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, Emily O’Reilly, PharmD, BCACP, CSP Address correspondence to Dr. O’Reilly (Emily.oreilly@uoflhealth.org). Search for other works by this author on: Oxford Academic Sarah Foushee, PharmD, BCPS, CSP UofL Health – UofL Hospital Specialty Pharmacy , Louisville, KY , USA Search for other works by this author on: Oxford Academic Lindsey Nolan, PharmD, MPA, BCACP UofL Health – UofL Hospital Specialty Pharmacy , Louisville, KY , USA Search for other works by this author on: Oxford Academic Chelsea Maier, PharmD, CSP UofL Health – UofL Hospital Specialty Pharmacy , Louisville, KY , USA Search for other works by this author on: Oxford Academic Chelsey McPheeters, PharmD, BCPS, BCACP UofL Health – UofL Hospital Specialty Pharmacy , Louisville, KY , USA Search for other works by this author on: Oxford Academic
American Journal of Health-System Pharmacy, Volume 81, Issue 9, 1 May 2024, Pages e226–e233, https://doi.org/10.1093/ajhp/zxad341
Published:
03 January 2024
Article history
Published:
03 January 2024
Corrected and typeset:
12 January 2024
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Emily O’Reilly, Sarah Foushee, Lindsey Nolan, Chelsea Maier, Chelsey McPheeters, Evaluation of the impact of a health-system specialty pharmacy patient management program on achieving predefined clinical outcome measures, American Journal of Health-System Pharmacy, Volume 81, Issue 9, 1 May 2024, Pages e226–e233, https://doi.org/10.1093/ajhp/zxad341
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Abstract
Purpose
Specialty medications often have high costs, pose difficulties with payor approval, and require additional monitoring. Earlier articles have defined various examples of clinical outcome measures (COMs); however, goals and benchmarks have not been well defined, and a gap in the literature exists. This study evaluated the effectiveness of our health-system specialty pharmacy (HSSP) patient management program (PMP) in achieving predefined COM goals.
Methods
Disease state protocols were developed within the HSSP, and clinical and adherence goals were created for each COM based on primary literature. This retrospective, single-center review examined outcomes and adherence data on patients enrolled in the PMP during 2022. The primary outcome was the number of predefined disease state COM goals met. Secondary outcomes included the number of predefined adherence goals met and annual financial impact.
Results
Of 1,431 patients whose records were reviewed, 1,053 met criteria for inclusion. The primary outcome analysis showed that 85% (33 of 39) of the predefined disease state goals were met. Predefined adherence goals were met, with an average proportion of days covered (PDC) for all specialty medications of >90%. The PMP yielded $5,167,043 in direct patient cost savings and $167,260 in cost avoidance.
Conclusion
The PMP yielded positive results in meeting goals set for the COMs in the disease states managed within the HSSP. COMs will remain a focus for HSSPs to help patients achieve desired clinical outcomes and HSSPs adhere to accreditation standards. More research in this field and standardization of COM goals may benefit the larger HSSP community.
ambulatory pharmacy, clinical outcome measures, health-system specialty pharmacy, patient management program, specialty pharmacy, specialty pharmacy accreditation
© American Society of Health-System Pharmacists 2024. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Issue Section:
Practice Research Reports
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