Community decline and mild, moderate, and severe disabilities, as well as the elderly

This service uses BI intelligent hot spot analysis to deeply understand the medication needs of community residents, and the professional pharmacist team personally delivers medicines to the community. Hot spots, reducing the inconvenience of the elderly going to the hospital due to transportation difficulties. Combining the "Remote Medication Care System" and "Sarcopenia Screening" functions, pharmacists can provide medication consultation in real-time, analyze the health conditions of the elderly, ensure that patients take the correct medication, and improve the quality of care.

In terms of medication safety, the introduction of remote pharmaceutical care services extends the scope of medical care from hospitals to the community. The application of BI technology allows pharmacists to quickly analyze medication distribution, strengthen medication safety monitoring, provide a safer and more convenient medication environment for the elderly, and reduce the risk of hospital-acquired infections caused by readmissions.

The service successfully reduced the average medication time for the elderly from 55 minutes to 20 minutes. In the in-depth community services, our hospital increased the slow-acting medication ratio from 62% to 75%, ensuring that the elderly in the community receive comprehensive and convenient pharmaceutical care services.

Integration of the institute’s independently developed BI business intelligence system and remote pharmaceutical care platform technology (ROC Patent No. I801233, granted May 1, 2023).

• Direct benefit:

• Project key performance indicators

• In the past year, cumulative benefits achieved: 4130 external delivery numbers for slow mail at our hospital

• Achieved cumulative benefits in the past year: 402 referrals to potential patient groups

• Total achievement in the past year: 725 remote pharmacist consultations

• Achieved cumulative benefits in the past year: Improved the slow prescription ratio of our hospital pharmacy by 75%

• Indirect benefits:

• Facilitating cooperation between manufacturers or industry groups

• Total achievement of benefits in the past year: 2 companies

• Promote industry-academia-research cooperation

• Total achievement of benefits in the past year: 2 companies

• Enhance community service satisfaction

• Achieved cumulative benefits in the past year: 100%

• Community service beneficiaries

• Total achievements in the past year: 9,325 people times

Plan Select a BI pilot community to analyze elderly healthcare needs and characteristics. Establish a cross-disciplinary collaboration model involving physicians, pharmacists, and nurses. Introduce remote pharmacist assessments and data visualization to improve chronic disease prescription workflows and implement structured medication reviews. Do Implement remote pharmacy assessment services with regular quality reviews. Conduct health measurements and mild sarcopenia assessments. Optimize chronic disease prescription management and streamline processes using structured audits and data tracking tools. Check Establish KPI indicators to evaluate outcomes. Use data visualization to validate the accuracy of remote pharmacist assessments. Assess the effectiveness of health and sarcopenia measurements and their impact on prescription adjustments and overall service performance. Action Continuously improve processes based on evaluation results. Provide feedback to enhance remote pharmacist assessments. Strengthen patient education on chronic disease medications and adjust prescriptions and care strategies based on monitoring outcomes.

• Continuous communication through telehealth technology for effective medication care

• Adoption of safety guidelines including Beers, STOPP/START, PIM-Taiwan

• Six major medication safety structured review modules

• Increased medication safety for residents

• All 23 elderly participants expressed recognition and satisfaction with service model

• Satisfaction rate reached 100%

• Community members expressed satisfaction and assurance with hospital's community screening and medication services

• Residents requested increased service frequency and screening items

This case combines BI hot spot analysis and develops an institutional remote pharmaceutical care model, integrating remote technology with vertical and horizontal integration of internal and external teams, successfully assisting community residents in drug risk assessment, effectively safeguarding the drug safety of community residents, and making an oral presentation at the 2023 ISQua Seoul International Conference (ISQUA2023-ABS-2541). In addition, the overall remote pharmaceutical consultation model has also been recognized by the Ministry of Economic Affairs Intellectual Property Bureau with an invention patent

Patent No. I801233, related to this case, has also consulted the Intellectual Property Office for the patent application of the "Slow Mail Hotspot Community Pharmacy Service System"

• Facilitated partnerships with 2 vendors/industry groups, estimated 6 by December 2023

• Promoted industry-academic-research collaborations with 2 institutions, estimated 4 by December 2023

• Obtained 82 potential patient referrals through community engagement

• Increased medication safety for residents