Developing pharmacy services in a home hospital program: The Mayo Clinic experience
Margaret Peinovich1, Robert Darracott2,3, Jordan Dow4
1Medically Home, Boston, MA, USA.
Summary
Home hospital programs offer a new model for patient care. This article details developing pharmacy services for home hospital programs, aiding others in creating their own.
Area of Science:
- Healthcare delivery models
- Pharmacy practice
- Acute care
Background:
- Home hospital programs are an emerging patient care model.
- The impact of these programs on hospital pharmacy is not well understood.
- The COVID-19 pandemic accelerated interest in home-based acute care.
Purpose of the Study:
- To describe the development of pharmacy services within a home hospital program.
- To provide guidance for other organizations establishing home hospital pharmacy services.
Main Methods:
- Development of clinical pharmacy services aligned with inpatient and ambulatory care.
- Modification of dispensing functions to meet the unique needs of home hospital care.
- Integration of pharmacy into the home hospital care team over two years.
Main Results:
- A robust pharmacy presence was established within the home hospital care team.
- A comprehensive medication management approach was developed.
- Clinical and dispensing activities were adapted for the home environment.
Conclusions:
- Home hospital medication management presents complexities and significant opportunities for pharmacy involvement.
- Pharmacy services are integral to the success of home hospital programs.
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