Impact of clinical pharmacist medication review upon enrollment in a Program for All-inclusive Care of the Elderly (PACE)

Impact of clinical pharmacist medication review upon enrollment in a Program of All-Inclusive Care for the Elderly (PACE) Adam Olesen, PharmD, PGY1 ResidentKristen Wendell, PharmD, BCGP Providence Elderplace Oregon Learning Objective: Describe the interventions and recommendations made by a pharmacist upon enrollment of a new participant at a PACE facility. Abstract: Pharmacists have been proven to be beneficial in the transitions of care for high-risk patients with multiple morbidities, such as the reduction of both polypharmacy and thirty-day readmission rates. The objective of this study is to quantify and characterize the total number and type of interventions and recommendations made by pharmacists over a three-month span when new participants enrolls with Providence ElderPlace, a Program of All-Inclusive Care for the Elderly (PACE). Clinical pharmacists at Providence Elderplace were trained on how to document their interventions and recommendations within the EPIC electronic medical record using the I-vent documentation system. The pharmacists documented interventions made at the time of enrollment and recommendations for follow-up after enrollment for all participants who were enrolled between Nov 1, 2019 and Jan 31, 2020. The primary investigator gathered this data via the I-vent reporting system within EPIC. Pharmacists also documented whether each recommendation pertained to a Beers List medication and whether the recommendation is made with the primary goal of reducing polypharmacy. The primary investigator followed recommendations that were not implemented at enrollment for two months to assess whether they were implemented by the provider. Data was analyzed to quantify the impact of these recommendations and interventions that the clinical pharmacists had made. The primary endpoint was a composite analysis of the number and type of interventions completed upon enrollment. Secondary endpoints included the percentage of recommendations presented by pharmacists that are implemented at enrollment and within two months following enrollment, whether the intervention pertains to a medication on the 2019 Beers List, and the number of recommendations of which the primary goal was to reduce polypharmacy (defined as unused medications on an enrollee\u27s medication profile). Results will be presented. This study approved by the Institutional Review Board.https://digitalcommons.providence.org/pharmacy_PGY1/1012/thumbnail.jp