PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study

Objectives:. To comprehensively classify interventions performed by emergency medicine clinical pharmacists and quantify cost avoidance generated through their accepted interventions. Design:. A multicenter, prospective, observational study was performed between August 2018 and January 2019. Setting...

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Autores principales:	Megan A. Rech, PharmD, MS, FCCM, William Adams, PhD, Keaton S. Smetana, PharmD, Payal K. Gurnani, PharmD, FCCM, Megan A. Van Berkel Patel, PharmD, William J. Peppard, PharmD, FCCM, Drayton A. Hammond, PharmD, MBA, MSc, Alexander H. Flannery, PharmD, FCCM, PHARM-EM Investigators, on behalf of the Society of Critical Care Medicine Clinical Pharmacy and Pharmacology Section and endorsed by the Discovery Network, Giles Slocum, Josh DeMott, Michelle Malatlian, Kathryn Samai, Rachel Lazim, Kyle Allmond, Abby Bussey, Patrick Blankenship, Joanne Routsolias, Arnett Alyson Basting, Rebecca Finder, Holly Nuest, Hillcrest Elizabeth Adams, Kerri Federico, William Snow, Tina Liu, Derex Louie, Audra DeChristopher, Nadine Faulkner, Mallory Cruz, Yelena Figuerado, Adrienne Kercsak, Thomas Gregory, Lamanh Le, Tim Molinarolo, Alicia Zu Wallack, Kaitlyn Caswell, Dina Nakhleh, Cait Pfaff, Mary Hormese, Marc McDowell, Ashley Martinelli, Maggie Ma, Tara Flack, Matt McAllister, Megan Webb, Rachel Beham, Alyssa Garner, Logon Olson, Terese Poon, Ryan Balmat, Celeste Wise, Sean Hackett, Frank Rigelsky, Julia Kuroski, Matthew Nagar, Elise Metts, Dina Ali, Gavin Howington, Jason Davis, Nicole Acquisto, Kaylee Maynard, Mercy Hoang, Faisal Minhaj, Keith Kalvaitis, Michele Handzel, Kate Kokanovich, Caitlin Fronhapple, Marin Valentino, Jessica Kozakiewicz, Chara Calhoun, Kyle Weant, Lisa Hall Zimmerman, Kris Thomassian, Brett Faine, Stacey Rewitzer, Anne Zepeski, Zach Smith, Christele Francois, Brandon Huang, Cody Null, Jessica Glas, Brian Gilbert, Caitlin Brown, Francis Manuel, Toledo William Kirsch, Kristen Thomas, Curtis Geier, Jessica Rivera, Neil Umstead, John Pitts, Jerry Lepore, Bob Piavis, Giang Duong, Matthew Ford, Katrina Karpowitsch
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/6a5492ca1195491da7f76f9c2b388509
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spelling	oai:doaj.org-article:6a5492ca1195491da7f76f9c2b3885092021-11-25T07:54:33ZPHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study2639-802810.1097/CCE.0000000000000406https://doaj.org/article/6a5492ca1195491da7f76f9c2b3885092021-04-01T00:00:00Zhttp://journals.lww.com/10.1097/CCE.0000000000000406https://doaj.org/toc/2639-8028Objectives:. To comprehensively classify interventions performed by emergency medicine clinical pharmacists and quantify cost avoidance generated through their accepted interventions. Design:. A multicenter, prospective, observational study was performed between August 2018 and January 2019. Setting:. Community and academic hospitals in the United States. Participants:. Emergency medicine clinical pharmacists. Interventions:. Recommendations classified into one of 38 intervention categories associated with cost avoidance. Measurements and Main Results:. Eighty-eight emergency medicine pharmacists at 49 centers performed 13,984 interventions during 917 shifts that were accepted on 8,602 patients and generated $7,531,862 of cost avoidance. The quantity of accepted interventions and cost avoidance generated in six established categories were as follows: adverse drug event prevention (1,631 interventions; $2,225,049 cost avoidance), resource utilization (628; $310,582), individualization of patient care (6,122; $1,787,170), prophylaxis (24; $22,804), hands-on care (3,533; $2,836,811), and administrative/supportive tasks (2,046; $342,881). Mean cost avoidance was $538.61 per intervention, $875.60 per patient, and $8,213.59 per emergency medicine pharmacist shift. The annualized cost avoidance from an emergency medicine pharmacist was $1,971,262. The monetary cost avoidance to pharmacist salary ratio was between $1.4:1 and $10.6:1. Conclusions:. Pharmacist involvement in the care of patients presenting to the emergency department results in significant avoidance of healthcare costs, particularly in the areas of hands-on care and adverse drug event prevention. The potential monetary benefit-to-cost ratio for emergency medicine pharmacists is between $1.4:1 and $10.6:1.Megan A. Rech, PharmD, MS, FCCMWilliam Adams, PhDKeaton S. Smetana, PharmDPayal K. Gurnani, PharmD, FCCMMegan A. Van Berkel Patel, PharmDWilliam J. Peppard, PharmD, FCCMDrayton A. Hammond, PharmD, MBA, MScAlexander H. Flannery, PharmD, FCCMPHARM-EM Investigatorson behalf of the Society of Critical Care Medicine Clinical Pharmacy and Pharmacology Section and endorsed by the Discovery NetworkGiles SlocumJosh DeMottMichelle MalatlianKathryn SamaiRachel LazimKyle AllmondAbby BusseyPatrick BlankenshipJoanne RoutsoliasArnett Alyson BastingRebecca FinderHolly NuestHillcrest Elizabeth AdamsKerri FedericoWilliam SnowTina LiuDerex LouieAudra DeChristopherNadine FaulknerMallory CruzYelena FigueradoAdrienne KercsakThomas GregoryLamanh LeTim MolinaroloAlicia Zu WallackKaitlyn CaswellDina NakhlehCait PfaffMary HormeseMarc McDowellAshley MartinelliMaggie MaTara FlackMatt McAllisterMegan WebbRachel BehamAlyssa GarnerLogon OlsonTerese PoonRyan BalmatCeleste WiseSean HackettFrank RigelskyJulia KuroskiMatthew NagarElise MettsDina AliGavin HowingtonJason DavisNicole AcquistoKaylee MaynardMercy HoangFaisal MinhajKeith KalvaitisMichele HandzelKate KokanovichCaitlin FronhappleMarin ValentinoJessica KozakiewiczChara CalhounKyle WeantLisa Hall ZimmermanKris ThomassianBrett FaineStacey RewitzerAnne ZepeskiZach SmithChristele FrancoisBrandon HuangCody NullJessica GlasBrian GilbertCaitlin BrownFrancis ManuelToledo William KirschKristen ThomasCurtis GeierJessica RiveraNeil UmsteadJohn PittsJerry LeporeBob PiavisGiang DuongMatthew FordKatrina KarpowitschWolters KluwerarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENCritical Care Explorations, Vol 3, Iss 4, p e0406 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Megan A. Rech, PharmD, MS, FCCM William Adams, PhD Keaton S. Smetana, PharmD Payal K. Gurnani, PharmD, FCCM Megan A. Van Berkel Patel, PharmD William J. Peppard, PharmD, FCCM Drayton A. Hammond, PharmD, MBA, MSc Alexander H. Flannery, PharmD, FCCM PHARM-EM Investigators on behalf of the Society of Critical Care Medicine Clinical Pharmacy and Pharmacology Section and endorsed by the Discovery Network Giles Slocum Josh DeMott Michelle Malatlian Kathryn Samai Rachel Lazim Kyle Allmond Abby Bussey Patrick Blankenship Joanne Routsolias Arnett Alyson Basting Rebecca Finder Holly Nuest Hillcrest Elizabeth Adams Kerri Federico William Snow Tina Liu Derex Louie Audra DeChristopher Nadine Faulkner Mallory Cruz Yelena Figuerado Adrienne Kercsak Thomas Gregory Lamanh Le Tim Molinarolo Alicia Zu Wallack Kaitlyn Caswell Dina Nakhleh Cait Pfaff Mary Hormese Marc McDowell Ashley Martinelli Maggie Ma Tara Flack Matt McAllister Megan Webb Rachel Beham Alyssa Garner Logon Olson Terese Poon Ryan Balmat Celeste Wise Sean Hackett Frank Rigelsky Julia Kuroski Matthew Nagar Elise Metts Dina Ali Gavin Howington Jason Davis Nicole Acquisto Kaylee Maynard Mercy Hoang Faisal Minhaj Keith Kalvaitis Michele Handzel Kate Kokanovich Caitlin Fronhapple Marin Valentino Jessica Kozakiewicz Chara Calhoun Kyle Weant Lisa Hall Zimmerman Kris Thomassian Brett Faine Stacey Rewitzer Anne Zepeski Zach Smith Christele Francois Brandon Huang Cody Null Jessica Glas Brian Gilbert Caitlin Brown Francis Manuel Toledo William Kirsch Kristen Thomas Curtis Geier Jessica Rivera Neil Umstead John Pitts Jerry Lepore Bob Piavis Giang Duong Matthew Ford Katrina Karpowitsch PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study
description	Objectives:. To comprehensively classify interventions performed by emergency medicine clinical pharmacists and quantify cost avoidance generated through their accepted interventions. Design:. A multicenter, prospective, observational study was performed between August 2018 and January 2019. Setting:. Community and academic hospitals in the United States. Participants:. Emergency medicine clinical pharmacists. Interventions:. Recommendations classified into one of 38 intervention categories associated with cost avoidance. Measurements and Main Results:. Eighty-eight emergency medicine pharmacists at 49 centers performed 13,984 interventions during 917 shifts that were accepted on 8,602 patients and generated $7,531,862 of cost avoidance. The quantity of accepted interventions and cost avoidance generated in six established categories were as follows: adverse drug event prevention (1,631 interventions; $2,225,049 cost avoidance), resource utilization (628; $310,582), individualization of patient care (6,122; $1,787,170), prophylaxis (24; $22,804), hands-on care (3,533; $2,836,811), and administrative/supportive tasks (2,046; $342,881). Mean cost avoidance was $538.61 per intervention, $875.60 per patient, and $8,213.59 per emergency medicine pharmacist shift. The annualized cost avoidance from an emergency medicine pharmacist was $1,971,262. The monetary cost avoidance to pharmacist salary ratio was between $1.4:1 and $10.6:1. Conclusions:. Pharmacist involvement in the care of patients presenting to the emergency department results in significant avoidance of healthcare costs, particularly in the areas of hands-on care and adverse drug event prevention. The potential monetary benefit-to-cost ratio for emergency medicine pharmacists is between $1.4:1 and $10.6:1.
format	article
author	Megan A. Rech, PharmD, MS, FCCM William Adams, PhD Keaton S. Smetana, PharmD Payal K. Gurnani, PharmD, FCCM Megan A. Van Berkel Patel, PharmD William J. Peppard, PharmD, FCCM Drayton A. Hammond, PharmD, MBA, MSc Alexander H. Flannery, PharmD, FCCM PHARM-EM Investigators on behalf of the Society of Critical Care Medicine Clinical Pharmacy and Pharmacology Section and endorsed by the Discovery Network Giles Slocum Josh DeMott Michelle Malatlian Kathryn Samai Rachel Lazim Kyle Allmond Abby Bussey Patrick Blankenship Joanne Routsolias Arnett Alyson Basting Rebecca Finder Holly Nuest Hillcrest Elizabeth Adams Kerri Federico William Snow Tina Liu Derex Louie Audra DeChristopher Nadine Faulkner Mallory Cruz Yelena Figuerado Adrienne Kercsak Thomas Gregory Lamanh Le Tim Molinarolo Alicia Zu Wallack Kaitlyn Caswell Dina Nakhleh Cait Pfaff Mary Hormese Marc McDowell Ashley Martinelli Maggie Ma Tara Flack Matt McAllister Megan Webb Rachel Beham Alyssa Garner Logon Olson Terese Poon Ryan Balmat Celeste Wise Sean Hackett Frank Rigelsky Julia Kuroski Matthew Nagar Elise Metts Dina Ali Gavin Howington Jason Davis Nicole Acquisto Kaylee Maynard Mercy Hoang Faisal Minhaj Keith Kalvaitis Michele Handzel Kate Kokanovich Caitlin Fronhapple Marin Valentino Jessica Kozakiewicz Chara Calhoun Kyle Weant Lisa Hall Zimmerman Kris Thomassian Brett Faine Stacey Rewitzer Anne Zepeski Zach Smith Christele Francois Brandon Huang Cody Null Jessica Glas Brian Gilbert Caitlin Brown Francis Manuel Toledo William Kirsch Kristen Thomas Curtis Geier Jessica Rivera Neil Umstead John Pitts Jerry Lepore Bob Piavis Giang Duong Matthew Ford Katrina Karpowitsch
author_facet	Megan A. Rech, PharmD, MS, FCCM William Adams, PhD Keaton S. Smetana, PharmD Payal K. Gurnani, PharmD, FCCM Megan A. Van Berkel Patel, PharmD William J. Peppard, PharmD, FCCM Drayton A. Hammond, PharmD, MBA, MSc Alexander H. Flannery, PharmD, FCCM PHARM-EM Investigators on behalf of the Society of Critical Care Medicine Clinical Pharmacy and Pharmacology Section and endorsed by the Discovery Network Giles Slocum Josh DeMott Michelle Malatlian Kathryn Samai Rachel Lazim Kyle Allmond Abby Bussey Patrick Blankenship Joanne Routsolias Arnett Alyson Basting Rebecca Finder Holly Nuest Hillcrest Elizabeth Adams Kerri Federico William Snow Tina Liu Derex Louie Audra DeChristopher Nadine Faulkner Mallory Cruz Yelena Figuerado Adrienne Kercsak Thomas Gregory Lamanh Le Tim Molinarolo Alicia Zu Wallack Kaitlyn Caswell Dina Nakhleh Cait Pfaff Mary Hormese Marc McDowell Ashley Martinelli Maggie Ma Tara Flack Matt McAllister Megan Webb Rachel Beham Alyssa Garner Logon Olson Terese Poon Ryan Balmat Celeste Wise Sean Hackett Frank Rigelsky Julia Kuroski Matthew Nagar Elise Metts Dina Ali Gavin Howington Jason Davis Nicole Acquisto Kaylee Maynard Mercy Hoang Faisal Minhaj Keith Kalvaitis Michele Handzel Kate Kokanovich Caitlin Fronhapple Marin Valentino Jessica Kozakiewicz Chara Calhoun Kyle Weant Lisa Hall Zimmerman Kris Thomassian Brett Faine Stacey Rewitzer Anne Zepeski Zach Smith Christele Francois Brandon Huang Cody Null Jessica Glas Brian Gilbert Caitlin Brown Francis Manuel Toledo William Kirsch Kristen Thomas Curtis Geier Jessica Rivera Neil Umstead John Pitts Jerry Lepore Bob Piavis Giang Duong Matthew Ford Katrina Karpowitsch
author_sort	Megan A. Rech, PharmD, MS, FCCM
title	PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study
title_short	PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study
title_full	PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study
title_fullStr	PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study
title_full_unstemmed	PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study
title_sort	pharmacist avoidance or reductions in medical costs in patients presenting the emergency department: pharm-em study
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/6a5492ca1195491da7f76f9c2b388509
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PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study

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