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Improving IV Insulin Administration in a Community Hospital

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Using an Advanced Practice Pharmacist in a Team-Based Care Model to Decrease Time to Hemoglobin A_1c Goal Among

Kevin Cowart^1,2, Wendy Updike^3,4, Nnadozie Emechebe⁵

¹Department of Pharmacotherapeutics & Clinical Research, Taneja College of Pharmacy, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, MDC 30, Tampa, FL 33612.

Preventing Chronic Disease

|June 6, 2020

Summary

Team-based care with an advanced practice pharmacist (APP) helps patients with type 2 diabetes reach their glycated hemoglobin A1c (HbA1c) goals faster. This collaborative model shows promise for improving diabetes management and patient outcomes.

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Area of Science:

Pharmacoeconomics and Health Outcomes Research
Clinical Pharmacy and Practice-Based Research
Endocrinology and Diabetes Mellitus Management

Background:

Collaborative practice models involving advanced practice pharmacists (APPs) are recognized for enhancing patient outcomes in chronic disease management.
Limited research exists on the impact of team-based care with APPs on the time required for patients with type 2 diabetes to achieve glycemic control targets.

Purpose of the Study:

To evaluate the effect of team-based care incorporating an APP on the time to achieve glycated hemoglobin A1c (HbA1c) goals in patients with type 2 diabetes.
To compare the glycemic control progression in patients managed with and without an APP in an academic family medicine setting.

Main Methods:

Retrospective cohort study design.
Inclusion of patients with type 2 diabetes receiving care in an academic family medicine clinic.
Comparison of time to reach HbA1c < 7% between patients who collaborated with a pharmacist and those who did not.

Main Results:

Patients with type 2 diabetes who worked with a pharmacist achieved an HbA1c of less than 7% in a significantly shorter time period.
The study demonstrated a positive association between APP collaboration and accelerated achievement of glycemic targets.

Conclusions:

Team-based care models involving APPs can expedite the achievement of glycemic control in patients with type 2 diabetes.
Further research is warranted to assess the long-term sustainability of glycemic control and the impact on diabetes-related complications with APP-integrated care.