Evaluation of the potential impact of pharmacy technician performance of anticoagulation clinic tasks on operational efficiency.
Purpose Results of a study to determine the proportion of anticoagulation clinic workload that could be performed by clinical pharmacy technicians (CPTs) and the potential impact on operational efficiency of pharmacist-managed anticoagulation clinics (ACCs) are reported. Methods In a quality improve...
| Published in: | American Journal of Health-System Pharmacy Vol. 76; no. 16; pp. 1248 - 1254 |
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| Main Authors: | , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Aug2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137893505&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137893505 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: Aug2019 vid: 76 iid: 16 pid: 622 pub: Oxford University Press / USA artinfo: ui: 137893505 137893505 137893505 10.1093/ajhp/zxz126 137893505 ppf: 1248 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluation of the potential impact of pharmacy technician performance of anticoagulation clinic tasks on operational efficiency. aug: au: Ourth, Heather L Folstad, Jon Mambourg, Scott E Hopwood, Geena Marchiando, Christy Combs, Carolyn Gonzalez, Carrie affil: Pharmacy Benefits Management, Department of Veterans Affairs, Washington, DC sug: subj: Anticoagulants Workload Pharmacist Attitudes Pharmacy Technicians Psychosocial Factors Job Performance Evaluation Professional Competence Evaluation Organizational Efficiency Quality Improvement Task Performance and Analysis Human United States Department of Veterans Affairs Outcome Assessment Salaries and Fringe Benefits Business ab: Purpose Results of a study to determine the proportion of anticoagulation clinic workload that could be performed by clinical pharmacy technicians (CPTs) and the potential impact on operational efficiency of pharmacist-managed anticoagulation clinics (ACCs) are reported. Methods In a quality improvement project involving 11 Veterans Affairs (VA) medical centers, investigators conducted a 3-day time study in pharmacist-managed ACCs followed by scoring of task appropriateness for CPTs via the RAND/UCLA appropriateness method by the VA Anticoagulation Subject Matter Expert (SME) Workgroup. The primary outcome was the percentage of tasks deemed appropriate for a CPT to perform. Results The Anticoagulation SME Workgroup determined that a wide variety of mainly administrative ACC tasks could be completed by a CPT. At the 11 VA ACCs, an average of 53.4% (range, 39.9–76.1%) of tasks being performed by pharmacists were deemed appropriate for CPTs. The average percentage of total clinic time associated with performing tasks appropriate for a CPT equated to an estimated 1,111 hours per year. Shifting that portion of the annual work hours to a CPT could potentially result in cost avoidance of $55,302. Conclusion At the ACCs evaluated, a significant proportion of tasks (53.4% on average) may be appropriate to assign to CPTs to improve the operational efficiency of these clinics. This finding supports development of business plans for the addition of CPTs in ACCs along with elements to inform crafting of an effective template for ACC structure, including clearly defined CPT roles. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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