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Description and impact of a community pharmacy-based Collaborative Practice Agreement
Journal of the American Pharmacists Association : Japha
|December 10, 2025
Summary
Ohio pharmacists using collaborative practice agreements (CPAs) improved medication access and patient safety. The study quantified CPA usage and provider impact in integrated clinics, showing positive outcomes with minimal workflow disruption.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Medication Management
Background:
- Community pharmacists in Ohio can utilize collaborative practice agreements (CPAs) to address drug-related issues.
- CPAs aim to enhance medication access, ensure drug safety, and optimize workflow for pharmacists and healthcare providers.
Purpose of the Study:
- To quantify the utilization of the Community Collaborative Practice Agreement (CPA) across five community pharmacies within an integrated clinic.
- To evaluate the impact of the Community CPA on pharmacists and other healthcare providers.
Main Methods:
- A retrospective review of pharmacist-prescribed medications was conducted.
- A survey assessed the perceptions of pharmacists and healthcare providers regarding the CPA's impact.
- The study involved five community pharmacies in Ohio integrated within a multidisciplinary clinic.
Main Results:
- Pharmacists issued 954 prescriptions, primarily for gender-affirming care (65.9%), diabetes (23%), and respiratory conditions (9.1%).
- An average of 80 prescriptions were written monthly in the first year.
- Most pharmacists and providers agreed that the CPA improved medication access and patient safety, though workflow impact varied.
Conclusions:
- The Community CPA empowers pharmacists to enhance medication access and patient safety.
- This innovative practice model demonstrates potential for improving medication access and safety while maintaining workflow efficiency for pharmacists.
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