Students Research in Progress
Monday, November 13, 2023
01:00 PM–02:30 PM
Abstract
Introduction:
Currently, there are gaps in literature regarding transitions of care (TOC) workflows and identifying which models may be better to increase pharmacist TOC follow-up rates as patients discharge from hospital to home.
Research Question or Hypothesis: This study aimed to investigate how three different transitions of care (TOC) models at a large academic medical center impact the rate of successful follow-up pharmacist visits.
Study Design: A multisite, single health care system, retrospective, evaluative study of three different TOC scheduling models to identify high risk patients from September 2021 through June 2022 was undertaken.
Methods: Group A utilized a decision logic tree, Group B utilized a dedicated TOC pharmacist, and Group C utilized scheduling specialists. The primary endpoint was rate of completed pharmacist TOC visits in the primary care setting. Secondary endpoints included unplanned readmission rates within 30 days of hospital discharge and frequency of a pharmacist-led intervention at each encounter. Comparisons were made between groups using Chi-square or Fisher’s exact tests for categorical data, and either ANOVA or Kruskal-Wallis tests for continuous data.
Results: A total of 243 patients were included in the study (94 at Group A, 36 at Group B, and 113 at Group C); follow-up visits with pharmacist were completed in 9.6% vs 22.2% vs 10.6%, respectively (p=0.12). Rates of unplanned readmission within 30 days of discharge were 9.6% vs 22.2% vs 13.3% respectively (p=0.16). Unplanned readmission rates for patients who completed pharmacist visit vs who did not were 13.8% vs 13.1% (p=0.93). All patients who completed a TOC visit had a pharmacist intervention across the three arms.
Conclusion: Pharmacist supported transitions of care models with decision tree logic, pharmacist to pharmacist handoff, and scheduling specialists had similar rates of successful post hospital follow-up visits with pharmacists.
Presenting Author
Mark Layden Pharm.D., M.B.A.Mayo Clinic Hospital - Rochester
Authors
Kristin Mara MS
Mayo Clinic Hosptail
Timothy Habermann Pharm.D.
Mayo Clinic Hospital - Rochester
Clay Irvine Pharm.D., M.B.A., M.S.
Mayo Clinic Hospital - Rochester
Melanie Mommaerts Pharm.D.
Mayo Clinic Health System - Eau Claire
Kristina Thurber PharmD
Mayo Clinic Hospital - Rochester