Journal of the American Pharmacists Association : JAPhA | 2021
Community-based pharmacy use of the Pharmacist eCare Plan: A retrospective review.
Abstract
BACKGROUND\nPharmacists in community-based settings document patient care using the Pharmacist eCare Plan (PeCP).\n\n\nOBJECTIVE\nTo conduct a pilot evaluation of the PeCP use and documentation of Systemized Nomenclature of Medicine Clinical Terms (SNOMED CT) codes within select community-based pharmacies.\n\n\nPRACTICE DESCRIPTION\nMoose Pharmacy operates 7 locations in rural North Carolina that are part of the Community Pharmacy Enhanced Services Network (CPESN). The Moose Pharmacy Medication Adherence Program (MooseMAP) targets patients with a chronic condition who would benefit from medication synchronization, adherence packaging, and monthly calls.\n\n\nPRACTICE INNOVATION\nCPESN pharmacies use the PeCP to track a patient s concerns, goals, interventions, and medication-related information. The PeCP standard requires pharmacies to detail a patient s current medication regimen and health concerns as well as the pharmacy s interventions and patient s health over time.\n\n\nEVALUATION METHODS\nData were included if the patient was enrolled in MooseMAP and had a free-text note in the eCare Plan. Data were excluded if the medication-related problem (MRP) or intervention was a general health problem without a valid SNOMED CT code. Data were categorized into MRPs, medication interventions, education, and referrals. The International SNOMED CT browser and pharmacy health information technology (PHIT) value sets were searched; data sets without existing codes were submitted to the appropriate oversight authorities for future inclusion. Data were analyzed using descriptive statistics.\n\n\nRESULTS\nEmerging codes were identified that resulted in 91 recommendations to PHIT for development of new SNOMED CT codes and 113 recommendations to PHIT for inclusion in the PHIT value sets. In total, 66% of MRPs did not have a valid SNOMED CT code, and 78% of MRPs were not included in a PHIT value set. The most prevalent gap in MRP or intervention documentation related to medication use issues.\n\n\nCONCLUSION\nIncorporating emerging codes into documentation systems should enable the profession to better communicate value to health care stakeholders.