{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T15:42:01Z","timestamp":1790350921290,"version":"4.1.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"17","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>Hospital at home (HaH) program development, spurred by hospital congestion during the COVID-19 pandemic, is moving from a novel idea to a standard of inpatient practice. Understanding pharmacy\u2019s clinical role in the HaH patient care team is exceedingly important as programs across the country continue to develop, implement, and expand. The purpose of this study is to describe how clinical pharmacy services are currently provided for home hospital patients and to explain the vital role of pharmacists within the HaH care team.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Description<\/jats:title>\n                  <jats:p>A descriptive study was designed to evaluate pharmacy services provided for home hospital patients from January 1, 2023, to February 28, 2023. Prior to the study period, a focused group of pharmacists routinely active in HaH patient care met to define a standard process for documenting pharmacy services using an electronic documentation system (i-Vent) within the EHR. During the study period, a total of 221 patients were admitted to home hospital at either site representing 3,258 inpatient medication orders with 2,997 medication administrations. Pharmacists signed 903 progress notes and documented 561 interventions across all types. The top 3 pharmacy intervention types were drug administration change (37%), medication reconciliation (29%), and antimicrobial stewardship (15%). Each of the top 3 types were further evaluated by subtype.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Documented pharmacy services encompassed a variety of intervention types. The overwhelming majority of patients admitted to the program received pharmacy consultative services, demonstrating how pivotal pharmacists are to the operational success of these programs and clinical care of HaH patients. More research is needed to expose pharmacy potential and facilitate growth for pharmacists practicing in HaH programs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ajhp\/zxae107","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T14:23:12Z","timestamp":1715350992000},"page":"e478-e488","source":"Crossref","is-referenced-by-count":8,"title":["The vital role of clinical pharmacy services within the hospital at home interdisciplinary team"],"prefix":"10.1093","volume":"81","author":[{"given":"Leah Whitman","family":"Webster","sequence":"first","affiliation":[{"name":"Department of Pharmacy, Mayo Clinic in Jacksonville , Jacksonville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Gernhard","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Mayo Clinic in Jacksonville , Jacksonville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Peinovich","sequence":"additional","affiliation":[{"name":"Patient Impact Team, Medically Home , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey","family":"Wachter","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Mayo Clinic Health System , Eau Claire, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Derleth","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Mayo Clinic Health System , Eau Claire, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"2024081905514835200_CIT0001","author":"Centers for Medicare & Medicaid Services"},{"issue":"2","key":"2024081905514835200_CIT0002","doi-asserted-by":"crossref","first-page":"77","DOI":"10.7326\/M19-0600","article-title":"Hospital-level care at home for acutely ill adults: a randomized controlled trial","volume":"172","author":"Levine","year":"2020","journal-title":"Ann Intern Med"},{"issue":"7","key":"2024081905514835200_CIT0003","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1007\/s11606-020-06416-7","article-title":"Hospital-level care at home for acutely ill adults: a qualitative evaluation of a randomized controlled trial","volume":"36","author":"Levine","year":"2021","journal-title":"J Gen Intern Med"},{"issue":"1","key":"2024081905514835200_CIT0004","doi-asserted-by":"crossref","first-page":"e043285","DOI":"10.1136\/bmjopen-2020-043285","article-title":"Comparison of hospital-at-home models: a systematic review of reviews","volume":"11","author":"Leong","year":"2021","journal-title":"BMJ Open"},{"issue":"21","key":"2024081905514835200_CIT0005","doi-asserted-by":"crossref","first-page":"1925","DOI":"10.1093\/ajhp\/zxac200","article-title":"Developing pharmacy services in a home hospital program: the Mayo Clinic experience","volume":"79","author":"Peinovich","year":"2022","journal-title":"Am J Health-Syst Pharm"},{"issue":"4","key":"2024081905514835200_CIT0006","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1093\/ajhp\/zxac331","article-title":"A hospital at home case report: prolonged amphotericin B therapy via elastomeric pump","volume":"80","author":"Horr","year":"2023","journal-title":"Am J Health-Syst Pharm"},{"issue":"1","key":"2024081905514835200_CIT0007","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1186\/s12913-023-09333-7","article-title":"Severity of illness and risk of mortality in Mayo Clinic\u2019s virtual hybrid advanced care at home program: a retrospective cohort study","volume":"23","author":"Paulson","year":"2023","journal-title":"BMC Health Serv Res"}],"container-title":["American Journal of Health-System 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