Category: Federal Forum Posters
Purpose: To implement a pharmacist-run transitions clinic for patients with cardiac disorders who are at high-risk of medication non-adherence and re-hospitalization. Clinic will offer medication management by a Clinical Pharmacy Specialist with an advanced Scope of Practice in Cardiology. The service will aid in evaluation, reconciliation, and optimization of medication regimens and follow-up care for high-risk patients that are discharged from a Veterans Affairs inpatient cardiology service.
Methods: Under the supervision of a Clinical Pharmacy Specialist with an advanced scope of practice that includes prescriptive authority, PGY2 ambulatory care pharmacy resident will provide cardiovascular medication management services within the pharmacist-run transitions of care clinic. Disease state management will involve optimizing medication regimens within 2 weeks of discharge for selected high-risk patients with acute decompensated heart failure, hypertensive crises, atrial fibrillation and other arrhythmias, acute coronary syndromes, aortic dissection, and other cardiovascular diseases. High-risk patients will be identified by Cardiology pharmacist during inpatient admission and these patients will be scheduled for a transitional care visit at discharge. Clinic sessions will be held bimonthly (2nd and 4th Wednesdays), and 30 minute visit slots will be allocated for each patient. All patients will be eligible for medication management services. Review by an institutional review board will not be required for this descriptive report in progress.
Results: not applicable
Conclusion: not applicable
Alexander Accinelli– VA Maryland Health Care System (VAMHCS), Towson, MD