Demonstrating value, documenting care: Lessons learned about writing comprehensive patient medication assessments in the IMPACT project: PART II

Abstract

Summary of recommendations1. Suggest decrease dose of XX [name of drug] to 150 mg once daily given low creatinineclear ance of 40 mL/min.2. Suggest tapering XX [name of drug] to X mg[dose] at bedtime for 1 week, then stoppingalt ogether (have discussed with patient; sheis willing to start today if you agree).3. Mrs. Y has agreed to stop XX [name of drug](which may have been contributing to recenthigh BP) and will monitor BP daily at hometo make sure it decreases to <130/80 mm HgBOX 1 The IMPACT experience The IMPACT project was a large-scale demonstration project funded by the Ontario Primary Health Care Transition FundProject in which 7 nondispensing pharmacists were integrated into 7 different family physician group practices between June2004 and July 2006. The IMPACT pharmacists worked approximately 2.5 days per week over the 2-year period conductingcomprehensive medication assessments for patients, providing drug information and education for health care providers,and implementing approaches to optimize drug prescribing and use within the practice.