Journal article
Comparison of a pharmacist-hospitalist collaborative model of inpatient care with multidisciplinary rounds in achieving quality measures
American journal of health-system pharmacy, Vol.73(4), pp.216-224
02/15/2016
DOI: 10.2146/ajhp150225
PMID: 26843498
Abstract
Purpose. Results of a study of hospitalization outcomes with the use of a pharmacist-hospitalist collaborative (PHC) model of care as an alternative to multidisciplinary rounds (MDR) are reported.
Methods. In a retrospective matched-cohort study, data on more than 2000 adults discharged from two medical units of a community teaching hospital were analyzed to compare selected outcomes before and after the units augmented traditional hospitalist care (usual care) with either MDR or a PHC care model emphasizing pharmacist involvement in case review and medication management. The study cohorts were matched for primary diagnosis, severity of illness, and other variables. The outcomes were mean length of stay (LOS) and rates of all-cause readmission during designated preintervention and intervention periods.
Results. Among patients admitted to the unit that implemented the PHC care model, those admitted during the preintervention period had a longer mean LOS than matched intervention-phase patients: 5.5 days (95% confidence interval [Cl], 5.0-6.0 days) versus 4.7 days (95% CI, 4.2-5.3 days); p = 0.002. Patients admitted to the MDR unit during the preintervention period also had a significantly longer mean LOS than those in the matched intervention phase cohort. There were no significant between-group differences in all cause readmissions.
Conclusion. Systematic implementation of either the PHC or the MDR model of care was associated with a decreased mean hospital LOS relative to LOS values with usual care only. No significant "differences in readmissions at 30, 60, and 90 days were attributable to implementation of the PHC or the MDR model.
Details
- Title: Subtitle
- Comparison of a pharmacist-hospitalist collaborative model of inpatient care with multidisciplinary rounds in achieving quality measures
- Creators
- Arinze Nkemdirim Okere - Florida Agricultural and Mechanical UniversityColleen M. Renier - Essentia HealthMegan Willemstein - Meijer Pharm, Grand Rapids, MI USA
- Resource Type
- Journal article
- Publication Details
- American journal of health-system pharmacy, Vol.73(4), pp.216-224
- Publisher
- Amer Soc Health-System Pharmacists
- DOI
- 10.2146/ajhp150225
- PMID
- 26843498
- ISSN
- 1079-2082
- eISSN
- 1535-2900
- Number of pages
- 9
- Grant note
- Blue Cross Blue Shield of Michigan Foundation
- Language
- English
- Date published
- 02/15/2016
- Academic Unit
- Pharmacy Practice and Science; Internal Medicine
- Record Identifier
- 9984845053902771
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