Clinical Pharmacy Services

Green Tree Pharmacy recognizes the significant role that clinical pharmacists can play in optimizing outcomes and reducing overall medication expenditures by influencing prescribing practices. This is most effectively achieved by developing relationships with medical directors, physicians, and facility staff. We have taken several approaches to accomplish the goal of optimal drug therapy for our residents.

Clinical Pharmacology Gold Standard

Green Tree Pharmacy utilizes Clinical Pharmacology Gold Standard, a premier drug information software program as a resource for answering drug information questions from your staff. This program can generate numerous reports that are helpful for nurses and physicians when designing complex drug therapies for residents with multiple co-morbidities. We encourage nursing to call the pharmacy whenever they have medication-related questions. This program can also be made available to your staff and provides a broad range of drug information reports, including drug interactions, adverse reactions, and product comparison reports. It can list drugs by indication, classification, and multiple criteria. It can also be used to identify tablets when there is a question about a particular medication.

Therapeutic Intervention Program (TIPs)

Our Therapeutic Intervention Programs (TIPs) have been effective in ensuring the use of the most cost-effective therapeutic agents. Several categories of medications have been identified and selected for these programs. Pharmacy informs prescribers that a more cost-effective agent could be used when appropriate. These recommendations are based upon both economic and clinical considerations. Our Preferred Drug List is typically used as a basis for these recommendations. This list is kept current by regular reviews from out Pharmacy and Therapeutics Committee.

Medication Therapy Management  Services

With the implementation of Medicare Part D, Medication Therapy Management Services became another benefit offered to our seniors. Green Tree Pharmacy participates in these programs wherever possible. These programs are intended to improve therapeutic outcomes by providing an in-depth focus on the drug therapy of residents taking several medications for multiple co-morbidities.

Disease State Management

Disease State Management is another service provided by Green Tree Pharmacy. We have developed programs focusing on drug therapy for several common diseases found in long term care including CHF, osteoporosis, Alzheimer’s disease, anemia, depression, incontinence, polypharmacy, and pain management. Warfarin therapy is sometimes one of the more problematic areas for many facilities. We offer warfarin tracking services to assist in monitoring for correct dosing. Green Tree Pharmacy assists facilities with issues concerning QI topics as listed in the federal Casper Report, such as falls, psychotropic medication use, and residents on nine or more meds.

Certified Geriatric Pharmacists

Four of our consultant pharmacists are Certified Geriatric Pharmacists. Information concerning the qualifications and requirements for this distinguished certification is described on the Commission for Certification in Geriatric Pharmacy: www.ccgp.org