Clinical Pharmacist Integration Into Veterans' Primary Care: Team Members Perspectives

References

1. 1.↵
   American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association. Joint Principles of the Patient-Centered Medical Home 2007. Available at: https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/initiatives/PCMHJoint.pdf. Accessed October 7, 2020.
2. 2.↵
   1. Rodriguez HP,
   2. Giannitrapani KF,
   3. Stockdale S,
   4. Hamilton AB,
   5. Yano EM,
   6. Rubenstein LV

   . Teamlet structure and early experiences of medical home implementation for veterans. J Gen Intern Med 2014;29 Suppl 2:S623–31. Jul.

   OpenUrl
3. 3.↵
   1. Rosland AM,
   2. Nelson K,
   3. Sun H,
   4. et al

   . The patient-centered medical home in the Veterans Health Administration. Am J Manag Care 2013;19:e263–72. Jul 1.

   OpenUrlPubMedWeb of Science
4. 4.↵
   1. Piette JD,
   2. Holtz B,
   3. Beard AJ

   , Ann Arbor PACT Steering Committee, et al. Improving chronic illness care for veterans within the framework of the Patient-Centered Medical Home: experiences from the Ann Arbor Patient-Aligned Care Team Laboratory. Transl Behav Med 2011;1:615–23. Dec.

   OpenUrlCrossRefPubMed
5. 5.↵
   1. Landon BE,
   2. Gill JM,
   3. Antonelli RC,
   4. Rich EC

   . Prospects for rebuilding primary care using the patient-centered medical home. Health Aff (Millwood) May 2010;29:827–34.

   OpenUrlAbstract/FREE Full Text
6. 6.↵
   1. Karam M,
   2. Brault I,
   3. Van Durme T,
   4. Macq J

   . Comparing interprofessional and interorganizational collaboration in healthcare: a systematic review of the qualitative research. Int J Nurs Stud 2018;79:70–83.

   OpenUrl
7. 7.↵
   1. Xyrichis A,
   2. Lowton K

   . What fosters or prevents interprofessional teamworking in primary and community care? A literature review. Int J Nurs Stud 2008;45:140–53. Jan.

   OpenUrlCrossRefPubMedWeb of Science
8. 8.↵
   1. Brault I,
   2. Kilpatrick K,
   3. D'Amour D,
   4. et al

   . Role clarification processes for better integration of nurse practitioners into primary healthcare teams: a multiple-case study. Nurs Res Pract 2014;170514 (Article ID).
9. 9.↵
   1. MacNaughton K,
   2. Chreim S,
   3. Bourgeault IL

   . Role construction and boundaries in interprofessional primary health care teams: a qualitative study. BMC Health Serv Res 2013;13:486.

   OpenUrl
10. 10.↵
    1. Schot E,
    2. Tummers L,
    3. Noordegraaf M

    . Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. J Interprof Care 2020;34:332–42. Jun.

    OpenUrl
11. 11.↵
    1. Harrod M,
    2. Weston LE,
    3. Robinson C,
    4. Tremblay A,
    5. Greenstone CL,
    6. Forman J

    . “It goes beyond good camaraderie”: a qualitative study of the process of becoming an interprofessional healthcare “teamlet”. J Interprof Care May 2016;30:295–300.

    OpenUrl
12. 12.↵
    1. Giannitrapani KF,
    2. Soban L,
    3. Hamilton AB,
    4. et al

    . Role expansion on interprofessional primary care teams: Barriers of role self-efficacy among clinical associates. Healthc (Amst). Dec 2016;4:321–6.

    OpenUrl
13. 13.↵
    1. True G,
    2. Stewart GL,
    3. Lampman M,
    4. Pelak M,
    5. Solimeo SL

    . Teamwork and delegation in medical homes: primary care staff perspectives in the Veterans Health Administration. J Gen Intern Med 2014;29 Suppl 2:S632–9. Jul.

    OpenUrlCrossRefPubMed
14. 14.↵
    1. Solimeo SL,
    2. Ono SS,
    3. Lampman MA,
    4. Paez MB,
    5. Stewart GL

    . The empowerment paradox as a central challenge to patient centered medical home implementation in the Veteran's Health Administration. J Interprof Care 2015;29:26–33. Jan.

    OpenUrlCrossRefPubMed
15. 15.↵
    1. Edwards ST,
    2. Helfrich CD,
    3. Grembowski D,
    4. et al

    . Task delegation and burnout trade-offs among primary care providers and nurses in Veterans Affairs Patient Aligned Care Teams (VA PACTs). J Am Board Fam Med 2018;31:83–93.

    OpenUrlAbstract/FREE Full Text
16. 16.↵
    1. Edwards ST,
    2. Rubenstein LV,
    3. Meredith LS,
    4. et al

    . Who is responsible for what tasks within primary care: perceived task allocation among primary care providers and interdisciplinary team members. Healthc (Amst). Sep 2015;3:142–9.

    OpenUrl
17. 17.↵
    1. Tuepker A,
    2. Kansagara D,
    3. Skaperdas E,
    4. et al

    . “We've not gotten even close to what we want to do”: a qualitative study of early patient-centered medical home implementation. J Gen Intern Med 2014;29 Suppl 2:S614–22.

    OpenUrl
18. 18.↵
    1. McFarland MS,
    2. Groppi J,
    3. Jorgenson T,
    4. et al

    . Role of the US Veterans Health Administration clinical pharmacy specialist provider: shaping the future of comprehensive medication management. Can J Hosp Pharm 2020;73:152–8.

    OpenUrl
19. 19.↵
    1. McFarland MS,
    2. Nelson J,
    3. Ourth H,
    4. Groppi J,
    5. Morreale A

    . Optimizing the primary care clinical pharmacy specialist: increasing patient access and quality of care within the Veterans Health Administration. J Am Coll Clin Pharm 2020;3:494–500.

    OpenUrl
20. 20.↵
    1. Ourth H,
    2. Groppi J,
    3. Morreale AP,
    4. Quicci-Roberts K

    . Clinical pharmacist prescribing activities in the Veterans Health Administration. Am J Health Syst Pharm 2016;73:1406–15.

    OpenUrlAbstract/FREE Full Text
21. 21.↵
    1. Groppi JA,
    2. Ourth H,
    3. Morreale AP,
    4. Hirsh JM,
    5. Wright S

    . Advancement of clinical pharmacy practice through intervention capture. Am J Health Syst Pharm 2018;75:886–92.

    OpenUrlAbstract/FREE Full Text
22. 22.↵
    1. Seckel E,
    2. Portillo E,
    3. Lehmann M,
    4. Wilcox A,
    5. Vega R

    . Ambulatory care pharmacy practice advancement: diffusing strong practices. The Journal of the Pharmacy Society of Wisconsin. July August 2019;22:58–61.

    OpenUrl
23. 23.↵
    The Patient-Centered Primary Care Collaborative. The Patient-Centered Medical Home: Integrating Comprehensive Medication Management to Optimize Patient Outcomes. 2012. Available at: https://www.pcpcc.org/sites/default/files/media/medmanagement.pdf. Accessed June 24, 2020.
24. 24.↵
    1. Talon B,
    2. Perez A,
    3. Yan C,
    4. et al

    . Economic evaluations of clinical pharmacy services in the United States: 2011-2017. Journal of the American College of Clinical Pharmacy 2020;3:793–806.

    OpenUrl
25. 25.↵
    1. Edwards HD,
    2. Webb RD,
    3. Scheid DC,
    4. Britton ML,
    5. Armor BL

    . A pharmacist visit improves diabetes standards in a patient-centered medical home (PCMH). Am J Med Qual 2012;27:529–34.

    OpenUrlCrossRefPubMed
26. 26.↵
    1. Jameson JP,
    2. Baty PJ

    . Pharmacist collaborative management of poorly controlled diabetes mellitus: a randomized controlled trial. Am J Manag Care 2010;16:250–5.

    OpenUrlPubMed
27. 27.↵
    1. Cioffi ST,
    2. Caron MF,
    3. Kalus JS,
    4. Hill P,
    5. Buckley TE

    . Glycosylated hemoglobin, cardiovascular, and renal outcomes in a pharmacist-managed clinic. Ann Pharmacother May 2004;38:771–5.

    OpenUrlCrossRefPubMed
28. 28.↵
    1. Hirsch JD,
    2. Steers N,
    3. Adler DS,
    4. et al

    . Primary care-based, pharmacist-physician collaborative medication-therapy management of hypertension: a randomized, pragmatic trial. Clin Ther 2014;36:1244–54. Sep 1.

    OpenUrlCrossRefPubMed
29. 29.↵
    1. Lee JK,
    2. Grace KA,
    3. Taylor AJ

    . Effect of a pharmacy care program on medication adherence and persistence, blood pressure, and low-density lipoprotein cholesterol: a randomized controlled trial. JAMA 2006;296:2563–71.

    OpenUrlCrossRefPubMedWeb of Science
30. 30.↵
    1. Galewitz P

    . Clinical pharmacists employed by VA have increased nearly 50% in 5 years. Pharmacy Today 2017;23: p 6–7.

    OpenUrl
31. 31.↵
    1. McFarland MS,
    2. Lamb K,
    3. Hughes J,
    4. Thomas A,
    5. Gatwood J,
    6. Hathaway J

    . Perceptions of Integration of the Clinical Pharmacist into the Patient Care Medical Home Model. J Healthc Qual 2018;40:265–73.

    OpenUrl
32. 32.↵
    1. Farrell B,
    2. Pottie K,
    3. Woodend K,
    4. et al

    . Developing a tool to measure contributions to medication-related processes in family practice. J Interprof Care 2008;22:17–29.

    OpenUrlCrossRefPubMed
33. 33.↵
    1. McCullough MB,
    2. Gillespie C,
    3. Kleinberg F,
    4. et al

    . Challenges of clinical pharmacy specialists' role expansion to improve access to PACT and pain management: A mixed methods formative evaluation. Poster presented at: US Department of Veterans Affairs Health Services Research & Development/QUERI National Meeting October 29–31 2019; Washington, DC.
34. 34.↵
    1. McCullough MB,
    2. Lee K,
    3. Kleinberg F,
    4. et al

    . Evaluating the integration of clinical pharmacy specialists in primary care to improve access to care for rural Veterans. Poster presented at: American Pharamcists Association Annual Meeting; March 22–25 2019; Seattle, WA.
35. 35.↵
    1. McCullough MB,
    2. Lee K,
    3. Kleinberg F,
    4. et al

    . The introduction of clinical pharmacy specialists in primary care: Evaluating the integration of a new clinical team member in a complex intervention. Poster presented at: 11th Annual Conference on the Science of Dissemination and Implementation in Health December 3–5 2018; Washington, DC.
36. 36.↵
    1. Guest G,
    2. Bunce A,
    3. Johnson L

    . How many interviews are enough?: An experiment with data saturation and variability. Field Methods 2006;18:59–82.

    OpenUrlCrossRefWeb of Science
37. 37.↵
    1. Boyatzis RE

    . Transforming Qualitative Information: Thematic Analysis and Code Development. SAGE 1998.
38. 38.↵
    1. Miles MB,
    2. Huberman AM

    . Qualitative Data Analysis: An Expanded Sourcebook 2nd ed. SAGE Publications, Inc.; 1994.
39. 39.↵
    1. Ryan GW,
    2. Bernard HR

    . Techniques to identify themes. Field Methods 2003;15:85–109.

    OpenUrlCrossRef
40. 40.↵
    1. Smith JA

    1. Clarke V,
    2. Braun V,
    3. Hayfield N

    . Thematic Analysis. In: Smith JA, ed. Qualitative Psychology: A practical guide to research methods 3rd ed. SAGE Publications Inc.; 2015:222–48.
41. 41.↵
    1. Smith M,
    2. Bates DW,
    3. Bodenheimer T,
    4. Cleary PD

    . Why pharmacists belong in the medical home. Health Aff (Millwood) May 2010;29:906–13.

    OpenUrlAbstract/FREE Full Text
42. 42.↵
    1. Choe HM,
    2. Farris KB,
    3. Stevenson JG,
    4. et al

    . Patient-centered medical home: developing, expanding, and sustaining a role for pharmacists. Am J Health Syst Pharm 2012;69:1063–71. Jun 15.

    OpenUrlAbstract/FREE Full Text
43. 43.↵
    1. Nigro SC,
    2. Garwood CL,
    3. Berlie H,
    4. et al

    . Clinical pharmacists as key members of the patient-centered medical home: an opinion statement of the Ambulatory Care Practice and Research Network of the American College of Clinical Pharmacy. Pharmacotherapy 2014;34:96–108. Jan.

    OpenUrlCrossRefPubMed
44. 44.↵
    1. Chisholm-Burns MA,
    2. Kim Lee J,
    3. Spivey CA,
    4. et al

    . US pharmacists' effect as team members on patient care: systematic review and meta-analyses. Med Care 2010;48:923–33. Oct.

    OpenUrlCrossRefPubMedWeb of Science
45. 45.↵
    1. Bunting BA,
    2. Smith BH,
    3. Sutherland SE

    . The Asheville Project: clinical and economic outcomes of a community-based long-term medication therapy management program for hypertension and dyslipidemia. J Am Pharm Assoc 2008;48:23–31. Jan-Feb.

    OpenUrlCrossRef
46. 46.↵
    1. Moreno G,
    2. Lonowski S,
    3. Fu J,
    4. et al

    . Physician experiences with clinical pharmacists in primary care teams. J Am Pharm Assoc (2003) 2017;57:686–91.

    OpenUrl
47. 47.↵
    1. Rose AJ,
    2. McCullough MB,
    3. Carter BL,
    4. Rudin RS

    . The clinical pharmacy specialist: part of the solution. J Gen Intern Med 2017;32:375–7. Apr.

    OpenUrl
48. 48.↵
    1. Funk KA,
    2. Pestka DL,
    3. Roth McClurg MT,
    4. Carroll JK,
    5. Sorensen TD

    . Primary care providers believe that comprehensive medication management improves their work-life. J Am Board Fam Med 2019;32:462–73.

    OpenUrlAbstract/FREE Full Text
49. 49.↵
    1. Patterson BJ,
    2. Solimeo SL,
    3. Stewart KR,
    4. Rosenthal GE,
    5. Kaboli PJ,
    6. Lund BC

    . Perceptions of pharmacists' integration into patient-centered medical home teams. Res Social Adm Pharm 2015;11:85–95.

    OpenUrl
50. 50.↵
    1. Zink T,
    2. Kralewski J,
    3. Dowd B

    . The transition of primary care group practices to next generation models: satisfaction of staff, clinicians, and patients. J Am Board Fam Med. 2017;30:16–24.

    OpenUrlAbstract/FREE Full Text
51. 51.↵
    1. Luetsch K,
    2. Scuderi C

    . Experiences of medical dominance in pharmacist-doctor interactions - An elephant in the room? Res Social Adm Pharm Dec 16 2019.
52. 52.↵
    1. McCullough MB,
    2. Solomon JL,
    3. Petrakis BA,
    4. et al

    . Balancing collaborative and independent practice roles in clinical pharmacy: a qualitative research study. Ann Pharmacother 2015;49:189–95. Feb.

    OpenUrlCrossRefPubMed
53. 53.↵
    1. Anderson C,
    2. Zhan K,
    3. Boyd M,
    4. Mann C

    . The role of pharmacists in general practice: A realist review. Res Social Adm Pharm 2019;15:338–45.

    OpenUrlPubMed
54. 54.↵
    1. Dolovich L,
    2. Pottie K,
    3. Kaczorowski J,
    4. et al

    . Integrating family medicine and pharmacy to advance primary care therapeutics. Clin Pharmacol Ther 2008;83:913–7.

    OpenUrlCrossRefPubMed
55. 55.↵
    1. Kolodziejak L,
    2. Remillard A,
    3. Neubauer S

    . Integration of a primary healthcare pharmacist. J Interprof Care May 2010;24:274–84.

    OpenUrlCrossRefPubMed
56. 56.↵
    1. Curry LA,
    2. Krumholz HM,
    3. O'Cathain A,
    4. Plano Clark VL,
    5. Cherlin E,
    6. Bradley EH

    . Mixed methods in biomedical and health services research. Circ Cardiovasc Qual Outcomes 2013;6:119–23. Jan 1.

    OpenUrlFREE Full Text
57. 57.↵
    1. Tan EC,
    2. Stewart K,
    3. Elliott RA,
    4. George J

    . Integration of pharmacists into general practice clinics in Australia: the views of general practitioners and pharmacists. Int J Pharm Pract 2014;22:28–37.

    OpenUrl
58. 58.↵
    1. Tan EC,
    2. Stewart K,
    3. Elliott RA,
    4. George J

    . Pharmacist services provided in general practice clinics: a systematic review and meta-analysis. Res Social Adm Pharm 2014;10:608–22.

    OpenUrlCrossRefPubMed