In this single center interventional study, researchers employed “nurse discharge advocates” to perform several in-hospital functions (medication reconciliation, ensuring PCP follow up, education of diagnoses and medications, assess health literacy, etc) and a pharmacist post-discharge (phone call 2-4 days later to review medications, answer questions, relay information to PCP, etc). The nurse spent about 90 minutes per patients, and the pharmacist spent 30 minutes per patient. The researchers found the intervention patients had fewer hospital utilizations in the 30 days post-discharge, for a cost savings of $412 per patient. What strikes me most about this is how much time it actually takes to “do it right”. This article is worth reading (abstract).
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