Pharmacy, Health Sciences & Exercise Science

Assessing the Pharmacist's Role in a Post-Discharge Clinic

Document Type

Oral Presentation

Location

Indianapolis, IN

Subject Area

Pharmacy, Health Sciences & Exercise Science

Start Date

11-4-2014 8:30 AM

End Date

11-4-2014 10:00 AM

Description

Background: Studies have shown the benefits of a pharmacist's presence in the transition of patient care from a hospital to an outpatient clinic. Previous data indicates pharmacists' involvement reduces adverse effects and hospital readmissions thereby improving the effectiveness of the health care system. One study showed patients who received pharmacist follow up in their transition of care process had a 30% lower hospital readmission rate within 30 days of discharge. This study's purpose was to evaluate the current pharmacist role at the St. Vincent Joshua Max Simon Primary Care Center post-discharge clinic and to use this evaluation as a benchmark for clinical improvements.

Methods: The study's primary objective was to determine the number of drug related problems (DRP's) identified and classify interventions made by the pharmacist in the post-discharge clinic. Secondary objectives included determining 30-day readmission rates among the post-discharge clinic patient population. This retrospective chart review included patients aged 18 and older presenting to the post-discharge clinic for hospital follow-up. Patients who visited the post-discharge clinic for reasons other than hospital follow up were excluded. Demographic information for the assessed patients included age, sex, ethnicity, primary language, number of discharge medications, insurance type, and presence of comorbidities. DRP's were classified using the Pharmaceutical Care Network Europe (PCNE) Classification V6.2. This system incorporated interventions and outcomes into this validated classification which had been used in previous publications. The PCNE Classification categorized the pharmacist identified problems and listed their resulting interventions.

Results: Data collection remains in progress. Results and conclusions will be presented at the conference.

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Apr 11th, 8:30 AM Apr 11th, 10:00 AM

Assessing the Pharmacist's Role in a Post-Discharge Clinic

Indianapolis, IN

Background: Studies have shown the benefits of a pharmacist's presence in the transition of patient care from a hospital to an outpatient clinic. Previous data indicates pharmacists' involvement reduces adverse effects and hospital readmissions thereby improving the effectiveness of the health care system. One study showed patients who received pharmacist follow up in their transition of care process had a 30% lower hospital readmission rate within 30 days of discharge. This study's purpose was to evaluate the current pharmacist role at the St. Vincent Joshua Max Simon Primary Care Center post-discharge clinic and to use this evaluation as a benchmark for clinical improvements.

Methods: The study's primary objective was to determine the number of drug related problems (DRP's) identified and classify interventions made by the pharmacist in the post-discharge clinic. Secondary objectives included determining 30-day readmission rates among the post-discharge clinic patient population. This retrospective chart review included patients aged 18 and older presenting to the post-discharge clinic for hospital follow-up. Patients who visited the post-discharge clinic for reasons other than hospital follow up were excluded. Demographic information for the assessed patients included age, sex, ethnicity, primary language, number of discharge medications, insurance type, and presence of comorbidities. DRP's were classified using the Pharmaceutical Care Network Europe (PCNE) Classification V6.2. This system incorporated interventions and outcomes into this validated classification which had been used in previous publications. The PCNE Classification categorized the pharmacist identified problems and listed their resulting interventions.

Results: Data collection remains in progress. Results and conclusions will be presented at the conference.