Oliphant Carrie S, Twilla Jennifer D
Methodist University Hospital, Department of Pharmacy, Memphis, TN, USA, and University of Tennessee, College of Pharmacy, Memphis, TN, USA
Methodist University Hospital, Department of Pharmacy, Memphis, TN, USA, and University of Tennessee, College of Pharmacy, Memphis, TN, USA.
J Pharm Pract. 2014 Aug;27(4):379-83. doi: 10.1177/0897190013513303. Epub 2013 Dec 10.
The role of a pharmacist in achieving compliance with hospital core measures is described.
Core measures for hospitals, also known as quality measures, were introduced by the Department of Health and Human Services as an initiative to improve health care through accountability and public disclosure. Hospitals receive financial incentives for compliance with these core measures, but most importantly, these measures ensure that evidence-based therapy is consistently provided to each patient. If a core measure is not met, documentation must be provided to ensure that there is not a failure to meet the measure. Pharmacists were granted the authority to provide core measure documentation in 2007. There are a total of 44 core measures, 22 (50%) of which are medication related and can be documented by a pharmacist. Over a 5-year period, clinical pharmacists have recorded 1281 interventions for core measure documentation. In an analysis of a 1-year period of charts with missing core measure documentation, pharmacists prevented failure to meet the measure in 96% of the cases.
Given the great impact that pharmacists can have on hospital core measure compliance, each hospital's Pharmacy Department should evaluate ways to improve involvement in the quality programs at their hospitals.
描述药剂师在实现医院核心指标合规方面的作用。
医院核心指标，也称为质量指标，由卫生与公众服务部引入，旨在通过问责制和公开披露来改善医疗保健。医院因遵守这些核心指标而获得经济激励，但最重要的是，这些指标确保为每位患者持续提供循证治疗。如果未达到核心指标，必须提供文件证明以确保并非未能达到该指标。2007年，药剂师被授权提供核心指标文件。总共有44项核心指标，其中22项（50%）与药物相关，可由药剂师记录。在5年期间，临床药剂师记录了1281次核心指标文件干预。在对1年期间缺少核心指标文件的病历进行分析时，药剂师在96%的病例中防止了未能达到指标的情况。
鉴于药剂师对医院核心指标合规性有重大影响，每家医院的药剂科都应评估提高参与医院质量计划的方式。
