skip to page content
Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Systems Research

Go to the VA ORD website
Go to the QUERI website

CDA 06-304 – HSR Study

CDA 06-304
Implementation of Evidence-Based Strategies for Pharmaceutical Care
Alan J. Zillich, PharmD
Richard L. Roudebush VA Medical Center, Indianapolis, IN
Indianapolis, IN
Funding Period: November 2007 - October 2012
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

Dimensions for VA

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

Learn more about Dimensions for VA.

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
    Search Dimensions for this project


None at this time.

DRA: Health Systems
DRE: Treatment - Observational
Keywords: none
MeSH Terms: none

Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.