Category: Federal Forum Posters
Purpose: In an effort to reduce preventable hospital readmissions, the Centers for Medicare and Medicaid Services initiated the Hospital Readmissions Reduction Program (HRRP) in 2012. Previous research has shown that medication reconciliation at discharge and admission have been platforms for unintentional medication errors causing preventable rehospitalization. The objective of this study is to identify medication related causes for heart failure exacerbation rehospitalization within 30 days of last admission within the Veteran Affairs Boston Healthcare System West Roxbury Campus.
Methods: Data pertaining to the previous admission discharge medication list and medication reconciliation upon admission will identify patients with unintentional omission of medication on discharge, inappropriate continuation of medication on discharge or inaccurate dosage/frequency prescribed on discharge. Secondary outcome data will include the discharging team at previous admission (medicine vs. cardiology), enrollment in outpatient heart failure clinic with a documented visit within the past six months and medication pick-up at previous admission from the pharmacy. Only medications related to heart failure diagnosis defined as beta blockers, ACE inhibitors/ARBs, loop diuretics, aldosterone antagonists and digoxin will be included in this study. All patients reviewed for this study will be from the West Roxbury Veteran Affairs Hospital inpatient facility. The study period selected will include heart failure readmissions within 30 days of previous admission from July 1, 2016 to June 30, 2018 (two academic years).
Kelly Chia– PGY1 Pharmacy Resident, VA Boston Healthcare System, Roslindale, MA