As part of the Houston Methodist Physicians’ Alliance for Quality (HMPAQ) Clinical Pharmacy Consultation program, clinical pharmacists provide phone consultations for medication reconciliation post-hospitalization, generic prescribing recommendations and education pertaining to side effects and all potential medication interactions. This is all done in collaboration with each patient’s primary care physician.
Our HMPAQ clinical pharmacists are uniquely qualified to improve the post-discharge transition of care process having gained experience within an accredited pharmacy residency training program that focuses on pharmacotherapy management, medication safety, drug information and quality improvement research. A dedicated clinical pharmacist assigned to the Houston Methodist Care Navigator program gives patients, nurses and care coordinators reliable access to the pharmacy expertise needed to interpret and manage the complex pharmacotherapy regimens and situations patients present. These post-discharge consultations allow the pharmacist to review all prescriptions and over-the-counter medicines a patient is taking, educate the patient properly, and reconcile the patient-reported medication list with the discharge instructions. If necessary, the pharmacist can arrange for immediate medical or disease management follow-up with the appropriate physician.
Our clinical pharmacists can help prevent the following common drug-related problems:
- Untreated indications
- Improper drug selection
- Subtherapeutic dosage
- Failure to receive drugs
- Adverse drug reaction
- Drug interactions
- Drug use without indication
The expertise of a pharmacist is critical today as patients are taking many medications and often leave the hospital with new prescriptions.