Evaluation of a Pharmacy-Led Bedside Medication Delivery Service at a Comprehensive Cancer Center
Stokes, Laura B.
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Purpose: A discharge concierge service involving delivery of prescriptions to the patients’ bedside before discharge can improve quality of care. However, limited evidence exists regarding the impact of adding a pharmacy-led discharge concierge program to an established Transitions-of-Care (TOC) program. The purpose of this study was to evaluate the prescription capture rate and composite 7-day and 30-day post-discharge emergency department visits and inpatient readmissions between three groups of patients who received the variable TOC program with or without the discharge concierge service. Methods: The institutional review boards and quality improvement assessment board approved this retrospective cohort study. Adult patients, admitted to the general internal medicine service between April-December 2016, were included in this study. The primary outcome measure was prescription capture rate. Secondary outcomes included composite 7-day and 30-day post-discharge emergency department visits and inpatient readmissions, prevalence of medication regimen discrepancies, and patient-reported difficulty obtaining and taking discharge prescriptions. Results: There were a total of 317 patients in the three study groups. The prescription capture rate for the group that received the discharge concierge service was higher than the other study groups (p<0.05). Regression analyses revealed no significant difference with respect to composite emergency department visits and inpatient readmissions at 7-days (p=0.177) and 30-days (p=0.523) post-discharge. Conclusion: Limited evidence exists regarding the impact of adding a pharmacy-led discharge concierge program to an existing TOC -program. The study revealed that adding a pharmacy-led discharge concierge program to an existing TOC-program resulted in increased prescription capture rate.