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Pharmacist-managed medication review in a managed care system

L R Borgsdorf¹, J S Miano, K K Knapp

¹Kaiser Permanente, Bakersfield, CA.

American Journal of Hospital Pharmacy

|March 15, 1994

Summary

A pharmacist-managed medication review service identified problems in over 60% of medications. This program reduced patient healthcare utilization and costs, demonstrating the value of pharmacist-led medication management.

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Area of Science:

Pharmacoeconomics
Clinical Pharmacy Practice
Health Services Research

Background:

A medication-review service was established in 1991 at a managed care facility.
This service involves in-depth medication analysis and patient consultation by a pharmacist.
Patients are referred to the service for comprehensive medication assessment.

Purpose of the Study:

To evaluate the effectiveness and impact of a pharmacist-managed medication-review service.
To assess medication-related problems, patient outcomes, and healthcare utilization.
To determine the cost-effectiveness of pharmacist-led medication management.

Main Methods:

Review of data on medication-related problems for new patients over 12 months.
Analysis of patient demographics and service utilization over 23 months.
Comparison of healthcare service utilization 12 months before and after service participation.

Main Results:

An average of 64.9% of reviewed medications were found to be problematic monthly.
836 patients were seen, averaging 2.6 diagnoses and 4.7 drugs each.
A subgroup showed reduced unscheduled visits and hospital days, with calculated savings of $644 per patient annually.

Conclusions:

Pharmacist-managed medication review effectively identifies medication-related problems.
The service leads to decreased healthcare utilization and significant cost savings.
Implementing such programs can optimize medication therapy and improve patient outcomes.

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