Evaluation of Pharmacist Impact on Blood Pressure Metrics at Providence
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Publication Date
2024
Abstract
Abstract: PMG in the Oregon region has a strong primary care clinical pharmacy service integrated within care teams. Providers and clinic team-based workflows may refer patients to a clinical pharmacy specialist (CPS) for hypertension (HTN) management to assist in achieving blood pressure (BP) metric target of < 140/90 mmHg. BP metric data in PMG Oregon clinics are tracked in the electronic health record (EHR) within “episodes of care” (EOC) forms, which allows for pharmacist-specific data tracking. This study evaluates the impact of pharmacist-provided comprehensive medication management (PCMM) on BP metric data for all PMG clinics in the Oregon region. Secondary outcomes will evaluate the change in BP after CPS intervention(s), compare BP outcomes from overall clinic performance vs. PCMM at each PMG clinic, and compare CPS workflow models for HTN and how it impacts BP outcomes. This study is a retrospective, observational chart review of patients who received PCMM with an EOC form documented between January 2023 to October 2023. Patients are included if they are 18+ years old, established care with a PCP at PMG clinics in the Oregon region, and have a pharmacotherapy EOC for HTN documented in the EHR with clinical pharmacy services. Patients are excluded if they are on hospice or end of life care, have end stage renal disease, receiving dialysis or have a kidney transplant, pregnant, or incarcerated. Analysis of results pending. Anticipate study will demonstrate the positive impact on HTN metrics when CPS are involved in clinic workflows and managing patients collaboratively. (IRB approved) Learning objectives: • To quantify the average change in SBP and DBP (mmHg) after CPS intervention(s) for HTN management • To evaluate BP outcomes from overall clinic performance compared to pharmacist-provided comprehensive medication management for HTN at each PMG clinic in the Oregon region • To compare the different CPS workflow models for HTN and how it impacts BP outcomes Presentation Category: pharmacy practice, quality improvement
Specialty/Research Institute
Graduate Medical Education
