St. Luke's Cancer Institute

 

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St. Luke's Cancer Institute
Boise, Idaho

Improve Oral Oncolytic Workflow and Reduce Treatment Delays with a Pharmacist Collaborative Practice Agreement

Learn how a pharmacy resident project supported the creation and implementation of an oral oncolytic collaborative practice agreement (CPA) that expanded pharmacist scope of practice, decreased turnaround time for processing prescriptions, improved provider satisfaction, and decreased patient prescription costs. Today, St. Luke's Cancer Institute’s CPA allows pharmacists to sign prescriptions on behalf of providers for interventions such as renal or hepatic dose adjustments, dose rounding, renewal of prescription refills, adjustment for toxicities, dosing based on appropriate indication, and the ordering of laboratory tests and/or exams.

To hear this ACCC Innovator Award session on-demand, please visit the ACCC eLearning portal.

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Pharmacists Expand Role in Collaborative Practice Agreement

innovatorAwards-2020-sealSingular-80x80To speed approvals for recommended medication adjustments to oral oncolytic prescriptions, St. Luke's Cancer Institute created a pilot program to test the efficacy of a collaborative practice agreement (CPA) between the institute’s medical oncologists and oncology pharmacists. Within two months, St. Luke’s found that while it took an average of seven minutes for the pilot group to turn around one medication adjustment, it took 3,311 minutes for the group that had to wait for physician approval. Two months into the pilot, St. Luke’s approved the CPA for site-wide implementation.”
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Featured in Oncology Issues

v36n4-a-pharmacist-collaborative-practice-agreement-improves-oral-oncolytic-workflow-and-reduces-treatment-delays-Oncology-IssuesA Pharmacist Collaborative Practice Agreement Improves Oral Oncolytic Workflow and Reduces Treatment Delays

Rapid development and utilization of oral oncolytics over the past several decades has led to a paradigm shift in the management of patients with cancer. The substantial challenges associated with this shift in care have prompted cancer programs and practices to enlist the assistance of clinical pharmacists to manage treatment and supportive care for patients receiving oral therapies. Through clinical integration, pharmacists can improve medication access, provide chemotherapy order review and medication reconciliation, identify significant drug interactions, monitor patient adherence and side effects, provide patient education, and enhance onsite outpatient pharmacy revenue, among others.
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