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Clinical Pharmacy Services - Measuring Impact on Inpatient Care

What are Clinical Pharmacy Services?  The Department of Pharmacy offers comprehensive clinical pharmacy services for all of our patient medication needs.  Our inpatient pharmacy staff provides 24/7 services for patients admitted to any of the Baystate Health-affiliated hospitals, while our outpatient pharmacy staff serves the residents of the Pioneer Valley for all of their ambulatory medication needs.  We also offer services to several outpatient/ambulatory clinics in the Springfield area, including a pharmacy-led clinic that helps patients effectively manage their medication regimens.

What new Clinical Pharmacy Services do we provide?  Over the last year, several pharmacy initiatives have been implemented in the inpatient setting that contribute to improvements in the delivery of safe, clinically-sound and cost-effective medication therapy for patients.

 

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Heart Failure Discharge Counseling

  • We have developed and implemented a program for patients with heart failure to make their discharge and transition to home process easier after an admission for a heart failure disease complication.  Medication and lifestyle counseling are the major areas of focus.  By using this service we have made an impact on readmissions and patient satisfaction-- 89% of patients counseled agreed they had a better understanding of their medications following the pharmacy consult.

 

Total Joint Replacement Program Counseling and Discharge Concierge Services

  • Patients scheduled for hip or knee replacements are seen by a member of the pharmacy team before their scheduled surgery to review the medications they will be receiving after their surgery.  Following surgery, the patients can have their prescriptions filled and delivered to their room by a member of our ambulatory pharmacy team.

 

Decentralized Pharmacy Services and Comprehensive Order Review

  • Pharmacists review 1.2 million medication orders entered by prescribers each year, intervening on about 2 out of every 100 orders verified.  Typical interventions include clinical recommendations to the prescriber, nurse or other healthcare provider regarding dose adjustments based on renal or hepatic function and age or weight parameters, as well as routine medication order clarifications.  Pharmacists are also available on the nursing units to work more closely with the patient care team and patients to facilitate delivery of medications, streamline therapy, and offer medication counseling. 

 

Electronic Intervention Reporting Program

  • All three Baystate Health hospitals, Baystate Medical Center, Baystate Franklin Medical Center and Baystate Mary Lane Hospital, use an electronic intervention reporting program that is integrated into a Cerner-PharmNet database which allows for streamlined documentation of interventions, as well as incorporation of the intervention in the patient's medical record.

 

 

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Baystate Mary Lane Hospital