Carolinas HealthCare System

Ardsley Internal Medicine

Ardsley Photo.jpgArdsley Internal Medicine is composed of Internal Medicine providers (Internists) who specialize in the prevention, diagnoses, and treatment of acute and chronic illnesses that affect adults. Ardsley Internal Medicine is a multi-site practice. The Concord location is within two miles of Carolinas HealthCare System NorthEast in Concord, NC. The second practice site is located in Harrisburg, a growing suburb of Charlotte. Providers at the clinics include physicians, a nurse practitioner, and pharmacists. Patients are referred by their primary care providers to pharmacist-led clinics that specialize in medication management in the areas of: anticoagulation, diabetes mellitus, polypharmacy, and weight loss management. Pharmacists assess patients during clinic visits, review pertinent laboratory data, perform point-of-care testing, determine appropriate therapy, and initiate therapeutic plans. Two expanding areas of practice for the clinical pharmacists are Continuous Glucose Monitoring and performing Medicare Annual Wellness Visits. The pharmacists at the Harrisburg location are already doing Medicare Annual Wellness Visits for the site. This will be coming in 2017 for the pharmacists at the Concord location. Ardsley is also a teaching and rotation site for 4th year pharmacy students from the UNC Eshelman School of Pharmacy and Wingate University. Pharmacists also serve as drug information providers to the medical staff and patients. This includes providing information on medication dosing, drug interactions, product availability, prescription assistance programs, and affordable medication alternatives, to name a few.

Concord Internal Medicine

concordIM.JPGLocated inside Carolinas HealthCare System NorthEast, Concord Internal Medicine is composed of practicing physician assistants, primary care physicians and pharmacists. Pharmacists are located in office to provide management of anticoagulation, diabetes, heart failure, annual Medicare wellness visits, COPD, and osteoporosis. Pharmacists are involved in Continuous Glucose Monitoring (CGM) placement and interpretation. This data is used to fine-tune insulin regimens. Patients are referred by primary care providers to pharmacist-led clinics which operate according to protocol driven management. Pharmacists assess patients through clinical visits and interviews, review laboratory data, determine appropriate therapy and document with progress notes. Medication and laboratory value ordering, as well as scheduling follow-up is also completed by pharmacists during clinic visits. Providers at Concord Internal Medicine have expressed gratitude for the pharmacy services provided and enjoy utilizing pharmacists to optimize patient care. The inter-disciplinary team consists of frequent collaboration between pharmacists and mid-level providers.

Kannapolis Internal Medicine

Kannapolis IM.jpgLocated in Kannapolis, NC, Kannapolis Internal Medicine, a facility of Carolinas HealthCare System NorthEast treats adult patients that have both acute and chronic conditions. Providers include physicians, pharmacists and nurse practitioners. Patients are referred by primary care providers to clinical pharmacist practitioner (CPP)-led clinics that specialize in the management of anticoagulation, diabetes mellitus, dyslipidemia, weight loss management, COPD, annual Medicare wellness visits, and metabolic syndrome. The pharmacist is responsible for developing and implementing individualized patient care plans based on the needs of the patient. Services include cost-effective medication recommendations, medication initiation, therapeutic drug monitoring, laboratory value ordering, use of continuous glucose monitoring to adjust diabetes medication regimens and lifestyle education. Additionally, pharmacists serve as a resource for drug information in this practice. Kannapolis Internal Medicine is a teaching site for fourth year Wingate University School of Pharmacy students.

NorthEast Medication Management Anticoagulation Clinic

NAC.jpgNorthEast Medication Management Anticoagulation Clinic is on the Carolinas HealthCare System NorthEast campus. Patients are referred by providers to this pharmacist-led anticoagulation clinic. Anticoagulation may be indicated for patients with atrial fibrillation, deep vein thrombosis, pulmonary embolism, hypercoagulable states, prophylaxis and other warranted conditions. Pharmacists manage patients on oral anticoagulants, LMWH and adjust dosage as indicated through an approved protocol. Pharmacists provide anticoagulant education, dose adjustment, assess and adjustment for drug interactions, and will consult with providers regarding procedural bridging and design/manage these plans if needed.

Care Management Teams

Care team 2.jpgPopulation Health Care Teams consist of a RN manager, health advocate, and pharmacist. These teams are geographically distributed throughout the Charlotte Metro areas to provide patient care to rising risk patients. These patients have had an admission within a year and have multiple comorbidities and medications. The care teams provide inter-disciplinary care coordination, medication titration, and coaching to facilitate patient self-management of their health. Technology is utilized by the care teams to facilitate efficient and on-demand patient touches. These pharmacists work independently and covering numerous practice sites per region. These teams provide pharmacist access to multiple practices that do not include embedded pharmacy services. 

Carolinas Medical Center (CMC) Myers Park

Myers Park IM.jpgLocated in Dilworth neighborhood within walking distance to CMC-Main, this practice site provides continuity care to indigent patients and include multiple subspecialties. The site has a pharmacist run anticoagulation clinic and provides pharmacy services including diabetes management, CHF management, asthma clinic, HIV medication management, hypertension clinic, and pharmacist-run Medication Management Clinic. Myers Park Clinic also has a 340B dispensing pharmacy to serve the prescription needs of patients receiving care at Myers Park Clinic, Elizabeth Family Medicine or those being discharged from CMC or the CMC emergency department. Medical residents are incorporated into the diverse range of services at the site. In the pharmacy, medication synchronization MTM, and Patient Assistance services are provided. Specific formulary are closely adhered to ensure cost of medication is not a barrier for high risk patients.

Carolinas Medical Center (CMC) Biddle Point

Biddle Point.jpgLocated in a vibrant African-American community with growing Southeast Asian and Latin patient populations. CMC Biddle Point Family Practice serves as an urban health center and training program. They work closely with the Mecklenburg County Health Department. Medical residents work alongside with pharmacy residents at the site. Clinical pharmacy services offer anticoagulation, diabetes mellitus, and asthma patient care to diverse patients. CMC Biddle Point Family Medicine houses a dispensing pharmacy to serve the prescription needs of patients receiving care at CMC Biddle Point or Elizabeth Family Medicine. The CHS clinic pharmacies provide cost effective care to the medically under-served. Under guidelines approved by the Pharmacy and Therapeutics Committee, the clinic pharmacies interchange some medications to lower costs for our patients. Manufacturer patient assistance programs are also utilized.

Carolinas Medical Center (CMC) Elizabeth Family Medicine

Elizabeth Family Medicine.jpgCMC Elizabeth Family Medicine is attached to CMC-Mercy hospital in the Chantilly neighborhood of Charlotte. This family medicine practice boasts a large medical residency training program. CMC Elizabeth Family Medicine serves as one of the primary ambulatory teaching sites for medical residents within the Department of Family Medicine. Pharmacy residents and medical residents work alongside to care for patients transitioning in and out of the hospital. Clinical pharmacy services include asthma, anticoagulation, diabetes care, geriatrics, infectious disease, and rounding on medicine patients within the hospital.