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Creating a Pharmacotherapy Collaborative Practice Network to Manage Medications for Children and Youth: A Population Health Perspective

1
Department of Pharmacy Services, St. Christopher’s Hospital for Children–American Academic Health System, 160 East Erie Avenue, Philadelphia, PA 19134, USA
2
School of Pharmacy, Virginia Commonwealth University, Richmond, VA 23298, USA
3
Department of Pediatrics, Drexel University College of Medicine, Philadelphia, PA 19134, USA
4
Universitäts-Kinderspital beider Basel (UKBB), Spitalstrasse 33, CH-4031 Basel, Switzerland
5
Children’s National Health System, 111 Michigan Avenue, Washington, DC 20010, USA
6
Erasmus Medical Center—Sophia Children’s Hospital, s-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands
7
PRIME Education, Fort Lauderdale, FL 33309, USA
*
Author to whom correspondence should be addressed.
Children 2019, 6(4), 58; https://doi.org/10.3390/children6040058
Received: 22 February 2019 / Revised: 2 April 2019 / Accepted: 3 April 2019 / Published: 9 April 2019
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Abstract

Children with special health care needs (CSHCN) use relatively high quantities of healthcare resources and have overall higher morbidity than the general pediatric population. Embedding clinical pharmacists into the Patient-Centered Medical Home (PCMH) to provide comprehensive medication management (CMM) through collaborative practice agreements (CPAs) for children, especially for CSHCN, can improve outcomes, enhance the experience of care for families, and reduce the cost of care. Potential network infrastructures for collaborative practice focused on CSHCN populations, common language and terminology for CMM, and clinical pharmacist workforce estimates are provided. Applying the results from the CMM in Primary Care grant, this paper outlines the following: (1) setting up collaborative practices for CMM between clinical pharmacists and pediatricians (primary care pediatricians and sub-specialties, such as pediatric clinical pharmacology); (2) proposing various models, organizational structures, design requirements, and shared electronic health record (EHR) needs; and (3) outlining consistent documentation of CMM by clinical pharmacists in CSHCN populations. View Full-Text
Keywords: clinical pharmacist; pediatrician; clinical pharmacology; pharmacotherapy; comprehensive medication management; pediatric medicines; special needs; collaboration; children; care networks clinical pharmacist; pediatrician; clinical pharmacology; pharmacotherapy; comprehensive medication management; pediatric medicines; special needs; collaboration; children; care networks
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Parrish, R.H., II; Casher, D.; van den Anker, J.; Benavides, S. Creating a Pharmacotherapy Collaborative Practice Network to Manage Medications for Children and Youth: A Population Health Perspective. Children 2019, 6, 58.

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