Rahul Singh, Rachel Beasley, Thavy Long, Conor R Caffrey
Algorithmic Mapping and Characterization of the Drug-Induced Phenotypic-Response Space of Parasites Causing Schistosomiasis
IEEE/ACM transactions on computational biology and bioinformatics
introductionoptimal chronic care management limited low health care access health literacy among underserved populations introduced clinical pharmacy services enhance patientcentered home model serves mostly medicaremedicaidinsured patients primary care providers pcp refer patients uncontrolled diabetes pharmacist chronic disease management pcp appointments bring a1c goal collaborative agreement workflow existed covid19 pandemic primarily inperson visits model transitioned telehealth pharmacy services continued via audiovideo visits avoid disruption caremethodsa collaborative scope practice within care guidelines developed pcps established patients uncontrolled diabetes referred clinical pharmacist workflow remained consistent january 1 2019 january 31 2020 precovid april 1 2020 october 31 2021 postcovid february march 2020 excluded due changing operational processes pandemic onset pharmacist independently saw patients medicationrelated interventions ordered associated labs within scope practice program retrospectively evaluated via process metrics visit volume intervention types clinical outcome a1c reductionresultsa total 105 patients referred diabetes management study period inperson precovid 95 shifted entirely audiovideo 100 postcovid impact pharmacy services sustained change care model a1c reduction 05 observed 65 n 20 69 n 49 patients managed pharmacist pre postcovid respectively pharmacy visit volumes 86 versus 308 respectivelyconclusionpharmacy referral visit volumes increased pandemic made possible via telehealth goal attainment rate observed precovid amplified even growth services time clinical pharmacy services delivered audiovideo telehealth visits may equally effective compared facetoface services