The TSWF Clinical Pharmacy AIM form is intended for clinical pharmacists embedded within the PCMH team. The form standardizes and simplifies workflow and also provides easy access to clinical decision-making resources. Training on the TSWF Clinical Pharmacy AIM form highlights how this form is intended to be used by clinical pharmacists when they document in the outpatient record.

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Training Material for All Users

AHLTA and other training resources

Additional TSWF support

Related Tools and Documents

Clin Pharm Recent Changes

  • 15 changes for Jan-Apr 2018 update
  • Added new text box for entering RIOSORD score
  • Added new text box for Pre-Diabetes Education
  • Added a clinical cue to the Family History text box (“Including, but not limited to, diabetes, heart disease, HTN, colon cancer, breast cancer, and/other cancers, and conditions that run in the family.”)
  • Added a clinical cue to the PHQ-9 ribbon (“If clinical judgement suggests, and/or patient is on anti-depressants and has a history of depression, skip PHQ-2, open ribbon, and go directly to PHQ-9.”)
  • Changed ribbon wording to: Depression Screening (PHQ-2 and PHQ-9)
  • Renamed the “Sexual Assault Toolkit” ribbon as “Sexual Assault Resources”
  • Removed the Overall Health question
  • Removed Secure Messaging question from Annual Questions field
  • Added REALM SF details and words to the forms (listed individually)
  • Placed the REALM SF scoring chart to the right of the text box with instruction:
    “The score is based on the number of words correctly read aloud.”
  • Consolidated MSK upper and lower into one tab
  • Reformatted Red Flags field
  • Moved Lifestyle/Exercise questions to Exit CCP tab
  • AUDIT-C revision:
    -Deleted previous AUDIT-C score field
    -Added AUDIT-C score to the existing date field
    -Reformatted clinical information
  • Deleted the Allergies field and added blue cue text explaining the change


  • Standardizes / optimizes PharmD encounters
  • Helps with managing complex med regimens
  • Quantifies value of PharmD in outpatient settings

This form was created to standardize and optimize PharmD encounters and to capture clinical and economic outcomes arising from pharmacist-specific care. The primary efforts of the PharmDs are to enhance medical treatment management, help manage patients meeting the criteria for polypharmacy, and to help patients with chronic diseases and complex medication regimens. The TSWF Clinical Pharmacy AIM form is a reliable way to quantify the value of the PharmD in the PCMH and other outpatient settings (e.g. medication therapy change, patient education, drug interaction monitoring, etc.).

PharmD encounters, documented systematically in the TSWF Clinical Pharmacy AIM Form, help to:

  • Identify the most cost-effective treatment options (e.g. being able to substitute equally efficacious medications for less expensive ones)
  • Decrease of misuse and abuse of medications (e.g. patients taking wrong pills)
  • Maximize compliance (e.g. patients both knowing and taking what has been prescribed)
  • Reduce potential for hospitalization
  • Improve outcomes and prognosis, and
  • Improve patient safety and reduce prescribing risks

The Clinical Pharmacy AIM form standardizes and simplifies workflow and also provides easy access to clinical decision-making resources.

Form Lead

TSWF Clinical Pharmacy Form Lead
Donald W. Rumbaugh, M.D., DABFP

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