Improving care transitions through medication therapy management: A community partnership to reduce readmissions in multiple health-systems

Journal of the American Pharmacists Association : JAPhA
Pamela C HeatonHeidi R Luder

Abstract

The primary objective was to measure the impact of a pharmacist-provided medication therapy management program on 30-day postdischarge readmission rates. The secondary study objectives were to characterize the number and types of pharmacist interventions, to determine the impact of the intervention on primary and secondary medication nonadherence, and to measure patient satisfaction with the intervention. Randomized, clinical trial. Six hospitals and a supermarket pharmacy chain with 60 pharmacies. Four hundred patients discharged from a participating hospital with acute myocardial infarction, pneumonia, congestive heart failure, chronic obstructive pulmonary disease, or diabetes. Primary outcome measure was 30-day readmission rate. Secondary outcomes were pharmacist interventions, primary and secondary medication nonadherence, and patient satisfaction. Four hundred patients were enrolled. There was not a significant difference in 30-day readmission rates between intervention and control groups (11.3% vs. 10.7%; P = 0.49). A large portion of patients randomized to the intervention did not attend their appointment. In a per protocol (PP) analysis, which included the 62 intervention patients who attended their appointment and the...Continue Reading

Citations

Mar 11, 2020·Population Health Management·Cory E CroninKristin A Schuller
Apr 7, 2020·Health Services Research·Ohbet CheonStephen L Jones
Oct 8, 2020·Journal of the American Pharmacists Association : JAPhA·Robbie AbasiKendall D Guthrie
Jul 11, 2021·Research in Social & Administrative Pharmacy : RSAP·Elizabeth LieuAnandi V Law
Jul 26, 2021·Research in Social & Administrative Pharmacy : RSAP·Holly FootChristopher Freeman
Jan 11, 2022·The Cochrane Database of Systematic Reviews·Jade SchrijverTanja W Effing

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