Assessing Patient-Reported Outcomes and Pharmacist Interventions in Multiple Sclerosis within an Integrated Care Center

This study evaluated patient-reported outcomes (PROs) and pharmacist interventions in patients serviced by VSP in various clinical conditions. In patients with MS specifically, we found that 98% of patients reported no adverse effects, 90% reported no missed doses, and 98% reported their medication worked "good" or "excellent." Pharmacist interventions were commonly related to adherence, safety monitoring, and adverse effects. PROs can be useful to drive meaningful pharmacist interventions.

Exploring healthcare providers' experiences with specialty medication and Limited Distribution Networks

The goal of this study was to explore healthcare providers’ experiences with specialty medications distributed via Limited Distribution Networks (LDN) that do not include IHSSPs. Participants reported barriers to navigating LDNs that can interfere with clinic workflow and patient care. IHSSPs may reduce clinic burden by helping patients access, afford, and remain on therapy.
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Navigating the Wild West of Medication Adherence Reporting in Specialty Pharmacy

This article highlights the challenges in standardizing adherence methodologies as well as the key elements to consider when interpreting adherence results. Specialty pharmacies should consider using adherence measures to identify and intervene on patients with adherence challenges. In addition, integrated specialty pharmacies should work to link adherence to clinical outcomes and healthcare cost savings.
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Development and Outcomes of a Student Research Program within a Health-System Specialty Pharmacy

Because of the growing focus on outcomes research within Vanderbilt Specialty Pharmacy (VSP) and the need for more student research opportunities, VSP developed a longitudinal student research training program. This report describes the development and outcomes of that program as of June 2021.

Streamlining Inpatient P&T Approval Process for Administration of Non-formulary Specialty Medications

Most institutions utilize a Pharmacy and Therapeutics (P&T) Committee to create a formulary for inpatient administered medications that promotes cost effective treatment options to reduce hospital related drug costs. Due to their high cost, most specialty therapies are omitted from inpatient formularies. We describe the non-formulary process developed at our institution to expedite and overcome challenges created by inpatient administered specialty medications.

Launching a PGY1 Residency in a Health-System Specialty Pharmacy Setting: A Focus on Program Design, Residency Candidate Interest, and Preceptor Readiness and Satisfaction

This report describes VSP's development of an ASHP-accredited community based residency program in the health-system specialty pharmacy setting.

Advancing Patient Care through Specialty Pharmacy Services in an Academic Health System

Pharmacists at health system-based specialty pharmacies have the opportunity to improve patient care by providing comprehensive medication management for patients prescribed specialty medication. This manuscript describes how Vanderbilt Specialty Pharmacy integrated pharmacy services into existing outpatient specialty disease clinics at Vanderbilt University Medical Center, which improved patient access to therapy and continuity of care.
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Converting Prescriptions to 90-day Supply Increases Specialty Pharmacy Technician Efficiency

Pharmacy technicians facilitate medication refills for patients following transplant by conducting phone calls and scheduling medication shipments. Standard prescribing of these medications required calls to be made every 30 days. However technician’s ability to service an increasing number of patients was limited by high call volume workload. In this study, we found that converting medication supply from 30 to 90-days reduced daily call volume and allowed the technician to service more patients

From Natural Disaster to Pandemic: A Health-System Pharmacy Rises to the Challenge

This report describes a health-system pharmacy department’s response to recovering from a natural disaster and preparing for the coronavirus disease 2019 (COVID-19). By detailing our experience and efforts, we hope to help other institutions who are or will be in a similar crisis-response mode.
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Development, Implementation and Evaluation of a Health Outcomes and Research Program at an Integrated Health-System Specialty Pharmacy

This descriptive report details the development and early results of the VSP Health Outcomes and Research Program. Started as an initiative for pharmacists to evaluate and convey the benefits they provide to patients, providers, and the health system, the Program has pioneered outcomes research among HSSPs nationwide and has proven valuable to specialty pharmacists, the health system, and key specialty pharmacy stakeholders.
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