BCACP case studies
BCACP · Put your knowledge to work in context.
The Board-Certified Ambulatory Care Pharmacist (BCACP®) credential is a specialty certification awarded by the Board of Pharmacy Specialties (BPS). It is designed for pharmacists who provide integrated and accessible healthcare services to patients in outpatient settings, with an emphasis on comprehensive disease state and medication management, patient education, and continuity of care. The BCACP case studies are 5 cases and about 3,710 words.
1Rapid eGFR Decline and Cost Barriers in Type 2 Diabetes
R.M., 68, is seen in your ambulatory clinic for a 6-month diabetes visit. A1c 8.9% (prior 8.4%), BP 142/82, weight 96 kg, eGFR 32 mL/min/1.73 m² (41 one year ago), urine albumin-to-creatinine ratio 350 mg/g, potassium 5.1 mmol/L (4.6 six months ago), hemoglobin 10.8 g/dL.
714 words, about 4 min2Poor INR Control, a Worried Daughter, and a Pending Colonoscopy
J.T., 74, is referred to your pharmacist-led anticoagulation service. He has paroxysmal atrial fibrillation, CHA2DS2-VASc 4, HAS-BLED 2, and has taken warfarin 5 mg daily for 3 years.
709 words, about 4 min3A Payer Bonus, Two Skeptical Physicians, and One Pharmacist FTE
You lead pharmacy services across a four-site federally qualified health center. Administration has asked you to "improve hypertension control" because a payer bonus tied to BP below 140/90 is at risk: the center's control rate is 58% against a 70% target across 2,400 adults with hypertension.
745 words, about 4 min4Spending $25,000 on an 8,000-Life ACO Panel
You are the clinical pharmacist for an accountable care organization with 8,000 attributed lives. Leadership gives you $25,000 and 10 weeks before influenza season to improve three gaps: influenza vaccination (42% overall), statin use among 1,100 adults with diabetes (68%, with Spanish-preferring patients running roughly 20 percentage points lower), and pneumococcal vaccination in adults over 65 (51%).
710 words, about 4 min5A New Service, a Public Challenge, and a Resident Arriving in Eight Weeks
You are 8 months into a newly created ambulatory clinical pharmacist role at a 12-provider primary care practice. Your diabetes service receives about 6 referrals a month, visits are documented incident-to physician billing, and there is no dedicated pharmacist billing code in place.
832 words, about 4 min