Optimizing Medication Therapy Outcomes for HIgh Risk Patients Transitioning from Acute to Primary Care
The current healthcare system has a large gap in care for patients transitioning out of hospital and back to primary care (ie: back to their family physician). Patients leave the hospital confused about their new diagnosis and are often overwhelmed by new medication requirements. An estimated 40% of discharged patients will be rehospitalized within 30 days, many for reasons that are avoidable. Groups throughout Canada and the United States have looked at the value of having a clinical pharmacist as part of the hospital discharge process or consulting with the patient quickly following discharge. Often, the pharmacist is a member of a large interdisciplinary discharge team. Adding pharmacists to the discharge process in NL is not practical. Instead, this study seeks to evaluate the effect on hospital utilization rates when complex patients have an in-depth consultation with a clinical pharmacist within 7 days of hospital discharge.