Category: Federal Forum Posters
Purpose: Historically, pharmacists were not involved in post-discharge appointments for Geriatric Evaluation and Management (GEM) clinic patients at the VA Northeast Ohio Healthcare System (VANEOHS) until after their provider post-discharge appointment. To optimize patient care, a pharmacy clinic was created to provide post-discharge comprehensive medication reconciliation for GEM clinic patients discharged from the GEM hospital unit (ward 5BGeri). The successful implementation of this service allowed for significant pharmacist-driven interventions to be made to providers preceding their assessment. Currently, patients that are discharged from other floors in the hospital are not seen by a pharmacist post-discharge until after the initial provider visit.
Methods: The primary objective of this process improvement project is to expand a pharmacist-driven Geriatric Polypharmacy Post-Discharge clinic to patients discharged from the acute medicine wards (ward 4A and 4B) at the VANEOHS. Geriatric patients who are discharged from wards 4A and 4B who are followed by a GEM clinic provider will be screened for inclusion. Screening will utilize an existing dashboard created to identify high-risk geriatric patients admitted to the VA. Patients will be excluded if they are not being discharged home. Once patients are identified for inclusion, a consult will be placed to see the geriatric pharmacist. The patient will be scheduled for a pharmacist appointment one hour prior to the provider post-discharge clinic appointment. The main metric that will be collected during this process is the percentage of GEM clinic patients discharged from wards 4A and 4B that are seen post-discharge by a pharmacist within fourteen days. Barriers to patient care will be collected throughout the project and used to implement interventions to improve the process.
Results: Not applicable
Conclusion: Not applicable
Amanda Mertz– PGY2 Geriatric Pharmacy Resident, The VA Northeast Ohio Healthcare System, Cleveland, OH