Rural Area Pharmacist Intervention for Diabetes

The goal of the project is to inform the system leaders regarding the feasibility and utility of having an embedded telehealth-based clinical pharmacist at rural primary care practices for supportive disease management of patients with Type 2 diabetes (T2D) and whether continuing and expanding the program within the system is worthwhile.

Inclusion Criteria:Age >= 18 years and <=75 years (since children have different incidence, management, and outcomes of Type 2 diabetes (T2D) compared to adults and older adults aged more than 75 years may have had their hemoglobin A1C (HbA1c) goals adjusted to higher thresholds)Uncontrolled Type 2 diabetes recorded in the electronic health record (EHR) in the past yearHbA1c reading ≥ 8% recorded in the month prior to or up to 9 days after the encounter at the participating practicesExclusion Criteria:Patients with gestational or type 1 diabetesThose enrolled in any other chronic disease management programs delivered by non-physician healthcare professionalsThose receiving T2D care from an endocrinologistThose receiving long term, hospice, or palliative care servicesThose with serious mental illnesses (schizophrenia and other psychotic disorders, major depressive disorders, bipolar disorders, and borderline personality disorder)Those with cancer