Abstract
Aim: We evaluated the impact of quality improvement interventions at different time points on the uptake of collaborative Home Medicines Reviews (HMRs).
Methods: National interventions to promote HMRs, comprising patient-specific prescriber feedback and tailored educational materials for patients and clinicians, were conducted in 2004, 2006 and 2011 through the Veterans’ Medicines Advice and Therapeutics Education Services (Veterans’ MATES) program. Primary care patients taking multiple medicines were targeted in each intervention, while primary care patients taking multiple medicines who did not receive the intervention served as comparisons. Monthly HMR rates among targeted patients and a comparison group in the 9 months post-intervention were determined using health claims data from the Australian Government Department of Veterans’ Affairs and compared using log binomial regression models. Overall trends in the rate of HMRs between November 2001 and December 2016 were also determined.
Results: Over 40 000 patients were targeted in each HMR intervention. Relative increases in HMR uptake were observed among patients targeted in the 2004 intervention (rate ratio (RR) 1.76 (1.39, 2.22), p < 0.0001), the 2006 intervention (RR 1.45 (1.19, 1.76), p = 0.0002) and the 2011 intervention (RR 2.81 (2.34, 3.37), p < 0.0001) compared to the comparison group. Overall, the monthly HMR rate increased from 0.2 per 1000 patients in November 2001 to 2.7 per 1000 patients in December 2012.
Conclusion: Regular repetition of quality improvement messages has led to sustained increases in HMR uptake among Australian veterans over the last decade.
| Original language | English |
|---|---|
| Pages (from-to) | 222-230 |
| Number of pages | 9 |
| Journal | Journal of Pharmacy Practice and Research |
| Volume | 48 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1 Jun 2018 |
| Externally published | Yes |
Keywords
- Australia
- medicines review
- prescriber feedback
- quality improvement
Cite this
}
Sustaining practice change in health care : the impact of a national quality improvement program on the uptake of collaborative medicines reviews. / Kalisch Ellett, Lisa M.; Pratt, Nicole L.; Sluggett, Janet K.; Ramsay, Emmae N.; Kerr, Mhairi; LeBlanc, Vanessa T.; Barratt, John D.; Gilbert, Andrew L.; Roughead, Elizabeth E.
In: Journal of Pharmacy Practice and Research, Vol. 48, No. 3, 01.06.2018, p. 222-230.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Sustaining practice change in health care
T2 - the impact of a national quality improvement program on the uptake of collaborative medicines reviews
AU - Kalisch Ellett, Lisa M.
AU - Pratt, Nicole L.
AU - Sluggett, Janet K.
AU - Ramsay, Emmae N.
AU - Kerr, Mhairi
AU - LeBlanc, Vanessa T.
AU - Barratt, John D.
AU - Gilbert, Andrew L.
AU - Roughead, Elizabeth E.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Aim: We evaluated the impact of quality improvement interventions at different time points on the uptake of collaborative Home Medicines Reviews (HMRs). Methods: National interventions to promote HMRs, comprising patient-specific prescriber feedback and tailored educational materials for patients and clinicians, were conducted in 2004, 2006 and 2011 through the Veterans’ Medicines Advice and Therapeutics Education Services (Veterans’ MATES) program. Primary care patients taking multiple medicines were targeted in each intervention, while primary care patients taking multiple medicines who did not receive the intervention served as comparisons. Monthly HMR rates among targeted patients and a comparison group in the 9 months post-intervention were determined using health claims data from the Australian Government Department of Veterans’ Affairs and compared using log binomial regression models. Overall trends in the rate of HMRs between November 2001 and December 2016 were also determined. Results: Over 40 000 patients were targeted in each HMR intervention. Relative increases in HMR uptake were observed among patients targeted in the 2004 intervention (rate ratio (RR) 1.76 (1.39, 2.22), p < 0.0001), the 2006 intervention (RR 1.45 (1.19, 1.76), p = 0.0002) and the 2011 intervention (RR 2.81 (2.34, 3.37), p < 0.0001) compared to the comparison group. Overall, the monthly HMR rate increased from 0.2 per 1000 patients in November 2001 to 2.7 per 1000 patients in December 2012. Conclusion: Regular repetition of quality improvement messages has led to sustained increases in HMR uptake among Australian veterans over the last decade.
AB - Aim: We evaluated the impact of quality improvement interventions at different time points on the uptake of collaborative Home Medicines Reviews (HMRs). Methods: National interventions to promote HMRs, comprising patient-specific prescriber feedback and tailored educational materials for patients and clinicians, were conducted in 2004, 2006 and 2011 through the Veterans’ Medicines Advice and Therapeutics Education Services (Veterans’ MATES) program. Primary care patients taking multiple medicines were targeted in each intervention, while primary care patients taking multiple medicines who did not receive the intervention served as comparisons. Monthly HMR rates among targeted patients and a comparison group in the 9 months post-intervention were determined using health claims data from the Australian Government Department of Veterans’ Affairs and compared using log binomial regression models. Overall trends in the rate of HMRs between November 2001 and December 2016 were also determined. Results: Over 40 000 patients were targeted in each HMR intervention. Relative increases in HMR uptake were observed among patients targeted in the 2004 intervention (rate ratio (RR) 1.76 (1.39, 2.22), p < 0.0001), the 2006 intervention (RR 1.45 (1.19, 1.76), p = 0.0002) and the 2011 intervention (RR 2.81 (2.34, 3.37), p < 0.0001) compared to the comparison group. Overall, the monthly HMR rate increased from 0.2 per 1000 patients in November 2001 to 2.7 per 1000 patients in December 2012. Conclusion: Regular repetition of quality improvement messages has led to sustained increases in HMR uptake among Australian veterans over the last decade.
KW - Australia
KW - medicines review
KW - prescriber feedback
KW - quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85048671275&partnerID=8YFLogxK
U2 - 10.1002/jppr.1379
DO - 10.1002/jppr.1379
M3 - Article
VL - 48
SP - 222
EP - 230
JO - Journal of Pharmacy Practice and Research
JF - Journal of Pharmacy Practice and Research
SN - 1445-937X
IS - 3
ER -