The Health System Pharmacist and TeleHealth Strategies

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
TMT Editorial Team
Keyword(s):  
Health System ◽  
Long Term Care ◽  
Vice President ◽  
Medication Therapy Management ◽  
Term Care ◽  
Corporate Development ◽  
Medication Therapy ◽  
Key Points ◽  
Medicine Today

No abstract available. Editor’s note: The Pharmacy Podcast Show serves pharmacy businesses, including independent retail, long-term care, specialty, and small chains. During this interview, Dr. Jeff Kosowsky, Senior Vice President of Corporate Development of American Well, a telehealth company, discusses telehealth-like technologies in the pharmacy industry and health system pharmacies, including consultations and medication therapy management. The entire interview is presented here. Below, Telehealth and Medicine Today has summarized the key points by Dr. Kosowsky during an interview with Todd Eury, Founder & Publisher of Pharmacy Podcast.

scholarly journals MaineHealth: Development, Implementation, and Success in Telehealth for Home Care

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Robert Abel
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Long Term Care ◽  
Opinion Leaders ◽  
Term Care ◽  
National Conference ◽  
Chief Nursing Officer ◽  
Care At Home ◽  
Medicine Today

No abstract available. Editor’s note: On March 16th and 17th, 2017, Telehealth and Medicine Today convened a national conference of opinion leaders to discuss and debate “Technologies and Tactics Transforming Long-term Care.” What follows is the lecture by Robert Abel who is the Chief Nursing Officer and Director of Palliative Care for MaineHealth Care at Home, a member of the MaineHealth system.

Physicians’ Preferences for Communication of Pharmacist-Provided Medication Therapy Management in Community Pharmacy

2016 ◽  
Vol 30 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Kendall D. Guthrie ◽  
Steven C. Stoner ◽  
D. Matthew Hartwig ◽  
Justin R. May ◽  
Sara E. Nicolaus ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Medication Therapy Management ◽  
Survey Study ◽  
Cross Sectional ◽  
Term Care ◽  
Prospective Survey ◽  
Therapy Management ◽  
Medication Therapy ◽  
Communication Practices

Objectives: (1) To identify physicians’ preferences in regard to pharmacist-provided medication therapy management (MTM) communication in the community pharmacy setting; (2) to identify physicians’ perceived barriers to communicating with a pharmacist regarding MTM; and (3) to determine whether Missouri physicians feel MTM is beneficial for their patients. Methods: A cross-sectional prospective survey study of 2021 family and general practice physicians registered with MO HealthNet, Missouri’s Medicaid program. Results: The majority (52.8%) of physicians preferred MTM data to be communicated via fax. Most physicians who provided care to patients in long-term care (LTC) facilities (81.0%) preferred to be contacted at their practice location as opposed to the LTC facility. The greatest barriers to communication were lack of time and inefficient communication practices. Improved/enhanced communication was the most common suggestion for improvement in the MTM process. Approximately 67% of respondents reported MTM as beneficial or somewhat beneficial for their patients. Conclusions: Survey respondents saw value in the MTM services offered by pharmacists. However, pharmacists should use the identified preferences and barriers to improve their currently utilized communication practices in hopes of increasing acceptance of recommendations. Ultimately, this may assist MTM providers in working collaboratively with patients’ physicians.

A Rapid Qualitative Appraisal of the Impact of COVID-19 on Long-term Care Communities in the United States: Perspectives from Area Aging Staff and Advocates

2020 ◽  
Vol 79 (4) ◽  
pp. 313-322
Author(s):  
Andrea Freidus ◽  
Dena Shenk ◽  
Christin Wolf
Keyword(s):  
Long Term Care ◽  
The United States ◽  
Qualitative Assessment ◽  
Physical And Mental Health ◽  
Term Care ◽  
Care Community ◽  
Care Workers ◽  
Key Points ◽  
The Impact

The COVID-19 epidemic has hit residents and staff of congregate long-term care communities particularly hard. In North Carolina, the site of this research, over half of registered mortality has been associated with congregate living communities. This article reports on phase one of a rapid qualitative assessment of long-term care professionals and regional aging staff navigating care during this epidemic. Our purpose is twofold. We demonstrate both the value of rapid qualitative appraisals to capture the perspectives and concerns of COVID-19’s long-term care workers and area aging staff, in this case, the staff and advocates that care for and protect the rights of long-term care community residents as well as present data collected in this phase. Key points raised focus on safety, including access and use of personal protective equipment, infection control, limited testing, and staffing issues. In addition, participants expressed concerns about the physical and mental health of residents because they have been isolated from family and friends since the executive order closed these communities to all non-essential people. We will utilize these data, in collaboration with staff and advocates, to inform policy and programming to better address the needs of both residents and staff of long-term care communities.

scholarly journals Long-term care in the health system: European tendencies and Bulgarian experience

2018 ◽  
Vol 66 (4) ◽  
Author(s):  
Teresa Vasileva ◽  
Marilena Pittara ◽  
Sarina Yanakieva ◽  
Elka Atanasova ◽  
Stefka Koeva
Keyword(s):  
Health System ◽  
Long Term Care ◽  
Term Care

scholarly journals A Health System Response to COVID ‐19 in Long‐Term Care and Post‐Acute Care: A Three‐Phase Approach

2020 ◽  
Vol 68 (6) ◽  
pp. 1155-1161 ◽  
Author(s):  
Gina Kim ◽  
Mengru Wang ◽  
Hanh Pan ◽  
Giana H. Davidson ◽  
Alison C. Roxby ◽  
...  
Keyword(s):  
Health System ◽  
Acute Care ◽  
Long Term Care ◽  
System Response ◽  
Term Care ◽  
Phase Approach ◽  
Three Phase ◽  
Post Acute Care

scholarly journals Health Sector responses to the COVID-19 pandemic in Ontario, Canada – January to May 2020

2020 ◽  
Vol 18 (1) ◽  
pp. 106-120
Author(s):  
Iwona A. Bielska ◽  
Derek R. Manis ◽  
Connie Schumacher ◽  
Emily Moore ◽  
Kaitlin Lewis ◽  
...  
Keyword(s):  
Health System ◽  
Long Term Care ◽  
Health Sector ◽  
Medical Officer ◽  
Future Health ◽  
State Of Emergency ◽  
Term Care ◽  
Delivery Of Care ◽  
The Impact

The first positive case of COVID-19 in Canada was reported on January 25, 2020, in the city of Toronto, Ontario. Over the following four months, the number of individuals diagnosed with COVID-19 in Ontario grew to 28,263 cases. A state of emergency was announced by the Premier of Ontario on March 17, 2020, and the provincial health care system prepared for a predicted surge of COVID-19 patients requiring hospitalization. The Chief Medical Officer of Health and the Minister of Health guided the changes in the system in response to the evolving needs and science related to COVID-19. The pandemic required a rapid, concerted, and coordinated effort from all sectors of the system to optimize and maximize the capacity of the health system. The response to the pandemic in Ontario was complex with some sectors experiencing multiple outbreaks of COVID-19 (i.e. long-term care homes and hospitals). Notably, numerous sectors shifted to virtual delivery of care. By the end of May 2020, it was announced that hospitals would gradually resume postponed or cancelled services. This paper explores the impact of the COVID-19 pandemic on multiple health system sectors (i.e., public health, primary care, long-term care, emergency medical services, and hospitals) in Ontario from January to May 2020. Given the scope of the sectors contributing to the health system in Ontario, this analysis of a regional response to COVID-19 provides insight on how to improve responses and better prepare for future health emergencies.

The Importance of Electronic Health Record Access For Accurately Completing Drug Regimen Reviews

2021 ◽  
Vol 36 (7) ◽  
pp. 350-356
Author(s):  
Kaylee A. Mehlman ◽  
Victoria Cho ◽  
Timothy W. Meyers
Keyword(s):  
Electronic Health Record ◽  
Long Term Care ◽  
Health Record ◽  
Current Standard ◽  
Term Care ◽  
Medication Therapy ◽  
Increased Risk ◽  
Standard Of Practice ◽  
Electronic Health

OBJECTIVE: To challenge the standard of practice by evaluating the identification of medication discrepancies found depending on type of access to an electronic health record (EHR). In other words, is there a difference in the number of discrepancies between a pharmacist with only access to the postacute long-term care (PALTC) EHR (ie, single-access pharmacist [SAP]) compared with a pharmacist with access to both the PALTC and hospital EHRs (ie, dual-access pharmacist DAP) In October 2018, the Improving Medicare PostAcute Care Transformation (IMPACT) Act mandated admission drug review (DRR) upon admission to a postacute, long-term care (PALTC) facility.<br/> SUMMARY:This was a prospective study investigating the occurrence of medication therapy problems (MTP) identified by two different DRR processes; SAP versus DAP. Data were collected in a community hospital and a stand-alone PALTC facility. It was found that the DAP identified more safety-related medication needs and medication omissions than an SAP. There was a significant association between the type of access and whether a MTP (ie, yes or no) was discovered, the type of medication-related need, and MTP category.<br/> CONCLUSION: These results strongly suggest that current standard of practice should change to require access to both hospital and PALTC EHR systems for a pharmacist completing the medication reconciliation. Until the gap in EHR interoperability is closed, the potential breakdown in communication associated with SAP places patients transitioning from hospital to PALTC facilities at increased risk for medication problems and accompanying adverse medication events.

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