Category: Professional Posters
Purpose: Implementation of a pharmacist in a primary care setting compliments the healthcare team in providing the best care for patients. A1c reduction was identified as a needed patient outcome to prevent or worsen co-morbidities and decrease healthcare costs. Having a pharmacist as an extension of the provider helps to better serve patients. Medication reconciliations, weekly insulin titrations, and co-visits with the providers helps to augment patients therapy. This project was designed to uncover the need for a pharmacist in a primary care setting to help reduce A1c in patients diabetes mellitus and improve patient outcomes and medication adherence.
Methods: Pharmacist were chosen for a unique opportunity to work in along side multiple providers. They designed and implemented a diabetes protocol to better assist the patients they were assigned to help reduce their A1c to bring them to goal. The protocol included weekly blood sugar readings, lipid screenings bi-annually, and A1c labs every 3 months (if continuously not at goal and uncontrolled). Pharmacists utilizing the protocol identified patients that would benefit from telephone encounters and face-to-face personalized insulin titration schedules. All pharmacists were required to de-identify and document patient's A1c progress.
Results: Two pharmacists were chosen to extrapolate data from separate clinics to track their patients A1c reduction progress. There were sixty six patients that were followed over a course of six months. Seventeen patients dropped out and forty nine patients remained on the titration schedule. The average patient had an average A1c reduction of 2.0% to 3.0%. The pharmacist were also able to identify and recommend statin therapy in over 72% of patients the providers saw. The providers indicated that the pharmacists role in the primary care setting is an asset. Their role has assisted providers in managing patients diabetes and keeping their A1c within goal reducing preventable morbidity and mortality rates.
Conclusion: The role of a pharmacist in a primary care setting has been helpful in identifying patient needs and improving patient outcomes by reducing their A1c. Having pharmacists on the forefront allows for better management of patient's insulin titrations, eating and exercise habits, and overall healthcare and prescription management needs.