Randy McDonough knew when he left his post as a full Clinical Professor at a major university that he wanted to do community pharmacy differently and he set out to make some changes.
More than a decade later, he’s been able to quantify just how significant those changes have been, thanks to a grant from the Community Pharmacy Foundation.
McDonough, PharmD, MS, RPh, is Co-owner and Director of Clinical Services of Towncrest Pharmacy in Iowa City. He’s spent the last decade systematically implementing changes at the community pharmacy with one goal in mind: to free up pharmacists to play a bigger role in patient care.
During that time, McDonough, and Co-owner, Michael Deninger PhD, RPh, have made significant changes to the pharmacy’s workflow in an effort to implement what they refer to as continuous medication monitoring or a pharmacist drug review every time the pharmacist has an encounter with a patient.
“We want them to do what they can to collect information and-- if they have enough information-- identify and resolve drug therapy problems and document their activities,” he says.
A recent grant from the Community Pharmacy Foundation, allowed McDonough and his team to study the impact continuous medication monitoring has had on the pharmacy.
During the 12-month study period of the grant, McDonough says the pharmacy conducted approximately 17,000 clinical interventions. About half of the time an intervention was made, a drug problem was identified.