Category: Federal Forum Posters
Purpose: Heart failure (HF) is a progressive disease and is the most common reason for hospital admissions. Pharmacist interventions with disease state and medication education and follow-up in transitions of care has been shown to decrease all-cause mortality, heart failure exacerbations, and readmission rates. VAPORHCS implemented a pharmacist run heart failure medication titration clinic to assist with transitions of care and to help improve our readmission rates. This project aims to assess the pharmacist’s effect on 30-day readmission rates, improvements in ejection fraction and symptoms, medication management, and identification of barriers to achieving optimal HF management.
Methods: This will be submitted for approval to the Research Office as a Quality Assurance (QA)/Quality Improvement (QI) project. This retrospective chart review QA/QI project is being conducted at the Veteran’s Administration Portland Health Care System (VAPORHCS). All patients managed by the pharmacist-run medication titration clinic, within the heart failure clinic, between 03/01/2018 to 08/31/2018 will be included in this project. The following data will be collected: age, gender, ethnicity/race, height, weight, blood pressure, heart rate, current medications, medication allergies, basic metabolic panels, reported adverse events, ejection fractions, improvements in shortness of breath and lower extremity edema, and number of/reason for hospitalizations if applicable. Provider documentation will be reviewed to determine barriers to: adherence, initiating guideline determined medical therapy (GDMT), and medication titration to target doses. Barriers to adherence will be classified as: homeless/housing instability, medication co-pay, poor literacy, complex medication regimen, and/or adverse drug reaction. Barriers to GDMT initiation/medication titration will be classified as: pulse, blood pressure, kidney function, hyperkalemia, hyponatremia, and/or adverse drug reaction.
Results: not applicable
Conclusion: not applicable
Kaitlen Shumate– Pharmacist, Saint Louis VA Health Care System, Vancouver, WA