Article ; Online: The clinical and financial impact of remote clinical oncology pharmacist engagement in community-based practices within The US Oncology Network.
2023 Volume 30, Issue 1, Page(s) 165–172
Abstract: Introduction: The integration of clinical oncology pharmacists into multidisciplinary healthcare teams is not well-described in the community practice setting. This study aims to analyze the clinical and financial impact of a remote-based clinical ... ...
| Abstract | Introduction: The integration of clinical oncology pharmacists into multidisciplinary healthcare teams is not well-described in the community practice setting. This study aims to analyze the clinical and financial impact of a remote-based clinical oncology pharmacist in four community oncology practices within The US Oncology Network. Methods: Oncology-trained clinical pharmacists electronically reviewed chemotherapy orders for clinical optimization and financial stewardship within four community oncology practices. Each pharmacist was appointed at 0.5 full-time equivalents per practice. Financial, clinical, and workload metrics were tracked to monitor the impact of pharmacist engagement. Results: Over 12 months, 5716 order reviews were completed with an intervention rate of 57%. The most common interventions identified by the pharmacists were interventions with clinical impact on the patient (36%), followed by dose rounding (35%) and therapeutic interchange (30%). Overall, interventions improved the cumulative practice margins by $1,455,033 and reduced total medication costs by $5,962,551. The average program return on investment was 415% (range 100-915%). Conclusion: Community oncology practices seek to provide high-value care in a lean, resource-constrained model. An oncology clinical pharmacist is a cost-effective and clinically invaluable care team member in community oncology practice. Pharmacists in this setting identified opportunities to improve medication safety and regimen optimization and demonstrated a significant tremendous financial impact on small-scale budgets in community oncology. |
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| MeSH term(s) | Humans ; Community Health Services ; Medical Oncology ; Pharmacists ; Telemedicine | |||||
| Language | English | |||||
| Publishing date | 2023-05-08 | |||||
| Publishing country | England | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1330764-2 | |||||
| ISSN | 1477-092X ; 1078-1552 | |||||
| ISSN (online) | 1477-092X | |||||
| ISSN | 1078-1552 | |||||
| DOI | 10.1177/10781552231173860 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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