Category: Federal Forum Posters
Purpose: Heart failure(HF) currently affects an estimated 6 million people in the United States and is associated to a 50-percent 5-year survival rate and an estimated cost of up to $30.7 billion each year due to management costs, including hospitalizations and readmissions. The Affordable Care Act established that the Center for Medicare/Medicaid Services would reduce the payments to hospitals with an excess 30-day readmission rate for many chronic conditions, including heart failure. The purpose of this project is to describe the impact of pharmacist-led transitions of care services on 30, 60, 90-day readmission rate in heart failure patients at the VACHS.
Methods: This will be a 5-month retrospective descriptive project that will describe the medication management and patient education services provided by a clinical pharmacist specialist. Patients to be included are those seen at the cardiology clinic for follow-up on HF management after being admitted and discharged for decompensated preserved or reduced HF. Patients to be excluded are those seen at the cardiology clinic for follow-up on HF disease management after being admitted and discharged for decompensated preserved or reduced HF secondary to co-morbidities such as chronic kidney disease. Patients will be identified by referral from the cardiology clinic clinical pharmacist. Patients will be provided a follow-up telephone appointment within 2-4 plus/minus 5 days post-discharge and a HF clinic appointment with the clinical pharmacist within 10 plus/minus 5 days post-discharge. The project will describe 30, 60, and 90 days readmission rate of the population impacted as primary outcome. Secondary outcomes of the project include pharmacist’s interventions such as patient education, comprehensive medication reconciliation, optimization of guideline directed medication therapy for heart failure, and identification of medication errors and barriers to adherence and self-care. Data from follow-up appointment’s and pharmacist’s interventions will be analyzed using descriptive statistics.
Results: Not applicable
Conclusion: Not applicable
Jose Lugo-Munoz– PGY1 Pharmacy Resident, Veteran's Affairs Caribbean Healthcare System, Santa Isabel, Puerto Rico