Optimising the Medication Management Continuum in a Private Hospital

Abstract

Aim: To audit the discharge process in a private hospital setting with a focus on clarity of discharge instructions. Method: A form was developed to collect data relating to the discharge process. The pharmacists for the neurology, surgical and cardiology wards at The Melbourne Private Hospital collected data over a 2-week period during December 2003. Results: Data relating to 270 patients discharged were collected. These data showed that discharge instructions were indicated on the drug chart in 52 (19%) cases. Discharge instructions were documented in the patient's case notes in 14 (5%) cases. Discharge prescriptions were written for submission to the Health Insurance Commission (as applicable), in 108 (40%) cases. Prescribers were contacted to clarify discharge instructions in 32 (12%) discharge episodes. Discharge medication requirements were established in consultation with the patient in 59 (22%) discharge episodes. Conclusion: The private hospital setting provides a number of challenges in obtaining complete and accurate information on discharge medication requirements. The pharmacist plays an important role in identifying the patient's discharge medication requirements and optimising the utilisation of the Pharmaceutical Benefits Scheme.