Information for Attendees

This is a program designed to utilize nurses, home health agencies, social workers and community workers to help avoid medical issues associated with medication mismanagement. The goal is to help keep patients out of nursing homes and taking the right medications the right way. Home Meds was developed mainly for home health agencies, but is easily adaptable for social service organizations. This program focuses on four main problems concerning medication, which are:

  • Unnecessary therapeutic duplication
  • cardiovascular medication problems related to dizziness, continued high blood pressure, low blood pressure, substantial (20-point) drop in blood pressure upon standing (orthostasis), or low pulse
  • Falls, dizziness, or confusion possible caused by inappropriate psychotropic
  • Inappropriate use of non-steroidal anti-inflammatory drugs (NSAIDs) in those with risk factors for peptic ulcers

Information for Hosts

Target Population

  • Older, frail adults
  • Older adults with chronic conditions
  • Older adults in community dwelling settings

Program Length

  • Consultation involves initial visit, follow up for resolution (within 30 days) with recommendations and 6 month follow up.

Cost Estimates

  • Home Meds software program- $200 +/ 3 months*
  • Est. $60 per person
  • Pharmacist training $250
*Software fees are covered by Texas A&M EBP in the nine county RHP17 region

Other Requirements

  • A local pharmacist is contracted to provide recommendations

Program Components

Consultation involves initial visit, follow up for resolution (within 30 days) with recommendations and 6 month follow up.

  • Program focus: four main health problems concerning medication:
    1. unnecessary therapeutic duplication
    2. cardiovascular medication problems related to dizziness, continued high/low blood pressure
    3. falls, dizziness, or confusion (psychotropic drugs)
    4. inappropriate use of NSAIDs
  • Program Delivery:
    1. in-home visit
    2. utilization of Home Meds software
    3. 5-step procedure involving patient, nurse, pharmacist, and physician

Program Outcomes

  • Increase collaboration between pharmacists and care team (nurses, social workers)
  • Cost-savings by preventing falls and other serious outcomes related to adverse drug complications
  • Increase medication safety