32. Development and Implementation of a Pharmacist Intervention Tool to Optimize Subcutaneous Immune Globulin Administration for Home Infusion Patients

Background: Immune globulin (Ig) therapy is used for the treatment of complex disease states, including primary immunodeficiency and other immune-mediated disorders. The most common Ig administration methods include intravenous (IVIG) and subcutaneous (SCIG).
While the labelling of many SCIG products have more conservative volume per site and administration rate recommendations for the initial infusion(s), subsequent infusions can be customized according to patient tolerance by adjusting the number of infusion sites and rate of infusion within established parameters. Pharmacist-led interventions can be applied to optimize these infusions based on patient response and preferences. An opportunity exists to develop a standardized method and timeline to assess SCIG infusions and create customized recommendations for patients, anticipating increased satisfaction and compliance.

Purpose: Develop a tool within the electronic patient management platform to standardize home infusion pharmacist SCIG infusion assessments and interventions. Implement this tool to make patient-specific recommendations for both new and existing patients receiving SCIG from a health-system based home infusion pharmacy.

Methods:
- Establish a workgroup of clinical pharmacists to collaborate with Digital and Technology Solutions (DTS) team
- Build automated tasks within patient management platform to prompt:
o Pharmacist assessment and patient interview 30 days from SCIG initiation
o Pharmacist re-assessment and patient interview 30 days after implementation any pharmacist-recommended adjustments
o On-going pharmacist assessments and patient interview every 90 days
- Development a pharmacist led questionnaire to:
o Assess patient tolerance and compliance with current regimen
o Determine opportunity for infusion optimization and customization
o Identify patient infusion preferences
o Recommend and implement infusion adjustments in coordination with the prescriber
- Build the patient questionnaire within the patient management platform to document and capture discreet data of pharmacist review, assessment, recommendations, and interventions.

Results: In progress.

Discussion: In progress.

Conclusions: in progress.