Specialty Pharmacy Services, Vanderbilt University Medical Center, Nashville, TN, USA.
Am J Health Syst Pharm. 2021 May 24;78(11):972-981. doi: 10.1093/ajhp/zxab082.
Health-system specialty pharmacies (HSSPs) provide high-quality, efficient, and collaborative care to patients receiving specialty therapy. Despite proven benefits of the integrated model, manufacturer and payer restrictions challenge the viability and utility of HSSPs. Vanderbilt Specialty Pharmacy developed a health outcomes and research program to measure and communicate the value of this model, drive improvement in patient care delivery, and advocate for recognition of HSSP pharmacists' role in patient care. The purpose of this descriptive report is to describe the development and results of this program.
The health outcomes and research program began as an initiative for pharmacists to evaluate and convey the benefits they provide to patients, providers, and the health system. Early outcomes data proved useful in communicating the value of an integrated model to key stakeholders and highlighted the need to further develop research efforts. The department leadership invested resources to build a research program with dedicated personnel, engaged research experts to train pharmacists, and fostered internal and external collaborations to facilitate research efforts. As of March 2021, the health outcomes and research program team has published 33 peer-reviewed manuscripts, presented 88 posters and 7 podium presentations at national conferences, and received 4 monetary research awards. Further, the program team engages other HSSP teams to initiate and expand their own health outcomes research in an effort to empower all HSSPs in demonstrating their value.
The health outcomes and research program described has pioneered outcomes research among HSSPs nationwide and has proven valuable to specialty pharmacists, the health system, and key specialty pharmacy stakeholders.
医疗系统专科药房（HSSP）为接受专科治疗的患者提供高质量、高效率和协作式的护理。尽管综合模式具有明显的优势，但制造商和支付方的限制对 HSSP 的生存能力和实用性构成了挑战。范德比尔特专科药房制定了一项健康结果和研究计划，以衡量和传达这种模式的价值，推动患者护理服务的改善，并倡导承认 HSSP 药剂师在患者护理中的作用。本报告旨在描述该计划的发展和结果。
健康结果和研究计划始于药剂师评估并传达他们为患者、医疗服务提供者和医疗系统提供的益处的一项举措。早期的结果数据在向主要利益相关者传达综合模式的价值方面非常有用，并强调了进一步开展研究工作的必要性。部门领导层投入资源建立了一个有专门人员的研究项目，聘请了研究专家对药剂师进行培训，并促进了内部和外部的合作，以促进研究工作。截至 2021 年 3 月，健康结果和研究计划团队已发表了 33 篇同行评议的论文，在全国性会议上展示了 88 篇海报和 7 个演讲，并获得了 4 项研究资金奖励。此外，该计划团队还与其他 HSSP 团队合作，启动和扩大其自身的健康结果研究，努力使所有 HSSP 都能够展示其价值。
所描述的健康结果和研究计划在全国范围内开创了 HSSP 中的结果研究，对专科药剂师、医疗系统和主要专科药房利益相关者都具有重要价值。
