Pharmacist Home Visits, Call Center Help High-Risk Patients to Manage Medication Adherence, Avoid Readmission

A new medication management program sends clinical pharmacists into high-risk patients’ homes in order to manage their medication adherence and lifestyles, according to Lahey Health and Dovetail Health, who are partnering in the program.

Lahey Health Enhanced Care Program targets the 35,000 patients managed through Lahey’s Medicare Shared Savings Accountable Care Organization (ACO) and engages them in their home and community to prevent hospital readmissions through medication reconciliation, optimization and education.

To do this, Dovetail Health schedules and sends its specially trained clinical pharmacists into the homes of patients identified as high risk, and then continues to manage the patients with a pharmacist-led call center. These specially trained pharmacists help patients understand what medications they are supposed to take and why, remove any barriers to taking medications as prescribed, and ensure patients are not having any medication side effects. These pharmacists can also take steps to optimize medication regimens based on patients’ medical conditions.

While there is a focus on medications, visiting the patient in their own environment enables the Dovetail Health clinician to evaluate the holistic picture of the patient and their challenges to staying healthy. These challenges can include their home environment, social support system, and level of understanding of other instructions for care from a variety of physicians, among others. The Dovetail Health team gathers this information, coordinates a care plan tailored to the patient, and shares that plan with the patient, the patient’s physicians and other care team members.

Source: Dovetail Health, September 3, 2014

42 Metrics for Improving Medication Adherence

42 Metrics for Improving Medication Adherence provides convincing evidence of the impact of nine key interventions on medication non-adherence— from the presence of pharmacists in patient-centered medical homes to medication reconciliation conducted during home visits.

This entry was posted in Accountable Care Organizations, affordable care act, Care Coordination, Home Healthcare, Medication Adherence and tagged , , . Bookmark the permalink.
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