Medication Management

Bringing Medication Management Home
The Facts:
  • Older adults are by far the largest users of medications.  According to one national survey, 17-19% of adults aged 65 or older take at least ten medications (prescription or nonprescription drug, vitamin/mineral, herbal /natural supplement) in a given week. 1                        
  • While medications certainly help to improve a patient’s quality of life, preventing medication-related problems among older adults is a serious concern. Each year, adverse drug events (ADEs) - harm resulting from the use of medication - result in over 177,000 visits to emergency departments by older adults. 2                         
  • The cost for treating preventable ADEs among Medicare enrollees has been estimated at $887 million annually. 3

    The AmeraCare Home Health specially-trained team implements strategies and techniques to help prevent ADEs and other issues associated with poor medication management.  Our medication management team includes the:
    Skilled Field Nurse
    • Reviews the Medication Administration Record during each patient visit to assess for ADEs
    • Evaluates and addresses patient medication adherence
    • Provides education on medication safety to the patient/caregiver
    • Delivers and provides training on the use of the agency-provided pill organizer

    Proactive Case Manager
    • Completes Medication Field Audit visits to corroborate findings of the skilled field nurse
    • Determines if the patient would benefit from a visit from the physical therapist, occupational therapist, speech therapist, and/or medical social worker and refers accordingly
    • Coordinates accurate and effective communication with the interdisciplinary team
    Medical Director
    • Meets biweekly with the  Case Manager  to discuss each patient
    Budnitz DS, Pollock DA, Weidenbach KN, Mendelsohn AB, Schroeder TJ, Annest JL. National surveillance of emergency department visits for outpatient adverse drug events. JAMA 2006;296:1858-66.
    Slone Epidemiology Center at Boston University. Patterns of medication use in the United States, 2006. Accessed May 25, 2015.
    Aspden P, Wolcott JA, Bootman JL, Cronenwett LR, eds. Preventing Medication Errors: Quality Chasm Series. Washington DC: National Academies Press; 2006.
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