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Objective   Embedding clinical pharmacists into ambulatory care settings needs to be assessed in the context of established medical home models.Methods   A retrospective, observational study examined the effectiveness of the Intermountain Healthcare Collaborative Pharmacist Support Services (CPSS) program from 2012–2015 among adult patients diagnosed with diabetes mellitus (DM) and/or high blood pressure (HBP). Patients who attended this program were considered the intervention (CPSS) cohort. These patients were matched using propensity scores with a reference group (no-CPSS cohort) to determine the effect of achieving disease management goals and time to achievement.Results   A total of 17,684 patients had an in-person office visit with their provider and 359 received CPSS (the matched no-CPSS cohort included 999 patients). CPSS patients were 93% more likely to achieve a blood pressure goal &lt; 140/90 mmHg, 57% more likely to achieve HbA1c values &lt; 8%, and 87% more likely to achieve both disease management goals compared with the reference group. Time to goal achievement demonstrated increasing separation between the study cohorts across the entire study period ( P &lt; .001), and specifically, at 180 days post-intervention (HBP: 48% vs 27% P &lt; .001 and DM: 39% vs 30%, P &lt; .05).Conclusions   CPSS participation is associated with significant improvement in achievement of disease management goals, time to achievement, and increased ambulatory encounters compared with the matched no-CPSS cohort.

“Pharming out” support: a promising approach to integrating clinical pharmacists into established primary care medical home practices