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Bridging Gaps in GDMT: Pharmacist-Medicine Team Synergy for Improved Care
Beman Wasef1, Kelsey Daley2, Angela Nam2
1Department of Internal Medicine, Lankenau Medical Center, Wynnewood, Pennsylvania, USA.
JACC. Case Reports
|July 11, 2025
Summary
Pharmacists improved guideline-directed medical therapy (GDMT) for heart failure patients. This quality improvement initiative increased GDMT prescription and optimization rates through collaborative clinical liaison efforts.
Area of Science:
- Cardiology
- Pharmacology
- Healthcare Quality Improvement
Background:
- Guideline-directed medical therapy (GDMT) is crucial for managing congestive heart failure (CHF), reducing mortality and morbidity.
- Despite evidence, optimal GDMT is underutilized in hospitalized CHF patients.
Observation:
- A quality improvement project integrated pharmacists as clinical liaisons at Lankenau Medical Center.
- Pharmacists proactively suggested GDMT prescriptions and optimizations to clinicians over 11 months.
Findings:
- The pharmacy-led intervention significantly increased GDMT prescription and optimization rates.
- A humanized approach, avoiding alert fatigue, proved effective in enhancing adherence to best practices.
Implications:
- This model demonstrates the value of pharmacist-led interventions in improving CHF management.
- Collaborative strategies can enhance guideline adherence and patient outcomes in cardiovascular care.
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