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Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans
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| Zeitschriftentitel: | Journal of the American Geriatrics Society |
|---|---|
| Personen und Körperschaften: | , , , , , |
| In: | Journal of the American Geriatrics Society, 66, 2018, 3, S. 621-627 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Vandenberg, Ann E. Echt, Katharina V. Kemp, Lawanda McGwin, Gerald Perkins, Molly M. Mirk, Anna K. Vandenberg, Ann E. Echt, Katharina V. Kemp, Lawanda McGwin, Gerald Perkins, Molly M. Mirk, Anna K. |
|---|---|
| author |
Vandenberg, Ann E. Echt, Katharina V. Kemp, Lawanda McGwin, Gerald Perkins, Molly M. Mirk, Anna K. |
| spellingShingle |
Vandenberg, Ann E. Echt, Katharina V. Kemp, Lawanda McGwin, Gerald Perkins, Molly M. Mirk, Anna K. Journal of the American Geriatrics Society Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans Geriatrics and Gerontology |
| author_sort |
vandenberg, ann e. |
| spelling |
Vandenberg, Ann E. Echt, Katharina V. Kemp, Lawanda McGwin, Gerald Perkins, Molly M. Mirk, Anna K. 0002-8614 1532-5415 Wiley Geriatrics and Gerontology http://dx.doi.org/10.1111/jgs.15247 <jats:sec><jats:title>Abstract</jats:title><jats:p>Suboptimal prescribing persists as a driver of poor quality care of older veterans and is associated with risk of hospitalization and emergency department visits. We adapted a successful medication management model, Integrated Management and Polypharmacy Review of Vulnerable Elders (<jats:styled-content style="fixed-case">IMPROVE</jats:styled-content>), from an urban geriatric specialty clinic to rural community‐based clinics that deliver primary care. The goals were to promote prescribing quality and safety for older adults, including reduced prescribing of potentially inappropriate medications (<jats:styled-content style="fixed-case">PIM</jats:styled-content>s). We augmented the original model, which involved a pharmacist‐led, one‐on‐one medication review with high‐risk older veterans, to provide rural primary care providers (<jats:styled-content style="fixed-case">PCP</jats:styled-content>s) and pharmacists with educational outreach through academic detailing and tools to support safe geriatric prescribing practices, as well as individual audit and feedback on prescribing practice and confidential peer benchmarking. Twenty <jats:styled-content style="fixed-case">PCP</jats:styled-content>s and 4 pharmacists at 4 rural Georgia community‐based outpatient clinics participated. More than 7,000 older veterans were seen in more than 20,000 <jats:styled-content style="fixed-case">PCP</jats:styled-content> encounters during the 14‐month intervention period. Implementation of the <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> intervention reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prescribing incidence from 9.6 new medications per 100 encounters during baseline to 8.7 after the intervention (<jats:italic>P</jats:italic> = .009). <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prevalence (proportion of encounters involving veterans who were taking at least 1 <jats:styled-content style="fixed-case">PIM</jats:styled-content>) from 22.6% to 16.7% (<jats:italic>P</jats:italic> < .001). These approaches were effective in reducing <jats:styled-content style="fixed-case">PIM</jats:styled-content>s prescribed to older veterans in a rural setting and constitute a feasible model for disseminating geriatric best practices to the primary care setting.</jats:p></jats:sec> Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans Journal of the American Geriatrics Society |
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10.1111/jgs.15247 |
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Journal of the American Geriatrics Society |
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49 |
| title |
Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_unstemmed |
Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_full |
Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_fullStr |
Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_full_unstemmed |
Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_short |
Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_sort |
academic detailing with provider audit and feedback improve prescribing quality for older veterans |
| topic |
Geriatrics and Gerontology |
| url |
http://dx.doi.org/10.1111/jgs.15247 |
| publishDate |
2018 |
| physical |
621-627 |
| description |
<jats:sec><jats:title>Abstract</jats:title><jats:p>Suboptimal prescribing persists as a driver of poor quality care of older veterans and is associated with risk of hospitalization and emergency department visits. We adapted a successful medication management model, Integrated Management and Polypharmacy Review of Vulnerable Elders (<jats:styled-content style="fixed-case">IMPROVE</jats:styled-content>), from an urban geriatric specialty clinic to rural community‐based clinics that deliver primary care. The goals were to promote prescribing quality and safety for older adults, including reduced prescribing of potentially inappropriate medications (<jats:styled-content style="fixed-case">PIM</jats:styled-content>s). We augmented the original model, which involved a pharmacist‐led, one‐on‐one medication review with high‐risk older veterans, to provide rural primary care providers (<jats:styled-content style="fixed-case">PCP</jats:styled-content>s) and pharmacists with educational outreach through academic detailing and tools to support safe geriatric prescribing practices, as well as individual audit and feedback on prescribing practice and confidential peer benchmarking. Twenty <jats:styled-content style="fixed-case">PCP</jats:styled-content>s and 4 pharmacists at 4 rural Georgia community‐based outpatient clinics participated. More than 7,000 older veterans were seen in more than 20,000 <jats:styled-content style="fixed-case">PCP</jats:styled-content> encounters during the 14‐month intervention period. Implementation of the <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> intervention reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prescribing incidence from 9.6 new medications per 100 encounters during baseline to 8.7 after the intervention (<jats:italic>P</jats:italic> = .009). <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prevalence (proportion of encounters involving veterans who were taking at least 1 <jats:styled-content style="fixed-case">PIM</jats:styled-content>) from 22.6% to 16.7% (<jats:italic>P</jats:italic> < .001). These approaches were effective in reducing <jats:styled-content style="fixed-case">PIM</jats:styled-content>s prescribed to older veterans in a rural setting and constitute a feasible model for disseminating geriatric best practices to the primary care setting.</jats:p></jats:sec> |
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| author | Vandenberg, Ann E., Echt, Katharina V., Kemp, Lawanda, McGwin, Gerald, Perkins, Molly M., Mirk, Anna K. |
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| description | <jats:sec><jats:title>Abstract</jats:title><jats:p>Suboptimal prescribing persists as a driver of poor quality care of older veterans and is associated with risk of hospitalization and emergency department visits. We adapted a successful medication management model, Integrated Management and Polypharmacy Review of Vulnerable Elders (<jats:styled-content style="fixed-case">IMPROVE</jats:styled-content>), from an urban geriatric specialty clinic to rural community‐based clinics that deliver primary care. The goals were to promote prescribing quality and safety for older adults, including reduced prescribing of potentially inappropriate medications (<jats:styled-content style="fixed-case">PIM</jats:styled-content>s). We augmented the original model, which involved a pharmacist‐led, one‐on‐one medication review with high‐risk older veterans, to provide rural primary care providers (<jats:styled-content style="fixed-case">PCP</jats:styled-content>s) and pharmacists with educational outreach through academic detailing and tools to support safe geriatric prescribing practices, as well as individual audit and feedback on prescribing practice and confidential peer benchmarking. Twenty <jats:styled-content style="fixed-case">PCP</jats:styled-content>s and 4 pharmacists at 4 rural Georgia community‐based outpatient clinics participated. More than 7,000 older veterans were seen in more than 20,000 <jats:styled-content style="fixed-case">PCP</jats:styled-content> encounters during the 14‐month intervention period. Implementation of the <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> intervention reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prescribing incidence from 9.6 new medications per 100 encounters during baseline to 8.7 after the intervention (<jats:italic>P</jats:italic> = .009). <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prevalence (proportion of encounters involving veterans who were taking at least 1 <jats:styled-content style="fixed-case">PIM</jats:styled-content>) from 22.6% to 16.7% (<jats:italic>P</jats:italic> < .001). These approaches were effective in reducing <jats:styled-content style="fixed-case">PIM</jats:styled-content>s prescribed to older veterans in a rural setting and constitute a feasible model for disseminating geriatric best practices to the primary care setting.</jats:p></jats:sec> |
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| spelling | Vandenberg, Ann E. Echt, Katharina V. Kemp, Lawanda McGwin, Gerald Perkins, Molly M. Mirk, Anna K. 0002-8614 1532-5415 Wiley Geriatrics and Gerontology http://dx.doi.org/10.1111/jgs.15247 <jats:sec><jats:title>Abstract</jats:title><jats:p>Suboptimal prescribing persists as a driver of poor quality care of older veterans and is associated with risk of hospitalization and emergency department visits. We adapted a successful medication management model, Integrated Management and Polypharmacy Review of Vulnerable Elders (<jats:styled-content style="fixed-case">IMPROVE</jats:styled-content>), from an urban geriatric specialty clinic to rural community‐based clinics that deliver primary care. The goals were to promote prescribing quality and safety for older adults, including reduced prescribing of potentially inappropriate medications (<jats:styled-content style="fixed-case">PIM</jats:styled-content>s). We augmented the original model, which involved a pharmacist‐led, one‐on‐one medication review with high‐risk older veterans, to provide rural primary care providers (<jats:styled-content style="fixed-case">PCP</jats:styled-content>s) and pharmacists with educational outreach through academic detailing and tools to support safe geriatric prescribing practices, as well as individual audit and feedback on prescribing practice and confidential peer benchmarking. Twenty <jats:styled-content style="fixed-case">PCP</jats:styled-content>s and 4 pharmacists at 4 rural Georgia community‐based outpatient clinics participated. More than 7,000 older veterans were seen in more than 20,000 <jats:styled-content style="fixed-case">PCP</jats:styled-content> encounters during the 14‐month intervention period. Implementation of the <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> intervention reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prescribing incidence from 9.6 new medications per 100 encounters during baseline to 8.7 after the intervention (<jats:italic>P</jats:italic> = .009). <jats:styled-content style="fixed-case">IMPROVE</jats:styled-content> reduced <jats:styled-content style="fixed-case">PIM</jats:styled-content> prevalence (proportion of encounters involving veterans who were taking at least 1 <jats:styled-content style="fixed-case">PIM</jats:styled-content>) from 22.6% to 16.7% (<jats:italic>P</jats:italic> < .001). These approaches were effective in reducing <jats:styled-content style="fixed-case">PIM</jats:styled-content>s prescribed to older veterans in a rural setting and constitute a feasible model for disseminating geriatric best practices to the primary care setting.</jats:p></jats:sec> Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans Journal of the American Geriatrics Society |
| spellingShingle | Vandenberg, Ann E., Echt, Katharina V., Kemp, Lawanda, McGwin, Gerald, Perkins, Molly M., Mirk, Anna K., Journal of the American Geriatrics Society, Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans, Geriatrics and Gerontology |
| title | Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_full | Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_fullStr | Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_full_unstemmed | Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_short | Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| title_sort | academic detailing with provider audit and feedback improve prescribing quality for older veterans |
| title_unstemmed | Academic Detailing with Provider Audit and Feedback Improve Prescribing Quality for Older Veterans |
| topic | Geriatrics and Gerontology |
| url | http://dx.doi.org/10.1111/jgs.15247 |