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Older adults often take multiple medications, leading to potential adverse events and increased medical costs. Medication management involves screening, identification, and structured assessment to address issues with medication use. Implementing evidence-based guidelines and interventions can significantly improve health outcomes and prevent avoidable adverse events in the elderly population. Learn more about the impactful Medication Management Model and its successful results in resolving medication-related problems among older adults.
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The Need for Medication Management • Older people take over 1/3 of all Rx drugs and half of older people take 3+ meds • Multiple physicians prescribing multiple medications • Documented adverse drug events • 7,000 deaths each year • $2 BILLION annually for medical costs • At least 25% of adverse events are preventable
What is “Medication Management”? • Medication screening • During multiple phases in the pharmaceutical process • Implementation of change strategies to fix identified problems • Use of human and/or computerized technology • Use of evidence-based guidelines as decisional support mechanisms
Home Health Criteria & Medication Management Model Intervention • Inappropriate therapeutic duplication of meds • Cardiovascular med poblems • Inappropriate psychotropic med use with concurrent falls or confusion; and • Inappropriate use of non-steroidal anti-inflammatory drugs
Core Elements of MMM • Screening and identification of problems using a computerized screening algorithm • Structured in-home assessment • Pharmacist and nurse made recommendations to address problem and contacted the MD • Nurse assisted person with med changes and monitored effects of change
MMM Results • Overall, med problems resolved for 50% of intervention group compared to 38% of control • For therapeutic duplication: 71% resolved in intervention group compared to 24% in control • Model is feasible, flexible and sustainable as an in-home service to frail older adults
For More Information • See Partners in Care Foundation Homemeds Medication Safety Program at www.picf.org