Discharge Counseling and Medication Therapy Management (MTM) Services After Discharge for Heart Failure Patients
- Conditions
- Heart Failure
- Interventions
- Other: Discharge medication counseling from a pharmacistOther: Home medication if neededOther: Follow-up visit at Medication Therapy Management clinic
- Registration Number
- NCT01822171
- Lead Sponsor
- Providence Health & Services
- Brief Summary
Readmission to a hospital shortly after discharge is a common and costly problem. In the United States patients with a diagnosis of heart failure currently experience an elevated 30 day readmission rate of approximately 20%. By providing patients with medication related counseling at discharge by a pharmacist, home medications at discharge, and seeing the patient again in a pharmacist-run Medication Therapy Management (MTM) clinic 7 days after discharge, the study anticipates achieving its primary goal of showing a reduction in the readmission rate. Secondary goals are: 1) to determine patients understanding of the medication they are taking, 2) to evaluate satisfaction with the comprehensive discharge counseling service, and 3) determine the number of interventions made and benefit of the MTM clinic.
- Detailed Description
The active arm of this study (medication related hospital discharge counseling by a pharmacist, home medications, and 7 day follow-up visit at a pharmacist run MTM clinic) is available to all subjects. To study the primary goal of reducing the 30 day readmission rate the data obtained from the active arm subjects will be compared to a match group of hospitalized patients that were previously discharged with a diagnosis of heart failure. The data for all secondary study goals will be obtained directly from the active arm subjects.
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 1
- Heart Failure with high risk for readmission.
- Enroll in study prior to hospital discharge.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Discharge counseling and MTM follow-up Discharge medication counseling from a pharmacist At the time of hospital discharge the subject will receive: * Discharge medication counseling from a pharmacist * Home medication if needed * Approximately 7 days after hospital discharge the subject have a Follow-up visit at Medication Therapy Management clinic. Discharge counseling and MTM follow-up Home medication if needed At the time of hospital discharge the subject will receive: * Discharge medication counseling from a pharmacist * Home medication if needed * Approximately 7 days after hospital discharge the subject have a Follow-up visit at Medication Therapy Management clinic. Discharge counseling and MTM follow-up Follow-up visit at Medication Therapy Management clinic At the time of hospital discharge the subject will receive: * Discharge medication counseling from a pharmacist * Home medication if needed * Approximately 7 days after hospital discharge the subject have a Follow-up visit at Medication Therapy Management clinic.
- Primary Outcome Measures
Name Time Method Reduction in hospital readmissions 30 day The readmission rate for the 50 subjects involved in this study will be compared to an equal number patients retrospectively reviewed from a 2011 patient list and matched for heart failure severity. The primary outcome will based on a comparison of the ratio of patients readmitted to the hospital before the discharge instruction program started and after.
- Secondary Outcome Measures
Name Time Method Patient assessment of home medications knowledge at time of hospital discharge 3 days Post hospital discharge the subject are asked to rate their knowledge regarding the medication they are taking at home on a scale of 1 to 10. The data obtained in this study will be compared to the same data and patient matched population obtained in 2011.
Patient satisfaction with comprehensive discharge counseling service. 7 Days The satisfaction survey consists of five interview questions, where the subject subjectively scores each question on a scale of 1 to 10, developed specifically for this study.
Number of interventions made at the MTM clinic. 7 Days. The number of drug related therapy interventions the pharmacist makes during the 7 day follow-up visit will be counted. Interventions may include: identifying: an inappropriate drug, inappropriate dose, duplication of medications, or a missing medication to optimize drug therapy.
Types of interventions made at the MTM clinic. 7 days The types of intervention the pharmacist may work on during the 7 day follow-up visit include inappropriate drug, inappropriate dose, duplication of medications, missing medication to optimize drug therapy. Other types of interventions may be revealed during this study.
Trial Locations
- Locations (2)
Providence Centralia Hospital
🇺🇸Centralia, Washington, United States
Providence St. Peter Hospital
🇺🇸Olympia, Washington, United States