Perceptions of care among high-risk geriatric patients, families, and caregivers in a patient-centered medical home

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
Madhavi GaviniChristine M Ruby

Abstract

A survey was conducted by the pharmacy team to identify improvement areas in the delivery of care in high-risk patients at a patient-centered medical home (PCMH) at the University of Pittsburgh Medical Center (UPMC). This survey was a quality improvement project. The survey was conducted at UPMC Senior Care, a level-three accredited PCMH. The survey was conducted in a sample of preidentified high-risk patients. Pharmacy performed a survey, analyzed responses for common themes, and conducted follow-up phone calls to determine the degree of goal-achievement and efficacy of educational materials provided during the initial survey. The primary goal for conducting the survey was to identify needed areas for improvement in three specific domains, namely, medication decisions, communication with providers, and goals of care. Medication reviews were provided for 23 of 24 surveyed, leading to medication discrepancy resolution in 58%. Almost 80% of the respondents were satisfied with the team's communication. More than 85% of respondents verbalized the goals they wanted to achieve in three months. The follow-up phone calls were conducted in 20 of those initially surveyed. Only 5 patients did not meet their goals. The following improvemen...Continue Reading

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