Leveraging the electronic health record (EHR) to track ongoing medication adherence, safety and efficacy monitoring, and medical visits of patients prescribed high-cost, high-risk medication can improve patient safety and promote ongoing high-value pharmaceutical care. Safety and efficacy monitoring recommendations for twenty-five high-risk, high-cost medications were incorporated into an EHR-based clinical dashboard. Pharmacists reviewed the dashboard weekly, which led to frequent recommendations (e.g., discontinuation of therapy, referral to palliative care, additional labs/safety assessments, medication adherence education).

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: Participants will be able to describe process for developing a clinical dashboard to monitor high-risk, high-cost medications, understand the role of the clinical pharmacist in population health medication monitoring, and describe formulary management techniques for managing non-formulary medications within a managed care environment.

Authors:

Kelsey Japs (Presenter)
Veterans Affairs Palo Alto Health Care System

Noelle Hasson, Veterans Affairs Palo Alto Health Care System
Joy Meier, Sierra Pacific Veterans Integrated Service Network
Amy Robinson, Sierra Pacific Veterans Integrated Service Network

Presentation Materials:

• Abstract/Manuscript - 1