title: Development and implementation of a pharmacist-run comprehensive medication review program in Wisconsin.
abstract: OBJECTIVE
  The development and implementation of a centralized, pharmacist-run population health program were pursued within a health system to increase patient exposure to comprehensive medication reviews (CMRs) and improve visit processes.
  
  
  CONCLUSIONS
  Program implementation included choosing appropriate pilot pharmacy locations, developing a feasible staffing model, standardizing the workflow, and creating a patient referral process. The impact on patient exposure, specific interventions, and the sustainability of the program were evaluated over a seven-month period. A total of 96 CMRs were scheduled during the data collection period. Attendance at scheduled CMRs was 54% (52 visits); there were 25 cancellations (26%) and 19 no-shows (20%). Since program implementation, there has been more than a twofold increase (2.08) in the number of CMRs completed within the health system. On average, all aspects of each patient visit took 1.78 hours to complete. Pharmacists spent 28% of scheduled time on CMR tasks and 72% of time on telephone calls and technical tasks to maintain appointments.
  
  
  CONCLUSIONS
  A pharmacist-run CMR program helped to elevate the role of the community pharmacist in a health system and to improve patient exposure to CMRs. Sustaining a centralized CMR program requires support from other members of the health-system team so that pharmacists can spend more time providing patient care and less time on the technical tasks involved.
authors.affiliation: University of Wisconsin Hospital and Clinics, Madison, WI. dschoenrock@uwhealth.org.
authors.forename: Danielle L
authors.initials: DL
authors.lastname: Schoenrock
authors.affiliation: University of Wisconsin Hospital and Clinics, Madison, WI.
authors.forename: Katherine
authors.initials: K
authors.lastname: Hartkopf
authors.affiliation: University of Wisconsin Hospital and Clinics, Madison, WI.
authors.forename: Carrie
authors.initials: C
authors.lastname: Boeckelman
mesh_terms: D001071:Appointments and Schedules; D003157:Community Pharmacy Services / Q000639:trends; D005500:Follow-Up Studies; D006801:Humans; D059065:Medication Reconciliation / Q000379:methods* / Q000639:trends*; D054539:Medication Therapy Management / Q000458:organization & administration / Q000639:trends*; D010595:Pharmacists / Q000458:organization & administration / Q000639:trends*; D024382:Professional Role; D016730:Program Development / Q000379:methods*; D014922:Wisconsin / Q000453:epidemiology
keywords: Wisconsin; Wisconsin Pharmacy Quality Collaborative; comprehensive medication review; healthcare systems; pharmacy services