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Creating a Pharmacotherapy Collaborative Practice Network to Manage Medications for Children and Youth: A Population
Richard H Parrish II1,2, Danielle Casher3, Johannes van den Anker4,5,6
1Department of Pharmacy Services, St. Christopher's Hospital for Children ⁻ American Academic Health System, 160 East Erie Avenue, Philadelphia, PA 19134, USA. Richard.Parrish@AmericanAcademic.com.
Insights
Clinical pharmacists in Patient-Centered Medical Homes can improve care for children with special health care needs through comprehensive medication management. This integration enhances outcomes, family experience, and cost-effectiveness.
Area of Science:
- Pediatric Healthcare
- Clinical Pharmacy Practice
- Health Services Research
Background:
- Children with special health care needs (CSHCN) incur higher healthcare costs and morbidity.
- Current healthcare models may not fully address the complex medication needs of CSHCN.
Purpose of the Study:
- To outline a framework for integrating clinical pharmacists into Patient-Centered Medical Homes (PCMH) for comprehensive medication management (CMM) of CSHCN.
- To propose models and infrastructure for collaborative practice agreements (CPAs) between pharmacists and pediatricians.
Main Methods:
- The paper applies findings from the CMM in Primary Care grant.
- It outlines the establishment of collaborative practices, proposes organizational models, and details EHR requirements.
- Focuses on consistent CMM documentation for CSHCN.
Main Results:
- Provides potential network infrastructures for collaborative practice targeting CSHCN.
- Defines common language and terminology for CMM.
- Offers clinical pharmacist workforce estimates.
Conclusions:
- Embedding clinical pharmacists in PCMHs for CMM can improve outcomes for CSHCN.
- This integration can enhance family experience and reduce healthcare costs.
- The paper provides a practical guide for implementing CMM services for CSHCN.
Abstract:
Children with special health care needs (CSHCN) use relatively high quantities of healthcare resources and have overall higher morbidity than the general pediatric population. Embedding clinical pharmacists into the Patient-Centered Medical Home (PCMH) to provide comprehensive medication management (CMM) through collaborative practice agreements (CPAs) for children, especially for CSHCN, can improve outcomes, enhance the experience of care for families, and reduce the cost of care. Potential network infrastructures for collaborative practice focused on CSHCN populations, common language and terminology for CMM, and clinical pharmacist workforce estimates are provided. Applying the results from the CMM in Primary Care grant, this paper outlines the following: (1) setting up collaborative practices for CMM between clinical pharmacists and pediatricians (primary care pediatricians and sub-specialties, such as pediatric clinical pharmacology); (2) proposing various models, organizational structures, design requirements, and shared electronic health record (EHR) needs; and (3) outlining consistent documentation of CMM by clinical pharmacists in CSHCN populations.
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