NCT05346770

Pharmacist-led Interventions to Improve Medication Use

Pharmacist-led Interventions to Improve Medication Use: Series of Case-reports

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 25 (estimated)
• Sponsor: Tabula Rasa HealthCare · Industry
• Sex: All
• Age: 18 Years
• Healthy volunteers: —

Summary

The objective of this project is to stimulate identification and report of patient's medical story for whom their clinical conditions beneficiated from pharmacists' interventions based on a medication safety review. Cases will be systematically identified and reported in the scientific (peer review journals) and clinical communities in order to inform and provide better care.

Detailed description

METHODS TRHC aims to collect data about participants using direct or retrospective observations such as patient's demographics, medical lab tests, clinical decision support systems, and examination of medical records and drugs. Specific case studies could include medication safety reviews, behavioral interventions, pharmacogenomic testings (PGx), and prospective or retrospective analyses of a patient's drug regimen, or medical records. Case reports covered under this protocol will be limited to single case reports. TRHC pharmacists will maintain their routine health care practices. TRHC clinical research scientists and/or pharmacy residents will provide assistance and guidance. The writing process will be performed and supervised by TRHC scientist researchers. Setting and Practice Description TRHC, d/b/a CareKinesis, is the first national pharmacy that provides science-based medication risk identification and mitigation technologies and services. CareKinesis utilizes medication decision support tools and pharmacists certified in geriatrics to provide pharmacy services for various healthcare organizations including PACE organizations (described above). Presently, CareKinesis services more than 35 PACE organizations, including approximately 100 PACE sites, across the United States. As a national PACE pharmacy provider since 2011, CareKinesis focuses on improving medication regimens to reduce medication-related risks while enhancing economic, clinical and humanistic outcomes. Pharmacist-led PGx clinical services and medication safety reviews are currently being offered to PACE organizations under the direction of licensed healthcare prescribers by TRHC (CareKinesis). In addition, TRHC provides risk stratification and medication safety review for non-PACE organizations and national health plans to identify trends in medication prescribing, and healthcare expenditures by risk level. This allows TRHC (CareKinesis) to assess large populations throughout the United States to validate the MedWise® clinical decision support system. Each case report will be limited to a single patient.

Conditions

• Pharmacogenomics
• Old Age

Interventions

Type	Name	Description
BEHAVIORAL	Behavioral Intervention	A behavioral intervention could include changing the time of day a drug is taken.
DIAGNOSTIC_TEST	Diagnostic Test	A patient may receive a pharmacogenomic test via cheek swab to find PGx results. This is a benign intervention with little to no risk to the patient.
OTHER	Data Analysis	Medication safety reviews, and retrospective or prospective data analysis may occur as a result of participation in a case study.

Timeline

• Start date: 2022-01-25
• Primary completion: 2024-01-24
• Completion: 2024-07-24
• First posted: 2022-04-26
• Last updated: 2022-09-02

Locations

1 site across 1 country: United States