PharmD Transitions of Care Program (PHARMD-TOC): A Community Pharmacy Transitions of Care Program

University of California, San Diego0 sitesOctober 1, 2018

ConditionsDisease, Chronic

Overview

Phase: N/A
Intervention: Not specified
Conditions: Disease, Chronic
Sponsor: University of California, San Diego
Primary Endpoint: Proportion Patients with Hospital Reutilization
Status: Withdrawn
Last Updated: 6 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

Many hospitals and medical groups have developed transitions of care (TOC) programs or procedures in an attempt to reduce hospital readmission and reutilization rates of patients discharged from the hospital. As healthcare's most accessible practitioners, Community Pharmacists have a unique opportunity to assist with reducing unnecessary hospital re-utilization (re-admissions and emergency department visits) after hospital discharge. The purpose of this study is to conduct and evaluate the implementation of a Community Pharmacy-based Transitions of Care (TOC) Program for high-risk post-discharge patients of PIH Health Hospital-Whittier (PIH). The primary objective will be to compare the proportion of patients with hospital re-utilization (readmission, observation status, ED visits) during 30-days post hospital discharge between patients randomly assigned to the PHARMD-TOC group vs. the historic rate at PIH. Secondary analyses will examine differences between groups and describe implementation details of the PHARMD-TOC model of patient care.

Registry

clinicaltrials.gov

Start Date

October 1, 2018

End Date

February 10, 2020

Last Updated

6 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

University of California, San Diego

Responsible Party

Principal Investigator

Candi Morello

Professor Clinical Pharmacy

University of California, San Diego

Eligibility Criteria

Inclusion Criteria

•- Admission LACE Score: in moderate range (5 to 9) And
•Taking high risk medication(s): anticoagulants, insulin, oral antiplatelet agents, oral hypoglycemic agents, opioid analgesics, digoxin Or Taking at least 5 medications AND have one of following: CHF, COPD, Asthma, Pneumonia, Diabetes, ESRD, Schizophrenia, Bi-Polar, Dizziness, History of Falls
•Medical or Surgical Unit patients
•Age \> 18 years
•Being discharged to home (with or without Home Health services)
•English and/or Spanish speaking
•Will have access to a telephone post-discharge
•Ability to give consent
•Patient admitted to hospital through the emergency department, as a direct admission or as a transfer, or as an elective surgery patient