Evaluation of Pharmacist Involvement in Medicare Wellness Visits.

Journal of Pharmacy Practice
Tram TranDelaney Ivy

Abstract

To evaluate the difference in the number of drug therapy interventions between patients seen by pharmacists and patients seen by nonpharmacist providers during Medicare Annual Wellness Visits (AWVs). Pharmacists completed the medication history portion of AWVs at a primary care, interdisciplinary clinic in Central Texas. Drug therapy problems were collected and compared to those identified by physicians conducting AWVs. Drug therapy problems were grouped into 4 categories: indication, effectiveness, safety, and adherence. Each category was divided into subcategories to further specify the problem. Fifty patients received an AWV in each group. Pharmacists identified more drug therapy problems in all 4 categories as compared to physicians (100 vs 20 interventions, respectively) and significant differences were detected in most subcategories: indication without medication (P = .005), suboptimal regimen (P = .0034), drug-drug interaction (P = .0267), warning/precaution requiring additional monitoring (P = .0267), nonadherence (P = .0058), and patient lack of understanding medication therapy (P = .005). Pharmacist involvement in AWVs helped identify drug therapy problems.

References

Apr 11, 2006·Journal of the American Pharmacists Association : JAPhA·Barry A Bunting, Carole W Cranor
Dec 2, 2010·The Annals of Pharmacotherapy·Kathleen A JohnsonJeffrey McCombs
Dec 20, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Keith WarshanyBetsy Bryant Shilliday
Jul 27, 2014·Journal of the American Pharmacists Association : JAPhA·Pamela C Heaton
Jul 15, 2015·Journal of the American Pharmacists Association : JAPhA·Courtenay Gilmore WilsonLisa Ray

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