Practice [View Image]
The Richmond Health and Wellness Program (RHWP) operates interprofessional enhanced care coordination clinics in low-income senior housing buildings in downtown Richmond. The flagship program partnership is with Dominion Place, an independently owned apartment complex for eligible low-income elders. To begin addressing the healthcare challenges within this community, Dominion Place and VCU partnered in April 2012 to implement an on-site wellness clinic with a focus on improving health outcomes while decreasing nonemergent healthcare utilization. The RHWP has since expanded to four other apartment complexes and the VCU Health Hub at 25th. At each RHWP site, students from the schools of Pharmacy, Nursing and Medicine and the College of Health Professions work together to provide care coordination services and health screenings with a focus on diabetes, hypertension, and medication management. The RHWP is the foundation of the Health and Wellness in Aging Populations Core of the VCU Institute of Inclusion, Inquiry and Innovation (iCubed).
Source: https://news.vcu.edu/article/Inside_the_VCU_Health_Hub_at_25th [View Image]
The VCU Center for Advanced Health Management (CAHM) is a home base for an advanced comprehensive care model for qualifying patients with complex care needs, including older adults. The CAHM provides comprehensive adult and geriatric care including ambulatory primary care, consult-driven care, in-home primary care through the house calls program, transitional care and nursing home care. These services are supported by an interprofessional team of providers and trainees including those from pharmacy, nursing, medicine, social work, psychology and psychiatry. Fourth-year pharmacy students participate in patient care activities focused on primary care and geriatric syndromes for individuals with multimorbidity and older adults in a primarily ambulatory setting.
CAHM [View Image]
The VCUHealth Motivate Clinic is an ambulatory substance-use disorder clinic. All substance-use disorders are managed at the clinic, but it primarily serves as an outpatient-based opioid treatment program (OBOT) offering buprenorphine/naloxone for medication assisted treatment of opioid-use disorder (OUD). Older adults managed at this clinic are primarily treated for either OUD or alcohol-use disorder. Services are supported by an interprofessional team of providers and trainees, including advanced practice nursing, medicine, substance abuse fellows, social work, psychiatry, nursing and pharmacy. The PGY2 Psychiatric Pharmacy Resident rotates through this clinic setting.
VCUHealth inpatient psychiatry is made up of four treatment teams. One of the teams, the Geriatric Psychiatry team, focuses on the mental health needs of older adults. The inpatient interdisciplinary team is made up of physicians, psychiatry, social work, pharmacy, nursing, occupational therapy and many trainees in the aforementioned disciplines. Pharmacy, including fourth-year pharmacy students and pharmacy residents, plays an active role in medication reconciliation, transitions of care, antibiotic stewardship, pharmacokinetic monitoring and managing chronic medical conditions as well as development and monitoring of psychiatric pharmacotherapy plans.