Commitment to Research

Medical Pharmacies continually “raises the bar” by participating in and funding clinical research and introducing new clinical programs or technologies with the goal of improving resident centered care and operational efficiencies for caregivers and administrators.

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Evaluating Long-Term Care Homes’ IntraVenous Therapy Experiences (LIVE Study)

Objectives
To ensure timely access to intravenous (IV) therapy within long-term care (LTC) homes for residents with lower respiratory tract infections (RTI) or urinary tract infections (UTI) or requiring hydration using evidence-based clinical pathways for LTC to:
a) prevent transfers to hospital for this treatment
b) early discharge to LTC for residents admitted to hospital and started on IV therapy to complete their course of treatment.

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Topic: Management of Residents with Symptoms or Signs of Mild-Moderate Lower Respiratory Tract Infection
Clinical pathway to assess and manage Lower Respiratory Tract Infection

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Topic: Management of Residents with Symptoms or Signs of Urinary Tract Infection
Clinical pathway to assess and manage Urinary Tract Infection

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In Ontario, administration of IV therapy in long-term care (LTC) homes is fragmented due to poorly coordinated services among health care providers and a lack of an evidence-based pathway for the management of IV therapies. IV therapy has traditionally been performed in controlled settings such as hospitals and emergency departments. This is costly and often results in unfavorable outcomes.

The LIVE study aims to develop and evaluate a clinical pathway that will support best practice of IV treatment delivery in long term care and avoid unnecessary emergency department transfers and hospitalizations.

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BOOMR: Better Coordinated Cross-Sectoral Medication Reconciliation

There is evidence that patients are vulnerable to harmful medication errors during transitions from hospital to long-term-care (LTC). Common lapses in communication, documentation and transcription have led to poor coordination of care. BOOMR is an integrated practice change that drives improvement in medication safety during patient transitions through the health system. This collaborative process coordinates four sectors of healthcare: CCACs, hospitals, home(s) and community pharmacy with the patient at the center to reduce hospital visits, costs and unnecessary medications. Focused on the patient–centered approach, our redesign of the medication reconciliation (MedRec) process demonstrates improved patient engagement using “the patient’s story”, increased quality of their information on admission and discharge, collaborative inter-professional workflow efficiency during the transfer of care using progressive initiatives, and metrics showcasing cost savings to the system proving value for quality. BOOMR re-engineered key steps within an established process to position integration of care at the center of the practice design which has proven sustainable results since January 2015. BOOMR supports transformational change across the continuum through a holistic clinical intervention for seniors with complex comorbidities. Discussions to date have identified future benefit across broader patient population groups.

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The Gap Between Indicated and Prescribed Stroke Prevention Therapies in a High-Risk Geriatric Population in Ontario

Objective: To assess the current magnitude and sources of the gap between indicated and prescribed use of OAC in the elderly with AF. Also, to characterize the prevalence of different therapies for AF in this population.

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Impact of Quarterly Interdisciplinary Medication Reviews on Resident Care in a Canadian Long Term Care Facility

Objective: The purpose of this study was to evaluate the impact of
quarterly medication reviews conducted in a Canadian long
term care facility using this integrated team approach.

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Evaluating the Effects of a Long Term Care Pharmacist Educator Component in a Family Medicine Residency Program

What we learned...

  • The incorporation of a long term care (LTC) / pharmacy half-day component as part of a family medicine residency program had a positive impact on the physicians’ experience.
  • It has helped to foster a strong working relationship between physicians and pharmacists and an openness to pursuing geriatric and/or LTC medicine further.

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Low Rate of Osteoporosis Treatment in Nursing Home Men at High-Risk for Fractures

Objectives:

  • To outline the protocol for Gaining Optimal Osteoporosis Assessments in Long-Term Care (GOAL) knowledge translation initiative to improve the identification & appropriate treatment of residents at high risk for fracture in Long-Term Care.
  • Report the prevalence of osteoporosis prescribing in male and female long-term care residents who are at high risk for fractures.

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BOOMR - A Medication Reconciliation Quality Improvement Initiative

Aim Statement: To improve the medication reconciliation quality score by at least 30% by September 30, 2015.

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Evaluation of a Novel Structured Continence Care Program in a Long Term Care Facility

Objective: Achieve and sustain an annual target of ≤ $1.40 per resident per day for incontinence products while preserving quality care.

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The ORIHEAN Project: Optimal Reduction in Hypoglycemic Events – A1C Neutral

A Continuous Quality Improvement Initiative at the Regional Municipality of Durham, Hillsdale Estates

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Development and Evaluation of a Comprehensive Diabetes Management Program in Long Term Care

Objective: To reduce hypoglycemic events by 30% through a comprehensive diabetes management program by June 2015.

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