Category: Federal Forum Posters
Purpose: Polypharmacy increases the risk of adverse drug events (ADEs), geriatric related syndromes, falls, hospitalization and mortality. It is also found to increase costs for both the patient and the healthcare system. VIONE, which stands for “Vital, Important, Optional, Not indicated/treatment complete, and Every medication has an indication,” is a deprescribing tool developed at the Central Arkansas Veteran Affairs (VA) to help reduce polypharmacy, its related risks, and costs of care. This project aims to evaluate the impact of VIONE when used in patient aligned care team (PACT) primary care clinics at VA Southern Nevada.
Methods: Veterans age 65 and older with 10 or more medications active in the Computerized Patient Record System (CPRS) will be included in this project. PACT pharmacists and physicians will be educated on the proper use of the VIONE tool prior to its implementation. The VIONE tool consists of a template and a drop down discontinuation menu in CPRS. PACT pharmacists will use the template to conduct medication reconciliation and polypharmacy reviews. The drop down discontinuation menu then allows PACT pharmacists and physicians to choose one of the VIONE deprescribing options per medication based on the reviews and their clinical judgment. Each time a VIONE option is used, it will be recorded in CPRS and the data will be made available for assessment. Data will be collected for a period of three months pre- and post-intervention. The primary endpoint will be the total number of medications deprescribed using the VIONE tool. The five most common classes of medications deprescribed will be identified and cost avoidance for the facility will also be calculated.
Results: Not applicable
Conclusion: Not applicable
Janie Constantino-Corpuz– Pharmacy Resident, VA Southern Nevada Healthcare System, Las Vegas, NV