Discharge Prescription Management Resources

Discharge prescription management services are defined as bedside delivery and discharge prescription filling

Corresponding PPMI Recommendations

• B23L: Establishment of processes to ensure medication-related continuity of care for discharged patients
• B20: Pharmacists should facilitate medication-related continuity of care

Wisconsin Transitions of Care Survey Results

• 42% of sites have an interest in implementing discharge prescription management
• 16% of sites state that pharmacy has a role in discharge prescription management
  • 66.1% have outpatient pharmacy services
  • 21% have mail order pharmacy services
  • 8.1% have bedside discharge prescription services
  • 22.6% have an off-site retail pharmacy location
  • 58.1% have an on-site hospital retail pharmacy
• 14.6% of sites verify completion of medication reconciliation with pre-admission medications when filling discharge prescriptions

Guideline Statements

ASHP-APhA Medication Management in Care Transitions Best Practices
Post-discharge follow-up practices may use the following methods for cost justification:

• Prescription capture
• Mail order revenue generation

ASHP-APhA Guideline Statements
Numerous barriers are known to exist for patients accessing their medications at discharge. High cost medications requiring prior authorizations, insurance gaps, and unfilled prescriptions can lead to delays of care and non-adherence. Up to 50% of written prescriptions never reach a pharmacy. With this in mind, institutions across the country have utilized pharmacy personnel to anticipate discharge needs and facilitate the acquisition of medications at discharge.

• Proactive medication assistance plan enrollment
• Prior authorization coordination in advance of discharge
• Medication delivery to the bedside
• Collaboration of the inpatient and outpatient pharmacist on determination of the patient’s medication management needs
• Mail order delivery service
• For patients on high cost, high-risk medications (transplant, oncology, HIV) or patients who are non-adherent

References can be found here.