PharmScript Offers Tips on Reducing Rehospitalizations

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With hospital readmissions for long-term care residents high, leading long-term care pharmacy PharmScript, offers tips on how long-term care providers can work with their pharmacy to reduce rehospitalizations.



Facilities can control many things, including staffing levels and skill mix, medication management and reconciliation, patient education and communication to help reduce hospital readmissions.

Hospital readmissions for residents are a growing concern for many long-term care facilities due to both financial impact and the disruption caused to the resident. Rehospitalizations are a resident safety concern and can lead to disorientation, hospital-acquired infections, pressure ulcers, and transfer trauma.

One in five elderly patients is back in the hospital within 30 days of discharge, according to a new Robert Wood Johnson Foundation report, and Commonwealth Fund research found that 40% of rehospitalizations from skilled nursing facilities (SNF) could be avoided.

“Certain factors contributing to rehospitalizations are out of a facility’s control including premature discharges not detected until after admission to the SNF, worsening of a condition requiring medical attention not typically available in a SNF and physician preferences and concerns about malpractice,” said Saul Greenberger, founder of PharmScript. “However, facilities can control many things, including staffing levels and skill mix, medication management and reconciliation, patient education and communication to help reduce hospital readmissions.

To help, PharmScript offers five ways long-term care providers can work with pharmacy to tailor medication management programs to specific needs of residents.

1. Medication Regimen Review
Make sure that the consultant responsible for monthly review does so with a focus that includes preventing, identifying, reporting, and resolving medication related problems and irregularities or potential for medication administration errors. Also, ensure your facility has a policy on such medication reviews for short term residents.

2. Medication Analysis
When a resident's experience falls or a change in condition, the consultant pharmacist is an asset in managing and treating acute or chronic conditions. When falls and other symptoms of decline occur, he/she can advise the team of risks, interactions, and potential outcomes of the prescribed medication regimen, complete with recommendations for next steps.

3. Enhanced Communication with Physicians
Communication between the pharmacist and physician generates an effective treatment menu for each resident. Nurses’ understanding of physician orders is strengthened through dialog with the pharmacy consultant.

4. Resident Education
Pharmacy providers can supply information about dosing, methods of administration, desired outcomes, potential side effects, and drug and food interactions, and more for residents whose discharge is anticipated in order to better prepare them for a successful transition to home.

5. Continuing Staff Education
A wide range of reports can be generated automatically or based on specific triggers you and your pharmacy provider identify as valuable to your efforts. Available reports include antibiotic usage for your infection control surveillance program, psychoactive medications to aide in behavior monitoring and dose reduction efforts, or any category or item you select as a target for notification.

To read more helpful tips on how to maximize the pharmacy experience, visit PharmScript’s learning center at

About PharmScript:

The unique principles upon which PharmScript was founded were based on years of invaluable experience in the long-term care industry. Comprised of a reputable and experienced management team, PharmScript is geared toward providing the ultimate pharmacy experience utilizing cutting-edge technology, impeccable customer service, and assisting facilities in saving on pharmacy costs. Pharmscript currently services New York, New Jersey, Pennsylvania, Delaware, Washington DC, Maryland, Florida and Texas.

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Saul Greenberger
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