Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting
Objectives: The primary objective of this study was to determine the effect of a pharmacist-provided spirometry service within a federally qualified health center on the percentage of spirometry referrals completed with results reviewed by the ordering provider. Secondary objectives evaluated differ...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-02-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/2150132718759213 |
| _version_ | 1819229205263548416 |
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| author | Lisa A. Mueller Alexa Sevin Valentino Aaron D. Clark Junan Li |
| author_facet | Lisa A. Mueller Alexa Sevin Valentino Aaron D. Clark Junan Li |
| author_sort | Lisa A. Mueller |
| collection | DOAJ |
| description | Objectives: The primary objective of this study was to determine the effect of a pharmacist-provided spirometry service within a federally qualified health center on the percentage of spirometry referrals completed with results reviewed by the ordering provider. Secondary objectives evaluated differences between internal and external referrals, medication recommendations made by the pharmacist, and revenue brought in by the service. Methods: Chart reviews were completed to determine the referral completion rates between patients who received a spirometry referral before (December 2014–September 2015) and after (January 2016–October 2016) the implementation of the pharmacy-provided spirometry service. Chart reviews were also used to determine the number and completion rate among referrals for internal and external services in the postimplementation time frame. Chart reviews also assessed medication recommendations made by the pharmacist. Results: The results demonstrate an increase in referral completion rate from 38.1% to 47.0% ( P = .08) between the pre- and postimplementation time frames. In the postimplementation time frame, there was a statistically significant difference in the percentage of referrals completed between in-house referrals and external referrals (70.0% and 40.9%, respectively, P = .0004). Comparing clinics with and without the spirometry service, there was a statistically significant difference in the total number of spirometry referrals (1.13% and 0.59%, respectively, P < .0001) and the percent of referrals completed (0.55% and 0.27%, respectively, P = .0002). Conclusion: The results suggest that offering spirometry within the primary care setting helps to increase the rate of completed spirometry tests with results available to the primary care provider. Additionally, the results show that there is an increased completion rate in patients who receive an internal spirometry referral, which may be due to reduced barriers in obtaining this testing. Overall, these results demonstrate that providing spirometry in the primary care setting helps to increase spirometry results obtained and could be beneficial in other primary care settings. |
| first_indexed | 2024-12-23T11:09:28Z |
| format | Article |
| id | doaj.art-92971cb269fd44faa29fa5182d278676 |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-12-23T11:09:28Z |
| publishDate | 2018-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-92971cb269fd44faa29fa5182d2786762022-12-21T17:49:23ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272018-02-01910.1177/2150132718759213Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care SettingLisa A. Mueller0Alexa Sevin Valentino1Aaron D. Clark2Junan Li3PrimaryOne Health, Columbus, OH, USAPrimaryOne Health, Columbus, OH, USAThe Ohio State University College of Medicine, Columbus, OH, USAThe Ohio State University College of Pharmacy, Columbus, OH, USAObjectives: The primary objective of this study was to determine the effect of a pharmacist-provided spirometry service within a federally qualified health center on the percentage of spirometry referrals completed with results reviewed by the ordering provider. Secondary objectives evaluated differences between internal and external referrals, medication recommendations made by the pharmacist, and revenue brought in by the service. Methods: Chart reviews were completed to determine the referral completion rates between patients who received a spirometry referral before (December 2014–September 2015) and after (January 2016–October 2016) the implementation of the pharmacy-provided spirometry service. Chart reviews were also used to determine the number and completion rate among referrals for internal and external services in the postimplementation time frame. Chart reviews also assessed medication recommendations made by the pharmacist. Results: The results demonstrate an increase in referral completion rate from 38.1% to 47.0% ( P = .08) between the pre- and postimplementation time frames. In the postimplementation time frame, there was a statistically significant difference in the percentage of referrals completed between in-house referrals and external referrals (70.0% and 40.9%, respectively, P = .0004). Comparing clinics with and without the spirometry service, there was a statistically significant difference in the total number of spirometry referrals (1.13% and 0.59%, respectively, P < .0001) and the percent of referrals completed (0.55% and 0.27%, respectively, P = .0002). Conclusion: The results suggest that offering spirometry within the primary care setting helps to increase the rate of completed spirometry tests with results available to the primary care provider. Additionally, the results show that there is an increased completion rate in patients who receive an internal spirometry referral, which may be due to reduced barriers in obtaining this testing. Overall, these results demonstrate that providing spirometry in the primary care setting helps to increase spirometry results obtained and could be beneficial in other primary care settings.https://doi.org/10.1177/2150132718759213 |
| spellingShingle | Lisa A. Mueller Alexa Sevin Valentino Aaron D. Clark Junan Li Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting Journal of Primary Care & Community Health |
| title | Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting |
| title_full | Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting |
| title_fullStr | Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting |
| title_full_unstemmed | Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting |
| title_short | Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting |
| title_sort | impact of a pharmacist provided spirometry service on access to results in a primary care setting |
| url | https://doi.org/10.1177/2150132718759213 |
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