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Building Successful Provider-Pharmacist Teams in Iowa

State: Iowa

Submitted Date: 2015

Public Health Issue
  • The Community Preventive Services Task Force (CPSTF) recommends team-based care for improving blood pressure control because there is strong evidence that it is effective. The CPSTF identifies health interventions that are proven to save lives, increase lifespans, and improve quality of life.
  • Very few active provider-pharmacist teams are working in Iowa to help people with high blood pressure control their condition. This is especially true in places where the medical practice doesn’t have its own internal pharmacy.
Program Action
  • The Iowa Department of Public Health (IDPH) contracted with the University of Iowa, College of Pharmacy (U of I) to recruit pharmacist/medical provider teams, develop resource materials, facilitate team meetings/training, and monitor the work of the teams.
  • Each team attended a one hour face-to-face training and developed a plan for their collaborative work. Most teams searched EHRs to identify patients mutually served whose blood pressure was not controlled. Providers referred identified patients to the pharmacist who worked with the patient on improving BP control using various methods - monitoring, education, lifestyle modifications, medication reconciliation, medication advice to the physician, and others. Both the practice and the pharmacy received small cash incentives to cover initial staffing and system changes.
Impact
  • The project successfully recruited an initial 8 provider-pharmacist teams and trained them to foster team development.
  • Initial results show that 31 of 46 patients with high blood pressure cared for by a provider/pharmacist team reached goal blood pressure.
Contact
Terry Y. Meek, Health Systems Coordinator
Iowa Department of Public Health
515-281-6016
terry.meek@idph.iowa.gov