Objective: The purpose of this study is to evaluate the association between having chart reviews performed by a consultant pharmacist working under a collaborative practice agreement (CPA) and rehospitalization rates from SNF’s.
Design and Methods: A multi-site, prospective, case-control study assessing rehospitalization rates before and after utilizing a consultant pharmacist working with physicians under a CPA in SNF’s across the state of Utah. Six-month pre-and post-hospitalization rate data was collected directly from the individual SNF’s. A 2-sided t-test (p=0.05) comparing percentages was performed to determine whether there was a significant difference between 30-day rehospitalization rates
Results: The overall pre-and
post- 30-day hospitalization rate for all of the facilities combine were 9.93 + 5.07% and 9.16 + 6.18% (p= 0.77). Of the nine facilities included in the study, one facility had a statistically significant decrease in 30-day hospitalization rates after having a consultant pharmacist performing medication review (9.78 + 3.44% vs. 5.57 + 3.46%, p=0.032). Four of the nine facilities had a decrease in rehospitalization rate, whereas five of the facilities had an increase in rehospitalization rates.
Conclusions: The data collected from this study was unable to determine a correlation between hospital rates and having a consultant pharmacist performing medical chart reviews under a CPA at skilled nursing facilities.Recommend0 recommendationsPublished in