TY - JOUR KW - Cooperative Behavior KW - Humans KW - Interprofessional Relations KW - Medication Therapy Management/organization & administration KW - Models, Organizational KW - Patient-Centered Care/organization & administration KW - Pharmacists/organization & administration KW - Pharmacy Service, Hospital/organization & administration KW - Physicians/organization & administration KW - Pilot Projects KW - Primary Health Care/organization & administration KW - Professional Role KW - Reimbursement Mechanisms AU - S. Erickson AU - J. Hambleton A1 - AB - OBJECTIVE: To describe the integration of a clinic pharmacy with a patient-centered medical home (PCMH). SETTING: Primary care clinic in Monroe, WA, from 1981 to January 2011. PRACTICE DESCRIPTION: Pharmacists and physicians with a previous working relationship in a family practice residency program established colocated practices in 1981. In addition to traditional pharmacy services, collaborative practice agreements were developed and clinical pharmacy services expanded over time. Reimbursement challenges for clinical pharmacy services existed in the fee-for-service environment. The acquisition of the clinic and pharmacy by Providence Health and Services created a new financial alignment with additional opportunities for collaboration. PRACTICE INNOVATION: An internally funded grant established a PCMH pilot that included pharmacist participation. PCMH pharmacists and the care provider team identified areas to improve physician and clinic efficiencies and to enhance patient care. RESULTS: Clinical pharmacy services expanded under the PCMH model. Pharmacist activities included value-added refill authorization services, coordinated patient visits with the PCMH pharmacist and physicians, medication therapy management, diabetes and anticoagulation services, hospital discharge medication reconciliation, and participation in the shared medical appointment. CONCLUSION: Clinical pharmacy services are woven into the PCMH fabric of this clinic. New pharmacists will be challenged and rewarded in this evolving health care model. BT - Journal of the American Pharmacists Association : JAPhA C5 - Medical Home CP - 2 CY - United States DO - 10.1331/JAPhA.2011.10181 IS - 2 JF - Journal of the American Pharmacists Association : JAPhA N2 - OBJECTIVE: To describe the integration of a clinic pharmacy with a patient-centered medical home (PCMH). SETTING: Primary care clinic in Monroe, WA, from 1981 to January 2011. PRACTICE DESCRIPTION: Pharmacists and physicians with a previous working relationship in a family practice residency program established colocated practices in 1981. In addition to traditional pharmacy services, collaborative practice agreements were developed and clinical pharmacy services expanded over time. Reimbursement challenges for clinical pharmacy services existed in the fee-for-service environment. The acquisition of the clinic and pharmacy by Providence Health and Services created a new financial alignment with additional opportunities for collaboration. PRACTICE INNOVATION: An internally funded grant established a PCMH pilot that included pharmacist participation. PCMH pharmacists and the care provider team identified areas to improve physician and clinic efficiencies and to enhance patient care. RESULTS: Clinical pharmacy services expanded under the PCMH model. Pharmacist activities included value-added refill authorization services, coordinated patient visits with the PCMH pharmacist and physicians, medication therapy management, diabetes and anticoagulation services, hospital discharge medication reconciliation, and participation in the shared medical appointment. CONCLUSION: Clinical pharmacy services are woven into the PCMH fabric of this clinic. New pharmacists will be challenged and rewarded in this evolving health care model. PP - United States PY - 2011 SN - 1544-3450; 1086-5802 SP - 156 EP - 160 EP - T1 - A pharmacy's journey toward the patient-centered medical home T2 - Journal of the American Pharmacists Association : JAPhA TI - A pharmacy's journey toward the patient-centered medical home U1 - Medical Home U2 - 21382804 U3 - 10.1331/JAPhA.2011.10181 VL - 51 VO - 1544-3450; 1086-5802 Y1 - 2011 ER -