The Impact of a Pharmacist Driven Intervention on Appropriate Statin Prescribing in Patients Living with HIV: A population Health Perspective
by Kelsey K Phipps, PharmD, AAHIVP, Nicholas Olson, PharmD, AAHIVP, BCACP, Nicole Lentz, PharmD, BCACP, AAHIVP
"Background: Within ARCW (re-branded as Vivent Health), the pharmacy team manages conditions for patients via collaborative practice agreements. The aim of this study is to evaluate the impact of a pharmacist-driven statin management protocol for patients living with HIV.
Methods: This study occurred over 5 months across Vivent Health's four Wisconsin-based medical clinics. Eligible patients were > 21 years old, HIV+, and eligible for statin therapy based on 2013 ACC/AHA guidelines. In phase one, researchers used a data collection tool in conjunction
with the electronic medical record (Epic) to perform a chart review and determine appropriateness of baseline statin prescribing. In phase two, a pharmacist-driven intervention targeted gaps in statin prescribing. Finally, chart review was performed to assess the impact of a pharmacist-driven intervention on appropriate statin prescribing.
Results: Of the 1,600 patients considered, 554 individuals met inclusion criteria. Only 66% of patients eligible for statin therapy were prescribed a statin at baseline (349/554). Twenty-seven (7.7%) of the patients receiving statin therapy were flagged for recommendation of a dose adjustment. Providers were agreeable to initiate or adjust therapy in 111 of the 214 eligible patients. Following the intervention, 72% of patients were prescribed guideline-recommended statin therapy (401/554)
(p < 0.05).
Conclusion: Improvement in rates of appropriate statin prescribing
in patients living with HIV was demonstrated via a pharmacist-driven intervention. The results of this study could be used to further support pharmacist involvement on multidisciplinary teams by demonstrating improvement in quality and clinical outcomes with pharmacist intervention."
Keywords: Pharmacists, Electronic Health Records, Wisconsin, Pharmaceutical Services, Pharmacies, Pharmacy, HIV Infections, Patient Care Team
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2021 March/April Table of Contents
"Background: Within ARCW (re-branded as Vivent Health), the pharmacy team manages conditions for patients via collaborative practice agreements. The aim of this study is to evaluate the impact of a pharmacist-driven statin management protocol for patients living with HIV.
Methods: This study occurred over 5 months across Vivent Health's four Wisconsin-based medical clinics. Eligible patients were > 21 years old, HIV+, and eligible for statin therapy based on 2013 ACC/AHA guidelines. In phase one, researchers used a data collection tool in conjunction
with the electronic medical record (Epic) to perform a chart review and determine appropriateness of baseline statin prescribing. In phase two, a pharmacist-driven intervention targeted gaps in statin prescribing. Finally, chart review was performed to assess the impact of a pharmacist-driven intervention on appropriate statin prescribing.
Results: Of the 1,600 patients considered, 554 individuals met inclusion criteria. Only 66% of patients eligible for statin therapy were prescribed a statin at baseline (349/554). Twenty-seven (7.7%) of the patients receiving statin therapy were flagged for recommendation of a dose adjustment. Providers were agreeable to initiate or adjust therapy in 111 of the 214 eligible patients. Following the intervention, 72% of patients were prescribed guideline-recommended statin therapy (401/554)
(p < 0.05).
Conclusion: Improvement in rates of appropriate statin prescribing
in patients living with HIV was demonstrated via a pharmacist-driven intervention. The results of this study could be used to further support pharmacist involvement on multidisciplinary teams by demonstrating improvement in quality and clinical outcomes with pharmacist intervention."
Keywords: Pharmacists, Electronic Health Records, Wisconsin, Pharmaceutical Services, Pharmacies, Pharmacy, HIV Infections, Patient Care Team
Download PDF
2021 March/April Table of Contents