Impact of an Integrated Pharmacy Transitions of Care Pilot Program in an Urban Hospital

Journal of Pharmacy Practice
Shannon ChristySuzanna Gim

Abstract

To evaluate the effectiveness of an integrated Pharmacy Transitions of Care (PTC) pilot program on reducing hospital readmissions and improving patient satisfaction. This prospective observational cohort study compares patients who participated in the PTC program to a control of usual hospital discharged patients during January through April 2014. The PTC program provided discharge medication review, medication counseling, delivery of medications to bedside, clinic scheduling, and follow-up phone calls. The primary outcome measure was 30-day readmissions. Secondary outcomes included emergency department (ED) visits, pharmacist interventions, and patient satisfaction. Seventy patients participated in the PTC program. Compared to the control (n = 725), the study group had decreased 30-day all-cause readmissions (5.7% vs 13.8%, P = .08), 30-day readmissions for the same diagnosis (2.9% vs 8.1%, P = .18), and ED visits (18.6% vs 25%, P = .82). Twenty-five interventions during discharge medication review included discontinuation of unnecessary medications and correction of medication dose or frequency. The majority of patients were satisfied with the medication education provided (94%) and the timely delivery of prescriptions to bed...Continue Reading

References

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Citations

Oct 12, 2016·BMC Health Services Research·Hao WangNestor R Zenarosa
Apr 25, 2018·Journal of Evaluation in Clinical Practice·Aline F BonettiRoberto Pontarolo
Apr 14, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Weiyi NiJeffrey McCombs
Mar 6, 2019·Journal of Evaluation in Clinical Practice·Thomas G H KempenDerek Stewart
Jan 9, 2016·Hospital Pediatrics·Dipti AminTina L Cheng
Mar 22, 2019·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Aline F BonettiRoberto Pontarolo
Aug 9, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ivy BenjenkManish N Shah
Dec 5, 2021·The Senior Care Pharmacist·Daijah DavisErika E Tillery

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