Research Projects Page

Since our inception as an outcome committee in 2015, we have consistently and considerably expanded our ability to produce rigorous outcomes research. In 2018, we established a more formal program and leadership, including full time outcomes research staff. The result of these allocated resources has been a productive output across multiple specialty disease states. Below are highlighted outcomes from studies completed in recent years.

Research Project List

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101-110 of 125 results

Healthcare Provider Attitudes and Knowledge Around Pre-Exposure Prophylaxis (PrEP) for the Prevention of HIV-Infection in Tennessee

In the Southern US, HIV prevalence is disproportionately high and PrEP use is disproportionately low. This cross-sectional survey study assessed Tennessee primary care providers’ current PrEP knowledge, attitudes, and prescribing practices with the aim to determine barriers to PrEP provision specific to TN providers.

Ivosidenib: IDH1 Inhibitor for the Treatment of Acute Myeloid Leukemia

Ivosidenib is the first approved oral, targeted, small molecule inhibitor of the isocitrate dehydrogenase 1 (IDH1) mutation seen in acute myeloid leukemia. This review article discusses the clinical trials and dose escalation studies conducted to secure the U.S. Food and Drug Administration approval.

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.

Development of a Quality Measures Tool for the Use of Self-Injectable Biologic Therapy in Inflammatory Bowel Disease: An Integrated Specialty Pharmacy Initiative

This article discusses development of a quality measures tool to track outcomes for self-injectable biologic therapy used in the management of inflammatory bowel disease. Through a collaborative initiative, a set of clinical and specialty pharmacy quality measures was developed to assess outcomes such as patient safety, disease status, treatment efficacy, and healthcare resource utilization.

Expanding Hepatitis C Virus Care and Cure: National Experience Using a Clinical Pharmacist-Driven Model

This multi-site study evaluated the effectiveness of a clinical pharmacist-driven HCV delivery model in an open system. With an overall sustained virologic response (SVR) rate of 95% (per protocol), the clinical pharmacist-driven HCV treatment model was found to be effective and comparable to other real-world studies with specialist, non-specialist, and non-hepatology providers.

PDE5 inhibitor outcomes in Patients with Pulmonary Arterial Hypertension at Vanderbilt Specialty Pharmacy (Adherence, AEs, Hospitalizations, and Costs)

This retrospective cohort analysis of adult patients with PAH prescribed PDE-5I therapy through an integrated model fournd that patients achieved high adherence rates despite almost half reporting side effects and a quarter reporting hospitalization. Median out-of-pocket costs were $14, indicating the important role specialty pharmacists play in ensuring affordable therapy.

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

Non-adherence to Self-injectable Biologic Medication in Patients with moderate to Severe Inflammatory Bowel Disease is Associated with Increased Healthcare Resource Utilization

The objective of this study was to evaluate if medication non-adherence is associated with increased healthcare resource utilization. In patients with moderate-to-severe IBD on self-injectable biologic medication, non-adherence (MPR

Evaluation of Response to Adalimumab Dose Intensification in Pediatric Patients with Inflammatory Bowel Disease

This study evaluated the response to adalimumab dose intensification (defined as a change in adalimumab therapy with reinduction or an increase in dosing frequency) in pediatric patients with inflammatory bowel disease.

Pharmacist managed lithium in an inpatient academic medical center

This evaluation assessed the impact of a pharmacist-managed lithium consult service. Implementation of this service resulted in an increase in obtaining a serum lithium level within 24 hours of hospitalization as well as time savings to providers.