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Collaboration among physicians, nurses,
pharmacists, and other healthcare professionals has existed
for decades. Most often, healthcare professionals collaborate
under protocol in the hospital and outpatient ambulatory
care settings.
Collaborative practice is defined as a standard of practice
regarding medication management under which the prescriber
care plan (written by a physician) specifies the conditions
under which a pharmacist may execute both medication plans
for patients and the feedback process of physician notification.
In the Hospice Pharmacia Collaborative Practice (HPCP) model,
HP’s evidence-based symptom management protocols are
adopted as the prescriber care plan and the multidisciplinary
care team follows that plan. The plan of care is communicated
to the prescriber through routine feedback reporting using
Xeris online tools as well as via Facsimile.
HPCP is a dynamic model involving nurses, pharmacists, and
physicians who interact to optimally manage patient symptoms
using best practice interventions. These interventions include
medications and treatments designed to expediently and efficiently
treat symptoms experienced by patients with life-limiting
illness.
HPCP Process
The components of HPCP include symptom management protocols
for specific that are shared with referring physicians by
the hospice team. Physicians have the option to refer patients
under collaborative practice agreements using these protocols.
The HPCP system includes web-based documentation of the
initial assessment and of changes to the care plan via HP’s
on-line software, Xeris. The collaborative pharmacist and
hospice nurse maintain documentation of the care plan and
of modifications to the care plan.
Same-day access to medications using HPCP is offered through
the HPRxCard at over 50,000 pharmacies nationwide, or through
an HP patient-specific hospice kit.
HPCP Benefits
Enhanced Medication Use:
• Decrease in time to palliation
• Increase in quality of patient care
Documented Time Savings for:
• Hospice nurses
• Referring physicians
• Hospice medical directors
• Referring physicians’ office staffs.
Reduced “Hassle Factor” for Physicians:
• Decrease in number of calls regarding routine symptom
management
• Decrease in amount of prescriber-driven documentation
required to manage a patient on hospice
• Increase in physician satisfaction with hospice
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