An Evaluation of the Impact of Clinical Pharmacists on Care Transitions in a Non-Integrated Healthcare System

An Evaluation of the Impact of Clinical Pharmacists on Care Transitions in a Non-Integrated Healthcare System PDF Author: Andrea Sorensen
Publisher:
ISBN:
Category :
Languages : en
Pages : 138

Get Book

Book Description
Medication errors and medication non-adherence can contribute to adverse drug events, poor health outcomes, and avoidable hospitalizations and emergency department (ED) visits. Patients are at increased risk for medication-related problems during transitions of care. The causes include inaccuracies in medication lists upon admission to the hospital, documentation errors caused by inadequate communication among providers, and insufficient education provided to patients regarding changes to their medication regimens. The objective of this dissertation is to evaluate the impact of two care transition interventions at UCLA Health that aimed to reduce hospital readmissions and ED visits by improving medication accuracy and patient adherence to medications following hospitalization. The analyses undertaken in this dissertation use health system administrative data to (1) evaluate the impact on hospital readmissions and ED visits of a hospital to home care transitions program that included a home visit by a health coach, and a review and modification of medications as needed by a clinical pharmacist in coordination with the patient's primary care provider; (2) document the prevalence and types of medication-related problems and discrepancies that occur and persist following a patient's transition from hospital to home; and (3) evaluate the impact on hospital readmissions and ED visits of a pilot program that used a clinical pharmacist in a skilled nursing facility (SNF) to manage medications between the hospital, post-acute care setting, and home. Propensity score and multivariate regression approaches as well as qualitative methods were used to evaluate the interventions. Results from the first study showed that receipt of the intervention was associated with a significantly lower predicted probability of hospital readmissions and ED visits compared with usual care. Results from the second study revealed that clinical pharmacists identified and took action on a wide range of medication discrepancies and medication-related problems following a patient's hospitalization. Results from the third study showed that patients who were discharged from a SNF to home and who were under the care of a clinical pharmacist had a significantly lower likelihood of being readmitted to the hospital compared with similar patients who received usual care. In summary, the results demonstrate that clinical pharmacists can play an important role in decreasing the risk of poor outcomes following care transitions, and that strengthening the linkage with the primary care system is a potentially necessary component for facilitating safe and effective care transitions.

Encyclopedia of Pharmacy Practice and Clinical Pharmacy

Encyclopedia of Pharmacy Practice and Clinical Pharmacy PDF Author:
Publisher: Academic Press
ISBN: 0128127368
Category : Medical
Languages : en
Pages : 2358

Get Book

Book Description
Encyclopedia of Pharmacy Practice and Clinical Pharmacy covers definitions, concepts, methods, theories and applications of clinical pharmacy and pharmacy practice. It highlights why and how this field has a significant impact on healthcare. The work brings baseline knowledge, along with the latest, most cutting-edge research. In addition, new treatments, algorithms, standard treatment guidelines, and pharmacotherapies regarding diseases and disorders are also covered. The book's main focus lies on the pharmacy practice side, covering pharmacy practice research, pharmacovigilance, pharmacoeconomics, social and administrative pharmacy, public health pharmacy, pharmaceutical systems research, the future of pharmacy, and new interventional models of pharmaceutical care. By providing concise expositions on a broad range of topics, this book is an excellent resource for those seeking information beyond their specific areas of expertise. This outstanding reference is essential for anyone involved in the study of pharmacy practice. Provides a ‘one-stop’ resource for access to information written by world-leading scholars in the field Meticulously organized, with articles split into three clear sections, it is the ideal resource for students, researchers and professionals to find relevant information Contains concise and accessible chapters that are ideal as an authoritative introduction for non-specialists and readers from the undergraduate level upwards Includes multimedia options, such as hyperlinked references and further readings, cross-references and videos

Improving Critical Care Survivorship

Improving Critical Care Survivorship PDF Author: Kimberley J. Haines
Publisher: Springer Nature
ISBN: 3030686809
Category : Medical
Languages : en
Pages : 303

Get Book

Book Description
This book provides a comprehensive overview of improving critical care survivorship. Comprised of four sections, the text presents interventions that can be used to improve patient outcomes and reduce the burden of post-intensive care syndrome across the arc of care, from the ICU to returning home. The first section of the text focuses on preventing adverse outcomes in the ICU, with an emphasis on implementing early mobilization, engaging and supporting families, and employing various forms of therapy. The second section revolves around enhancing recovery post-ICU, focusing on physical and neurocognitive rehabilitation programs, peer support, and poly-pharmacy management. Community reintegration is the subject of the third section, with emphasis on socioeconomic reintegration, healthcare utilization, and volunteerism in ICU recovery. The book concludes with a section on future considerations, specifically spotlighting preliminary ideas that address long-term sequelae and international collaboration to solve critical care challenges. Written by experts in the field, Improving Critical Care Survivorship: A Guide for Prevention, Recovery, and Reintegration is a valuable resource for critical care clinicians and researchers interested in improving the quality of patient survival after ICU admission.

Value and Quality Innovations in Acute and Emergency Care

Value and Quality Innovations in Acute and Emergency Care PDF Author: Jennifer L. Wiler
Publisher: Cambridge University Press
ISBN: 131662563X
Category : Medical
Languages : en
Pages : 246

Get Book

Book Description
This text analyses how acute and emergency care can be more efficient, featuring twenty case studies of successful innovations.

Review of Hemodialysis for Nurses and Dialysis Personnel - E-Book

Review of Hemodialysis for Nurses and Dialysis Personnel - E-Book PDF Author: Judith Z. Kallenbach
Publisher: Elsevier Health Sciences
ISBN: 0323674410
Category : Medical
Languages : en
Pages : 304

Get Book

Book Description
Get complete dialysis coverage and an excellent review for the certification exam! Review of Hemodialysis for Nurses and Dialysis Personnel, 10th Edition uses a concise Q&A format to cover the principles, diseases, and problems of dialysis treatment for kidney failure. A new chapter on case management of the patient with chronic kidney disease keeps you current with the latest in dialysis treatment and equipment. Dialysis expert Judy Kallenbach provides clear, easy-to-read guidelines that will apply to every member of the dialysis team, from technicians and nurses to social workers and patients. Comprehensive coverage provides the knowledge needed to care for dialysis patients and to prepare for the certification exam, with topics including a review of body fluids and electrolytes, infection control, transplantation, and key psychosocial aspects of dialysis treatment. Question-and-answer format makes learning easier and makes the book suitable for independent study. Multidisciplinary approach includes a chapter on the different roles in the hemodialysis team, describing how dialysis care is coordinated and what patients go through during their treatment. Easy-to-understand style introduces new terms and concepts without assuming prior knowledge of dialysis. Home Dialysis Therapies chapter describes the use of home dialysis treatment as a possible cost-cutting measure. Useful appendixes offer a quick reference to the sodium and potassium content of various foods, nephrology organizations and resources, a list of dialysis lab tests, a glossary, and more. Coverage of the entire lifespan helps you care for patients of different ages, with separate chapters on pediatric dialysis and end-stage renal disease in the elderly. 70 illustrations depict all aspects of dialysis treatment and care. NEW Case Management of the Chronic Kidney Disease Patient chapter is added. EXPANDED Patient Education Guidelines chapter adds coverage of motivational interviewing. EXPANDED Psychosocial Aspects of Dialysis Therapy chapter adds information on patient care. UPDATED content includes new guidelines and information on medication.

Value Driven Healthcare and Geriatric Medicine

Value Driven Healthcare and Geriatric Medicine PDF Author: James S. Powers
Publisher: Springer
ISBN: 3319770578
Category : Medical
Languages : en
Pages : 156

Get Book

Book Description
Value driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon. Value-based purchasing is a demand side strategy to reward quality in health care delivery. Value-based purchasing involves cost considerations and includes the actions of employers, the public sector, health plans, and individual consumers in making healthcare decisions. Effective health care services and high performing health care providers are incentivized to provide quality outcomes and to control cost. Value-based purchasing drives quality metrics which are publicly reported and serve as important levers for changes in healthcare delivery. Geriatric patients consume a disproportionate share of healthcare resources, so CMS directs Medicare and drives geriatric healthcare models. All other insurers generally model CMS/Medicare guidelines. Innovative geriatric care models which demonstrate improved outcomes and cost moderation are scaled and lessons learned used to create new healthcare models. The best data for broader value driven healthcare comes from the geriatric models, which currently have the best data available. This book traces the origins of value-based purchasing and current geriatric care models and synthesizes their implications for today's changing health system. It also discusses healthcare accountability and risk sharing. The audience includes geriatric healthcare professionals, but also a wider audience interested in broader healthcare models and value driven healthcare from a policy, economic, and ethical perspective. These include primary care physicians, specialists who work with aging patients, hospital administrators, healthcare educators, healthcare organizations, and all medical professionals working with aging patients and patients affected by healthcare reform.

Congressional Record

Congressional Record PDF Author: United States. Congress
Publisher:
ISBN:
Category : Law
Languages : en
Pages :

Get Book

Book Description
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)

The Pharmacist Guide to Implementing Pharmaceutical Care

The Pharmacist Guide to Implementing Pharmaceutical Care PDF Author: Filipa Alves da Costa
Publisher: Springer
ISBN: 3319925768
Category : Medical
Languages : en
Pages : 506

Get Book

Book Description
Through the contributions of global experts, this book meets the growing need to understand the implementation and development of pharmaceutical care. Pharmaceutical Care Implementation details the clinical pharmacist's role in providing care to different kind of patients using clinical strategies that improve humanistic, economic and clinical outcomes. Written with a focus for students and pharmacists, this book offers multiple scenarios that serve to improve technical skills. These examples show step-by-step implementation processes from pharmacists who have worked for many years in these fields: drug-related problems, pharmaceutical care in different settings (community, hospital, home care), research outcomes, communication skills, indicators, advertising, remuneration of practice, standards, guidelines, protocols and teaching approaches for universities. Readers will use this book to:- Improve their skills to prevent, detect and solve drug-related problems - Understand the characteristics of care for patients in different settings- Consolidate knowledge from different global research outcomes- Develop and improve communication skills to establish relationships with patients and healthcare professionals.- Learn to use indicators, standards,guidelines,and protocols to guide and evaluate pharmaceutical care performance- Use different tools to advertise pharmaceutical care services- Document pharmaceutical care practices and create evidence for remuneration

Not What the Doctor Ordered

Not What the Doctor Ordered PDF Author: Jeffrey C. Bauer
Publisher: CRC Press
ISBN: 1351686577
Category : Business & Economics
Languages : en
Pages : 156

Get Book

Book Description
This 25th Anniversary edition completely updates the powerful insights and policy recommendations of Not What the Doctor Ordered, first published in 1993 by renowned healthcare futurist and medical economist the author. It presents specific solutions to serious problems of cost, quality, access, and outcomes by allowing all Americans to purchase services directly from caregivers who provide an expanding array of medical services at least as well as physicians—at lower cost. Focusing on new realities of the 21st century, the authorshows not only why giving consumers the right to choose advanced practitioners is the top priority for improving our overpriced, underperforming medical care delivery system, but also how to make the necessary changes. As he clearly and concisely explains from medical and economic perspectives, the key is eliminating physicians’ monopoly powers over advanced practice nurses, clinical pharmacists, physical therapists, clinical psychologists, and other advanced practice (AP) health professionals who now rival physicians in scientific knowledge and caregiving skills within well-defined scopes of practice regulated by state governments.

An Evaluation of the Impact of Clinical Pharmacists on Care Transitions in a Non-Integrated Healthcare System

An Evaluation of the Impact of Clinical Pharmacists on Care Transitions in a Non-Integrated Healthcare System PDF Author: Andrea Sorensen
Publisher:
ISBN:
Category :
Languages : en
Pages : 138

View

Book Description
Medication errors and medication non-adherence can contribute to adverse drug events, poor health outcomes, and avoidable hospitalizations and emergency department (ED) visits. Patients are at increased risk for medication-related problems during transitions of care. The causes include inaccuracies in medication lists upon admission to the hospital, documentation errors caused by inadequate communication among providers, and insufficient education provided to patients regarding changes to their medication regimens. The objective of this dissertation is to evaluate the impact of two care transition interventions at UCLA Health that aimed to reduce hospital readmissions and ED visits by improving medication accuracy and patient adherence to medications following hospitalization. The analyses undertaken in this dissertation use health system administrative data to (1) evaluate the impact on hospital readmissions and ED visits of a hospital to home care transitions program that included a home visit by a health coach, and a review and modification of medications as needed by a clinical pharmacist in coordination with the patient's primary care provider; (2) document the prevalence and types of medication-related problems and discrepancies that occur and persist following a patient's transition from hospital to home; and (3) evaluate the impact on hospital readmissions and ED visits of a pilot program that used a clinical pharmacist in a skilled nursing facility (SNF) to manage medications between the hospital, post-acute care setting, and home. Propensity score and multivariate regression approaches as well as qualitative methods were used to evaluate the interventions. Results from the first study showed that receipt of the intervention was associated with a significantly lower predicted probability of hospital readmissions and ED visits compared with usual care. Results from the second study revealed that clinical pharmacists identified and took action on a wide range of medication discrepancies and medication-related problems following a patient's hospitalization. Results from the third study showed that patients who were discharged from a SNF to home and who were under the care of a clinical pharmacist had a significantly lower likelihood of being readmitted to the hospital compared with similar patients who received usual care. In summary, the results demonstrate that clinical pharmacists can play an important role in decreasing the risk of poor outcomes following care transitions, and that strengthening the linkage with the primary care system is a potentially necessary component for facilitating safe and effective care transitions.

Encyclopedia of Pharmacy Practice and Clinical Pharmacy

Encyclopedia of Pharmacy Practice and Clinical Pharmacy PDF Author:
Publisher: Academic Press
ISBN: 0128127368
Category : Medical
Languages : en
Pages : 2358

View

Book Description
Encyclopedia of Pharmacy Practice and Clinical Pharmacy covers definitions, concepts, methods, theories and applications of clinical pharmacy and pharmacy practice. It highlights why and how this field has a significant impact on healthcare. The work brings baseline knowledge, along with the latest, most cutting-edge research. In addition, new treatments, algorithms, standard treatment guidelines, and pharmacotherapies regarding diseases and disorders are also covered. The book's main focus lies on the pharmacy practice side, covering pharmacy practice research, pharmacovigilance, pharmacoeconomics, social and administrative pharmacy, public health pharmacy, pharmaceutical systems research, the future of pharmacy, and new interventional models of pharmaceutical care. By providing concise expositions on a broad range of topics, this book is an excellent resource for those seeking information beyond their specific areas of expertise. This outstanding reference is essential for anyone involved in the study of pharmacy practice. Provides a ‘one-stop’ resource for access to information written by world-leading scholars in the field Meticulously organized, with articles split into three clear sections, it is the ideal resource for students, researchers and professionals to find relevant information Contains concise and accessible chapters that are ideal as an authoritative introduction for non-specialists and readers from the undergraduate level upwards Includes multimedia options, such as hyperlinked references and further readings, cross-references and videos

Improving Critical Care Survivorship

Improving Critical Care Survivorship PDF Author: Kimberley J. Haines
Publisher: Springer Nature
ISBN: 3030686809
Category : Medical
Languages : en
Pages : 303

View

Book Description
This book provides a comprehensive overview of improving critical care survivorship. Comprised of four sections, the text presents interventions that can be used to improve patient outcomes and reduce the burden of post-intensive care syndrome across the arc of care, from the ICU to returning home. The first section of the text focuses on preventing adverse outcomes in the ICU, with an emphasis on implementing early mobilization, engaging and supporting families, and employing various forms of therapy. The second section revolves around enhancing recovery post-ICU, focusing on physical and neurocognitive rehabilitation programs, peer support, and poly-pharmacy management. Community reintegration is the subject of the third section, with emphasis on socioeconomic reintegration, healthcare utilization, and volunteerism in ICU recovery. The book concludes with a section on future considerations, specifically spotlighting preliminary ideas that address long-term sequelae and international collaboration to solve critical care challenges. Written by experts in the field, Improving Critical Care Survivorship: A Guide for Prevention, Recovery, and Reintegration is a valuable resource for critical care clinicians and researchers interested in improving the quality of patient survival after ICU admission.

Value and Quality Innovations in Acute and Emergency Care

Value and Quality Innovations in Acute and Emergency Care PDF Author: Jennifer L. Wiler
Publisher: Cambridge University Press
ISBN: 131662563X
Category : Medical
Languages : en
Pages : 246

View

Book Description
This text analyses how acute and emergency care can be more efficient, featuring twenty case studies of successful innovations.

Review of Hemodialysis for Nurses and Dialysis Personnel - E-Book

Review of Hemodialysis for Nurses and Dialysis Personnel - E-Book PDF Author: Judith Z. Kallenbach
Publisher: Elsevier Health Sciences
ISBN: 0323674410
Category : Medical
Languages : en
Pages : 304

View

Book Description
Get complete dialysis coverage and an excellent review for the certification exam! Review of Hemodialysis for Nurses and Dialysis Personnel, 10th Edition uses a concise Q&A format to cover the principles, diseases, and problems of dialysis treatment for kidney failure. A new chapter on case management of the patient with chronic kidney disease keeps you current with the latest in dialysis treatment and equipment. Dialysis expert Judy Kallenbach provides clear, easy-to-read guidelines that will apply to every member of the dialysis team, from technicians and nurses to social workers and patients. Comprehensive coverage provides the knowledge needed to care for dialysis patients and to prepare for the certification exam, with topics including a review of body fluids and electrolytes, infection control, transplantation, and key psychosocial aspects of dialysis treatment. Question-and-answer format makes learning easier and makes the book suitable for independent study. Multidisciplinary approach includes a chapter on the different roles in the hemodialysis team, describing how dialysis care is coordinated and what patients go through during their treatment. Easy-to-understand style introduces new terms and concepts without assuming prior knowledge of dialysis. Home Dialysis Therapies chapter describes the use of home dialysis treatment as a possible cost-cutting measure. Useful appendixes offer a quick reference to the sodium and potassium content of various foods, nephrology organizations and resources, a list of dialysis lab tests, a glossary, and more. Coverage of the entire lifespan helps you care for patients of different ages, with separate chapters on pediatric dialysis and end-stage renal disease in the elderly. 70 illustrations depict all aspects of dialysis treatment and care. NEW Case Management of the Chronic Kidney Disease Patient chapter is added. EXPANDED Patient Education Guidelines chapter adds coverage of motivational interviewing. EXPANDED Psychosocial Aspects of Dialysis Therapy chapter adds information on patient care. UPDATED content includes new guidelines and information on medication.

Cumulated Index Medicus

Cumulated Index Medicus PDF Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1830

View

Book Description


Value Driven Healthcare and Geriatric Medicine

Value Driven Healthcare and Geriatric Medicine PDF Author: James S. Powers
Publisher: Springer
ISBN: 3319770578
Category : Medical
Languages : en
Pages : 156

View

Book Description
Value driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon. Value-based purchasing is a demand side strategy to reward quality in health care delivery. Value-based purchasing involves cost considerations and includes the actions of employers, the public sector, health plans, and individual consumers in making healthcare decisions. Effective health care services and high performing health care providers are incentivized to provide quality outcomes and to control cost. Value-based purchasing drives quality metrics which are publicly reported and serve as important levers for changes in healthcare delivery. Geriatric patients consume a disproportionate share of healthcare resources, so CMS directs Medicare and drives geriatric healthcare models. All other insurers generally model CMS/Medicare guidelines. Innovative geriatric care models which demonstrate improved outcomes and cost moderation are scaled and lessons learned used to create new healthcare models. The best data for broader value driven healthcare comes from the geriatric models, which currently have the best data available. This book traces the origins of value-based purchasing and current geriatric care models and synthesizes their implications for today's changing health system. It also discusses healthcare accountability and risk sharing. The audience includes geriatric healthcare professionals, but also a wider audience interested in broader healthcare models and value driven healthcare from a policy, economic, and ethical perspective. These include primary care physicians, specialists who work with aging patients, hospital administrators, healthcare educators, healthcare organizations, and all medical professionals working with aging patients and patients affected by healthcare reform.

Congressional Record

Congressional Record PDF Author: United States. Congress
Publisher:
ISBN:
Category : Law
Languages : en
Pages :

View

Book Description
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)

The Pharmacist Guide to Implementing Pharmaceutical Care

The Pharmacist Guide to Implementing Pharmaceutical Care PDF Author: Filipa Alves da Costa
Publisher: Springer
ISBN: 3319925768
Category : Medical
Languages : en
Pages : 506

View

Book Description
Through the contributions of global experts, this book meets the growing need to understand the implementation and development of pharmaceutical care. Pharmaceutical Care Implementation details the clinical pharmacist's role in providing care to different kind of patients using clinical strategies that improve humanistic, economic and clinical outcomes. Written with a focus for students and pharmacists, this book offers multiple scenarios that serve to improve technical skills. These examples show step-by-step implementation processes from pharmacists who have worked for many years in these fields: drug-related problems, pharmaceutical care in different settings (community, hospital, home care), research outcomes, communication skills, indicators, advertising, remuneration of practice, standards, guidelines, protocols and teaching approaches for universities. Readers will use this book to:- Improve their skills to prevent, detect and solve drug-related problems - Understand the characteristics of care for patients in different settings- Consolidate knowledge from different global research outcomes- Develop and improve communication skills to establish relationships with patients and healthcare professionals.- Learn to use indicators, standards,guidelines,and protocols to guide and evaluate pharmaceutical care performance- Use different tools to advertise pharmaceutical care services- Document pharmaceutical care practices and create evidence for remuneration

Not What the Doctor Ordered

Not What the Doctor Ordered PDF Author: Jeffrey C. Bauer
Publisher: CRC Press
ISBN: 1351686577
Category : Business & Economics
Languages : en
Pages : 156

View

Book Description
This 25th Anniversary edition completely updates the powerful insights and policy recommendations of Not What the Doctor Ordered, first published in 1993 by renowned healthcare futurist and medical economist the author. It presents specific solutions to serious problems of cost, quality, access, and outcomes by allowing all Americans to purchase services directly from caregivers who provide an expanding array of medical services at least as well as physicians—at lower cost. Focusing on new realities of the 21st century, the authorshows not only why giving consumers the right to choose advanced practitioners is the top priority for improving our overpriced, underperforming medical care delivery system, but also how to make the necessary changes. As he clearly and concisely explains from medical and economic perspectives, the key is eliminating physicians’ monopoly powers over advanced practice nurses, clinical pharmacists, physical therapists, clinical psychologists, and other advanced practice (AP) health professionals who now rival physicians in scientific knowledge and caregiving skills within well-defined scopes of practice regulated by state governments.