The Effect of Cardiovascular Credentialed Pharmacists on Process Measures and Outcomes in Myocardial Infarction and Heart Failure

Objective The purpose of this study was to determine if institutions with inpatient cardiovascular credentialed pharmacists exhibit improved quality measures for acute myocardial infarction (AMI) and heart failure (HF) care compared with institutions without inpatient cardiovascular credentialed pha...

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Bibliographic Details
Published in:Pharmacotherapy 2014-08, Vol.34 (8), p.803-808
Main Authors: Dorsch, Michael P., Lose, Jennifer M., DiDomenico, Robert J.
Format: Article
Language:English
Subjects:
acute myocardial infarction
Biological and medical sciences
Cardiology. Vascular system
Case-Control Studies
congestive heart failure
Coronary heart disease
Credentialing
Cross-Sectional Studies
epidemiology
Heart
Heart Failure - therapy
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Hospital Mortality
Hospitals - standards
Humans
Medical sciences
Myocardial Infarction - therapy
Myocarditis. Cardiomyopathies
Outcome Assessment (Health Care)
Patient Readmission - statistics & numerical data
performance measures
pharmacist management
Pharmacists - organization & administration
Pharmacists - standards
Pharmacology. Drug treatments
Pharmacy Service, Hospital - organization & administration
Pharmacy Service, Hospital - standards
Process Assessment (Health Care)
Retrospective Studies
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Summary:Objective The purpose of this study was to determine if institutions with inpatient cardiovascular credentialed pharmacists exhibit improved quality measures for acute myocardial infarction (AMI) and heart failure (HF) care compared with institutions without inpatient cardiovascular credentialed pharmacists. Methods We conducted a multicenter, retrospective, cross‐sectional, matched case‐control study. Hospitals with at least one Added Qualification in Cardiology (AQCV) inpatient pharmacist were included in the case group. Each case group hospital was matched to hospitals without an AQCV pharmacist by region, number of cardiovascular discharges, and teaching hospital designation in a 1:3 ratio (case:control). The 34 AQCV hospitals were matched to 102 non‐AQCV hospitals. The proportions of discharges meeting HF and AMI process of care measures and 30‐day outcomes (readmission and mortality) for each hospital were determined from public data and compared between the case and control groups. Results Hospitals with AQCV pharmacists performed better on process of care measures than hospitals without AQCV pharmacists (odds ratio 1.41, 95% confidence interval 1.25–1.58, p
ISSN:0277-0008
1875-9114
DOI:10.1002/phar.1444