title: Pharmacist home visits: A 1-year experience from a community pharmacy.
abstract: OBJECTIVE
  To provide experience on the methods and costs for delivering a large-scale community pharmacist home visit service.
  
  
  METHODS
  Independent urban community pharmacy, Buffalo, NY.
  
  
  METHODS
  Mobile Pharmacy Solutions provides traditional community pharmacy walk-in service and a suite of clinically oriented services, including outbound adherence calls linked to home delivery, payment planning, medication refill synchronization, adherence packaging, and pharmacist home visits. Pharmacist daily staffing included three dispensing pharmacists, one residency-trained pharmacist, and two postgraduate year 1 community pharmacy residents.
  
  
  METHODS
  A large-scale community pharmacy home visit service delivered over a 1-year period.
  
  
  RESULTS
  Pharmacist time and cost to administer the home visit service as well as home visit request sources and description of patient demographics.
  
  
  RESULTS
  A total of 172 visits were conducted (137 initial, 35 follow-up). Patients who received a home visit averaged 9.8 ± 5.2 medications and 3.0 ± 1.6 chronic disease states. On average, a home visit required 2.0 ± 0.8 hours, which included travel time. The percentages of visits completed by pharmacists and residents were 60% and 40%, respectively. The amounts of time to complete a visit were similar. Average home visit cost including pharmacist time and travel was $119 ($147 for a pharmacist, $77 for a resident).
  
  
  CONCLUSIONS
  In this community pharmacy-based home visit service, costs are an important factor, with each pharmacist visit requiring 2 hours to complete. This experience provides a blueprint and real-world perspective for community pharmacies endeavoring to implement a home visit service and sets a foundation for future prospective trials to evaluate the impact of the service on important indicators of health and cost.
authors.forename: Scott V
authors.initials: SV
authors.lastname: Monte
authors.forename: Sarah N
authors.initials: SN
authors.lastname: Passafiume
authors.forename: Wesley D
authors.initials: WD
authors.lastname: Kufel
authors.forename: Patrick
authors.initials: P
authors.lastname: Comerford
authors.forename: Dean P
authors.initials: DP
authors.lastname: Trzewieczynski
authors.forename: Kenneth
authors.initials: K
authors.lastname: Andrus
authors.forename: Peter M
authors.initials: PM
authors.lastname: Brody
mesh_terms: D000368:Aged; D003157:Community Pharmacy Services / Q000191:economics*; D003365:Costs and Cost Analysis; D005260:Female; D006792:House Calls / Q000191:economics*; D006801:Humans; D008297:Male; D055118:Medication Adherence; D015397:Program Evaluation; D011446:Prospective Studies; D013997:Time Factors