Category: Federal Forum Posters
Purpose: At San Francisco VA Health Care System, it is the primary responsibility of the pharmacy resident on a Patient Aligned Care Team (PACT) to conduct telephone medication reconciliation calls prior to scheduled primary care provider (PCP) visits and identify medication issues. Currently, a standardized assessment of COPD symptoms is not routinely conducted during medication reconciliation calls and COPD patients in need of inhaler education are not consistently identified. This project aims to develop and pilot use of the COPD Assessment Test (CAT) during medication reconciliation calls and to provide inhaler training to COPD patients who require further education.
Methods: Patients with a COPD diagnosis as documented in the electronic health record will be included. COPD symptom questionnaires will be incorporated into medication reconciliation telephone calls conducted by the pharmacy resident before scheduled PCP visits using previously developed tools. Need for inhaler education will be assessed during telephone calls using standardized questions and prompts. Assessments and medication histories will be documented using an established note template in the electronic health record. For patients with an education need, in person education will be offered using training inhalers and patient education handouts by the pharmacy resident or the PACT licensed vocational nurse (LVN) after the scheduled visit. Patients not available for in person counseling will be offered telephone counseling by the pharmacy resident. A step-by-step protocol will be developed as a training tool for future pharmacy residents. Descriptive statistics will be used to measure impact of the project such as number of patients counseled, duration of calls and counseling sessions, number and types of inhalers patients were counseled on, types and frequency of medication errors identified during the telephone and counseling visits (or types and frequency of medication errors related to inhaler use and administration), and number of CAT telephone assessments performed.
Results: Not applicable
Conclusion: Not applicable
Kara Kang– Pharmacy Resident, San Francisco VA Health Care System, San Jose, CA