Providence is one of the largest providers of healthcare in the nation and operates over 50 hospitals and 1000 clinics across the western United States. Our region, the North Puget Sound, includes a large local hospital (Providence Regional Medical Center – Everett (PRMCE)) and ten PMG outpatient clinics located throughout Snohomish County, Washington. The PRMCE Ambulatory Pharmacy Department’s Medication & Anticoagulation Clinic provides clinical services to our communities and partners with PMG to increase patient access to these services.
The Providence Medical Building (PMB) in Monroe, Washington is located in a rural community about 30 miles northeast of Seattle and has a population of about 20,000. PMB Monroe contains PMG family and internal medicine primary care clinics, pediatrics, a walk-in clinic, a variety of specialty services, an integrated dispensing pharmacy (Credena Health Pharmacy Monroe), and the Medication & Anticoagulation Clinic.
The Medication & Anticoagulation Clinic utilizes collaborative practice
agreements and protocols to provide several clinical services that allow
pharmacists to work at the top of their license. Services currently offered
by the Ambulatory Pharmacy Department include management of and prescriptive
authority for anticoagulation (ACC), diabetes (DM), hypertension (HTN),
lipids, hepatitis C (HCV), and dermatology; clinic-administered and -managed
pharmacotherapy (for osteoporosis, behavioral health, and HIV); transitions
of care medication reconciliation for discharging inpatients (TOC); and
prescription renewal authorizations (Refills). On-site medication dispensing
is offered Credena Health Pharmacies, which are owned and operated by
Providence. Credena Health Pharmacies also offer expanded patient services,
including immunizations, adherence packaging, medication therapy management
services, home medication delivery, and other services.