AIM: 
Within 6 months, we aim to decrease by 10% the number of our diabetic patients with an A1c \u3e8 through Clinical Pharmacist referrals.https://jdc.jefferson.edu/patientsafetyposters/1033/thumbnail.jp

Caruso, MD, John

Chen, MD, Loren

Gandler, MD, Alan

Ivanov, MD, Margaret

Lee, MD, Albert

Murphy, MD, Matthew

Patel, PharmD, BCPS, Roshni S.

Sato, MD, Rino

English

Jefferson Digital Commons

Thomas Jefferson UniversityJefferson Digital CommonsHouse Staff Quality Improvement and PatientSafety Posters GME Quality and Safety5-31-2017Got Sugar? Pharmacist Intervention to ImproveA1cRino Sato, MDThomas Jefferson University Hospital, Rino.Sato@jefferson.eduMatthew Murphy, MDThomas Jefferson University Hospital, Matthew.Murphy@jefferson.eduMargaret Ivanov, MDThomas Jefferson University Hospital, Margaret.Ivanov@jefferson.eduAlan Gandler, MDThomas Jefferson University Hospital, alan.gandler@jefferson.eduRoshni S. Patel, PharmD, BCPSThomas Jefferson University Hospital, roshni.patel@jefferson.eduSee next page for additional authorsFollow this and additional works at: http://jdc.jefferson.edu/patientsafetypostersPart of the Medicine and Health Sciences CommonsLet us know how access to this document benefits youThis Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of ThomasJefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarlypublications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers andinterested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion inHouse Staff Quality Improvement and Patient Safety Posters by an authorized administrator of the Jefferson Digital Commons. For more information,please contact: JeffersonDigitalCommons@jefferson.edu.Recommended CitationSato, MD, Rino; Murphy, MD, Matthew; Ivanov, MD, Margaret; Gandler, MD, Alan; Patel, PharmD, BCPS, Roshni S.; Caruso, MD,John; Chen, MD, Loren; and Lee, MD, Albert, "Got Sugar? Pharmacist Intervention to Improve A1c" (2017). House Staff QualityImprovement and Patient Safety Posters. Poster 25.http://jdc.jefferson.edu/patientsafetyposters/25AuthorsRino Sato, MD; Matthew Murphy, MD; Margaret Ivanov, MD; Alan Gandler, MD; Roshni S. Patel, PharmD,BCPS; John Caruso, MD; Loren Chen, MD; and Albert Lee, MDThis poster is available at Jefferson Digital Commons: http://jdc.jefferson.edu/patientsafetyposters/25BACKGROUND • Approximately 31% of diabetic patients (22 of 71 patients) at Thursday Jefferson Ambulatory Practice (JHAP) have a hemoglobin A1c>8.  • Additional Clinical Pharmacist care has been shown to decrease Hemoglobin A1c compared to usual care.1 • None of our Thursday JHAP diabetic patients had seen a Clinical Pharmacist before. AIM Within 6 months, we aim to decrease by 10% the number of our diabetic patients with an A1c >8 through Clinical Pharmacist referrals. TIMELINE DISCUSSION Referral to a Clinical Pharmacist may be a potential supplementary option to provider care in improving glycemic control.  LIMITATIONS: • Small sample size • Intervention time too short for measured outcome • Residents with extended time out of the ambulatory clinic • Lack of consistent follow up visits or repeat A1c • Patients lost to follow up due to insurance or migration • Multiple barriers to getting patient to see a Pharmacist FUTURE DIRECTION:  • Extend to other JHAP clinics by holding resident training sessions. • Expand Clinical Pharmacy’s availability and outreach • Improve Patient Tracking and increase BS surveillance • Implement Telehealth Clinical Pharmacy visits Got Sugar? Pharmacist Intervention to Improve A1c Rino Sato MD, Matthew Murphy MD, Margaret Ivanov MD, Alan Gandler MD, Roshni Patel PharmD,  John Caruso MD, Loren Chen MD, Albert Lee MD  Thomas Jefferson University Hospital, Department of Medicine INTERVENTION PROCESS MAP FISHBONE RESULTS September 2016 • EMR initiative: identify active DM patients with hgba1c>8 October 2016 • Physician education: guidelines for DM care • Meeting with clinical pharmacist: discuss barriers, work flow November 2016 • Clinical pharmacist pre-visit checklist • Design checklist • Review with physicians • Review of PCP quality report December 2016 • Active referral to clinical pharmacist by physicians January 2017 • Individualized PCP chart audits • Patient appointment reminders: physician initiated phone calls February 2017 • Review of PCP quality report March 2017 • Patients contacted through phone call and letters for new hemoglobin a1c bloodwork • Patient appointment and lab reminders by staff and physicians • Periodic statistics reviewed April  2017 • Results reviewed • Review of PCP quality report  ACKGROUND REFERENCES 1. Chung N, et al. Impact of a clinical pharmacy program on changes in hemoglobin A1c, diabetes-related hospitalizations, and diabetes-related emergency department visits for patients with diabetes in an underserved population. J Manag Care Spec Pharm. 2014;20(9):914-9. Of the diabetic cohort with initial A1c > 8, 3 of 22 patients (13%) met goal by the end of the intervention period. • 12/22 Patients had a repeat A1c • 9/12 Patients with a repeat A1c had an improvement in A1c • 5/9 Patients with an improved A1c saw a Clinical Pharmacist Similar A1C outcomes were seen among patients who followed up with a Clinical Pharmacist vs their Provider.  

Got Sugar? Pharmacist Intervention to Improve A1c

AIM: 
Within 6 months, we aim to decrease by 10% the number of our diabetic patients with an A1c \u3e8 through Clinical Pharmacist referrals.http://jdc.jefferson.edu/patientsafetyposters/1033/thumbnail.jp

Name not available

https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1033&amp;context=patientsafetyposters

Got Sugar? Pharmacist Intervention to Improve A1c

Abstract

Similar works

Full text

Available Versions

Jefferson Digital Commons

Name not available