Analysis of pharmacist-based medication management for children with medical complexity

Coordinating care for children and youngsters with specialized health care requirements and Medical Complexity (MC), particularly Medication Management (MM), poses significant challenges for providers, caregivers, and children. This research outlines the creation of a clinical pharmacotherapy performed in a pediatric long-term Healthcare Capacity (HCC), the implementation of standard procedures for Comprehensive Medicine Management (CMM), and the formation of a Cooperative Practice Arrangement (CPA) to direct the administration of drugs. A prospective case study includes 100 patients identified as MC in this HCC quality enhancement initiative during an 8-month duration. Medical Pharmacists (MPs) detected, averted, or resolved 1400 treatment problems, averaging 12 treatments per participant. The patients had an average of 9.8 complex chronic medical issues and a median duration of stay of 78 years. The mean number of medications per patient decreased from 25 to 22. A pharmacoeconomic evaluation of 245 therapies indicated an average direct cost reduction of $45k ($450 per patient per month) and a monthly cost prevention of $49k ($490 per patient per month). Twenty-eight emergency department admissions and sixty-one clinic and emergency room visits were averted. Hospital readmissions decreased by 45%. MPs’ suggestions achieved a 95% acceptance rate. Using a CPA to perform CMM in MC diminished pharmaceutical burden, addressed and averted problems, lowered healthcare-related expenses, decreased hospitalizations, and was effectively embraced and cooperatively executed with HCC physicians