Ageism and person centered care riverside

Creating a Person-Centered Approach to

Medication Administration

Personal Transformation

Marge Orzolek, Pharmacist Consultant

Margarita.Orzolek@rivhs.com

Personal Decision to Support the Change

Emmeline Gasink, MD

Evaluation of the Personalized Medication Program

Amal Badawoud, PharmD

Compare the medication administration experience within Riverside Health System nursing homes and assisted living residences

Facilities implementing a personalized medication program (n=3) with facilities using traditional medication administration (n=3)

Goal

Methods

▪ Surveyed facility medication administration staff, nursing management, providers and pharmacists

▪ Collected data from facility and pharmacy records

▪ Approved by VCU and Riverside IRB

PMP Traditional P-value*

# of Medication administration staff participants 14 8Response rate 87.5% 66.7%Amount of time spent giving meds/treatments       0.061

  30-60 minutes 2 0    1-2 hours 3 0    2-3 hours 4 0    3-4 hours 3 5    5+ hours 2 3  Time spent with residents doing things not RX       0.229  Less than 30

minutes 0 1  

  30 – 60 minutes 2 2    1-1.5 hours 2 3    1.5-2 hours 6 0    2-3 hours 1 1    3+ hours 3 1  

Survey Findings

Survey FindingsMedication Administration Staff (n=14)

Director of nursing and nurse mentors (n=4)

Providers (n=5)

Pharmacist (n=2)

Overall satisfaction with PMP

Extremely satisfied (29%) Moderately satisfied (50%) Not satisfied or dissatisfied (14%) Moderately dissatisfied (7%)

Extremely satisfied (100%)

Extremely satisfied (40%) Moderately satisfied (60%)

Extremely satisfied (50%) Moderately satisfied (50%)

Perception of residents experience

Extremely favorable (100%)

Extremely favorable (40%) Favorable (40%) Not sure (20%)

Perception of families experience

Extremely favorable (50%) Favorable (50%)

Extremely favorable (40%) Favorable (40%) Not sure (20%)

Recommending the PMP to others

Yes (86%) No (14%)

Yes (100%) Yes (100%) Yes (100%)

Key Findings

▪ Most are satisfied with the program

― Spending more time engaged with residents and less time administering medications

▪ Almost all would recommend the program for other facilities