VAMCs use various methods to contain costs and manage the medication formulary while maintaining and/or improving quality. These methods include physician education, formularies, involvement of physician champions, academic detailing, and collaborative practice models. VISN 11 has implemented several pharmaceutical programs to reduce medication expenditures by improving the quality, safety and evidence-based prescribing of outpatient pharmaceuticals. However, details regarding the intensity of the methods employed as well as the uptake and effects of these programs are poorly understood.
This proposal will further examine pharmaceutical programs that appear to be particularly effective and estimate the effort to implement key components.
This 5-year multi-method study will be divided into two phases of data collection and analysis. Phase 1 will use qualitative and quantitative methods to identify the types and extent of pharmaceutical strategies used across 7 facilities in VISN 11. Phase 2 will use VA clinical databases to examine patient level outcomes and pharmaceutical utilization to determine the uptake and impact of these programs.
Not yet available.
From phase 1, the application of team building and communication techniques from high reliability organizations may lead to improved patient safety and enhanced medical outcomes within VA primary care. From phase 2, the evaluations suggest that a collaborative care approach for hypertension and dyslipidemia treatment was effective. This model of care management supports the patient aligned care teams (PACT) model within VA primary care and further prospective, controlled studies are needed to confirm the findings.
External Links for this Project
None at this time.