{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T16:44:37Z","timestamp":1773074677797,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T00:00:00Z","timestamp":1763856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T00:00:00Z","timestamp":1763856000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["accpjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Am Coll Clin Pharm"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pain management in patients with substance use disorder (SUD) is complex and often under\u2010addressed in inpatient settings. Clinical pharmacy specialists (CPS) with expertise in pain management and addiction medicine can play a critical role in closing this care gap. To quantify and describe the clinical and financial impact of a Pain Management CPS focused on addiction medicine through characterization of intervention types and associated cost value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective chart review of pharmacist interventions conducted over a four\u2010week period in September 2024 at a large, academic, quaternary\u2010referral center. The primary outcome was the identification of intervention type and quantity. Secondary outcomes included the cost value assigned to interventions, and the number of patients discharged with medications for opioid use disorder (MOUD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over a one\u2010month period, the Pain Management CPS documented 236 interventions across 72 patient encounters. The most common interventions were the addition of medication (30%) and therapeutic dose adjustments (29.9%). The four\u2010week intervention value was $52711, with a projected annual value exceeding $600\u2009000. MOUD were ordered in &gt;\u200998% of encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A dedicated Pain Management CPS with a focus on addiction medicine provides significant clinical and financial value in the inpatient setting. Their interventions support effective pain management, improve MOUD access, prevent adverse events, and enhance provider education, all of which contribute to improved patient outcomes and institutional value.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jac5.70147","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T02:52:14Z","timestamp":1763952734000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical and Financial Impact of Addiction Medicine Pharmacy Specialist"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8381-6879","authenticated-orcid":false,"given":"Emily R.","family":"Casey","sequence":"first","affiliation":[{"name":"Department of Pharmacy Services Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Radcliff","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya J.","family":"Uritsky","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/zxy003"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1310\/hpj5108\u2010639"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/15360288.2020.1734141"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909110391080"},{"issue":"5","key":"e_1_2_10_6_1","first-page":"905","article-title":"Factors Affecting Pain Management in Hospitalized Patients","volume":"24","author":"M\u0119drzycka\u2010D\u0105browska W.","year":"2015","journal-title":"Advances in Clinical and Experimental Medicine"},{"issue":"3","key":"e_1_2_10_7_1","first-page":"211","article-title":"Chronic Pain: Treatment Barriers and Strategies for Clinical Practice","volume":"14","author":"Glajchen M.","year":"2001","journal-title":"Journal of the American Board of Family Practice"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/416091"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1151\/ascp08424"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp170250"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/zxy003"},{"key":"e_1_2_10_12_1","first-page":"1","article-title":"Drug Overdose Surveillance and Information Sharing via a Public Database: The Role of the Medical Examiner\/Coroner","volume":"7","year":"2017","journal-title":"Academic Forensic Pathology"},{"key":"e_1_2_10_13_1","unstructured":"Office of Drug Surveillance and Misuse Prevention \u201cPennsylvania Department of Health; Office of Drug Surveillance and Misuse Prevention; Pennsylvania State PoliceOverdose Mapping Act Annual Report\u20142023. Harrisburg PA Pennsylvania Department of Health \u201d2023."},{"key":"e_1_2_10_14_1","unstructured":"PA Groundhogs \u201cCorrection: PAG Releases New Adulterant Report. 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