PPCP

PPCP

pharmacist patient care process

JCPP

joint commission of pharmacist practitioners

steps of PPCP

collect, assess, plan, implement, monitor/follow-up

collect

ensure collection of necessary subjective and objective patient information (pt concerns/priorities/goals/lifestyle, current + past medical history, pt demographics, collection of lab values, med reconciliation, detect DTPs)

assess

clinical data/information interpretation to identify and prioritize problems + patient needs

SEEC - part of assess

safety, efficacy, ease of use, cost (assess existing HPs + ID new HPs, SDoH/cultural considerations, determine preventative care/wellness needs, formulate pt-centered + evidence based care goals)

plan

develop person-centered, evidence-based, cost-conscious care plans - recommended therapy, drugs/foods to avoid, further tests and follow-up, pt/ provider goals, pt education (optimize meds by addressing DTPs, write progress notes/interventions/med histories)

TLC - plan

therapeutic lifestyle changes

CMM - plan

Comprehensive Medication Management - standard of care that involves individually assessing all of a patient's medications to ensure they are appropriate, effective, safe, and can be taken as intended (prescriptions, over-the-counter drugs, vitamins, and supplements)

Implement

execute prioritized care plan + communicate with HC team, initiate/modify/dc medication therapy if planned, documentation (progress notes, intervention forms, Rx systems), pt education + self-management training, preventative care strategies

follow up (monitor and evaluate)

monitor clinical endpoints, monitor outcomes of care/care goals, re-evaluate + examine progress at each encounter (dynamic reassessment of needs)

PPCP Care Settings

institutional, ambulatory, community, etc.

Medication Reconciliation - collect

comparing patient admission medication orders to home medication (identify errors, duplications, dosing errors, drug interactions)

ADEs

adverse drug events - result of an injury to a drug-related intervention, regardless of whether an error has occurred (preventable - medication error, nonpreventable - adverse reaction to drug, or potential - foreseeable rxn to drug)

DTP

drug therapy problem - anything involving a pt’s drug treatment that actually or potentially interferes with achievement of therapeutic outcome (actual - error reaches patient, potential - error detected before reaching patient)

therapeutic monitoring parameters 

monitoring to assure plan is working effectively/as foreseen using tests, goal values, therapeutic endpoints, etc.

toxic monitoring parameters

monitoring to foresee/prevent ADEs/ADRs before they occur using known toxic values, plans to deal with side effects that require therapy, potential drug-drug-food-lab interactions