Category: Federal Forum Posters
Purpose: Transitions of care, particularly at hospital discharge, can be a challenging and confusing time for patients. During hospitalizations, patients are often started on new medications and changes are made to their current medication regimens, leading to medication errors. At the Louis Stokes Cleveland Veterans Affairs (VA) Medical Center a pharmacist driven medication reconciliation, delivery, and counseling service (Meds to Beds program) aims to decrease patient confusion at discharge and increase satisfaction. The objective of this quality improvement project is to identify, evaluate, and minimize barriers in the current discharge process, leading to decreased discharge time and increased patient satisfaction.
Methods: This quality improvement study will utilize retrospective data to establish the current process state. After identifying pertinent barriers, improvements will be made to the process and prospectively reviewed for efficacy. In order to better understand common barriers and inefficiencies encountered by pharmacists working in the program, a random subset of discharged patients who received the full service will be reviewed. Patients will be excluded if they are discharged outside of the normal service business hours (Monday through Friday from 0800 to 1800). Patients who meet the inclusion criteria will be identified using electronic medical record (EMR) discharge data reports and randomly selected from this report. This process implementation study will evaluate the number of barriers to discharge per discharge, total time of discharge process, patient satisfaction, and the resulting improvements made to the discharge process using descriptive statistics. A customized EMR report with accompanying chart review will be utilized to collect patient data, discharge time, and barriers to discharge. Specifically, timestamped EMR notes will be used to track time to medication delivery and overall process efficiency The VA Survey of Healthcare Experiences of Patients and Strategic Analytics for Improvement and Learning scores will be used to track patient satisfaction.
Results: not applicable
Conclusion: not applicable
Charles Dorflinger– Pharmacy Intern, Northeast Ohio Medical University, University Heights, OH