The Criteria for Optimized Senior Medication Outcomes will allow GrandView to compete on a level playing field with the national chains and much larger pharmacy operations, as it relates to a formulary offering for its residents.
Criteria for Optimized Senior Medication Outcomes (COSMO)
What is COSMO?
In short, COSMO is a comprehensive drug formulary along with healthy living protocols, designed specifically for seniors. It takes the effects of aging and comorbidities into serious consideration.
Drugs and best practices are evaluated by a committee of local experts. This committee consists of physicians, nurse practitioners and pharmacists. Clinical expertise and input is also sought from many other local physicians who are not committee members. The formulary, pre-service authorization parameters, and related procedures are updated as needed when new information becomes available.
These protocols have been designed to keep you compliant during the upcoming major shift in federal policy and beyond. These new rulings will have a major effect on your policies and procedures. These protocols will assist you through this transition period and will work to keep you compliant. Thus saving you money and help you avoid a negative effect on your facility’s reputation.
• Antimicrobial Stewardship Protocol
• Urinary Tract Infection Protocol
• Pneumonia Treatment Protocol
• Skin Infections Treatment Protocol
• Metabolic Validation Protocol
• Medication Formulary
• Glycemic Control Protocol
• COPD Protocol
• Pneumonia Prevention Protocol
• Influenza Prevention Protocol
• Dehydration Protocol
• Constipation Prevention and Treatment Protocol
• Behavior Management Protocol
• Coming Soon.. Congestive Heart Failure
CMS has published revisions to the Code of Federal Regulations (CFR) that will be effective September 1, 2016. These changes are a major shift in policy, especially with regards to how CMS defines psychotropic medications, most notably the addition of antidepressants and pain medications. They have also added a very broad “and any other drug that results in effects similar” as the final addition. Also, the codification of best practice for an IMRR at admission and transfers will require pharmacists to be actively involved in the admission, transfer and discharge process.Why is this important for YOUR community?
The new CMS rulings will have a major effect on your policies and procedures. Having a pharmacy partner that is prepared with protocols to assist you through this transition period will work to keep you compliant. Thus saving you money and help you avoid a negative effect on your facility’s reputation.
Value and outcomes will be the twin impetus that drives the skilled nursing channel in the next decade. It is known that an evidence-based, value-driven formulary is a necessary component of a successful skilled nursing home operational and financial strategy.
Healthy Living ProtocolsAntimicrobial Stewardship Protocol
This toolkit is designed to be used by any senior living community; all recommendations can be tailored to accommodate individual community’s needs and resources. There is no “one-size-fits-all” approach for promoting antimicrobial stewardship in post-acute care. Many of the action steps and strategies may already be in place at the community. Therefore, assessing existing processes for opportunities to incorporate antimicrobial stewardship is recommended.Metabolic Validation Protocol
The purpose of this study was to evaluate the therapeutic impact of pharmacogenomic testing (PGx) in a residential long-term care setting, as it pertains to six specific drug categories.Medication Formulary
The drug formulary is a list of prescription drugs, both generic and brand name, used by practitioners to identify drugs that offer the greatest overall value for a given population. A skilled nursing community medication formulary is used to aid in assuring quality and cost effective medication therapies for selected medication classes.Glycemic Control Protocol
The Glycemic Control Protocol includes Adult Subcutaneous Insulin Conversion for Hospitalized Patients, Diabetes Blood Glucose Testing Protocol, Basic Glycemic Control Initiative for LTC Facilities Goal of All Blood Glucose Readings, Hypoglycemia Protocol, and Dose Based Correction Scale Rapid Acting Insulin.Chronic Obstructive Pulmonary Disease (COPD) Protocol
The purpose of this protocol is to establish guidelines for the collaborative management of patients with a diagnosis of chronic obstructive pulmonary disease (COPD) who are not adequately controlled and to define the roles and responsibilities of the collaborating clinical pharmacist and pharmacy resident following this protocol.Pneumonia Prevention
To reduce morbidity and mortality from pneumococcal disease by vaccinating all adults who meet the criteria established by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices.Dehydration Protocol
The Dehydration Protocol provides information of Hypodermoclysis; defined as the infusion of a solution into the subcutaneous tissues to supply the patient with a continuous and sufficient amount of fluid.Constipation Prevention and Treatment Protocol
The Constipation Prevention and Treatment Protocol provides evaluation guidelines for the care of a resident or patient who is suffering from the discomfort of constipation.Behavior Management Protocol
The Behavior Health Evaluation includes all medications given to manage behavior(s), stabilize mood, or treat a psychiatric disorder, include indication for use, start date, date of last attempted gradual dose reduction, and result of that reduction.More coming soon.
We're currently in the process of developing a protocol for congestive heart failure. Check back soon or contact us for more information.