Community Pharmacy Foundation
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Current Community Newsletter
View Our December 2017 Newsletter Online

Impact of Community Pharmacy and Home Healthcare Transitions of Care Services on 30-day Emergency Department Revisit Rates CHEDRR
Principal Investigator Cara Hoyt, NA
Project Title Impact of Community Pharmacy and Home Healthcare Transitions of Care Services on 30-day Emergency Department Revisit Rates CHEDRR
Grants Awarded Number 169
Status In Study
Organization Uptown Pharmacy
Location Westerville, Ohio
Grant Category Medication Management, Safety & Quality
Keyword Emergency Department, Home Health Care
Grant Docs Poster
Objectives As healthcare is shifting to link compensation with the quality of care provided to patients, pharmacists have been shown to have a positive impact on quality metrics after hospital admissions, such as 30-day hospital readmission rates for specific disease states like pneumonia and heart failure. However, non-admitted emergency department patients who quickly return to the ED after being discharged are a group of patients who have not been targeted by community pharmacists. In a recent study published by Duseja et. al, 1 in 12 patients treated and discharged from the ED revisited the ED within 3 days, and 1 in 5 patients revisited the ED within 30 days, which leads to ED crowding, unnecessary resource utilization, and increased costs. Also, McCarthy et al. found only 88% of patients fill their prescriptions after an ED visit, and only 48% take the medications correctly, which is likely lower in a low health literacy population. The objective of this project is to evaluate the impact of a community pharmacy and home healthcare nurse team involved in transitions of care services, including medication delivery, pharmacist telephone follow-ups consisting of medication education and medication therapy management, and nurse home visits, on ED revisits or admissions in an underserved, low health literacy population in Ohio. We will target patients greater than and equal to 65 years of age as they are more likely to have additional barriers to adherence such as transportation to obtain medications, underlying comorbidities, and polypharmacy. Impact of the transitions services will be measured by ED revisit rates over 30 days, medication adherence, and patient satisfaction with the intervention. This study is the first step to developing a sustainable way for community pharmacists to assist patients with urgent needs, and it is our intention to publish our data to help other community pharmacies implement a similar service that is both beneficial to the pharmacy and to the healthcare system.
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Funding Since 2002 | Chicago Illinois
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