TABLE 2.
Considerations prior to utilizing a CLIA-waived POCT in a pharmacy
| Element | Consideration(s) |
|---|---|
| CLIA-waived test | Is an appropriate CLIA-waived test available? |
| Does the test have adequate performance characteristics? | |
| What types of specimens are required to perform the test? | |
| Data sharing | How will data be shared with the patient, their primary care provider, and public health (if necessary)? |
| Education and training | Are staff trained to identify and manage patients with the diseases of interest? |
| Are staff trained to collect the appropriate specimens required for the test? | |
| Have staff been trained to counsel patients on diseases of interest (e.g., HIV, HCV)? | |
| Partnerships | Is a collaborative practice agreement required to provide follow-up care to patients? |
| Has public health been consulted regarding reporting reportable diseases? | |
| Patient follow-up | Has a plan been developed to check in with patients once they leave the pharmacy to ensure their safety? |
| Permissibility | Do state rules or regulations that may prohibit a CLIA-waived test from being performed in a pharmacy exist? |
| Do state rules or regulations that prohibit the pharmacist from providing follow-up care to the patient based on the test results exist? | |
| Physical space | Is an appropriate exam and testing space available? |
| Is a private room required for counseling? | |
| Sustainability | How will the pharmacy recover its investment in the service? |