Grand Rounds Prompt: Optimizing Medication Across the Ambulatory Continuum
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Question: "What are the key considerations for optimizing medication management across the ambulatory continuum? I’m particularly interested in how automation in pharmacy, Tele-pharmacy services, and ambulatory infusion suites can enhance care continuity and patient access, especially in high-cost areas like specialty and transplant medications. Could you provide insights on how shifting certain medications to lower-cost care sites (e.g., home vs. infusion suite) impacts patient adherence and health system efficiency? Additionally, please discuss recent evidence on the use of compliance technology and pharmacist-led collaborative practices to improve outcomes in complex cases."