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2020 ; 77
(17
): 1403-1408
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English Wikipedia
Establishing clinical pharmacist telehealth services during the COVID-19
pandemic
#MMPMID34279578
Segal EM
; Alwan L
; Pitney C
; Taketa C
; Indorf A
; Held L
; Lee KS
; Son M
; Chi M
; Diamantides E
; Gosser R
Am J Health Syst Pharm
2020[Aug]; 77
(17
): 1403-1408
PMID34279578
show ga
PURPOSE: After community transmission of the novel virus that causes coronavirus
disease 2019 (COVID-19) was detected in the State of Washington in February 2020,
innovative measures, such as telehealth appointments, were needed to safely
continue to provide optimal pharmaceutical care for patients with chronic
conditions and cancer. SUMMARY: Prior to the COVID-19 pandemic, federal
regulations limited the scope of telehealth pharmacist services. However,
enactment of the Coronavirus Preparedness and Response Supplemental
Appropriations Act, followed by guidance by the Centers for Medicare and Medicaid
Services and the Department of Health and Human Services, allowed currently
credentialed providers (including pharmacists) to continue to provide patient
care services via telehealth with fewer restrictions. Our health system has
numerous credentialed pharmacists across multiple ambulatory care clinics. In
this article, we highlight our process of expediting the implementation of
telehealth services. This process included obtaining authorization for the
credentialed pharmacists to provide telehealth services, completion of training
modules, implementation of new technology platforms, development of new
workflows, and utilization of resources for providers and patients to facilitate
successful completion of telehealth visits. We also highlight the consent and
documentation components crucially important to the telehealth visit and share
some of our successes, as well as identified limitations, in providing pharmacist
services via telehealth. CONCLUSION: In the setting of the COVID-19 pandemic, our
institution was able to swiftly implement clinical pharmacist telehealth services
for many patients, offering a safe and effective way to continue providing a high
level of care. This article discusses our experience with and potential
limitations of telehealth to assist other pharmacists seeking to implement and/or
expand their telehealth services.
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