Ageism and person centered care riverside

1. Creating a Person-
Centered Approach to
Medication Administration

3. Personal Transformation
Marge Orzolek,
Pharmacist Consultant
Margarita.Orzolek@rivhs.com

4. Personal Decision to
Support the Change
Emmeline Gasink, MD

5. Evaluation of the
Personalized Medication
Program
Amal Badawoud, PharmD

6. Compare the medication administration experience
within Riverside Health System nursing homes and
assisted living residences
Facilities implementing a personalized medication
program (n=3) with facilities using traditional
medication administration (n=3)
Goal

7. Methods
▪ Surveyed facility medication administration
staff, nursing management, providers and
pharmacists
▪ Collected data from facility and pharmacy
records
▪ Approved by VCU and Riverside IRB

8. PMP Traditional P-value*
# of Medication administration staff participants 14 8
Response rate 87.5% 66.7%
Amount of time spent giving meds/treatments 0.061
30-60 minutes 2 0
1-2 hours 3 0
2-3 hours 4 0
3-4 hours 3 5
5+ hours 2 3
Time spent with residents doing things not RX 0.229
Less than 30
minutes
0 1
30 – 60 minutes 2 2
1-1.5 hours 2 3
1.5-2 hours 6 0
2-3 hours 1 1
3+ hours 3 1
Survey Findings

9. Survey Findings
Medication Administration
Staff
(n=14)
Director of nursing and
nurse mentors
(n=4)
Providers
(n=5)
Pharmacist
(n=2)
Overall satisfaction
with PMP
Extremely satisfied
(29%)
Moderately satisfied
(50%)
Not satisfied or dissatisfied
(14%)
Moderately dissatisfied (7%)
Extremely satisfied
(100%)
Extremely satisfied
(40%)
Moderately satisfied
(60%)
Extremely satisfied (50%)
Moderately satisfied
(50%)
Perception of
residents
experience
Extremely favorable
(100%)
Extremely favorable
(40%)
Favorable
(40%)
Not sure
(20%)
Perception of
families
experience
Extremely favorable
(50%)
Favorable
(50%)
Extremely favorable
(40%)
Favorable (40%)
Not sure (20%)
Recommending the
PMP to others
Yes (86%)
No (14%)
Yes (100%) Yes (100%) Yes (100%)

10. Key Findings
▪ Most are satisfied with the program
― Spending more time engaged with
residents and less time administering
medications
▪ Almost all would recommend the
program for other facilities