Reducing Hospital Re-Admissions with Telemedicine & Medication Reconciliation The prescription for improved patient outcomes Download the presentation at RxConcile.com or asaging.org
Who we are Chad Worz - RXConcile CEO Pharmacy Specialist Chad is a licensed pharmacist and is the current owner of Medication Managers. He brings a lifetime of pharmaceutical experience including experience working with long term care facilities in USA. As a result of seeing the challenge faced by these facilities, Chad developed the vision that inspires RxConcile. Jeff Neasmith - RXConcile President Software & Marketing Specialist Jeff s previous experience launching, marketing and selling successful enterprise and retail software solutions like Vivonet, Cayenta and Yodlee is integral to guiding the development, strategy and launch of this exciting new innovation.
RxConcile Mobile On-Demand Virtual Pharmacist Mission: To reduce hospital readmissions of elderly patients through proper medication management & reconciliation.
3 Key Points... The impact that medication errors have on the healthcare system How medication mismanagement can be significantly reduced in elderly patients during transition care How technology can help connect pharmacists with patients at the point of discharge
Getting on the same page Defining Terms
Hospital Readmission Definition Admission within 30 days of discharge from a hospital
Medication Reconciliation Definition medications a patient is taking
Telemedicine Definition care from a distance
How Big Is The Readmission Problem?
What is the The Annual Cost of Readmission? The total cost of Hospital readmissions $41 Billion per year. (Source: CVS Study 2016)
The BIGGER Story About Readmissions Studies show that up to 75% of those readmissions are considered 1 preventable Up to $30.75 Billion in savings!
The Single BIGGEST Reason for Readmissions of hospital readmissions are due to medication issues (Non-adherence and adverse drug reactions) 1. Polinski et. al. An Insurer s Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions and Costs. Health Affairs. 35, NO. 7 (2016): 1222 1229.
Drug Related Hospital Admissions - Older Adults Approximately 30 percent of hospital admissions of older adults are drug related more than 11 percent attributed to medication nonadherence Up to 17 percent related to adverse drug reactions (ADRs).
How ELDERS Affect Readmissions 23.5% of Skilled Nursing Facility (SNF) stays resulted in a rehospitalization within 30 days 78% of those were deemed potentially avoidable. of the initial hospital discharge 1. According to Mor et al. (2010), based on an analysis of SNF data from 2006 Medicare claims merged with the Minimum Data Set (MDS)
The Simple Solution...Include a Pharmacist at Discharge A new CVS Health research study shows a lower risk of readmission as a result of pharmacist intervention through an insurer-initiated medication reconciliation program 1. Polinski et. al. An Insurer s Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions and Costs. Health Affairs. 35, NO. 7 (2016): 1222 1229.
How Does This Affect Hospitals and Long Term Care Facilities? Referrals: Hospitals are paying closer attention to readmissions of patients that come from LTC s Penalties!!: An estimated $428 Million per year in fines will be in incurred by hospitals and Nursing Homes due to HRRP enforcement. CMS 5 Star Rating: LTC s are prioritizing their STAR rating
How Readmissions Happen Patient at SNF Patient at HOME
How The Problem Can Be Fixed Patient at SNF Patient at HOME Medication therapy & regimen Educational medication content
Present and Future Patient Portal Single place to go for all patient discharge information Present Video recording of med. rec session List of medication (upcoming Beta - integration with EHR system) Future Schedule for other services (physio, meals on wheels, etc.) Reminders for medication refills Dietary guidelines or suggestions Satisfaction surveys Medication recall alerts On demand pharmacist
Current Findings Using a Virtual Pharmacist Patient Significant engagement Family reassurance Online portal benefit Nurses & Administration Peace of mind Transition to home care team involvement Request for admissions module Marketing Communication with patients and hospitals. Strategic advantage - Exclusivity
How To Manage The Chaos Technology Allows us to provide access to hundreds of pharmacists at the click of a button.
What Does Success Look Like? Telemedicine + Medication Reconciliation = Reducing Readmissions Significantly reduce patient re-admittance into hospitals Decrease the financial liability for Hospitals and Nursing Home facilities. Be a part of a preferred SNF network (Be seen as a leader - referrals!) Reduce burden on employees
The Future of On-Demand Telemedicine What This Could Mean... Artificial intelligence Medication adverse events forecasting Patient Portal Analysis RxConcile Database
QA RxConcile: Benefits
Thank You Download the presentation at RxConcile.com or asaging.org