A Pharmacist’s Impact on 30-Day Readmission Rates When Compared to the Current Standard of Care Within a Patient-Centered Medical Home
Autor: | Suzanne Higginbotham, Gary W. Tedesco, Monica L. Skomo, Jamie L. McConaha |
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Rok vydání: | 2016 |
Předmět: |
Male
Medical home medicine.medical_specialty Time Factors Standard of care Pharmacist Pilot Projects Pharmacists Patient Readmission 03 medical and health sciences Medication Reconciliation Professional Role 0302 clinical medicine Patient-Centered Care Statistical significance medicine Hospital discharge Humans Pharmacology (medical) 030212 general & internal medicine Aged Aged 80 and over business.industry 030503 health policy & services Standard of Care Clinical pharmacy Family medicine Emergency medicine Female 0305 other medical science business Follow-Up Studies Patient centered |
Zdroj: | Journal of Pharmacy Practice. 29:368-373 |
ISSN: | 1531-1937 0897-1900 |
DOI: | 10.1177/0897190014568671 |
Popis: | Objective: To evaluate the effect transition of care follow-up and counseling performed by a pharmacist, within a physician’s practice, can have on 30-day hospital readmissions among Medicare patients when compared to the current standard of care Methods: A pharmacist telephonically contacted patients ≥65 years with Medicare insurance following hospital discharge to perform medication reconciliation, review discharge instructions, and schedule a follow-up appointment (n = 34). At this follow-up appointment, the pharmacist reviewed the patient’s electronic medical record (EMR) and communicated recommendations to the physician. The current standard of care, which does not involve a pharmacist, at a similar local physician practice was used as a comparative group (n = 45) Results: The difference in 30-day readmission rates did not reach statistical significance ( P = .27); however, there was a trending decrease in the percentage of patients readmitted between the control and the intervention groups (26.7% vs 14.7%). Additionally, there was nearly a statistically significant decrease in readmission rates for those patients who interacted with the pharmacist face to face versus only telephonically ( P = .05) Conclusions: These results impact the decision to continue and expand the pilot program and demonstrate that pharmacists in the ambulatory setting based within a patient-centered medical home have a potential role in decreasing 30-day hospital readmissions. |
Databáze: | OpenAIRE |
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