Karen L. Pellegrin|Les Krenk|Sheena Jolson Oakes|Anita Ciarleglio|Joanne Lynn|Terry McInnis|Alistair W. Bairos|Lara Gomez|Mercedes Benitez McCrary|Alexandra L. Hanlon|Jill Miyamura
Reductions in Medication?Related Hospitalizations in Older Adults with Medication Management by Hospital and Community Pharmacists: A Quasi?Experimental Study
University of Hawaii at Hilo|University of Hawaii Maui College|University of Hawaii at Hilo|Altarum Institute|Kona Community Hospital|University of Hawaii at Hilo|Centers for Medicare and Medicaid Services|University of Pennsylvania|Hawaii Department of Health
evaluate association system medication management services provided specially trained hospital community pharmacists pharm2pharm rates costs medicationrelated hospitalization older adultsquasiexperimental interrupted time series design comparing intervention nonintervention hospitals using mixedeffects analysis modeled intervention timedependent variablesequential implementation pharm2pharm six general nonfederal acute care hospitals hawaii 50 beds 2013 2014 five hospitals served contemporaneous comparison groupadult inpatients met criteria risk medication problems n 2083 62 aged 65 oldera statewide system medication management services provided specially trained hospital community pharmacists serving highrisk individuals hospitalization transition home 1 year dischargemedicationrelated hospitalization rate per 1000 admissions individuals aged 65 older adjusted case mix estimate costs hospitalizations actual costs pharmacist servicesthe predicted case mixadjusted medicationrelated hospitalization rate individuals aged 65 older 365 lower pharm2pharm hospitals implementation nonintervention hospitals p 01 estimated annualized cost avoided admissions 66 million annual cost pharmacist services pharm2pharm participants 18 millionthe pharm2pharm model associated estimated 36 reduction medicationrelated hospitalization rate older adults 261 return investment highlighting value pharmacists drug therapy experts geriatric care