Henry J. Austin Health Center, 112 Ewing St, Trenton, NJ 08609. Email:
Am J Manag Care. 2020 May 1;26(5):e162-e165. doi: 10.37765/ajmc.2020.43159.
To implement a project of linked pharmacist-provider new patient visits and then evaluate the impact on the productivity of the provider and pharmacist.
A clinical pharmacist was integrated into the workflow at 2 sites (sites A and B) of Henry J. Austin Health Center, a federally qualified health center, so that new patients were scheduled to see the pharmacist in a 15-minute encounter immediately before a 15-minute encounter with the primary care provider.
Reports generated in the electronic health record were downloaded into Microsoft Excel for statistical analysis. Two-sample 2-tailed t tests assuming unequal variances were used to evaluate changes in the mean number of appointments checked in and canceled before and after the project's implementation to study provider productivity, the primary study outcome. Descriptive statistics were used to report the pharmacist's productivity.
Statistically significant increases in the number of checked-in new patient visits and in all visits of any type were observed at site A; however, these changes were not observed at site B.
The linked visits between the pharmacist and provider allowed for increased provider productivity at 1 of the sites. Based on these results and provider feedback from both sites, this project was viewed as a positive initiative. Scheduling challenges were a barrier to project success at site B.
实施一项药师-临床医生联合接诊新患者的项目，然后评估其对临床医生和药师工作效率的影响。
在亨利·杰克逊医疗中心的 2 个站点（站点 A 和 B），将临床药师纳入工作流程，以便将新患者安排在与初级保健提供者进行 15 分钟就诊之前，先进行 15 分钟的药师就诊。
将电子病历中生成的报告下载到 Microsoft Excel 中进行统计分析。采用双样本 2 尾 t 检验（假设方差不均等）来评估项目实施前后平均预约登记和取消数量的变化，以研究临床医生的工作效率，这是主要的研究结果。使用描述性统计来报告药师的工作效率。
在站点 A，登记的新患者就诊次数和所有类型的就诊次数均显著增加；然而，在站点 B 没有观察到这些变化。
药师和临床医生之间的联合就诊使 1 个站点的临床医生的工作效率得到提高。基于这些结果和来自两个站点的临床医生的反馈，该项目被视为一项积极的举措。在站点 B，预约安排方面的挑战是项目成功的障碍。
