Home Bratislava Medical Journal 2015 Bratislava Medical Journal Vol.116, No.9, p.517–519, 2015

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345
 

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Bratislava Medical Journal Vol.116, No.9, p.517–519, 2015

Title: Physician-Pharmacist collaboration in a pay for performance healthcare environment
Author: T. M. Farley, M. Izakovic

Abstract: Healthcare is becoming more complex and costly in both European (Slovak) and American models. Healthcare in the United States (U.S.) is undergoing a particularly dramatic change. Physician and hospital reimbursement are becoming less procedure focused and increasingly outcome focused. Efforts at Mercy Hospital have shown promise in terms of collaborative team based care improving performance on glucose control outcome metrics, linked to reimbursement. Our performance on the Centers for Medicare and Medicaid Services (CMS) post-operative glucose control metric for cardiac surgery patients increased from a 63.6% pass rate to a 95.1% pass rate after implementing interventions involving physician-pharmacist team based care.Having a multidisciplinary team that is able to adapt quickly to changing expectations in the healthcare environment has aided our institution. As healthcare becomes increasingly saturated with technology, data and quality metrics, collaborative efforts resulting in increased quality and physician efficiency are desirable.
CONCLUSION:Multidisciplinary collaboration (including physician-pharmacist collaboration) appears to be a viable route to improved performance in an outcome based healthcare system (Fig. 2, Ref. 12).

Keywords: physician, pharmacist, collaboration, pay for performance, clinical metrics, quality improvement
Published online: 24-Sep-2015
Year: 2015, Volume: 116, Issue: 9 Page From: 517, Page To: 519
doi:10.4149/BLL_2015_100


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