MPA | Pharmacy News

By Jodie Elder, Pharm.D., associate professor, Ferris State University


The Michigan Society of Health-Systems Pharmacists (MSHP) Ambulatory Care Committee is committed to advancing ambulatory pharmacy practice in Michigan. Since its inception two years ago, the committee has assembled a toolkit for ambulatory pharmacists. The MSHP Ambulatory Care Toolkit includes practical tools and resources to assist pharmacists with implementing successful patient care programs. The toolkit is available at Several sections expand to links for local and national ambulatory pharmacy resources.


Getting Started contains general information on conducting background research to identify potential gaps in care and suggestions for creating a plan for a new ambulatory pharmacy service. This section contains links to several “best practice” articles and information on development.


Business Models and Communication Resources includes information regarding building a sustainable business plan, billing opportunities and talking points for justifying services to stakeholders. It also contains links to articles describing use of technicians and support personnel to help improve financial viability of services provided.


Clinical Practice Resources contains links to the ASHP assessment tool and information regarding documentation of services and development of patient assessments. Several links include information about collaborative practice agreements (CPAs) to help providers get started with chronic care management. In addition, useful assessments for medication adherence, health literacy and potentially inappropriate medications are provided for pharmacists’ use.


Outcomes evaluation and application of quality-improvement principles to ambulatory care pharmacy practice is necessary for demonstrating value. Suggestions for outcomes measurement and evaluation are provided and several links to pertinent quality measures are included to help pharmacists get started.


Advocacy and Provider Status includes links to local and national organization pages and serve as a resource for pharmacists to engage in promotion of pharmacy services and advocate for provider status.


Transitions of Care Model Resources includes a description of key aspects of effective Transitions of Care (TOC) and several links to websites, articles and toolkits to assist pharmacists with providing the highest quality TOC services.


Other Resources contain links to books and additional resources available through other organizations for purchase. The references listed contain detailed examples of treatment protocols, program development materials and collaborative practice agreements.


The goal of this toolkit is to assist pharmacists desiring to expand ambulatory pharmacy services and opportunities in Michigan. The toolkit is public, however only MSHP/MPA members can sign in and access a database of pharmacists providing ambulatory services in Michigan, their location and types of services provided. If you are already providing ambulatory care services, please consider filling out the ambulatory pharmacy site form for inclusion in the database at Together, we can expand and improve the care delivered in the ambulatory setting. We welcome comments and feedback and are committed to continually improving this toolkit. Please feel free to contact Sarah Barden, PSI director of business development and MPA liaison, by email at with questions or feedback.

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