A Pharmacist's Impact on 30-Day Readmission Rates When Compared to the Current Standard of Care Within a Patient-Centered Medical Home: A Pilot Study

J Pharm Pract. 2016 Aug;29(4):368-73. doi: 10.1177/0897190014568671. Epub 2015 Jan 28.


Objective: To evaluate the effect transition of care follow-up and counseling performed by a pharmacist, within a physician's practice, can have on 30-day hospital readmissions among Medicare patients when compared to the current standard of care

Methods: A pharmacist telephonically contacted patients ≥65 years with Medicare insurance following hospital discharge to perform medication reconciliation, review discharge instructions, and schedule a follow-up appointment (n = 34). At this follow-up appointment, the pharmacist reviewed the patient's electronic medical record (EMR) and communicated recommendations to the physician. The current standard of care, which does not involve a pharmacist, at a similar local physician practice was used as a comparative group (n = 45) RESULTS: The difference in 30-day readmission rates did not reach statistical significance (P = .27); however, there was a trending decrease in the percentage of patients readmitted between the control and the intervention groups (26.7% vs 14.7%). Additionally, there was nearly a statistically significant decrease in readmission rates for those patients who interacted with the pharmacist face to face versus only telephonically (P = .05) CONCLUSIONS: These results impact the decision to continue and expand the pilot program and demonstrate that pharmacists in the ambulatory setting based within a patient-centered medical home have a potential role in decreasing 30-day hospital readmissions.

Keywords: clinical pharmacists; hospital readmissions; medication reconciliation; patient-centered medical home; transition of care.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Medication Reconciliation / methods
  • Medication Reconciliation / standards
  • Medication Reconciliation / trends*
  • Patient Readmission / trends*
  • Patient-Centered Care / methods
  • Patient-Centered Care / standards
  • Patient-Centered Care / trends*
  • Pharmacists* / standards
  • Pilot Projects
  • Professional Role*
  • Standard of Care / standards
  • Standard of Care / trends*
  • Time Factors