abstract: 'Objectives: The objective is to describe and quantify the impact of a

  novel practice model for pharmacist involvement in care coordination and

  patient education in hepatitis C virus (HCV) care.

  Setting: This practice model was implemented in the gastroenterology

  clinic at the Richard L. Roudebush Veterans Affairs Medical Center in

  Indianapolis, Indiana.

  Practice description: Traditional pretreatment workup for HCV requires

  multiple on-site appointments to complete imaging and laboratory

  assessments and for provider and social work appointments. High

  pretreatment time burden and increasing psychosocial complexity of the

  patient population present significant barriers to HCV eradication.

  Patients frequently miss appointments, and each on-site visit creates a

  separate opportunity for patients to be lost to follow-up.

  Practice innovation: The pharmacist-driven multidisciplinary

  pretreatment workup process was launched by HCV pharmacists to mitigate

  barriers. Patients complete the pretreatment evaluation process, which

  includes same-day pharmacy education, provider visit, social work

  assessment, FibroScan, and laboratory assessments, in approximately 2.5

  hours.

  Evaluation: Forty-six patients who completed the pharmacist-driven

  multidisciplinary pretreatment workup process versus 235 patients who

  completed traditional workup were analyzed for time from date of HCV

  consultation placement to treatment start and time from most recent HCV

  provider visit to treatment start.

  Results: From time of HCV consult entry to date of treatment start,

  patients were initiated on HCV treatment in an average of 42.2 +/- 7.5

  days and 184.1 +/- 27.6 days (P = 0.0001) within the intervention and

  traditional workup groups, respectively. A decreased time from most

  recent HCV provider visit to treatment initiation was noted between

  groups with 38.2 +/- 7.1 days and 54.7 +/- 3.6 days (P = 0.04) in the

  intervention and traditional workup groups, respectively.

  Conclusion: The pharmacist-driven multidisciplinary pretreatment workup

  process is an effective way to engage patients and decrease time to

  treatment initiation. This model could be replicated in other practice

  settings, especially those challenged by multi-step care coordination.

  Published by Elsevier Inc. on behalf of the American Pharmacists

  Association.'
affiliation: 'Houck, KK (Corresponding Author), 1481 W 10th St, Indianapolis, IN 46202
  USA.

  Houck, Kelly K.; Ifeachor, Amanda P.; Fleming, Breanne S.; Andres, Audrey M., Richard
  L Roudebush Vet Affairs Med Ctr, Pharm Serv, 1481 W 10th St, Indianapolis, IN 46202
  USA.

  O''Donovan, Kristin N.; Johnson, Andrew J., Butler Univ, Coll Pharm \& Hlth Sci,
  Indianapolis, IN 46208 USA.

  Liangpunsakul, Suthat, Indiana Univ Sch Med, Div Gastroenterol \& Hepatol, Dept
  Med, Dept Biochem \& Mol Biol, Indianapolis, IN 46202 USA.

  Liangpunsakul, Suthat, Richard L Roudebush Vet Affairs Med Ctr, Sect Gastroenterol
  \& Hepatol, Med Serv, 1481 W 10th St, Indianapolis, IN 46202 USA.'
author: Houck, Kelly K. and Ifeachor, Amanda P. and Fleming, Breanne S. and Andres,
  Audrey M. and O'Donovan, Kristin N. and Johnson, Andrew J. and Liangpunsakul, Suthat
author-email: kellykyrouac@gmail.com
author_list:
- family: Houck
  given: Kelly K.
- family: Ifeachor
  given: Amanda P.
- family: Fleming
  given: Breanne S.
- family: Andres
  given: Audrey M.
- family: O'Donovan
  given: Kristin N.
- family: Johnson
  given: Andrew J.
- family: Liangpunsakul
  given: Suthat
da: '2023-09-28'
doi: 10.1016/j.japh.2019.05.003
eissn: 1544-3450
files: []
issn: 1544-3191
journal: JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
language: English
month: SEP-OCT
number: '5'
number-of-cited-references: '7'
orcid-numbers: Johnson, Andrew/0000-0003-0178-1462
pages: 710-716
papis_id: 952261e4d0641fc647f51982ecc61afc
ref: Houck2019pharmacistdrivenmult
times-cited: '6'
title: 'Pharmacist-driven multidisciplinary pretreatment workup process for hepatitis
  C care: A novel model for same-day pretreatment workup'
type: Article
unique-id: WOS:000485792600019
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '59'
web-of-science-categories: Pharmacology \& Pharmacy
year: '2019'