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Implementation of a Health Risk Assessment into Workflow of the Appointment-Based Model at an Independent Community
Erica Jackson1, Stephanie Harriman McGrath2, Joni C Carroll3
1Kinney Drugs, Syracuse, NY 13208, USA.
Pharmacy (Basel, Switzerland)
|November 22, 2022
Summary
Community pharmacies can successfully implement health risk assessments (HRAs) within their workflow. This pilot study identified numerous opportunities for enhanced pharmacy-patient-care services, improving patient health outcomes and practice sustainability.
Area of Science:
- Pharmacy Practice
- Public Health
- Health Services Research
Background:
- Health risk assessments (HRAs) gather crucial patient health data.
- Integrating HRAs into pharmacy workflows can reveal service opportunities.
Purpose of the Study:
- To implement HRAs in an appointment-based model (ABM) workflow.
- To identify pharmacy-patient-care service opportunities.
Main Methods:
- Incorporated 16 HRA questions into an independent community pharmacy's ABM.
- Administered HRAs via phone or in-person over two patient encounters.
- Trained pharmacy staff on HRA administration, referrals, and documentation.
Main Results:
- 38 out of 49 patients (77.6%) completed the HRA.
- Identified opportunities: vaccination (49), smoking cessation (15), diabetes prevention (14), asthma control (8), substance use disorder screening (3).
- Median HRA completion time was 19 minutes.
Conclusions:
- Community pharmacies can effectively implement HRAs.
- HRAs facilitate the identification of new patient-care services.
- This integration supports improved patient care and practice sustainability.
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