Ila Harris - Academia.edu (original) (raw)

Papers by Ila Harris

Family medicine, 2005

Rational drug use has increasingly received public policy attention in efforts to maintain qualit... more Rational drug use has increasingly received public policy attention in efforts to maintain quality health care at lower costs. Prescribing habits are developed during residency training, and education regarding rational drug use should be an integral part of the residency curricula. Considering that many medical errors in family medicine are related to incorrect medication management, there is need for a focused education in pharmacotherapy. This paper outlines suggested guidelines for pharmacotherapy curricula in family medicine residency training, as recommended by the Society of Teachers of Family Medicine Group on Pharmacotherapy. A pharmacotherapy curriculum should include common conditions managed in family medicine, as well as general principles of pharmacotherapy. This should allow for repeated exposure to core topics over a 3-year cycle and be delivered in various settings (didactic teaching, longitudinal active learning, point-of-care education, and rotations). The curricu...

Pharmacist-managed protocol to implement simvastatin labeling changes in a family medicine clinic

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2014

Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 2014

Although the application of a consistent process of care serves as a foundational principle for m... more Although the application of a consistent process of care serves as a foundational principle for most health care professions, this is not true for the discipline of clinical pharmacy. Without an explicit, reproducible process of care, it is not possible to demonstrate to patients, caregivers, or health professionals the ways in which the clinical pharmacist can reliably contribute to improved medicationrelated outcomes. A consistent patient care process should describe the key steps that all clinical pharmacists will follow when they encounter a patient, regardless of the type of practice, the clinical setting, or the medical conditions or medications involved. Four essential elements serve as the cornerstones of the clinical pharmacist's patient care process: assess the patient and his or her medication therapy, develop a plan of care, implement the plan, and evaluate the outcomes of the plan. Despite the fact that several processes of care have been advocated for clinical pharmacists, none has been adopted by the clinical pharmacy discipline. In addition, numerous publications evaluate outcomes related to clinical pharmacy services, but it is difficult to determine what process of patient care was used in most of these studies. In our view, a consistent process of direct patient care that includes the four essential elements should be adopted by the clinical pharmacy discipline. This process should be clear, straightforward and intuitive, readily documentable, and applicable to all practice settings. Once adopted, the process should be implemented across practice settings, taught in professional degree programs, integrated into students' clinical rotations, refined during residency training, and used as a foundation for future large-scale studies to rigorously study the effects of the clinical pharmacist on patients' medication-related outcomes. KEY WORDS clinical pharmacy, clinical pharmacist, direct patient care, process of care.

Pharmacotherapy, 2008

A business-practice model is a guide, or toolkit, to assist managers and clinical pharmacy practi... more A business-practice model is a guide, or toolkit, to assist managers and clinical pharmacy practitioners in the exploration, proposal, development and implementation of new clinical pharmacy services and/or the enhancement of existing services. This document was developed by the American College of Clinical Pharmacy Task Force on Ambulatory Practice to assist clinical pharmacy practitioners and administrators in the development of businesspractice models for new and existing clinical pharmacy services in ambulatory settings. This document provides detailed instructions, examples, and resources on conducting a market assessment and a needs assessment, types of clinical services, operations, legal and regulatory issues, marketing and promotion, service development and exit plan, evaluation of service outcomes, and financial considerations in the development of a clinical pharmacy service in the ambulatory environment. Available literature is summarized, and an appendix provides valuable citations and resources. As ambulatory care practices continue to evolve, there will be increased knowledge of how to initiate and expand the services. This document is intended to serve as an essential resource to assist in the growth and development of clinical pharmacy services in the ambulatory environment.

Pharmacotherapy, 2000

Page 1. ACCP W HITE P APER White Paper on Herbal Products American College of Clinical Pharmacy L... more Page 1. ACCP W HITE P APER White Paper on Herbal Products American College of Clinical Pharmacy Lucinda G. Miller, Pharm.D., Anne Hume, Pharm.D., FCCP, Ila Mehra Harris, Pharm.D., Eric A. Jackson, Pharm.D., Tina ...

Outcomes of medication therapy review in a family medicine clinic

Journal of the American Pharmacists Association, 2009

To evaluate the effects of pharmacist-conducted medication therapy review (MTR) and intervention ... more To evaluate the effects of pharmacist-conducted medication therapy review (MTR) and intervention on the quality of care of patients in a family medicine clinic. Prospective, observational, cohort study. Family medicine clinic in Minnesota during 2000-2001. Patients were enrolled in a statewide nonprofit managed care organization; selected patients were seen by a clinical pharmacist. Following MTR, medication-related problems (MRPs) were identified and resolved. MRPs identified and resolved, improvement in clinical status, achievement of therapeutic goals, important medication use, and reduction in number of medications. 92 patients were included in the study, with a total of 203 patient encounters. MRPs were identified in 90% of patients, with a total of 250 identified. Overall status of medical conditions improved in 45% of patients, 46% stayed the same, and 9% declined (P < 0.001). Significant improvement in status was found for hypertension (P = 0.007), dyslipidemia (P = 0.002), and asthma (P = 0.011). Significant improvement was seen for aspirin use for myocardial infarction prevention (50% vs. 93%, P = 0.031) and inhaled steroids for asthma (36% vs. 64%, P = 0.031). The number of medications was reduced from an average of 3.92 to 3.04 (P < 0.001) per patient. MTR and intervention by a pharmacist positively affected quality of care in this family medicine clinic.

Attitudes Towards Complementary and Alternative Medicine Among Pharmacy Faculty and Students

American Journal of Pharmaceutical Education, 2006

To determine pharmacy faculty members' and studen... more To determine pharmacy faculty members' and students' attitudes and perceptions regarding the use of complementary and alternative medicine (CAM). A survey was used to obtain data on the following information concerning CAM: general attitudes, perceived barriers to use, training received and desired, personal use, and information sources used. In general, attitudes of pharmacy faculty members and students towards CAM were positive. Lack of evidence for CAM practices was considered the greatest barrier to the use of CAM by faculty members and students. Many CAM therapies were perceived to be effective. A high percentage of students desire more training in the areas of herbal medicine and nutritional supplements. Faculty members and students believe that CAM should be included in the curriculum. General attitudes towards CAM are positive among pharmacy faculty members and students, and most believe that CAM should be taught in the pharmacy curriculum. More resources and training of faculty members may be necessary.

Tracking patient encounters and performed clinical skills to determine student competency in advanced pharmacy practice experiences

Pharmacotherapy

Family medicine, 2005

Rational drug use has increasingly received public policy attention in efforts to maintain qualit... more Rational drug use has increasingly received public policy attention in efforts to maintain quality health care at lower costs. Prescribing habits are developed during residency training, and education regarding rational drug use should be an integral part of the residency curricula. Considering that many medical errors in family medicine are related to incorrect medication management, there is need for a focused education in pharmacotherapy. This paper outlines suggested guidelines for pharmacotherapy curricula in family medicine residency training, as recommended by the Society of Teachers of Family Medicine Group on Pharmacotherapy. A pharmacotherapy curriculum should include common conditions managed in family medicine, as well as general principles of pharmacotherapy. This should allow for repeated exposure to core topics over a 3-year cycle and be delivered in various settings (didactic teaching, longitudinal active learning, point-of-care education, and rotations). The curricu...

Pharmacist-managed protocol to implement simvastatin labeling changes in a family medicine clinic

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2014

Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 2014

Although the application of a consistent process of care serves as a foundational principle for m... more Although the application of a consistent process of care serves as a foundational principle for most health care professions, this is not true for the discipline of clinical pharmacy. Without an explicit, reproducible process of care, it is not possible to demonstrate to patients, caregivers, or health professionals the ways in which the clinical pharmacist can reliably contribute to improved medicationrelated outcomes. A consistent patient care process should describe the key steps that all clinical pharmacists will follow when they encounter a patient, regardless of the type of practice, the clinical setting, or the medical conditions or medications involved. Four essential elements serve as the cornerstones of the clinical pharmacist's patient care process: assess the patient and his or her medication therapy, develop a plan of care, implement the plan, and evaluate the outcomes of the plan. Despite the fact that several processes of care have been advocated for clinical pharmacists, none has been adopted by the clinical pharmacy discipline. In addition, numerous publications evaluate outcomes related to clinical pharmacy services, but it is difficult to determine what process of patient care was used in most of these studies. In our view, a consistent process of direct patient care that includes the four essential elements should be adopted by the clinical pharmacy discipline. This process should be clear, straightforward and intuitive, readily documentable, and applicable to all practice settings. Once adopted, the process should be implemented across practice settings, taught in professional degree programs, integrated into students' clinical rotations, refined during residency training, and used as a foundation for future large-scale studies to rigorously study the effects of the clinical pharmacist on patients' medication-related outcomes. KEY WORDS clinical pharmacy, clinical pharmacist, direct patient care, process of care.

Pharmacotherapy, 2008

A business-practice model is a guide, or toolkit, to assist managers and clinical pharmacy practi... more A business-practice model is a guide, or toolkit, to assist managers and clinical pharmacy practitioners in the exploration, proposal, development and implementation of new clinical pharmacy services and/or the enhancement of existing services. This document was developed by the American College of Clinical Pharmacy Task Force on Ambulatory Practice to assist clinical pharmacy practitioners and administrators in the development of businesspractice models for new and existing clinical pharmacy services in ambulatory settings. This document provides detailed instructions, examples, and resources on conducting a market assessment and a needs assessment, types of clinical services, operations, legal and regulatory issues, marketing and promotion, service development and exit plan, evaluation of service outcomes, and financial considerations in the development of a clinical pharmacy service in the ambulatory environment. Available literature is summarized, and an appendix provides valuable citations and resources. As ambulatory care practices continue to evolve, there will be increased knowledge of how to initiate and expand the services. This document is intended to serve as an essential resource to assist in the growth and development of clinical pharmacy services in the ambulatory environment.

Pharmacotherapy, 2000

Page 1. ACCP W HITE P APER White Paper on Herbal Products American College of Clinical Pharmacy L... more Page 1. ACCP W HITE P APER White Paper on Herbal Products American College of Clinical Pharmacy Lucinda G. Miller, Pharm.D., Anne Hume, Pharm.D., FCCP, Ila Mehra Harris, Pharm.D., Eric A. Jackson, Pharm.D., Tina ...

Outcomes of medication therapy review in a family medicine clinic

Journal of the American Pharmacists Association, 2009

To evaluate the effects of pharmacist-conducted medication therapy review (MTR) and intervention ... more To evaluate the effects of pharmacist-conducted medication therapy review (MTR) and intervention on the quality of care of patients in a family medicine clinic. Prospective, observational, cohort study. Family medicine clinic in Minnesota during 2000-2001. Patients were enrolled in a statewide nonprofit managed care organization; selected patients were seen by a clinical pharmacist. Following MTR, medication-related problems (MRPs) were identified and resolved. MRPs identified and resolved, improvement in clinical status, achievement of therapeutic goals, important medication use, and reduction in number of medications. 92 patients were included in the study, with a total of 203 patient encounters. MRPs were identified in 90% of patients, with a total of 250 identified. Overall status of medical conditions improved in 45% of patients, 46% stayed the same, and 9% declined (P < 0.001). Significant improvement in status was found for hypertension (P = 0.007), dyslipidemia (P = 0.002), and asthma (P = 0.011). Significant improvement was seen for aspirin use for myocardial infarction prevention (50% vs. 93%, P = 0.031) and inhaled steroids for asthma (36% vs. 64%, P = 0.031). The number of medications was reduced from an average of 3.92 to 3.04 (P < 0.001) per patient. MTR and intervention by a pharmacist positively affected quality of care in this family medicine clinic.

Attitudes Towards Complementary and Alternative Medicine Among Pharmacy Faculty and Students

American Journal of Pharmaceutical Education, 2006

To determine pharmacy faculty members' and studen... more To determine pharmacy faculty members' and students' attitudes and perceptions regarding the use of complementary and alternative medicine (CAM). A survey was used to obtain data on the following information concerning CAM: general attitudes, perceived barriers to use, training received and desired, personal use, and information sources used. In general, attitudes of pharmacy faculty members and students towards CAM were positive. Lack of evidence for CAM practices was considered the greatest barrier to the use of CAM by faculty members and students. Many CAM therapies were perceived to be effective. A high percentage of students desire more training in the areas of herbal medicine and nutritional supplements. Faculty members and students believe that CAM should be included in the curriculum. General attitudes towards CAM are positive among pharmacy faculty members and students, and most believe that CAM should be taught in the pharmacy curriculum. More resources and training of faculty members may be necessary.

Tracking patient encounters and performed clinical skills to determine student competency in advanced pharmacy practice experiences

Pharmacotherapy