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.