Category: Federal Forum Posters
Purpose: The goal of this project is to perform a retrospective chart review to evaluate if Clinical Pharmacy Specialists (CPS) within Veterans Affairs patient-aligned care teams (PACT) are making a meaningful impact on the reduction of hypoglycemia in veterans. The hypothesis is that CPS are making interventions that resolve or improve the incidence or severity of hypoglycemia and that patients with an intervention for hypoglycemia will have a low rate of hospital admission, ER visits, or emergency medical intervention for hypoglycemia.
Methods: This study will be submitted to the Institutional Review Board of the University of Cincinnati. Chart review will be performed on patients that had a CPS intervention for “adjusted medication for low blood sugar” or “changed medication for low blood sugar” documented by the Pharmacists Achieve Results with Medications Documentation (PhARMD) tool in 2017. The following data will be collected via retrospective chart review: demographic data (age, sex, ethnicity), type of diabetes mellitus (DM), the pharmacologic intervention made for hypoglycemia, the lowest glucose value <70mg/dL, and the number of glucose values <70mg/dL before and after the intervention. At the follow-up appointment, it will be noted whether hypoglycemia resolved or required another intervention and if the patient was hospitalized, went to the ED, or needed emergency medical intervention caused by hypoglycemia prior to the second appointment. If another intervention is required, fingerstick blood glucose readings will be evaluated to determine if there was a change in lowest blood glucose value or number of hypoglycemic events between the initial and follow-up appointments. Additionally, any hypoglycemia diabetes self-management education will be recorded, along with any factors that could have precipitated unresolved hypoglycemia such as diet, exercise, or incorrect use of medications.
Andrea Finger– PGY1 Pharmacy Practice Resident, Cincinnati VA Medical Center, Cincinnati, OH