title: Home-Based Comprehensive Medication Reviews: Pharmacist's Impact on Drug Therapy Problems in Geriatric Patients.
abstract: OBJECTIVE
  To evaluate the effects of pharmacist-conducted, home-based comprehensive medication reviews (CMRs) on drug therapy problems (DTPs) in geriatric patients.
  
  
  METHODS
  Pre-/postintervention study.
  
  
  METHODS
  Grocery store chain affiliated with three independent living facilities.
  
  
  METHODS
  Twenty-five older adults using pharmacy delivery services for at least three chronic medications.
  
  
  METHODS
  A pharmacist conducted a home-based CMR for each participant. DTPs were identified across 13 categories. Patients received a medication action plan post-CMR. A follow-up patient phone call was completed two weeks following the appointment. Patient profiles were reviewed for three months postintervention for changes in DTPs.
  
  
  METHODS
  Changes in DTPs per patient and changes in five Centers for Medicare & Medicaid Services triple-weighted Star Rating performance measures.
  
  
  RESULTS
  The average DTPs identified per patient were reduced from 3.4 ± 2.06 to 1.48 ± 1.68 (P < 0.05) DTPs three months postintervention. The most common categories identified-nonadherence and incorrect administration/ technique-were significantly reduced (P = 0.012 and P = 0.010, respectively). One Star Rating performance measure significantly improved: 68% of patients taking hypertension medications were adherent at baseline and 91% were adherent three months post-CMR (P = 0.016).
  
  
  CONCLUSIONS
  Pharmacist-provided, home-based CMRs reduced the average number of DTPs per patient. The most common categories of DTPs identified-nonadherence and incorrect administration/technique-were reduced postintervention.
authors.affiliation: Balls Food Stores/Price Chopper, Overland Park, Kansas, USA.
authors.forename: Katelyn M
authors.initials: KM
authors.lastname: Steele
authors.forename: Janelle F
authors.initials: JF
authors.lastname: Ruisinger
authors.forename: Jessica
authors.initials: J
authors.lastname: Bates
authors.forename: Emily S
authors.initials: ES
authors.lastname: Prohaska
authors.forename: Brittany L
authors.initials: BL
authors.lastname: Melton
authors.forename: Stephanie
authors.initials: S
authors.lastname: Hipp
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003157:Community Pharmacy Services; D064420:Drug-Related Side Effects and Adverse Reactions / Q000517:prevention & control; D005260:Female; D005853:Geriatrics / Q000639:trends*; D006699:Home Care Services; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D008297:Male; D006278:Medicare / Q000592:standards; D055118:Medication Adherence; D054539:Medication Therapy Management / Q000458:organization & administration*; D010593:Pharmaceutical Services / Q000458:organization & administration; D010595:Pharmacists; D013689:Telephone; D014481:United States
chemical_list: D000959:Antihypertensive Agents