A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.
Background: Virtual collaborative models are a practical way to implement a supportive environment for multi‐team learning. In this project, we aimed to describe the processes and outcomes of a virtual deprescribing collaborative that facilitated implementation of deprescribing interventions around...
| Publicado en: | Journal of the American Geriatrics Society Vol. 71; no. 9; pp. 2935 - 2946 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Sep2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=171960829&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 171960829 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Sep2023 vid: 71 iid: 9 pid: 480 pub: Wiley-Blackwell artinfo: ui: 171960829 10.1111/jgs.18474 ppf: 2935 ppct: 11 formats: tig: atl: A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. aug: au: Phillips, Kristin K. Mecca, Marcia C. Baim‐Lance, Abigail M. Schiller, Gabrielle S. Pruskowski, Jennifer A. Ellis, Elizabeth C. Aponte‐Rosario, Deylen S. Federovich‐Hogan, Amanda L. Kossifologos, Annette C. Martinez, Erica D. Boockvar, Kenneth S. affil: Geriatric Research, Education, and Clinical Center (GRECC), VA Ann Arbor Healthcare System, Ann Arbor, MI, USA VA Connecticut Healthcare System, West Haven, CT, USA Yale School of Medicine, New Haven, CT, USA Geriatric Research, Education, and Clinical Center (GRECC), James J Peters Bronx VA Medical Center, Bronx, NY, USA Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA Icahn School of Medicine at Mount Sinai, New York, NY, USA CUNY Graduate School of Public Health and Health Policy, New York, NY, USA Geriatric Research, Education, and Clinical Center (GRECC), Pittsburgh Veteran Affairs Healthcare System, Pittsburgh, PA, USA Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA VA Eastern Colorado Health Care System, Aurora, CO, USA Central Texas Veterans Health Care System, Temple, TX, USA VA Pittsburgh Healthcare System, Pittsburgh, PA, USA Edward Hines, Jr. VA Hospital,, USA Geriatric Research, Education, and Clinical Center (GRECC), VA Puget Sound Health Care System, Seattle, WA, USA Department of Medicine—Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA Birmingham VA Health Care System, Birmingham, AL, USA su: Interprofessional relations Deprescribing Medical care of veterans Longitudinal method sug: subj: Interprofessional relations Administration of Veterans' Affairs Deprescribing Medical care of veterans Longitudinal method keyword: collaborative deprescribing older adults veterans health collaborative deprescribing older adults veterans health ab: Background: Virtual collaborative models are a practical way to implement a supportive environment for multi‐team learning. In this project, we aimed to describe the processes and outcomes of a virtual deprescribing collaborative that facilitated implementation of deprescribing interventions around the country. Methods: Two successive cohorts comprised of multidisciplinary teams from geographically diverse veterans affairs (VA) sites were selected via an application process to participate in a virtual deprescribing collaborative. Each site developed its own deprescribing protocol and took part in regular meetings, mentoring groups, monthly data reporting, and other learning activities over an approximate 9 month period, per cohort. Standard measures were number of veterans served and medications deprescribed. Descriptive and qualitative analyses were utilized. Results: Twenty‐one total VA sites were selected to participate in the deprescribing collaborative in two cohorts (Cohort 1, n = 12 sites; Cohort 2, n = 9 sites). The majority of sites' practice areas directly served the older adult population, and the majority of site leads were pharmacists. The most utilized tool used by the collaborative sites was the VA VIONE decision support tool (n = 14) and the most common strategy was individualized medication review. Combining outcomes from both Cohorts 1 and 2, a total of n = 4770 veterans were served, with 8332 medications deprescribed. Eighty‐two percent of Cohort 1 sites surveyed reported their deprescribing program was still being utilized after 1 year follow up. Conclusions: This virtual deprescribing collaborative aided in the successful implementation of both established and novel deprescribing practices across a variety of VA practice sites that care for older adults. The shared learning experience enhanced problem solving and allowed for interdisciplinary teamwork. Overall the collaborative was successful in improving polypharmacy for several thousand older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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