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- W1995409167 abstract "The HSCT program at Dana-Farber/Brigham and Women's Cancer Center was experiencing increasing instances of unexpected pharmacy benefit crises and associated delayed discharge, provision of emergency medications at time of discharge at the expense of the hospital, and last minute crisis management by many staff members. After review and analysis of the root causes for these problems, an infrastructure was established to focus on early intervention during the HSCT work-up process to identify and address a set of risks associated with a significant subset of HSCT patients, including psychosocial support needs, lack of outpatient caregiver, financial shortfalls, complex pharmacy benefit plans and insurance restrictions that contribute to medication access crises. New positions were proposed and filled – an Ambulatory Care Coordination Nurse (ACCRN) and a Pharmacy Resource Specialist (PRS). These key resources work together with other members of patients' transplant team from social work, ambulatory and inpatient care coordination, the clinical team, the transplant coordination team, and financial counseling staff. The ACCRN researches the patient's high risk issues, incorporating patient information provided by other team members to plan a safe and organized discharge. Pharmacy benefits and calculation of the expected pharmacy costs are presented to the patient in advance of the transplant admission. The PRS researches drug assistance programs as needed. The CCRN and the PRS discuss drug coverage options with the patient and assist with completion of necessary paperwork. After 18 months of service, this effort has yielded significantly fewer discharge medication issues, has reduced emergency medication dispensing at the time of discharge, generated a smoother discharge path for the inpatient care coordination and clinical team, generated greater patient satisfaction and understanding of post transplant care and costs, and reduced instances of extended days in hospital due to delayed discharge." @default.
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- W1995409167 date "2011-02-01" @default.
- W1995409167 modified "2023-09-30" @default.
- W1995409167 title "Efforts to Manage and Reduce Discharge Pharmacy Crises Among High Risk HSCT Patients" @default.
- W1995409167 doi "https://doi.org/10.1016/j.bbmt.2010.12.614" @default.
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