MVC discusses pharmacy inclusion in the patient with congestive heart failure.

1. CHFWorkgroup
February 13th, 2020
To improve the health of Michigan through sustainable, high-value healthcare

2. Agenda
Introductions
Data and Literature Review: Pharmacists Role in Follow-Up
Discussion
Wrap Up

3. Data and
Literature
Review

4. Guidelines for
follow-up care
The Institute for Healthcare Improvement Triple Aim
The American Heart Association
American College of Cardiology

5. Use of
Pharmacists
for reducing
readmissions
 Addition of a pharmacist to transitions of care programs
 Pharmacists help promote medication adherence
 Use of pharmacy students to provide telephone follow-up within
7-14 days to provide medication information.
 Increased opportunity for ambulatory care pharmacist to be
integrated into primary care teams
 Bridge gaps not covered by hospital-based programs

6. Multidisciplinary
team members Cardiologist
Physician
Nurse specializing in heart failure/cardiology
PharmacistSocialWorker
Care Manager/Discharge Planner Dietician

7. Discussion
Overview
Brainstorm future practices and barriers
Analyze trends
Share current practices

8. Discussion
 What is your recommended follow-up time frame for your
discharged HF patients?
 Do you perform follow-up telephone calls?
 At what time intervals?
 What is your transition of care protocol?
 Do you have criteria for a follow-up visit to a cardiologist?
 If they are scheduled with their primary care physician, how do
you know follow-up has occurred?

9. Discussion
 Do you utilize a pharmacist or pharmacy students for
 Medication education?
 Medication reconciliation?
 Follow-up telephone calls?
 What criteria do you use to determine post-acute care placement?
 Who is on your multidisciplinary team?
 Does the team meet on a regular basis to review cases?
 How is communication handled so everyone has the same
information, including the patient?
 What type of data do you track?

10. NextSteps
 Next CHF Workgroup:Thursday, April 9th 2:00 pm to 3:30 pm
 Deliverable &Topic: Ronnie Richards will discuss Holland
Hospitals Heart Failure Clinic.

11. Resources
 McKay, C. et al., Systematic Review and Meta-analysis of Pharmacist-Led
Transitions of Care Services on the 30-Day All-Cause Readmission Rate of
Patients withCongestive Heart Failure. Clinical Drug Investigation 39 703-712
(2019) https://link.springer.com/article/10.1007/s40261-019-00797-2
 Slazak, E. et al., Pharmacist-led transitions-of-care services in primary care
settings: Opportunities, experiences, and challenges. Journal of theAmerican
Pharmacists Association (2019) https://doi.org/10.1016/j.japh.2019.11.016
 Murphy, J. A, et al. Implementation of a CardiacTransitions of Care Pilot
Program:A ProspectiveStudy of Inpatient andOutpatientClinical Pharmacy
Services for PatientsWith Heart Failure Exacerbation or Acute Myocardial
Infarction. Journal of Pharmacy Practice (2017)
https://doi.org/10.1177%2F0897190017743129
 Neu, R. et al., Impact of Pharmacist Involvement in Heart FailureTransition of
Care. Annals of Pharmacotherapy (2019)
https://doi.org/10.1177%2F1060028019882685
 Plakogiannis, R. et al., Impact of PharmacyStudent–Driven Post-discharge
TelephoneCalls on Heart Failure Hospital Readmission Rates:A Pilot Program.
Hospital Pharmacy. (2018) https://doi.org/10.1177%2F0018578718769243