Novant Health Enlists Clinical
Pharmacists To Target High-Risk Patients
at Hospital Discharge for Medication Management

It's a statistic healthcare organizations know well: 20 percent of Medicare beneficiaries are readmitted to the hospital within 30 days.

Factor adverse drug events (ADEs) into this trend, and the picture becomes more dire.

Enlisting pharmacists to reduce the number of ADEs in the Medicare population is just one goal in a five-point program by Novant Health to deliver healthcare value through medication management services.

"We've focused on adverse drug events because we feel they are an opportunity," explained Rebecca Bean, Novant Health's director of population health pharmacy. "Many ADEs are potentially preventable, and we know they are a contributor to hospitalizations. We believe pharmacists have a role in reducing risk for ADEs."

The list of ADE risks is extensive. By the end of Ms. Bean's February 2016 presentation on Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk Patients, now available for replay, she had identified more than 25 different factors that can complicate medication management—everything from a patient's affordability issues, even among the insured, to fear of a drug's side effects to potential dangers from high-risk medications or health conditions.

In case you missed this webinar, you still have a chance to watch this highly-rated program.

Register to view the conference today or order your training DVD or CD:
http://store.hin.com/product.asp?itemid=5108

In the Novant Health model, an RN care coordinator risk-stratifies the newly discharged, combing real-time hospital discharge notifications for red flags, such as patients taking high-risk medications or having high-risk conditions, signaling the need for a pharmacist referral.

Once referred, pharmacists conduct a comprehensive drug therapy review, keeping an eye out for adverse effects, newly prescribed medications and polypharmacy as well as general medication adherence issues.

"There could be financial barriers to getting their medications. There could be health literacy issues. Those are the sorts of things we want to make sure we're directing pharmacist resources toward," noted Ms. Bean.

Aware its providers have limited time to spend with patients, the integrated health system layers its pharmacists as an additional resource to improve quality performance, to incorporate protocols and evidence-based guidelines such as the all-important medication reconciliation. In an era of electronic health record use, the medication list has become dynamic, with many providers editing the list, Ms. Bean notes.

"We're also utilizing our pharmacy team both on the inpatient and outpatient sides to gather that best possible medication history, and then teach other clinical team members how to best reconcile medications."

Ms. Bean shared seven ways Novant Health pharmacists impact comprehensive medication management services, including the dozen benefits of incorporating these clinicians into its patient-centered medical homes (PCMH).

Encouraged by early financial gains from pharmacist interventions, particularly in the areas of medication reconciliation, therapeutic monitoring and warfarin review, Novant Health is committed to staff development to further its medication management program, exploring certification programs and even pharmacy resident programs.

"We feel it's really valuable in the discharge space to be able to get a pharmacist involved with taking care of patients," Ms. Bean concluded.

You can "attend" this program right in your office and learn about Novant Health's medication reconciliation, pharmacotherapy review, and patient education processes to improve medication management.

It's so convenient! Invite your staff members to watch the conference. We will send you a DVD or CD-ROM of the conference proceedings or a link to our web site with a username and password. You can log in and view the program right from your computer — any time of the day or night, whenever convenient for you and your colleagues — and benefit from the archived recording of the conference, including the Q&A period.

You'll get to listen to the question and answer session to hear details on: the criteria used to determine if a patient needs a referral to a pharmacist; how RN care coordinators and pharmacists determine a patient's understanding of their medications; how a patient is followed post-discharge and when touch points occur; the role of technology in medication management; working with post-acute care providers for patients discharged to post-acute services; measuring patient satisfaction and engagement with medication management services; quality metrics used to measure medication management; medication adherence estimators; factors used to determine if a pharmacist should be embedded in a physician practice; and the initial and ongoing training needs, as well as funding requirements for these efforts.

To register for the on-demand re-broadcast, download an .MP3 file or order the training DVD or CD-ROM of Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk Patients, please visit:
http://store.hin.com/product.asp?itemid=5108

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