Indications for Clinical Pharmacy Services Referral
Please alert the provider that the patient may need to see a clinical pharmacist if one or more of
the following issues occurs.
Patient issues
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experienced an adverse drug event or potential adverse drug event that was not
previously addressed
is on 5 or more medications
has more than one provider
was recently hospitalized
was recently in the ER for a medication-related issue
has experienced any other care transitions
has diabetes
is being treated for hepatitis C
has asthma and is currently sick with a cold
is taking warfarin
is on a current medication therapy is not effective
Staff concerns
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medications
adherence
cost of medications
pill burden (e.g., number, similarity of pills)
health literacy barriers
cultural barriers
anything else that concerns the intake staff or provider
This material was prepared by Acumentra Health, Oregon’s Medicare Quality Improvement Organization, under contract with the
Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents
presented do not necessarily reflect CMS policy. 10SOW-OR-ADE-12-24 8/9/12