WEPE707 - Poster Exhibition
Community clinical pharmacist model can improve medication adherence in HIV patients seen at a university-based clinic
V. Sundareshan1, M. Ashby1, V. Huston2, S. Bergman2, J. Modi1, J. Koirala1
1Southern Illinois University School of Medicine, Internal Medicine, Infectious Diseases, Springfield, United States, 2Southern Illinois University School of Pharmacy at Edwardsville, Edwardsville, United States
Background: Southern Illinois University (SIU) Infectious Diseases clinic catering to the needs of 250 individuals with HIV or AIDS is funded by Ryan White Part B. Approximately 30% of these patients are uninsured requiring assistance from the AIDS drug assistance program of Illinois.
In the last 2 years, we have piloted a model of having a community clinical pharmacist with established interest and training in HIV medicine; provide medication reconciliation at clinic visits. Additionally, the pharmacist helps new patients obtain medications immediately and closely monitors drug interactions when changes are made.
Methods: We evaluated medication refill, CD4 counts and viral loads in patients, patient satisfaction reports as well as reports from their HIV care coordinators as outcome measures for assessing the impact of having a community clinical pharmacist provide medications to the patients.
Results: The community clinical pharmacist caters to the needs of 92 patients (37%) at SIU. The HIV medications were refilled on time in 92-95%. Between 1/1/2011 and 12/31/2011, the average CD4 of these patients was 400 with an average of 4% rise in CD4 cells in patients seen in 2011 compared to patients seen in 2008. 95% of the patients had undetectable viral loads in 2011. As per the Central Illinois HIV care connect report, adherence was estimated as 60% in patients seen in 2008 versus 85 % in 2011.
Conclusions: This novel approach of involving a community clinical pharmacist from retail in the care of HIV patients may be useful in smaller establishments of HIV care providers. The retail pharmacy in this case is compensating the pharmacist and allowing them flexibility to be able to volunteer clinical services at our institution. We encourage more retail pharmacies to follow such practice to be able to incorporate their pharmacists in the community clinical pharmacist model of care for HIV patients.
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