Category: Federal Forum Posters
Purpose: Warm Springs Health and Wellness Center (WSHWC) providers have reported that appointments with new patients, those with multiple co-morbidities, and those seen infrequently or by outside providers, are often complicated by an unclear or incomplete medication list. This project will evaluate the effectiveness of a pharmacy-led medication reconciliation service in an ambulatory care setting to optimize provider appointment time, identify potential medication-related problems (MRPs), and collect an accurate and thorough accounting of patient allergies and medications taken.
Methods: This project is an expansion of a previously-implemented medication reconciliation program for high-risk WSHWC patients upon hospital discharge. Any adult WSHWC patient expected to benefit from medication reconciliation may be referred to pharmacy for this service. Patients may be self-referred, or referred by a provider, nurse, or caregiver. Medication reconciliation will preferably be conducted in person, or by phone if necessary. Information regarding medications, disease states, and allergies will be collected, and MRPs will be identified. MRPs will be categorized using a modified form of the Pharmaceutical Care Network Europe Classification for Drug-Related Problems, a validated classification tool. After each medication reconciliation appointment, a note will be entered into the patient’s electronic health record to document findings and suggest therapeutic modifications and monitoring parameters, with the patient’s assigned primary care provider as a co-signer. In addition to evaluating the effect of this service locally, this project may also contribute to a greater understanding of medication reconciliation strategies in the ambulatory care setting. Outcomes to be measured include number and categories of MRPs identified, total number of recommendations and percent approved by providers, percent of appointments conducted within their scheduled timeframe, and provider satisfaction.
Results: Not Applicable
Conclusion: Not Applicable
Laura Davis– Pharmacy Resident, Indian Health Service, Madras, OR