Category: Federal Forum Posters
Purpose: Due to the demand for primary care services, the Veterans Affairs (VA) has developed clinical pharmacy specialist (CPS) positions provided with prescriptive authority specific to a scope of practice. Within the primary care setting, a patient aligned care team (PACT) functions to provide an interdisciplinary health care delivery system which integrates the skills of CPSs. This integration has proven to expand overall appointment availability and improve patient outcomes and safety. This project will use national standards of performance measures to assess the expansion of the PACT model within the Gulf Coast Veterans Health Care System (GCVHS).
Methods: National standards of performance measures, specifically the Strategic Analytics for Improvement and Learning (SAIL) and Healthcare Effectiveness Data and Information Set (HEDIS), for Veterans Integrated Service Network (VISN) 16 will be used as the primary data analysis. Data collection beginning with pre-PACT expansion, Quarters 2 and 3, will be compared to post-PACT expansion, Quarters 1 and 4. Eligible veterans identified through the Primary Care Almanac will be recruited and scheduled into 5 PACT CPS clinics. To target access, a quality measure of SAIL, veterans will be identified weekly based on an upcoming PACT provider appointment for the following: diabetes, hyperlipidemia, and/or hypertension. Veterans will be surveyed upon completion of CPS appointment on whether they feel their needs were met and whether they wish to keep their original primary care appointment. To target HEDIS measures, the following patient parameters will be included during recruitment: hemoglobin a1c 9% or greater, blood pressure above 140/90 mmHg, and absence of appropriate statin therapy. Exclusion criteria includes: upcoming annual exam and veterans followed by VA endocrinology.
Results: not applicable
Conclusion: not applicable
Morgan Tolley– Pharmacy Resident, Gulf Coast Veterans Health Care System, Pensacola, FL