Four-Year Evaluation of a Pharmacists-Providers Collaborative Iron Deficiency Clinic in Heart Failure Care

Purpose: To evaluate the performance of the pharmacists-providers collaborative iron deficiency treatment clinic in the heart failure service. Methods: A single-center retrospective cohort study was conducted to evaluate the performance of the iron deficiency pharmacists-providers collaborative care clinic during the induction and maintenance phases of intravenous (IV) iron therapy. The study included patients who were seen by HF providers (advanced HF cardiologists or advanced practice providers) and received the IV iron consultation with HF pharmacists. The study included patients aged 18 years or older who were diagnosed with HF or PH and received at least one dose of either ferric carboxymaltose or iron sucrose in outpatient settings. It was managed by the pharmacists-providers collaborative IV iron clinic. The primary outcome was adherence to the IV iron appropriate use criteria, laboratory requirements, and dosing during the induction course. The primary and secondary outcomes were compared with those of the previously reported control group, which received the usual iron deficiency treatment care at the HF clinic prior to the implementation of the pharmacists-providers collaborative IV iron deficiency treatment clinic. The use of oral iron therapy was evaluated over four years. Results: A total of 187 patients were included in the final cohort. The median follow-up period of the IV iron consulting team was 372 (176, 623) days. Compared to the pre-implementation group, the primary outcome was significantly higher in the post-implementation group (81.3 vs. 40%, p