{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T13:46:36Z","timestamp":1769521596412,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,24]],"date-time":"2016-02-24T00:00:00Z","timestamp":1456272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["accpjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pharmacotherapy"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the effectiveness of a pharmacist\u2010physician collaborative practice model (<jats:styled-content style=\"fixed-case\">PPCPM<\/jats:styled-content>) to improve long\u2010term blood pressure (BP) control rates in a primarily African\u2010American underserved urban population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Practice Innovation<\/jats:title><jats:p>Volunteer physicians established initial diagnoses, whereas pharmacists provided most (more than 70%) of the medication management. During each scheduled visit, the pharmacist reconciled the medication list, completed a clinical interview, conducted a focused physical examination, developed and implemented a treatment plan, and provided documentation in a shared medical record.<\/jats:p><\/jats:sec><jats:sec><jats:title>Evaluation<\/jats:title><jats:p>A retrospective chart review was performed to collect data for a longitudinal cohort of patients managed by the <jats:styled-content style=\"fixed-case\">PPCPM<\/jats:styled-content> from 2010\u20132013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 385 patients with at least two pharmacist visits during 2009, 172 patients received continuous care over the study period. At baseline, the mean age of the cohort was 51.3 years, 62% were female, and 76% were African\u2010American. Approximately 65% were obese (body mass index 30 kg\/m<jats:sup>2<\/jats:sup> or higher), and 39% were cigarette smokers. Mean baseline BP was 156\/98 mm Hg, with only 17% of the cohort at their BP goal of lower than 140\/90 mm Hg. The BP control rate improved to 66% during the first year and persisted throughout the study period, with 68% of patients at goal in 2013 (p&lt;0.05 compared with baseline).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">PPCPM<\/jats:styled-content> BP control rate ranks in the 90th percentile of National Committee for Quality Assurance benchmarks and was superior even to the 2013 reported mean for commercial insurers. The <jats:styled-content style=\"fixed-case\">PPCPM<\/jats:styled-content> effectively improved hypertension control in an uninsured, primarily African\u2010American, urban population despite significant health barriers. Key elements of this asynchronous care model included access to a common medical record, optimization of distinct interprofessional roles, frequent follow\u2010up with evaluation, and collaborative practice agreement with sufficient scope of practice to implement medication changes at the time of the visit.<\/jats:p><\/jats:sec>","DOI":"10.1002\/phar.1710","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T03:50:37Z","timestamp":1456458637000},"page":"342-347","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Effectiveness of a Pharmacist\u2010Physician Team\u2010Based Collaboration to Improve Long\u2010Term Blood Pressure Control at an Inner\u2010City Safety\u2010Net Clinic"],"prefix":"10.1002","volume":"36","author":[{"given":"Evan M.","family":"Sisson","sequence":"first","affiliation":[{"name":"Department of Pharmacotherapy &amp; Outcomes Science Virginia Commonwealth University School of Pharmacy Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dave L.","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy &amp; Outcomes Science Virginia Commonwealth University School of Pharmacy Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. Cole","family":"Kildow","sequence":"additional","affiliation":[{"name":"Franciscan Hammond Clinic, Pharmacy Munster Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin W.","family":"Van Tassell","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy &amp; Outcomes Science Virginia Commonwealth University School of Pharmacy Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel E.","family":"Carl","sequence":"additional","affiliation":[{"name":"Virginia Commonwealth University Medical Center Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Della","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy &amp; Outcomes Science Virginia Commonwealth University School of Pharmacy Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Batul","family":"Electricwala","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy &amp; Outcomes Science Virginia Commonwealth University School of Pharmacy Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norman V.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy &amp; Outcomes Science Virginia Commonwealth University School of Pharmacy Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/circ.131.suppl_2.o29"},{"key":"e_1_2_6_3_1","first-page":"e7","article-title":"The growing gap in hypertension control between insured and uninsured adults: NHANES 1988\u20132010","volume":"8","author":"Egan BM","year":"2014","journal-title":"Hypertension"},{"key":"e_1_2_6_4_1","volume-title":"A closer look at African American men and high blood pressure control: a review of psychosocial factors and systems\u2010level interventions","author":"Centers for Disease Control and Prevention","year":"2010"},{"key":"e_1_2_6_5_1","unstructured":"Virginia Department of Social Services.M02 Nonfinancial Eligibility Requirements in Medicaid Eligibility Manual Volume XIII. 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