A pharmacist‐physician collaborative care model in chronic kidney disease

Abstract A multidisciplinary approach, including pharmacist interventions, has improved clinical outcomes and reduced economic costs in chronic disease management. To our knowledge, this is the first study to describe the incorporation of pharmacist‐driven medication management with partnering nephr...

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Main Authors: Hanlin Li, Jai Radhakrishnan
Format: Article
Language:English
Published: Wiley 2021-11-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.14372
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author Hanlin Li
Jai Radhakrishnan
author_facet Hanlin Li
Jai Radhakrishnan
author_sort Hanlin Li
collection DOAJ
description Abstract A multidisciplinary approach, including pharmacist interventions, has improved clinical outcomes and reduced economic costs in chronic disease management. To our knowledge, this is the first study to describe the incorporation of pharmacist‐driven medication management with partnering nephrologists while capitalizing on technology to improve outcomes in a Chronic kidney disease (CKD) population. The authors created a collaborative drug therapy management agreement to enhance medication management for hypertension and diabetes mellitus. Our metrics aligned with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. Most referrals to the program met the HEDIS definition of suboptimal disease control (Diabetes: 19/25 and Hypertension: 45/70). In patients with multiple pharmacy visits, achievement of diabetes targets increased from 23% to 67% and hypertension from 29% to 58%. Those who used technology tools were more likely to reach goals. The positive impact of a pharmacist‐physician collaboration and utilization of technology tools present an opportunity to improve care for CKD patients.
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spelling doaj.art-2c568a401b3b41d788c5450a88398b1b2023-10-30T13:30:55ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-11-0123112026202910.1111/jch.14372A pharmacist‐physician collaborative care model in chronic kidney diseaseHanlin Li0Jai Radhakrishnan1Lead Clinical Pharmacy Manager Ambulatory Care Department of Pharmacy NewYork‐Presbyterian Hospital New York New York USAProfessor of Medicine at Columbia University Irving Medical Center Clinical Director Division of Nephrology Columbia University Irving Medical Center/NewYork‐Presbyterian Hospital New York New York USAAbstract A multidisciplinary approach, including pharmacist interventions, has improved clinical outcomes and reduced economic costs in chronic disease management. To our knowledge, this is the first study to describe the incorporation of pharmacist‐driven medication management with partnering nephrologists while capitalizing on technology to improve outcomes in a Chronic kidney disease (CKD) population. The authors created a collaborative drug therapy management agreement to enhance medication management for hypertension and diabetes mellitus. Our metrics aligned with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. Most referrals to the program met the HEDIS definition of suboptimal disease control (Diabetes: 19/25 and Hypertension: 45/70). In patients with multiple pharmacy visits, achievement of diabetes targets increased from 23% to 67% and hypertension from 29% to 58%. Those who used technology tools were more likely to reach goals. The positive impact of a pharmacist‐physician collaboration and utilization of technology tools present an opportunity to improve care for CKD patients.https://doi.org/10.1111/jch.14372clinical pharmacologydiabetes mellitushypertensionoutcomes of caretechnology
spellingShingle Hanlin Li
Jai Radhakrishnan
A pharmacist‐physician collaborative care model in chronic kidney disease
The Journal of Clinical Hypertension
clinical pharmacology
diabetes mellitus
hypertension
outcomes of care
technology
title A pharmacist‐physician collaborative care model in chronic kidney disease
title_full A pharmacist‐physician collaborative care model in chronic kidney disease
title_fullStr A pharmacist‐physician collaborative care model in chronic kidney disease
title_full_unstemmed A pharmacist‐physician collaborative care model in chronic kidney disease
title_short A pharmacist‐physician collaborative care model in chronic kidney disease
title_sort pharmacist physician collaborative care model in chronic kidney disease
topic clinical pharmacology
diabetes mellitus
hypertension
outcomes of care
technology
url https://doi.org/10.1111/jch.14372
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AT jairadhakrishnan pharmacistphysiciancollaborativecaremodelinchronickidneydisease