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Development of an Interprofessional Pharmacist-Nurse Navigation Pediatric Discharge Program
Summary
Adding pharmacy discharge services to a nurse-led program improved care transitions for complex pediatric patients. This collaboration identified numerous medication interventions and generated significant cost savings.
Area of Science:
- Pharmacy
- Pediatrics
- Healthcare Management
Background:
- Clinically complex pediatric patients face significant challenges during hospital-to-home transitions.
- Existing nurse-led discharge services (patient navigation programs) aim to mitigate these challenges.
Purpose of the Study:
- To integrate pharmacy discharge services into an established nurse-led patient navigation program.
- To enhance the care transition process for clinically complex pediatric patients.
Main Methods:
- Pharmacists resolved medication discrepancies, provided discharge counseling, and conducted post-discharge follow-up calls.
- Data collected included patient demographics, diagnoses, medications, and pharmacist interventions.
- Program utilization and financial benefits were assessed.
Main Results:
- The program received 321 referrals; 56 (17%) patients received pharmacy discharge counseling.
- Pharmacists identified 168 interventions, with 93.5% accepted or informational.
- Estimated cost savings of $22,308 were achieved in the first 5 months.
Conclusions:
- A collaborative partnership between nurses and pharmacists effectively facilitated the discharge of complex pediatric patients.
- The integrated service demonstrated positive impacts on patient care and financial outcomes.
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