Data Analysis of Heart Failure Referrals in January 2023
Data from PharmaOutcomes shows NWAFT made 23 referrals for heart failure in January 2023. Of these, 17 referrals were acknowledged by community pharmacies, 2 were rejected, and 4 were not picked up. The journey included Stage 1 Discharge Referral, Stage 2 First Prescription, and Stage 3 Patient Understanding Check. Issues identified included new medicine initiation, wrong doses, and missing medications. The analysis also discusses the completion rates of each stage by community pharmacies.
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NWAFT DMS Data for Heart Failure January 2023 Data obtained from PharmaOutcomes filtered using provision date (January 2023) and clinical details (containing heart or failure) Number of referrals made by NWAFT - 23 Number of referrals acknowledged by community pharmacies - 17 Number of referrals rejected 2 Reasons for rejection contacted patient directly, not their blister pack patient Number of referrals not picked up - 4 Najam Master
DMS Stage 1 Discharge referral is received by the community pharmacy. Timescale for completion is 72 hours Number of community pharmacies that provided stage 1 17 Number of community pharmacies that intercepted prescriptions already in the supply chain - 3 Najam Master
DMS Stage 2 First prescription is received by the community pharmacy following discharge. Timescale for completion is 1 week to 1 month post discharge Number of community pharmacies that provided stage 2 - 15 Number of community pharmacies that identified issue(s) on the first prescription 6 Examples of prescription issues New medicine initiated in primary care since discharge 2 Wrong strength of medicine prescribed 2 Wrong dose of medicine prescribed 1 Medicine on discharge list but missing from first prescription 3 Note some community pharmacies identified multiple issues on the same prescription Najam Master
DMS Stage 3 Check the patients understanding of their new medicines regimen. Timescale for completion is when the first post- discharge prescription is received Number of community pharmacies that provided stage 3 10 3 (out of 10) community pharmacies went on to provide NMS (New Medicine Service) Number of community pharmacies that did not complete stage 3 as the patient did not attend 4 Number of community pharmacies that are yet to complete stage 3 after completing stage 2 1 Najam Master
Discussion points When is the best time to extract data? Compare number of heart failure DMS referrals with number of patients admitted with heart failure are we capturing as many patients as possible? Patient stories Impact of heart failure hub on project Najam Master
