An evaluation of acuity adjustment metrics to track medication expense over time

Brink, H.; Naseman, Ryan W.; Porter, Kyle; Reed, Erica E; Tubbs, Crystal

doi:10.2146/ajhp140755

Cited by 2 publications

(2 citation statements)

References 4 publications

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Section: Introductionmentioning

confidence: 99%

“…1,2 Length of stay (LOS) is a clinical outcome measure used to measure efficiency within hospitals and health systems. 3 Extended LOS not only decreases reimbursement margins, but is also associated with risk to patients (eg, falls, infections). 4 New and innovative pharmacy practice models, along with reallocation of resources, are necessary to meet the current and future demands of the United States health care system.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Targeted Pharmacist Interventions to Reduce Length of Stay in an Acute Care Practice Model

et al. 2018

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Background: Despite widespread recognition of the need for innovative pharmacy practice approaches, the development and implementation of value-based outcomes remains difficult to achieve. Furthermore, gaps in the literature persist because the majority of available literature is retrospective in nature and describes only the clinical impact of pharmacists’ interventions. Objective: Length of stay (LOS) is a clinical outcome metric used to represent efficiency in health care. The objective of this study was to evaluate the impact of pharmacist-driven interventions on LOS in the acute care setting. Methods: A separate samples pretest-posttest design was utilized to compare the effect of pharmacist interventions across 3 practice areas (medicine, hematology/oncology, and pediatrics). Two time periods were evaluated: preimplementation (PRE) and a pilot period, postimplementation of interventions (POST). Interventions included targeted discharge services, such as discharge prescription writing (with provider cosignature). Participating pharmacists completed semistructured interviews following the pilot. Results: A total of 924 patients (466 PRE and 458 POST) were included in the analysis. The median LOS decreased from 4.95 (interquartile range = 3.24-8.5) to 4.12 (2.21-7.96) days from the PRE versus POST groups, respectively ( P < 0.011). There was no difference in readmission rates between groups (21% vs 19.1%, P = 0.7). Interviews revealed several themes, including positive impact on professional development. Conclusion and Relevance: This pilot study demonstrated the ability of pharmacist interventions to reduce LOS. Pharmacists identified time as the primary barrier and acknowledged the importance of leaders prioritizing pharmacists’ responsibilities. This study is novel in targeting LOS, providing a value-based outcome for clinical pharmacy services.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of Targeted Pharmacist Interventions to Reduce Length of Stay in an Acute Care Practice Model

et al. 2018

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Optimization of critical care pharmacy clinical services: A gap analysis approach

Newsome

Murray²,

Smith

et al. 2021

American Journal of Health-System Pharmacy

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Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

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An evaluation of acuity adjustment metrics to track medication expense over time

Abstract: A single-institution study demonstrated that PIW was more strongly correlated than RW with actual medication expenditure. PIS may be a more accurate acuity metric than CMI for predicting changes in drug expense over time.

Cited by 2 publications

References 4 publications

Evaluation of Targeted Pharmacist Interventions to Reduce Length of Stay in an Acute Care Practice Model

Evaluation of Targeted Pharmacist Interventions to Reduce Length of Stay in an Acute Care Practice Model

Optimization of critical care pharmacy clinical services: A gap analysis approach

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