Category: Federal Forum Posters
Purpose: The Madison VA anticoagulation clinic is looking for novel ways to provide optimal anticoagulation management. One unique proposal to accomplish this goal is to effectively integrate a highly trained clinical pharmacy technician (CPT) into the anticoagulation clinic. Through time studies at one VA facility, it has been estimated that approximately 21-41% of work completed by pharmacists could potentially be completed by a CPT. While potential tasks suitable for a trained CPT have been previously described, the most effective methods to train and implement a CPT into an anticoagulation clinic have yet to be determined.
Methods: A two-day time study was conducted to determine the workflow of a single clinical pharmacist during a typical day within our clinic. Anticoagulation daily tasks, including those previously identified by a prior VA multi-site quality improvement were defined and classified as appropriate or inappropriate for a CPT to complete. A survey was then distributed to anticoagulation pharmacists to determine if any discordance existed between tasks deemed appropriate by the previous quality improvement project and our staff. After completion of the time study, a CPT Integration Workgroup consisting of the Anticoagulation Program Manager, two full -time Anticoagulation Clinic staff, and an administrative pharmacy resident prioritized the tasks for initial CPT training. Job aids were then developed based on feedback from staff and materials collected from other VA sites. Six months after implementation of the CPT, another time study will be completed to measure impact of the CPT integration.
Results: Not applicable
Conclusion: Not applicable
Chad Colwell– PGY2 Health-System Administration Pharmacy Resident, William S. Middleton Memorial Veterans Hospital, Fitchburg, WI