Medication Therapy Management Immediately Post-Discharge Prior to Physically Leaving the Hospital Versus Standard Transitions of Care Services

Document Type

Conference Proceeding - Restricted Access

Publication Date

5-9-2025

Abstract

Patients without effective medication therapy management or follow-up can increase hospital readmissions within 30 days of initial admission. Services such as medication reconciliation, comprehensive medication reviews, medication consultation and education, and ensuring medication access are some of the things that are crucial in preventing hospital readmissions. Under a collaborative practice agreement, pharmacist can help intervene to optimize therapy. This study's purpose is to show the impact on 30-day hospital readmission rates after the incorporation of Corewell's new Discharge Lounge Clinic.

This retrospective, observational study aims to compare the 30-day hospital readmission before and after the go-live of Butterworth Hospital's Discharge Lounge Clinic (DLC). Patients admitted from January 1 to June 25, 2024 will be compared to patients admitted from June 26 to September 27, 2024 who were discharged to the Discharge Lounge clinic. Patients who are over 18 years old, admitted into Butterworth hospital, completed a pharmacist visit in the DLC, have a cardiovascular diagnosis upon admission and have a discharge destination home will be evaluated. Primary endpoints evaluated are hospital readmission rates within 30 days before and after DLC go-live. Secondary endpoints will evaluate whether the patients were on GDMT and confirm medication access.

A total of 383 patients were found to be admitted at Butterworth Hospital from January 1, 2024 to September 27, 2024. The median age was 69 years old with a slight majority of female patients (52%). Majority of patient were found to be white/Caucasian background and non-Hispanic origin [White/Caucasian (88.8%), Black/African American (7.3%), Asian (0.5%), Other (2.9%)], [non-Hispanic (95.6%), Hispanic (3.1%), Unknown (1.3%)]. Hypertension was the most admission diagnosis followed by hyperlipidemia and coronary artery disease, 74.2%, 69.2% and 51.4% respectively. Of the 383 patients that were found, 90 patients were referred to the discharge lounge clinic for medication therapy management.

Currently, there are no results as the study is still in progress and the current data is insufficient to draw any conclusions. We hypothesize that after the implementation of the DLC, hospital readmission rates of patients with cardiovascular indications will decrease.

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1730

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