title: Assessing pharmacist-led annual wellness visits: Interventions made and patient and physician satisfaction.
abstract: OBJECTIVE
  To quantify the nature and frequency of interventions made by pharmacists during a Medicare annual wellness visit (AWV), to determine the association between the number of medications taken and the interventions made, and to assess patient and physician satisfaction with pharmacist-led AWVs.
  
  
  METHODS
  Large, teaching, multidisciplinary family medicine practice in North Carolina.
  
  
  METHODS
  Mountain Area Health Education Center (MAHEC) is a large academic practice that serves rural, western North Carolina. There is a heavy emphasis on team-based care.
  
  
  METHODS
  Pharmacist-led AWV.
  
  
  RESULTS
  Between April 2012 and January 2013, the following were evaluated for 69 patients: the nature and frequency of interventions made, the association between the number of medications taken and the interventions made, and patient and physician satisfaction scores.
  
  
  RESULTS
  A total of 247 medication-related interventions and 342 nonmedication interventions were made during the pharmacist-led AWVs. The majority of medication interventions (69.6%) involved correcting medication list discrepancies. The number of medications taken was positively associated with the total number of medication interventions (r = 0.37, P <0.01). On a 5-point Likert scale, patients strongly agreed that the AWV is important for their overall health (mean 4.8, median 5) and that they would like to see the same provider next year (mean 4.8, median 5). Physicians strongly disagreed that they would prefer to do the visit themselves (mean 1.5, median 1) and strongly agreed that their patients benefited from a pharmacist-led AWV (mean 5, median 4.9).
  
  
  CONCLUSIONS
  Pharmacists addressed both medication and nonmedication interventions during AWVs. Patients taking a greater number of medications required more medication interventions than patients taking fewer medications. Patients and physicians reported satisfaction with the pharmacist-led AWV.
authors.forename: Courtenay Gilmore
authors.initials: CG
authors.lastname: Wilson
authors.forename: Irene
authors.initials: I
authors.lastname: Park
authors.forename: Susan E
authors.initials: SE
authors.lastname: Sutherland
authors.forename: Lisa
authors.initials: L
authors.lastname: Ray
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003157:Community Pharmacy Services / Q000458:organization & administration*; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D005194:Family Practice; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration*; D006304:Health Status; D006801:Humans; D008297:Male; D006278:Medicare / Q000458:organization & administration; D008875:Middle Aged; D009657:North Carolina; D010348:Patient Care Team; D017060:Patient Satisfaction; D010595:Pharmacists / Q000458:organization & administration*; D010821:Physicians, Family / Q000523:psychology*; D024382:Professional Role; D015397:Program Evaluation; D012189:Retrospective Studies; D019035:Rural Health Services / Q000458:organization & administration; D011795:Surveys and Questionnaires; D014481:United States