Pharmacy Services

Pharmacy Services

Discharge and Reconciliation Programs

  • Project RED (re-engineered discharge)
    www.bu.edu/fammed/projectred
    Provides a summary of the project conducted at Boston University Medical Center. Website has a toolkit and access to the publications on this AHRQ funded project. The components is a 12 point program, with medication issues being one of the key features.
  • ASHP-APHA Care Transitions Best Practices
    media.pharmacist.com/practice/ASHP_APhA_Medication
    ManagementinCareTransitionsBestPracticesReport2_2013.pdf

    Best Practices from the ASHP-APHA Medication Management in Care Transitions Initiatives. Highlights 8 programs considering key features of each: Patient progress, pharmacy team involvement, use of technology, metrics, barriers, cost justification, and future plans.
  • C-TraC (Coordinated transitional care)
    www.hipxchange.org
    This includes a toolkit for coordinating discharges. Program developed by William S. Middleton Memorial VA, Madison, WI
  • Care Transitions
    www.caretransitions.org
    Care Transitions Intervention by Eric Coleman: framework for planning transitions using 4 pillars: Medication self-management, dynamic patient centered record, follow up, and red flags
  • Transitional Care Model (TCM)
    www.transitionalcare.info
    Transitional Care Model (TCM) by Mary Naylor; uses transitional care nurse position to coordinate care
  • BOOST (Better Outcomes by Optimizing Safe Transitions)
    www.hospitalmedicine.org/ResourceRoom
    Redesign/RR_CareTransitions/CT_Home.cfm

    Boosting Care Transitions: Society of Hospital Medicine Collaborative on care transitions. Provides resources to analyze current workflow, select effective interventions, redesign process, educate your team, and promote a team approach.
  • National Transitions of Care Coalition
    www.ntocc.org
    National Transitions of Care Coalition; provides many tools for developing care strategy and for various care settings
  • H2H
    www.h2hquality.org
    American College of Cardiology and Institute for Healthcare Improvement targeted for reducing readmissions in patients with cardiac disease
  • IHI Guide for improving transitions
    www.ihi.org/knowledge/Pages/Tools/HowtoGuide
    ImprovingTransitionsfromHospitaltoHomeHealth
    CareReduceAvoidableHospitalizations.aspx

    Sevin C, Evdokimoff M, Sobolewski S et al. How-to guide: improving transitions from the hospital to home health care to reduce avoidable rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; June 2013. A how to guide for managing transitions. includes transitions from hospital to community settings at SNF.
  • ASHP PPMI toolkit
    www.ashpadvantage.com/ppmitoolkit/default.html
    Resources for developing a business case for advancing pharmacy services
  • ASHP Leadership Tool Kit
    www.ashpfoundation.com/leadershiptoolkit
    Support material for conducting SWOT Analysis and leading transformational change.