Previous pharmacy models only included drug verification every 30 days, resulting in a loss of means to improve clinical care. Defining a strategy for the right medications for each patient involves “many costs,” Marshall said. Data sent from the hospital to the nursing home after admission can be confusing and from different platforms – and is “often in an unstructured format,” Marshall said. “Therefore, if the patient changes their attitude, timing can be a problem for us, whereas we have a whole staff of employees who run billing insurance companies,” Marshall said, adding that there is an imbalance between how insurance companies operate and the needs of a nursing home operator. For example, medication errors can increase hospital returns, he warned. Within 24 hours of ingestion, a Consonus pharmacist conducts an assessment of the scope of a patient`s current and historical medication plan, including a full medication comparison and data verification, to define an appropriate medication strategy. In preparation for the PDPM, PharMerica expected more complex patients to be admitted to facilities across the country and developed educational materials within its advisory group, such as policies and procedures around NPWT, a form of nutritional probe. According to Consonus, the pharmacy generates additional revenue of 2 to 2.50 $US per day, based on Nursing and Non-Therapy Ancillary (NTA) points. In other words, if a length of stay is 20 days, the increased reimbursement for that patient totals 40 $US, Marshall said. “So we`ve changed and increased our game from an education and consulting perspective to really help these facilities, including some of these small facilities that haven`t admitted these types of acute patients before,” said Stephen Creasey, director of clinical services at PharMerica.
“Now these rural pharmacies need training and help to accommodate these types of patients, because they are a more financially advantageous patient for them.” Checking a patient`s medication schedule is slightly delayed upon admission and can take 24 hours, even with today`s electronic records. Ideally, this verification process would take place earlier, allowing care providers to develop a medication strategy before the patient arrives, and the plan would be in place immediately, Marshall said. “So we have to go through the pages and pages of the documentation to find, for example, a missing drug that hasn`t been added to the patient`s profile,” Marshall said. “If you add that to the patient population, it becomes a significant number,” Marshall said. Editor`s Note: An earlier version of this story incorrectly identified Consonus` parent company; It`s Marquis Companies, based in Milwaukie, Oregon, not the Marquis Health Services of New Jersey. SNN regrets the error. Remedi SeniorCare opened its 12th pharmacy in Chicago this month and expanded its locations in Tampa, Florida, Detroit and Houston. According to CEO Jeffrey Stamps, the Baltimore-based company has seen 30 percent annual growth in skilled nursing, despite an industry initiative to reduce the use of common medications such as antipsychotics and antibiotics. PharMerica expands its reach to partnerships with operators that serve people with intellectual and developmental disabilities, while increasing the focus on the care home market by 1% to 2% compared to the previous year. . .