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An Integrated Health-System Specialty Pharmacy Model for Coordinating Transitions of Care: Specialty Medication Challenges and Specialty Pharmacist Opportunities

Specialty Pharmacy Services, Vanderbilt University Medical Center, Nashville, TN 37212, USA
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Pharmacy 2019, 7(4), 163; https://doi.org/10.3390/pharmacy7040163
Received: 31 October 2019 / Revised: 15 November 2019 / Accepted: 28 November 2019 / Published: 3 December 2019
(This article belongs to the Special Issue Medication Management in Care Transitions)
Adherence and persistence to specialty medications are necessary to achieve successful outcomes of costly therapies. The increasing use of specialty medications has exposed several unique barriers to certain specialty treatments’ continuation. Integrated specialty pharmacy teams facilitate transitions in sites of care, between different provider types, among prescribed specialty medications, and during financial coverage changes. We review obstacles encountered within these types of transitions and the role of the specialty pharmacist in overcoming these obstacles. Case examples for each type of specialty transition provide insight into the unique complexities faced by patients, and shed light on pharmacists’ vital role in patient care. This insightful and real-world experience is needed to facilitate best practices in specialty care, particularly in the growing number of health-system specialty pharmacies. View Full-Text
Keywords: transitional care; pharmacy; healthcare quality; access; and evaluation; integrated delivery of healthcare; comprehensive healthcare; medication systems; programs; managed care transitional care; pharmacy; healthcare quality; access; and evaluation; integrated delivery of healthcare; comprehensive healthcare; medication systems; programs; managed care
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Zuckerman, A.D.; Carver, A.; Cooper, K.; Markley, B.; Mitchell, A.; Reynolds, V.W.; Saknini, M.; Wyatt, H.; Kelley, T. An Integrated Health-System Specialty Pharmacy Model for Coordinating Transitions of Care: Specialty Medication Challenges and Specialty Pharmacist Opportunities. Pharmacy 2019, 7, 163.

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