Challenges with primary care access and overextended providers present opportunities for\npharmacists as patient care extenders for chronic disease management. The primary objective was to\nalign primary care pharmacist services with organizational priorities and improve patient clinical\noutcomes. The secondary objective was to develop a technological strategy for service evaluation.\nAn interdisciplinary workgroup developed primary care pharmacist services focused on improving\nperformance measures and supporting the care team in alignment with ongoing population health\ninitiatives. Pharmacist collaborative practice agreements (CPAs) were developed and implemented.\nAn electronic dashboard was developed to capture service outcome measures. Blood pressure control\nto <140/90 mmHg was achieved in 74.15% of patients who engaged with primary care pharmacists\nversus 41.53% of eligible patients electing to follow usual care pathways. Appropriate statin use\nwas higher in patients engaged with primary care pharmacists than in eligible patients electing\nto follow usual care pathways both for diabetes and ischemic vascular disease (12.4% and 2.2%\nhigher, respectively). Seventeen of 54 possible process and outcome measures were identified and\nincorporated into an electronic dashboard. Primary care pharmacist services improve hypertension\ncontrol and statin use. Service outcomes can be measured with discrete data from the electronic\nhealth record (EHR), and should align with organizational priorities.
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