Category: Federal Forum Posters
Purpose: Clinical Pharmacy Specialists (CPS) serve as highly-trained medication management experts and consultants collaborating with providers to ensure safe, appropriate, and cost-effective use of medications. Documentation is vital for continuity of care, and for demonstrating the value of CPS as a member of the health care team. Acute care encounters were less than 20% of total workload encounters in 2018, yet VA Clinical Pharmacy Practice Office (CPPO) has not established best practices for acute care documentation and workload capture. This project will establish acute care CPS clinics and standardized note templates to increase acute care encounters.
Methods: Prior to initiation of the project, the protocol will be submitted to the University of Cincinnati Institutional Review Board and the VA Research and Development Committee for approval. Two acute care clinics will be created for the CPS using defined stop codes and specific pharmacy clinic encounter types, that will help define encounters. Standardized note templates will be created using patient data objects and a national VA program named Pharmacists Achieve Results with Medications Documentation (PhARMD tool) to help with documentation of patient assessment and recommendations. Outcomes data will be collected using a computer generated report from CPPO. The primary outcome will examine the total number of encounters performed by acute care CPSs for three months pre- and post-efficiency improvements. Secondary outcomes will examine the type of workload and pharmacy interventions that were documented during the defined time periods. This data will be used to help improve efficiency and workload capture throughout other areas of clinical pharmacy services in the acute care setting at the Cincinnati Veterans Affairs Medical Center.
Jeremy Patton– Pharmacy Resident, Veterans Affairs, Cincinnati, OH