Type:
General Education
Session ID:
28
Title:
Integrating Data to Improve Medication Adherence in Complex Patients Post-Discharge
Description:
University of Maryland Medical Center developed an MIH-CP program to provide in-home, community-based services for 30 days to complex, vulnerable patients being discharged from the hospital with the goal of reducing hospital readmissions and improving health outcomes. The MIH-CP program utilized a multidisciplinary, team-based model which has been shown to improve communication and coordination of communication between professionals and patients. It has been reported that poor communication among healthcare professionals or between patients and healthcare professionals can lead to adverse effects, delay in treatment and medication errors. To optimize seamless care delivery and ensure continuity of care, all members of the MIH-CP team documented patient encounters in the same EHR to allow for sharing of data, information and knowledge in an open, interoperable healthcare ecosystem. Access to the EHR allowed all team members to view admission and discharge information, follow up care guidelines and discharge instructions from the inpatient team. If a patient’s primary care provider utilizes the same EHR, they could see all documentation performed by the MIH-CP team. In addition, data integration of outpatient and inpatient medication history allowed pharmacists to correctly reconcile medications post-discharge, communicate discrepancies to the patient’s outpatient provider and promote medication adherence.
Level:
Intermediate
Format:
30-Minute Learning Burst
Learning Objective #1:
Describe recent findings of the impact of an MIH-CP program on medication adherence
Learning Objective #2:
Explain the role of clinical pharmacists during patient transitions of care
Learning Objective #3:
Identify multidisciplinary approaches to managing medication adherence among complex patients
Learning Objective #4:
Recognize data essential to measuring the success of an MIH-CP program