The Consultant Pharmacist is published by the
American Society of Consultant Pharmacists.

Features


The Fleetwood Project:
Phase I

Kathleen Y. Riley
Results of Phase I of the groundbreaking Fleetwood Project suggest that consultant pharmacist- conducted drug regimen review makes a significant, quantifiable difference in increasing optimal patient outcomes, decreasing suboptimal outcomes, and saving billions of dollars in annual drug-related morbidity and mortality costs.

RAPs and the
Consultant Pharmacist

Kathleen Y. Riley
Using information contained in the Resident Assessment Protocols of the Resident Assessment Instrument can help consultant pharmacists evaluate medication therapy for efficacy, effect, and outcome.

Identifying Drug-Induced Changes in Electrocardiogram Results of Elderly Individuals
Caren McHenry Martin, Michael D. Furnas
ECG results can provide a wealth of information to the interdisciplinary care team, including early warnings of toxicity in elderly individuals with altered metabolism or impaired elimination.


C O N T E N T S
January 1997/Volume 12, Number 1

About the artist: This month's cover painting, "Lighthouse, Oregon," depicts one of the spectacular views that can be seen by travelers driving north from California on the coastal highway. It was painted by Marjorie Ullman, who was born in Dublin of English parents and grew up in Canada. Ms. Ullmann is a resident of The Fairfax, a retirement community in Ft. Belvoir, Virginia.


Research & Reports

National Postmarketing Study of Tacrine Use in Nursing Facility Residents
Thomas J. Cali, H. Edward Davidson, Marilyn A. Mendelson, Marc P. Bernarducci, Steven F. Bauwens, Thomas M. Chamberlain, Rhonda B. Liberto
This study was designed to identify demographic characteristics, diagnostic assessment techniques, prescribing and clinical monitoring patterns, and frequency and results of serum alanine aminotransferase concentration measurements in nursing facility residents treated with tacrine.

Clinical Reviews

Use of Nefazodone for Depression in the Elderly in Long-Term Care Settings
Willliam Simonson
The author performed a literature search and data review to evaluate the appropriateness of nefazodone use in elderly long-term care residents.

D E P A R T M E N T S

Bylines
R. Tim Webster

Forum
Time Equals Money

Health Trends

ASCP Reports
Differentiating Special Skills

Calendar

Consultants Forum
Suboptimal Medication Use in the Geriatric Population

Alternate Sites Forum
Home Care Market Takes Off

Management Forum
Managed Care: Looking Into the Brave New World

Subacute Care/ Hospital Forum
Diary for Identifying "Off Periods" in Patients With Parkinson's Disease

Federal Perspectives
Public Supports Federal Oversight of Health Plans and Providers

Close to Home
Capitation Debate Continues

Helpful Ideas
Strategies for JCAHO Survey Success

Late Additions
White House Shelves Proposal to Ease Nursing Home Oversight