Improving medication management after a hospitalization with pharmacist home visits and electronic personal health records: an observational study

Kogut, Stephen; Goldstein, Elaina K.; Charbonneau, Camille; Jackson, Anita N.; Patry, Gail

doi:10.2147/dhps.s56574

Cited by 32 publications

(45 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The fact that it was not ranked as a top choice by many participants was an unexpected result given that complications from interactions with multiple medications have been reported in many seniors within acute care who suffer from multiple chronic conditions requiring medication management. [36,37] Thus, it is definitely a concern that has been identified within the literature, however it may not be a recognized concern of caregivers who were examined within the current study. Alternatively, the care setting may have influenced the findings regarding medication management and has been identified as a key factor in other studies.…”

Section: Discussionmentioning

confidence: 91%

“…Alternatively, the care setting may have influenced the findings regarding medication management and has been identified as a key factor in other studies. [36] For example, it is possible that these concerns may not be as prevalent in a LTC facility where the patient may reside within the facility for several years and not be subject to frequent medication changes, which has been identified as a key risk factor associated with medication errors. [38,39] Given the variation that exists across the literature with regards to the access items available within an EPHR, [23,40] which have been shown to vary as a function of user type and healthcare setting, the reported rankings in the current study can be used to begin to establish a framework of priority items for the LTC facility.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Family attitudes towards an electronic personal health record in a long term care facility

Nippak

Isaac

Geertsen

et al. 2015

JHA

View full text Add to dashboard Cite

Objective: To explore the perceptions of family members regarding the importance of an electronic personal health record (EPHR) called MyChart as a healthcare information source to support the care of their loved ones within a long term care (LTC) facility in Toronto, Ontario. Methods: One hundred and fifty eight family members of the patients in six LTC units at the hospital were given a survey to determine their perceptions regarding the utility of the content items within an EPHR that was recently adopted by the LTC institution. Results: The response rate was 41% (n = 65). Many family members (n = 48) felt it was important to have access to their loved one's EPHR. Respondents ranked test results (38%; n = 25), doctor's clinical notes (26%; n = 17), medication lists (15%; n = 10) and upcoming appointments (11%; n = 7) as the number one most important content item that they would want to have access to. In addition to the standard content items found within an EPHR, family members requested electronic access to a variety of additional medical content items that are not currently offered within the EPHR, such as status alerts. Overall, they felt that an EPHR would enhance communication between the care team and the family, however 30% of family members identified concerns linked to security and confidentiality of the electronic health record information. Conclusions: Family members felt that an EPHR would be an important tool in the LTC facility to assist with information exchange between care providers and the family. It is important to consider that the additional information requested beyond what is traditionally found in an EPHR as well as the specific communication concerns raised, may be limited to a LTC setting.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Family attitudes towards an electronic personal health record in a long term care facility

Nippak

Isaac

Geertsen

et al. 2015

JHA

View full text Add to dashboard Cite

show abstract

“…All publications were published between 2009 and 2014 18 – 21. Publications described studies that were conducted in the US ( n = 7, 70%),18 – 24 Canada ( n = 2, 20%),25 , 26 or New Zealand ( n = 1, 10%) 27.…”

Section: Resultsmentioning

confidence: 99%

“…Publications described studies that were conducted in the US ( n = 7, 70%),18 – 24 Canada ( n = 2, 20%),25 , 26 or New Zealand ( n = 1, 10%) 27. The publications describe ten evaluations of seven unique PHRs.…”

Section: Resultsmentioning

confidence: 99%

“…Seven publications (70%) described studies that evaluated the entire PHR,18 , 19 , 23 – 27 and three publications (30%) evaluated specific components of an existing PHR. These publications evaluated a Blue Button feature – a US federal initiative that allows consumers to download their medical information,20 a PHR tool to support consumer medication reconciliation21 and the information sharing features of an existing PHR 22 Table 1.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature

Kneale

Demiris

2017

jhi

View full text Add to dashboard Cite

Background Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Disparities in adoption rates are also reported in older adult subgroups. The variability in adoption may be because PHRs are not designed to meet older adult users. Objective We analyzed PHR evaluation studies to examine the characteristics and perspectives of older adult study participants to identify their self-reported needs. Method We searched Medline, CINAHL, PsycINFO and Embase for PHR evaluation studies that involved older adult participants. Results 1017 abstracts were identified, and 179 publications went through full text review. Ten publications met inclusion criteria. These publications described studies conducted in three countries, and evaluated seven PHRs. Homogeneity was found in the study populations and participant opinions of the systems. Discussion Many PHR evaluations do not include diverse older adult participants. This may lead to consistency in outcomes, but it also may create gaps in identifying user needs. Additional studies, specifically targeting diverse older adult participants, are needed to gain a more comprehensive understanding of the opinions of older adults on PHRs and how these systems could benefit older adult healthcare consumers. Conclusion The body of research shows that older adults are highly satisfied using PHRs. These outcomes may not be generalizable because most PHR evaluation studies do not include diverse older adult participants. This lack of participant diversity may be contributing to the disparities observed in PHR adoption rates.

show abstract

Medication management through pharmacist‐provided home‐based services

Pherson

Swarthout

Fu³

et al. 2020

J Am Coll Clin Pharm

View full text Add to dashboard Cite

Introduction Pharmacists play an important role in helping patients manage their medications across the continuum of care. Pharmacist home visits support continuity of care and provide a unique opportunity to identify medication‐related problems. Objective The primary objective of this study was to describe a cohort of patients who received home visits and the subsequent actions taken by the pharmacist towards the goal of optimizing medication regimens. The evolution of the service is also described. Methods A retrospective chart review was used to gather demographic information. Clinical documentation was reviewed to gather information on medication problems identified by the pharmacist and recommendations made to prescribers. Institutional and city databases were used to collect data on readmissions and socioeconomic status, respectively. Descriptive statistics were used to analyze data. Results Between February 2012 and December 2018, 485 home visits were conducted. Patients were taking a mean of 13 (SD ±5.5) medications; 1890 medication discrepancies were identified and 862 recommendations were made to prescribers. The relative risk reduction in readmissions for those patients who received a home visit was 6.6%. The average yearly income for citizens who live in neighborhoods where many of the home visits took place was $37 000. Details regarding the evolution of the home visit service were described. Conclusions A large cohort of 485 home visits demonstrated that medications are often not being taken as prescribed, and that the pharmacist is in a unique position to educate patients and work with providers toward the goal of optimizing medication regimens and behaviors. This model of care, focused on high‐risk patients, has been sustained over 7 years. Ongoing efforts are underway to improve communication with prescribers, increase the referral to home visit conversion rate, and enhance longitudinal outcome tracking. Opportunity exists to further expand the service through partnerships with regional payers.

show abstract

Improving medication management after a hospitalization with pharmacist home visits and electronic personal health records: an observational study

Cited by 32 publications

References 10 publications

Family attitudes towards an electronic personal health record in a long term care facility

Family attitudes towards an electronic personal health record in a long term care facility

Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature

Medication management through pharmacist‐provided home‐based services

Contact Info

Product

Resources

About