Category: Professional Posters
Purpose: The meds to beds program at WVU Medicine in Morgantown, West Virginia is designed to reduce 30-day readmission, improve outcomes, and help transition patients back to the outpatient setting with as little disruption as possible. Part of this service not only offers bedside delivery of the patient’s medications, but includes medication counseling and patient follow-up upon discharge. During the follow-up process patients were assessed on compliance to their treatment regimen, inquired about post-discharge issues as well as the patient’s satisfaction of the discharge service. The main focus was to determine the adherence to the medication regimen post discharge.
Methods: During a 3-month period, patients were asked if a follow-up phone call was permitted to assess the following: If the medication regimen was changed post-discharge, adherence to the current regimen, which healthcare personnel offered the service, timeliness of delivery, opportunity for patients to address any concerns and the quality of the meds to beds program on a scale of 1- 5 (with a 5 being the highest score). The staff made three attempts within a 3 to 30-day time frame to reach the patient or caregiver. If the patient was not reached after the third attempt the patient was removed from the study. An excel spreadsheet was used to collect data and compared to the pharmacy’s adjudication software to identify whether medications were dispensed and if meds to beds services were offered. EPIC software was used to develop folders to track patients accepting discharge services and to perform follow-up phone calls.
Results: Among the patients contacted during our outreach time frame, 62% of the patients utilized our discharge service while 38% left without their medications being dispensed. Analysis showed the most common reasons for not filling their prescriptions at the discharge pharmacy were a reassignment of their discharge disposition to a Skilled Nursing Facility, no new medications prescribed at discharge, or the patient’s desire to use their home pharmacy. The results showed approximately 94% received their medication in a timely manner which coincided to their discharge. Approximately 75% of all patients received medication counseling at the time of discharge from either pharmacy or nursing staff. Of the patients receiving the follow-up 82% reported no changes in their medication regimen and the meds to beds service satisfaction scored an average of 4.69 on a 5-point scale.
Conclusion: Although the discharge service satisfaction scores remain high and compliance was promising, room for improvement is required. Inter-professional and patient communication still requires improvement and is our goal moving forward. Multidisciplinary in-service meetings have and will be instituted to provide a seamless discharge and identify problems in the discharge process. Collaboration with inpatient pharmacy has been instituted. Meetings for problem solving and improvement happen bi-weekly. Med history technicians and Pharmacy Interns are utilized to reach out and offer more patients the discharge service, identify issues, and act as a discharge liaison between the pharmacy and hospital floors.