Deprescribing for Older Adults After Hospital Discharge in Home Health Care

The purpose of this study is to examine the feasibility of providing a medication optimization program to improve patient health outcomes during the transition from hospital to home. This is because the period after hospital discharge is critical to long-term recovery, overall quality of life, and prevention of future hospitalizations.

Patient Inclusion Criteria:65 years of age and oldercurrently hospitalized or having been hospitalized in the previous 2 weekshaving a discharge disposition of home with a referral to receive HHC services from URMHC, or currently receiving HHC services from URMHCtaking more than 10 regular medications dailyhaving a primary care provider who is in the URMC systemAbility to self-consentEnglish-speakingPatient Exclusion Criteria:end-of-life prognosis in the following 6 monthscurrently receiving hospice care, end-of-life care, or palliative careconditions that impact the receipt of the intervention, such as severe cognitive impairment that interferes with the subject's ability to communicate with interventionists;substantial difficulties in hearing, vision, and verbal expression that disable the participant from communicating effectively while receiving the HomeMed intervention