2021 NCAP Scientific Posters
Title: Identifying barriers to utilization of a medication access program among referred patients surveyed after discharge from an acute care hospital
Authors: Paige E. Greene, T. Wells, A. Wright, J. Wood, J. McLellan, R. Bowers, J. Angell, E. Hudson, M. Pitt
Background/Purpose: For uninsured residents of select counties in North Carolina, the Cumberland County Medication Access Program (CCMAP) provides prescriptions at no cost. Uninsured patients hospitalized at Cape Fear Valley Medical Center are referred to CCMAP at discharge by Cape Fear Valley Health System employees, primarily Coordination of Care personnel and Outpatient Pharmacy personnel. The purpose of this study is to describe the most frequently reported utilization barriers among surveyed patients referred to CCMAP following discharge from Cape Fear Valley Medical Center. Methods: This is a single-center, survey-based, descriptive research study. Referring Cape Fear Valley Health System employees collected the Medical Record Number (MRN) of patients referred to CCMAP at discharge between 10/22/2020 and 12/31/2020. These patients were contacted by a research team member via telephone at least 30 days after discharge to
voluntarily participate in a survey regarding their ability to receive prescriptions from CCMAP after discharge. Patient reported utilization barriers and demographics were recorded. A similar survey was voluntarily completed by referring Health System employees. Employee reported utilization barriers were collected to identify discrepancies in perceived utilization barriers among discharged patients and referring Health System employees.
Results: There were 69 patients referred to CCMAP at discharge by Outpatient Pharmacy personnel. A total of 17 patients met inclusion criteria and completed the survey. Of these, 35.29% of patients reported their greatest utilization barrier to be uncertainty about how to apply for CCMAP. Additionally, 25 surveys were completed by referring Outpatient Pharmacy personnel. Of these, 56% of participants reported they believe the greatest utilization barrier to be patient uncertainty about how to apply for CCMAP. Conclusions: Uninsured patients discharged from Cape Fear Valley Medical Center could benefit from increased assistance with completing CCMAP applications and enrollment with the program prior to discharge in order to improve continuity of care. •••••••••••••••••••••••••••••••• Page 9
Title: Benefits of utilizing pharmacy learners in an inpatient anticoagulation education service Authors: Carrie Baker, PharmD, MBA, BCPS; Emily Ghassemi, PharmD, MSCR, BCACP, CDE, CPP; Riley Bowers, PharmD, BCCP, BCPS Institution: Cape Fear Valley Medical Center, Fayetteville, NC; Campbell University College of Pharmacy & Health Sciences, Buies Creek, NC
Objective. The 2019 Hospital National Patient Safety Goal 03.05.01 indicates education regarding anticoagulant therapy should be provided to patients and families. Previous studies assessing pharmacist and pharmacy learner involvement in oral anticoagulation (OAC) education services have focused on patient-related outcomes, with limited emphasis on the additional benefit to the learner. The purpose of this study was to assess the benefit of pharmacy learner involvement in anticoagulation education services both clinically and through their perceptions of participating in the service. Methods. This prospective cohort study utilized assessments of both learners’ knowledge and perceptions of providing OAC education before and after a 1-month learning experience, where students provided counseling 2-3 days per
