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    Medication Cost Savings in Hospice and Palliative Care Through Implementation of a Quick-Reference Medication Guide

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    Author
    Sabol, Brittney
    Abstract
    Symptom management is an integral component of end-of-life care provided by hospice services. This project employed a list of alternative low-cost medication options for symptom management to decrease medication costs to the hospice organization. This project applied a multifaceted educational approach to lower the average overall medication cost and the average nonformulary medication cost per patient per day. A quick-reference guide was created and comprised of a target medication list of high-cost, high-use medications, and medications proposed by the nursing and pharmacy staff. In collaboration with the organization’s pharmacy team, a list of low-cost alternative and formulary options with cost comparisons was defined for each target medication and included in the guide. All nursing staff was educated regarding the quick-reference guide and its use. The tools were disseminated physically and digitally to all home care and hospice house nurses and providers. Post-implementation data showed an average of $2.92 cost reduction in overall medication cost and $0.35 cost reduction in nonformulary medication cost per patient per day. These findings compute to a projected estimated annual savings of $149,212 to $159,870 for overall medication cost and $17,885 to $19,162 for nonformulary medication cost, dependent upon patient census. These findings support the use of a multifaceted educational approach to medication cost reduction in the hospice setting. However, further investigation of other methods is warranted, and more robust studies are needed to fully estimate the long-term impact of a project like this.
    URI
    http://hdl.handle.net/10342/10573
    Subject
    cost savings, medication cost, educational intervention, formulary, hospice
    Date
    2022-04-21
    Citation:
    APA:
    Sabol, Brittney. (April 2022). Medication Cost Savings in Hospice and Palliative Care Through Implementation of a Quick-Reference Medication Guide (DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship. (http://hdl.handle.net/10342/10573.)

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    MLA:
    Sabol, Brittney. Medication Cost Savings in Hospice and Palliative Care Through Implementation of a Quick-Reference Medication Guide. DNP Scholarly Project. East Carolina University, April 2022. The Scholarship. http://hdl.handle.net/10342/10573. January 30, 2023.
    Chicago:
    Sabol, Brittney, “Medication Cost Savings in Hospice and Palliative Care Through Implementation of a Quick-Reference Medication Guide” (DNP Scholarly Project., East Carolina University, April 2022).
    AMA:
    Sabol, Brittney. Medication Cost Savings in Hospice and Palliative Care Through Implementation of a Quick-Reference Medication Guide [DNP Scholarly Project]. Greenville, NC: East Carolina University; April 2022.
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