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Pharmaceutical services in a capitated geriatric care program

T A Sorrento1, K C Bonanza, D W Salisbury

  • 1General Apothecary, Rochester General Hospital, NY, USA.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|December 1, 1996
PubMed
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A hospital outpatient pharmacy enhanced pharmaceutical services for a capitated geriatric care program, improving medication management and reducing costs for seniors in the Independent Living for Seniors (ILS) program.

Area of Science:

  • Geriatric Pharmacy
  • Ambulatory Care Pharmacy
  • Healthcare Management

Background:

  • Capitated geriatric care programs require integrated pharmaceutical services.
  • Hospital outpatient pharmacies can play a key role in managing medications for elderly populations.
  • The Independent Living for Seniors (ILS) program aimed to support seniors living at home.

Purpose of the Study:

  • To describe the planning and implementation of pharmaceutical services for a capitated geriatric care program.
  • To evaluate the impact of hospital outpatient pharmacy services on medication management and cost within the ILS program.

Main Methods:

  • A hospital outpatient pharmacy established distributive and clinical services for ILS enrollees.
  • A dedicated pharmacist was assigned to the ILS program.

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  • A new computerized medication administration record was developed, and a formulary was established.
  • The pharmacist functioned as part of an interdisciplinary team, reviewing charts and recommending therapy changes.

    • Main Results:

    • Medication stock issues at daycare centers were resolved.
    • A cost reduction from approximately $120 to $77 per patient per month was achieved.
    • Improved medication management and cost-effectiveness were demonstrated.

    Conclusions:

    • Hospital outpatient pharmacies can successfully implement comprehensive pharmaceutical services for capitated geriatric care programs.
    • Integrated pharmaceutical care improves patient outcomes and reduces healthcare expenditures.
    • Collaboration within interdisciplinary teams is crucial for effective geriatric medication management.