PHA 6781C - Ambulatory Care Pharmacy

health promotion, disease prevention, and chronic disease state management

what are the three focuses of ambulatory care practice?

chronic disease state management, patient counseling, self-care recommendations, and immunization

four main services of ambulatory care practice

appropriateness, effectiveness, safety, and adherence

four clinical goals that are assessed for a patient with each therapy

drug therapy problems

gap between current therapy and optimal clinical outcomes

PPCP (pharmacist patient care process)

establishes a consistent process in delivery of patient care across the pharmacy profession

collaborative practice agreement

provides pharmacy the ability to act on behalf of a provider to select medications, modify dosing, discontinue medications, and order lab tests and POC testing

motivational interviewing

patient empowerment approach that assumes patients approach change with varying levels of readiness

express empathy, develop discrepancy, roll with resistance, and support self-efficacy

list the four basic principles of motivational interviewing

specific, measurable, attainable, realistic, and time-based

identify each letter of S.M.A.R.T. goals

clear/concise, legible, non-judgmental, patient-focused, standardized, and confidential

documentation should be _______ (6)

subjective, objective, assessment, and plan

identify each letter of S.O.A.P. notes

SOAP note

framework used to keep documentation standardized

subjective

descriptive information derived from patient's perspective

objective

directly measurable, observable, or verifiable information

assessment

pharmacist's evaluation of subjective and objective information

plan

treatment for each active problem

true

T/F: a patient can find billing codes and time-spent with a provider for reimbursement purposes in their patient portal documentation

collect

PPCP step that includes understanding patient's personal medication experience/history and preferences/beliefs; and identify actual patterns of use of all medications (OTC, Rx, supplements)

assess

PPCP step that includes: evaluating each medication with a focus on achievement of clinical goals for each therapy; and identifying all drug therapy problems

plan

PPCP step that includes developing a recommendation including therapeutic changes need to achieve optimal clinical outcomes

implement

PPCP step that includes: agreement and understanding from the patient about the care plan, and communication with provider for consent and support; documentation of recommended steps for achieving optimal clinical outcomes and goals of current therapy

medication name, intended use, dosage, administration, route, techniques, duration, refills, adverse effects, interactions/contraindications, follow-up, missed dose, and proper storage

list the key information that should be included in patient counseling

safety, efficacy, and timeframe for follow-up

list the three concepts to S.E.T. your plan