Category: Federal Forum Posters
Purpose: Hospitalizations secondary to ambulatory care sensitive conditions, such as congestive heart failure, chronic obstructive pulmonary disease, diabetes, and hypertension may be prevented with effective, prompt care. Previous literature has demonstrated that pharmacist-directed patient care improves therapeutic outcomes and reduces readmission rates. The objective of this analysis is to determine if post-discharge follow-up with an ambulatory care pharmacist reduces readmission rates for CHF, COPD, diabetes, and hypertension.
Methods: A retrospective analysis will be conducted on CHF, COPD, diabetes, and hypertension admissions and discharges at the Miami Veterans Affairs Healthcare System. The patients will be reviewed to determine if they had a post-discharge follow-up with their ambulatory care pharmacist to determine 30-day readmission rates. Patients without a follow-up appointment will then be scheduled with a pharmacist. Data analysis of the retrospective portion of the review will be conducted to quantify missed opportunities for post-discharge pharmacist follow-up appointments in patients affected by ambulatory care sensitive conditions. An intervention will be implemented where pharmacy staff will be informed of the retrospective findings of this review. They will be educated on identification of admissions and subsequent coordination of post-discharge follow-up appointments within pharmacy clinics for management of the relative conditions. A prospective analysis will be conducted following the same criteria for the retrospective analysis to compare the 30-day readmission rates of the pre- and post-intervention phases.
Results: Not applicable
Conclusion: Not applicable
Brittany Ball– PGY1 Pharmacy Practice Resident, Miami VA Healthcare Sytem, Lauderdale Lakes, FL