The goal of this study is to assess the impact of pharmacist-led benefits investigations and application of clinical practice guidelines on patient access to inhalers and time to hospital readmission or Emergency Department (ED) visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
914
The study pharmacist will review the prescribed inhaler for 1) insurance coverage and 2) clinical appropriateness. The pharmacist will conduct a benefits investigation at time of hospital admission. The benefits investigation involves running test claims for inhalers to determine the most cost-effective inhaler for the patient's insurance plan. The study pharmacist will utilize clinical practice guidelines to assess appropriateness of the prescribed inhaler. Based on this review, the study pharmacist will submit a pharmacy consult to the inpatient pharmacist on the patient's healthcare team who will pend the inhaler orders (changing the patient's prescribed inhaler, if necessary) for the prescriber to send to the Meds to Beds discharge pharmacy. The Meds to Beds pharmacist will counsel the patient on inhaler use techniques prior to discharge.
Vanderbilt Univeristy Medical Center
Nashville, Tennessee, United States
Time to either hospital readmission or ER visit
Combined time (days) to either hospital readmission or emergency department visit after hospitalization (all outcomes measured at 6 months post-discharge with a 3 month interim analysis)
Time frame: 6 months
Frequency of ED visit
number of ED visits 6 months post-discharge
Time frame: 6 months
frequency of hospital readmissions
number of hospital readmission 6 months post-discharge
Time frame: 6 months
time to 1st ED visit (days)
time until the first ED visit post-discharge
Time frame: 6 months
time to 1st readmission (days)
time until the first readmission post-discharge
Time frame: 6 months
frequency of prescribed inhaler at discharge
number of times the recommended inhaler was prescribed at discharge
Time frame: 6 months
frequency of short course prescription of oral steroid
number of oral steroid prescriptions in the 6 months post-discharge
Time frame: 6 months
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