Pharmacist Role in HF Patients Transition of Care

Study Overview
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Brief Summary
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To assess the effectiveness of pharmacist's provided education in HF patients, in improving patients' knowledge and self-efficacy, and to assess the impact of this intervention on the rate of hospital readmission and emergency visits at 30-days, 60-days and 90-days after discharge.

Detailed Description
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Transition of care is one of the new disciplines that pharmacists have been involved-in within the healthcare system. It is a process where a patient's care is shifting from one setting to another. During this process, transitional care is designed to ensure continuity of patient care across different sites or across different levels of care within the same facility. For example, from Intensive Care Unit (ICU) to the ward, from hospital to home, or from hospital to rehab centers. Many stakeholders are involved in this process, and coordination between them is necessary to have successful one, in addition to logistical arrangements, and patient education. Otherwise, poor communication, inadequate patient education, and lack of access to healthcare services, will produce failure of having a smooth transition and could result in negative health outcomes including complications in the patient's disease status, emergency room visits or hospital readmissions. Not only that these negative health outcomes are affecting the patient, they are also negatively affecting the healthcare spending in the United States. For instance, inadequate care coordination and management of care transitions accounted for $25 to $45 billion in wasteful spending in 2011 through preventable adverse events and hospital readmissions. Therefore, cost containment and reducing the excessive spending in healthcare is an important aim of transition of care, secondary to improving patient outcomes. Pharmacist's role in Transition of care: Pharmacists have the knowledge, training and expertise to play a major role in the transition of care process. They are involved in dispensing the patient's medications at the hospital, ensuring that the patient's medication chart is updated, identify any medication discrepancy, provide medication reconciliation, medication education, patient counseling at discharge and they could follow-up with the patients after discharge to check if they filled their prescription, what side effects are they having, and monitor their adherence to their treatment plan. These pharmacist's interventions have been applied, among other approaches, by hospitals to improve the quality of their services and minimize the rate of readmissions.

Official Title
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Pharmacist Role in HF Patients Transition of Care: Randomized Clinical Trial (RCT)

Conditions
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Heart Failure

Intervention / Treatment
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* Behavioral: Pharmacist intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Admitted HF patients at WKBH Patients with primary or secondary diagnosis of HF Discharged to Home 18 years old or older Exclusion Criteria: ≥ 90 years old Patients with major comorbidities such as cancer, end-stage kidney disease, and liver failure Patients with memory problems such as dementia and Alzheimer's disease Patients discharged to places other than home Patients who are unable to understand or follow discharge instructions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pharmacist intervention group<br>The intervention group will receive: A phone call 48h-72h after discharge from the hospital to ensure that the patient filled their prescriptions and started taking their medication. A phone call five to seven days after discharge to reinforce the education using the teach back technique1. Patients will be asked about their medications, what are they for, how to use them, and what side effects to watch for, based on the education and information that was provided to them at discharge. | Behavioral: Pharmacist intervention<br>* Pharmacist counseling and follow-up phone calls<br>|
| No Intervention: usual care group<br>The control group will receive the usual standard care available at West Kendall Baptist Hospital. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in knowledge | The investigators will measure patient's knowledge about heart failure using a 15 item questionnaire, at baseline (at recruitment) before they get the discharge counseling at West Kendall Baptist Hospital (WKBH), then the investigators will measure it again 30 days, 60 days, and 90 days after discharge to evaluate the change in the patient's knowledge and how much information did the patients retain after the discharge counseling. | at baseline, 30 days, 60 days and 90 days after hospital discharge | 
| change in self-efficacy using a 16 items scale | the investigators will measure patient's self-efficacy, using a 16 items scale, at baseline (at recruitment) before the patients get the discharge counseling at West Kendall Baptist Hospital (WKBH), then the investigators will measure it again 30 days, 60 days, and 90 days after discharge to evaluate the change in the patient's self-efficacy and ability to take care of themselves before and after they receive the discharge counseling and be educated about heart failure and how to manage it. | at baseline, 30 days, 60 days and 90 days after hospital discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| hospital readmission rate |  | 30 days after hospital discharge | 
| hospital readmission rate |  | 60 days after hospital discharge | 
| hospital readmission rate |  | 90 days after hospital discharge | 
| number of emergency visits |  | 30 days after hospital discharge | 
| number of emergency visits |  | 60 days after hospital discharge | 
| number of emergency visits |  | 90 days after hospital discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Heart Failure, HF, CHF, RCT, Self-efficacy, Pharmacy, Pharmacist, Transition of Care, Readmission