Implementation of a Pharmacist and Pharmacy Technician Workflow in a Multidisciplinary Multiple Sclerosis and Neuroimmunology Clinic
Duke University Health System’s multiple sclerosis and neuroimmunology division added a clinical pharmacist and pharmacy technician to the multidisciplinary team in July 2016. Clinic roles for a pharmacist in a multiple sclerosis clinic previously identified include completing medication reviews, assisting with insurance barriers, and providing education to patients and caregivers. Implementation of both a pharmacist and a pharmacy technician represents a unique opportunity to optimize clinic workflow.
To develop and implement an effective, patient-centered workflow for a clinical pharmacist and pharmacy technician in a multiple sclerosis and neuroimmunology clinic.
A clinical pharmacist and pharmacy technician workflow was developed, which focused on patients who recently initiated multiple sclerosis medications. Pharmacist and pharmacy technician utilization rates over a 6-month period were assessed. Pharmacist utilization rates include telephone and clinic visit encounters and pharmacy technician utilization rates include number of prior authorizations completed.
Results are pending and will be presented at the Consortium of Multiple Sclerosis Centers conference.
Implementation of a pharmacist and pharmacy technician in a multiple sclerosis and neuroimmunology clinic has improves patient access to care, medication education, and patient follow-up. Future directions include determining pharmacist impact on outcomes such as adherence and lab monitoring from pharmacist-lead visits. In addition, prior authorization turnaround time and acceptance rates will be assessed.