A hospital within a hospital: An innovative pharmacy model to improve the continuum of care.
Purpose To describe the implementation of a contracted pharmacy service model for a co-located long-term acute care hospital (LTAC). Summary Historically, most LTACs have been free-standing healthcare facilities, but there is an increased trend towards the co-located LTAC ("hospital within a hospita...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 80; no. 19; pp. 1364 - 1371 |
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| Autores principales: | , , , , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
10/1/2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172330913&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172330913 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 10/1/2023 vid: 80 iid: 19 pid: 622 pub: Oxford University Press / USA artinfo: ui: 172330913 172330913 172330913 10.1093/ajhp/zxad131 172330913 ppf: 1364 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A hospital within a hospital: An innovative pharmacy model to improve the continuum of care. aug: au: Deyhim, Niaz Saini, Anita Beck, Amanda Everett, Nichelle S Agbara, Echefula I affil: Department of Pharmacy Services, Houston Methodist Hospital, Houston, TX, and Department of Pharmacy Services, Houston Methodist Continuing Care Hospital – Texas Medical Center , Houston, TX , USA sug: subj: Contract Services Pharmacy Service Continuity of Patient Care Long Term Care Acute Care Ancillary Services, Hospital Health Care Delivery, Integrated Collaboration Leadership Licensure Accreditation Information Technology Voluntary Reporting Quality Improvement Texas ab: Purpose To describe the implementation of a contracted pharmacy service model for a co-located long-term acute care hospital (LTAC). Summary Historically, most LTACs have been free-standing healthcare facilities, but there is an increased trend towards the co-located LTAC ("hospital within a hospital") model. Co-located LTACs represent a solution for the management of patient throughput within a health system, with optimized bed capacity at the host hospital, increased revenue under a prospective payment system, and reduced readmission rates. A co-located LTAC will likely share resources with the host hospital, including ancillary departments such as pharmacy services, through a contractual model. Operationalization of pharmacy services in a co-located LTAC presents unique challenges in the integration of pharmacy services. Pharmacy leaders at Houston Methodist collaborated with executive leadership and other healthcare disciplines to expand services from a free-standing LTAC to a co-located LTAC at the academic medical center location. The contracted pharmacy service operationalization processes in the co-located LTAC comprised licensure and regulations, accreditation, information technology enhancements, a staffing model, operations/distribution services, clinical services, and a defined quality reporting structure. Admissions from the host hospital to the LTAC consisted of patients requiring long-term antibiotic administrations, pre– and post–organ transplant care, complex wound care, oncologic-related treatment, and neurological rehabilitation for strengthening and continued care. Conclusion The framework described here offers guidance to health-system pharmacy departments to support establishment of a co-located LTAC. The case study outlines challenges, considerations, and processes for implementation of a successful contracted pharmacy service model. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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