title: A consultant pharmacist's role on a geriatric assessment service.
abstract: OBJECTIVE
  This paper describes the role of a consultant pharmacist on a geriatric assessment service team.
  
  
  METHODS
  The Geriatric Assessment Service (GAS) is part of an Independent Practice Association (IPA) in Rochester, New York.
  
  
  METHODS
  The consultant pharmacist is responsible for the promotion of appropriate, cost-effective prescribing of drug therapy in physician offices affiliated with the IPA.
  
  
  METHODS
  A team included a consultant pharmacist, social worker, and registered nurse with the objective of providing support to community physicians in the care of at-risk, frail, medically complex, community-dwelling adults 75 years of age or older. Assessments completed varied according to patient needs. Recommendations were made to the primary care provider based on the results of each patient assessment.
  
  
  METHODS
  Caregiver Strain Index, Drug Appropriateness Measure, Patient satisfaction, Physician satisfaction.
  
  
  RESULTS
  Enrollment rate in the program rose from 19% in the first quarter to 63% in the fourth quarter. The Drug Appropriateness Measure on average improved to greater than 60% for patients enrolled. Member satisfaction averaged 90%. The Caregiver Strain Index showed an improvement of 28%. An observational comparison of GAS-enrolled patients to noninterventional patients showed a lower per-member, per-month cost change from 2005 to 2006.
  
  
  CONCLUSIONS
  The GAS program provided assistance to primary care providers caring for community-dwelling, at-risk seniors, resulting in improved pharmaceutical care, reduction in caregiver strain, and positive patient satisfaction.
authors.affiliation: Greater Rochester Independent Practice Association, Rochester, NY 14610-1021, USA. tom.sorrento@viahealth.org
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Sorrento
authors.forename: M Bridget
authors.initials: MB
authors.lastname: Casselman
authors.forename: Jeannine
authors.initials: J
authors.lastname: Noonan
mesh_terms: D000368:Aged / Q000502:physiology*; D002908:Chronic Disease; D003253:Consultants; D003362:Cost-Benefit Analysis; D004358:Drug Therapy; D017723:Drug Utilization Review; D005260:Female; D005853:Geriatrics; D006801:Humans; D008297:Male; D009726:Nurses; D010348:Patient Care Team; D010595:Pharmacists; D010820:Physicians; D012947:Social Work