Quality Improvement Projects
Pharmacist integration at an internal medicine clinic
Clinic details
- 6 attending physicians
- ~40 resident physicians
- 1 dietician
- 1 social worker (MSW)
- 1 pharmacist
- 2 LPNs (2 more as “transitions of care” LPNs in hospitals)
- 5 MAs
Project Description
Goal: Institute a team-based medication refill protocol.
Methods: 1) A written policy was developed and overseen by a pharmacist but executed by an LPN to screen incoming medication refill requests:
Results
As of June, 2022:
- “Light days” refill authorizations include ~50 requests, all of which used to go to physicians, with predictable delays in authorizations
- “Heavy day” is closer to ~100 requests
- No detectable change in patient satisfaction:
Diabetes screening at a family medicine clinic
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