Recorded presentation

Nancy JW Lewis, PharmD, MPH¹, Lucille Smith, MEd², Zeina Berry, PharmD¹, and Donna Spencer, RPh³. (1) Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Suite 2190, 259 Mack Ave, Detroit, MI 48201, 313-577-5404, njwlewis@earthlink.net, (2) Voices of Detroit Initiative, Detroit Medical Center, 4201 St. Antoine Blvd., 9C- UHC, Detroit, MI 48201, (3) Pharmacy Operations, Walgreen Company, 26776 W. 12 Mile Road, Suite 108, Southfield, MI 48034

Through a partnership of Wayne State University (WSU) Eugene Applebaum College of Pharmacy and Health Sciences, the Voices of Detroit Initiative (VODI), and Walgreens, a health clinic was established within a Walgreens pharmacy in Highland Park, MI. The community is a federally designated medically underserved area, 93% of residents are African American with 40% of households living in poverty. The 2003 unemployment rate was 23.5%. Highland Park death rates for heart diseases, stroke and cancer are higher than for Michigan overall. The clinic is open one night a week and is staffed by WSU-affiliated pharmacists and pharmacy student volunteers. Services were selected based on community health data and designed to accommodate community needs. Services include medication regimen reviews to assist in lowering medication costs, diabetes and cholesterol screenings, and hypertension, asthma, diabetes and dyslipidemia monitoring and education. Service provision follows evidence-based protocols and national guidelines. Service availability is advertised locally and also promoted to VODI associated providers and enrollees. All services are free and offered on a first-come, first-served basis with approximately 20 patients seen each week. Community input into clinic operations and services is received through an advisory committee. Patient demographic data, overall clinic utilization, service use frequency and the results of blood pressure and weight measurements, glucose, A1C, and lipid testing will be reviewed. Medication regimen review findings will be described. The detection of at-risk individuals, medication-related problems, and unmanaged disease, consequent referrals for medical evaluations, and emergency room use and clinic follow-up care will be discussed.

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