Pharmacist assessments and care to improve adult vaccination rates: A report from project IMPACT vaccine confidence.

Background: Neglect of vaccination needs among adults results in a needless burden of hospitalization, suffering, and death. America's community pharmacists deliver a substantial portion of adult vaccinations, yet many Americans still have unmet vaccination needs.

Objectives: This study evaluated rates of vaccine contraindications, acceptance, and willingness to be vaccinated among ambulatory adults.

Effect of an Innovative Immunization Practice Model to Improve Population Health: Results of the Project IMPACT Immunizations Scaled Demonstration.

U.S. adult vaccination rates remain low.

Solutions for Atrial Fibrillation Edvocacy (SAFE): Improving Awareness And Access To Afib Screening For Detection And Referral For Treatment.

Atrial Fibrillation (Afib) can lead to stroke and heart failure, and early detection of Afib is an effective method of preventing these life-threatening conditions. An estimated 2.7 million Americans are living with Afib, a number that is expected to rise dramatically in the coming years.

Evaluating the Impact of Year-Long, Augmented Diabetes Self-Management Support.

This was a randomized controlled study to test a scalable intervention model addressing the need for ongoing diabetes support. The study included individuals receiving care in a Federally Qualified Health Center (FQHC) with HbA1c >8. The aim of this project was to determine whether augmenting diabetes self-management education (DSME) with support for an economically vulnerable population might better meet patient needs and reduce morbidity and premature mortality.

Evaluation of the Impact of an Innovative Immunization Practice Model Designed to Improve Population Health: Results of the Project IMPACT Immunizations Pilot.

The goal of the initiative was to evaluate the impact of an innovative practice model on identification of unmet vaccination needs and vaccination rates. This was accomplished through a prospective, multisite, observational study in 8 community pharmacy practices with adults receiving an influenza vaccine with a documented vaccination forecast review from October 22, 2015 through March 22, 2016. When patients presented for influenza vaccinations, pharmacists utilized immunization information systems (IIS) data at the point of care to identify unmet vaccination needs, educate patients, and improve vaccination rates.

Patient credentialing as a population health management strategy: a diabetes case study.

When given the opportunity to become actively involved in the decision-making process, patients can positively impact their health outcomes. Understanding how to empower patients to become informed consumers of health care services is an important strategy for addressing disparities and variability in care. Patient credentialing identifies people who have a certain diagnosis and have achieved certain levels of competency in understanding and managing their disease.

Integrating pharmacists into diverse diabetes care teams: implementation tactics from Project IMPACT: Diabetes.

Objective: To describe local implementation tactics used by the 25 Project

Impact: Diabetes communities and partnering organizations to help patients who are disproportionately affected by diabetes.

Setting: Care was delivered in 25 communities within 17 states at federally qualified health centers, community pharmacies, free clinics, employer work sites, medical clinics, physician offices, and other settings.

Practice Description: In addition to pharmacists, practices included physicians, nurse practitioners, dietitians, physician assistants, social workers, behavioral therapists, and other types of health professionals.

Improving outcomes for diverse populations disproportionately affected by diabetes: final results of Project IMPACT: Diabetes.

Objective: To improve key indicators of diabetes care by expanding a proven community-based model of care throughout high-risk areas in the United States.

Design: Observational, multisite, pre-post comparison study.

Setting: Federally qualified health centers, free clinics, employer worksites, community pharmacies, departments of health, physician offices, and other care facilities in 25 communities in 17 states from June 2011 through January 2013.

Clinical and economic outcomes of a pilot project examining pharmacist-focused collaborative care treatment for depression.

Objective: To assess the clinical and economic impact of a pharmacist-focused health management program for patients with depression.

Design: Prospective, nonrandomized, proof-of-concept investigation.

Setting: Asheville, NC, from July 2006 through December 2007.

Diabetes Ten City Challenge: final economic and clinical results.

Objective: To assess the economic and clinical outcomes for the Diabetes Ten City Challenge (DTCC), a multisite community pharmacy health management program for patients with diabetes.

Design: Quasiexperimental observational analysis, pre-post comparison.

Setting: Employers at 10 distinct geographic sites contracting with pharmacy providers in the community setting.

The Diabetes Ten City Challenge: interim clinical and humanistic outcomes of a multisite community pharmacy diabetes care program.

Objective: To assess clinical and humanistic outcomes 1 year after initiating the Diabetes Ten City Challenge (DTCC), a multisite community pharmacy health management program for patients with diabetes.

Design: Interim observational analysis of deidentified aggregate data from participating employer clients.

Setting: 29 employers at 10 distinct geographic sites contracting for patient care services with pharmacy providers in the community setting.

Definition of medication therapy management: development of professionwide consensus.

Objective: To describe events leading to development of a professionwide consensus definition of medication therapy management (MTM) and attendant programs and services and present the document (definition, services, and program requirements) resulting from the process.

Data Sources: Author's own knowledge and records of events.

Summary: Following the late 2003 passage of the Medicare Prescription Drug Improvement and Modernization Act, the pharmacy profession had a need to act quickly to define MTM so that a consensus definition would be available as regulations implementing the Medicare Part D benefit were being written.

Patient self-management program for diabetes: first-year clinical, humanistic, and economic outcomes.

Objective: To assess the outcomes for the first year following the initiation of a multisite community pharmacy care services (PCS) program for patients with diabetes.

Design: Quasi-experimental, pre-post cohort study.

Setting: 80 community pharmacy providers with diabetes certificate program training who were reimbursed for PCS by employers in Greensboro, N.

Regional osteoporosis screening, referral, and monitoring program in community pharmacies: findings from Project ImPACT: Osteoporosis.

Objective: (1) To identify patients at risk for osteoporosis through community pharmacy-based bone mineral density (BMD) screening, to refer at-risk patients to primary care and/or specialty practice physicians, and to follow-up with at-risk patients; (2) to treat and manage osteopenic and osteoporotic patients referred to the pharmacy for medication therapy management services; and (3) to test a payment methodology for pharmacists who deliver community health management services to a population at risk for or diagnosed with osteoporosis.

Design: Single-cohort observational study.

Setting: Ukrop's Super Markets, Inc.