实施信件模板,以加快专用药物上诉信的提交
Journal of the American Pharmacists Association : JAPhA
|October 7, 2024
概括
在EHR中实施标准化的上诉信模板和临床理由内容,大大减少了对生物药物的上诉提交时间. 专业药剂师对新工艺表示高度满意.
科学领域:
- 药房实践 在药房实践中
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 在炎症性肠病 (IBD) 中使用的生物药物的预先授权 (PA) 经常面临拒绝,需要复杂的患者上诉.
- 药房福利管理人员经常拒绝PA,从而为必要的IBD治疗创造障碍.
研究的目的:
- 评估标准化的上诉信模板和可定制的临床理由内容对专业药剂师工作流程和工作量的影响.
- 评估综合医院卫生系统专业药房 (HSSP) IBD诊所预先授权上诉程序的效率.
主要方法:
- 在一所高等学术医疗中心的IBD门诊中进行了一项质量改进项目.
- 实施了基于电子健康记录 (EHR) 的上诉信模板,自动填充患者数据.
- 标准化,可定制的临床理由内容是出于共同的吸引力原因而开发的.
主要成果:
- 提交的上诉数量在实施前和实施后保持一致 (n=73).
- 在PA拒绝后3天内提交的上诉数量从29%增加到89%在实施后.
- 预先授权批准率仍然很高 (93%),药剂师满意度为9.7/10.
结论:
- 实施基于EHR的上诉信模板和标准化的临床理由内容简化了上诉程序.
- 该倡议显著缩短了对IBD生物药物提出上诉的时间.
- 该项目显示了专业药剂师的高满意度,并保持了高的批准率.
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