Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facility

• Published in: Journal of pharmacy practice 2020-06, Vol.33 (3), p.306-313
• Main Authors: Amin, Priya B., Bradford, Chad D., Rizos, Albert L., Shah, Bijal M.
• Format: Article
• Language: English
• Subjects: Humans; Patient Discharge; Patient Readmission; Pilot Projects; Retrospective Studies; Skilled Nursing Facilities
• ISSN: 0897-1900; 1531-1937
• DOI: 10.1177/0897190018803229

Background: There is a lack of published literature that measures the impact of transitional care pharmacist (TCP) medication-related interventions within the skilled nursing facility (SNF) setting. Objectives To evaluate the impact of TCP medication-related interventions on 30-day hospital readmissions among SNF patients compared to current standard of care. Methods: This was a retrospective pilot study. All patients included in the study were discharged from an inpatient facility to a SNF. The control group received transitional services from a care team with no pharmacist. The intervention group received transitional services from a care team plus a pharmacist. Results: The 30-day readmission rates in the intervention group were 14 (12%)/116 compared to the control group, 19 (16%)/116; however, the difference was not statistically significant (P = .35). The median time to readmission was statistically significantly longer in the intervention group, 17.5 days, compared to the control group, 10 days (P = .02). One hundred seventy-four medication-related interventions were performed in the intervention group during the study period. Conclusion: This study demonstrates that TCP interventions in an SNF are associated with a significant delay in readmission. A continuation of the pilot program may show a role in reducing all-cause 30-day readmission and ED visit rates.