly capable of providing quality care to patients with a wide array of disease states, including: diabetes, hypertension, hyperlipidemia, anticoagulation, and hepatitis C. Expansion of the pharmacist’s role into management of a hepatitis B-specific patient panel could provide tremendous benefit to both patient and VA primary care providers. This quality improvement project aims to assess the feasibility and impact of a novel pharmacist-driven HBV clinic.
Methods: The pharmacy resident will design and implement a HBV-focused clinic model, utilizing existing Primary Care Clinical Pharmacy Specialists and team framework to provide consistent care and monitoring to a VA MT cohort with HBV. The resident will offer enrollment into the clinic to all VA Montana veterans identified from a nationally-identified (Hepatitis B Dashboard) HBV patient population (n= ~30). The resident will evaluate patient’s current medical status, viral status/load, and willingness to undergo treatment as appropriate. Working with Primary Care Clinical Pharmacy Specialists, the resident will work to develop and implement patient-centered education and appropriate treatment plans, melding the most current literature and IDSA/AASLD guidelines with existing VA formulary options. The resident will design and implement monitoring programs for continual assessment during and post therapy. The resident will design and implement pharmacy-led CE’s and/or “bootcamps” in order to train and update a MT-wide pharmacist panel, with the goal of increasing likelihood of successful patient handoff at the end of the resident year.
Impact of the clinic will be assessed using both patient-specific disease markers and/or surrogates, including but not limited to disease progression, serologies, viral load, effect on primary care visits/workload, and experience of care indicators.
Results: not applicable
Conclusion: not applicable
Michael Gantz– Pharmacy Resident, Veterans Affairs, Helena, MT