Novel programs to improve patient access and understanding of Medications: Nashville General Hospital Pharmacy Services.

Abstract

Background: Nashville General Hospital (NGH) is a public safety-net hospital serving Nashville, Tennessee and surrounding areas. Surveys sent after hospital discharge showed patients were dissatisfied with their understanding of their medications. Patients also often had difficulty obtaining and paying for medications post discharge.

Objectives: The primary objective was to address the patient's dissatisfaction with their understanding of the purpose of their medications. The second objective was to remove the financial barrier of obtaining medications for those patients who were under or uninsured. To address these needs NGH uses a three-pronged approach: the Meds2Beds (M2B), Hope Meds (HM) programs, and the NGH Foundation (NGHF).

Methods: The M2B and HM programs were implemented in March 2023, whereas NGHF was pre-existing. Medications are filled at NGH Community Pharmacy, a retail pharmacy on the NGH campus, and delivered prior to discharge. Pharmacists teach patients about the purpose of their medications, how to take them, and what to expect in terms of both side effects and outcomes. Patients who meet eligibility criteria receive prescriptions free of charge via HM and NGHF.

Results: In one year the M2B program has provided counseling to 993 unique patients. The HM Program has served 4,673 unique patients, filled 4,744 prescriptions and provided 7,976 months of free medications, saving NGH patients $598,054. In addition, the NGHF provided medications to 1,335 patients for this period, providing savings of $35,215. The average time spent with patients is 15 minutes.

Conclusion: The unique blend of programs at NGH serves to address barriers to medication access and understanding. These programs are feasible, and with minimal pharmacist burden leading to improved patient satisfaction and adherence.