(90) Integration of Pharmacy Faculty and Learners into a Health Center serving Low-Income, Immigrant, Refugee Patients.

Objective : To design and implement an interprofessional pharmacotherapy service and learning experience at a federally qualified health center (FQHC) serving low income, immigrant, and refugee patients .

Methods: School of Pharmacy faculty, in collaboration with health center staff, developed a pharmacotherapy service based on a needs-assessment that included learners (students and post-graduate trainees). Over three months, two pharmacy faculty trained at five clinics and two 340B-pharmacies with medical providers, nutritionists, community pharmacists, community health worker (CHWs), and compliance officers. A learner training plan was developed that centered around the Curricular Outcomes and Entrustable Professional Activities (COEPA) subdomains of cultural and structural humility, health disparities, population health and interprofessional collaboration. Survey items specific to pertinent COEPA domains were added to the standard evaluation rubric. Pilot data of the pharmacotherapy service was measured by frequency statistics.

Results: The needs assessment determined the pharmacy team responsibilities included providing pharmacy-centric patient care visits (five days per week), addressing drug information and patient care questions, addressing uniform data system measures, implementing a pharmacy-led research program, and teaching medical residents. After two months, 105 pharmacy interventions have been completed. Interventions pertained to medication reviews (33%), patient education (31%), disease management visit (11%), and adherence (6%). Diseases addressed during patient visits included diabetes (59%) and hypertension (49%). Social-behavioral barriers addressed include language/interpreter use (40%), literacy (37%), coordination of care with the interprofessional team (19%), and cultural/nutritional impact on health (14%). Two research projects have been initiated.

Conclusions: In a short period of time, a new pharmacotherapy service inclusive of faculty and learners resulted in a high volume of engagement at a FQHC. Future directions include exploring the impact on cultural and behavioral factors on student learning.