VA Geriatric Scholars Program's impact on prescribing potentially inappropriate medications. Burningham, Z., Chen, W., Sauer, B. C., Richter Lagha, R., Hansen, J., Huynh, T., Patel, S., Leng, J., Halwani, A., & Kramer, B. J. The American journal of managed care, 25(9):425–430, September, 2019. Place: United Statesabstract bibtex OBJECTIVES: The Veterans Affairs (VA) Geriatric Scholars Program (GSP) is a workforce development program to enhance skills and competencies among VA clinicians who provide healthcare for older veterans in VA primary care clinics. An intensive geriatrics didactics (IGD) course is a core element of this professional development program. The objective of this study was to evaluate the impact of completing the IGD course on providers' rates of prescribing definite potentially inappropriate medications (DPIMs) based on Beers Criteria from 2008 to 2016. STUDY DESIGN: We applied a longitudinal interrupted time series design to examine changes in DPIM prescribing rates for GSP participants before and after completing the IGD course. METHODS: The time series was divided into two 12-month periods, representing the preintervention period (ie, 12 months prior to completing the IGD course) and the postintervention period (ie, 12 months after completing the IGD course), and populated with pharmacy dispensing data from the VA's Corporate Data Warehouse. An adjusted slope impact model was developed to estimate the postintervention change in the proportion of the dispensed medications identified as DPIMs. RESULTS: After adjusting for case mix, we observed a statistically significant reduction in the proportion of DPIMs dispensed post IGD (slope change, 0.994; 95% CI, 0.991-0.997). This change in slope reflects a total decrease of 7971 DPIM dispensings during the postintervention period. This equates to an estimated 24 fewer DPIM dispensings per provider during the postintervention period. CONCLUSIONS: Although the size of the effect was modest, we found that participation in the GSP IGD course reduced prescribing of DPIMs for older veterans.
@article{burningham_va_2019,
title = {{VA} {Geriatric} {Scholars} {Program}'s impact on prescribing potentially inappropriate medications.},
volume = {25},
issn = {1936-2692 1088-0224},
abstract = {OBJECTIVES: The Veterans Affairs (VA) Geriatric Scholars Program (GSP) is a workforce development program to enhance skills and competencies among VA clinicians who provide healthcare for older veterans in VA primary care clinics. An intensive geriatrics didactics (IGD) course is a core element of this professional development program. The objective of this study was to evaluate the impact of completing the IGD course on providers' rates of prescribing definite potentially inappropriate medications (DPIMs) based on Beers Criteria from 2008 to 2016. STUDY DESIGN: We applied a longitudinal interrupted time series design to examine changes in DPIM prescribing rates for GSP participants before and after completing the IGD course. METHODS: The time series was divided into two 12-month periods, representing the preintervention period (ie, 12 months prior to completing the IGD course) and the postintervention period (ie, 12 months after completing the IGD course), and populated with pharmacy dispensing data from the VA's Corporate Data Warehouse. An adjusted slope impact model was developed to estimate the postintervention change in the proportion of the dispensed medications identified as DPIMs. RESULTS: After adjusting for case mix, we observed a statistically significant reduction in the proportion of DPIMs dispensed post IGD (slope change, 0.994; 95\% CI, 0.991-0.997). This change in slope reflects a total decrease of 7971 DPIM dispensings during the postintervention period. This equates to an estimated 24 fewer DPIM dispensings per provider during the postintervention period. CONCLUSIONS: Although the size of the effect was modest, we found that participation in the GSP IGD course reduced prescribing of DPIMs for older veterans.},
language = {eng},
number = {9},
journal = {The American journal of managed care},
author = {Burningham, Zachary and Chen, Wei and Sauer, Brian C. and Richter Lagha, Regina and Hansen, Jared and Huynh, Tina and Patel, Shardool and Leng, Jianwei and Halwani, Ahmad and Kramer, B. Josea},
month = sep,
year = {2019},
pmid = {31518091},
note = {Place: United States},
keywords = {Aged, Humans, Male, Middle Aged, United States, Female, Veterans/*statistics \& numerical data, Aged, 80 and over, *Practice Guidelines as Topic, Geriatrics/*standards, Inappropriate Prescribing/*statistics \& numerical data, Pharmaceutical Services/*standards, Potentially Inappropriate Medication List/*standards, United States Department of Veterans Affairs/*standards},
pages = {425--430},
}
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The objective of this study was to evaluate the impact of completing the IGD course on providers' rates of prescribing definite potentially inappropriate medications (DPIMs) based on Beers Criteria from 2008 to 2016. STUDY DESIGN: We applied a longitudinal interrupted time series design to examine changes in DPIM prescribing rates for GSP participants before and after completing the IGD course. METHODS: The time series was divided into two 12-month periods, representing the preintervention period (ie, 12 months prior to completing the IGD course) and the postintervention period (ie, 12 months after completing the IGD course), and populated with pharmacy dispensing data from the VA's Corporate Data Warehouse. An adjusted slope impact model was developed to estimate the postintervention change in the proportion of the dispensed medications identified as DPIMs. RESULTS: After adjusting for case mix, we observed a statistically significant reduction in the proportion of DPIMs dispensed post IGD (slope change, 0.994; 95% CI, 0.991-0.997). This change in slope reflects a total decrease of 7971 DPIM dispensings during the postintervention period. This equates to an estimated 24 fewer DPIM dispensings per provider during the postintervention period. CONCLUSIONS: Although the size of the effect was modest, we found that participation in the GSP IGD course reduced prescribing of DPIMs for older veterans.","language":"eng","number":"9","journal":"The American journal of managed care","author":[{"propositions":[],"lastnames":["Burningham"],"firstnames":["Zachary"],"suffixes":[]},{"propositions":[],"lastnames":["Chen"],"firstnames":["Wei"],"suffixes":[]},{"propositions":[],"lastnames":["Sauer"],"firstnames":["Brian","C."],"suffixes":[]},{"propositions":[],"lastnames":["Richter","Lagha"],"firstnames":["Regina"],"suffixes":[]},{"propositions":[],"lastnames":["Hansen"],"firstnames":["Jared"],"suffixes":[]},{"propositions":[],"lastnames":["Huynh"],"firstnames":["Tina"],"suffixes":[]},{"propositions":[],"lastnames":["Patel"],"firstnames":["Shardool"],"suffixes":[]},{"propositions":[],"lastnames":["Leng"],"firstnames":["Jianwei"],"suffixes":[]},{"propositions":[],"lastnames":["Halwani"],"firstnames":["Ahmad"],"suffixes":[]},{"propositions":[],"lastnames":["Kramer"],"firstnames":["B.","Josea"],"suffixes":[]}],"month":"September","year":"2019","pmid":"31518091","note":"Place: United States","keywords":"Aged, Humans, Male, Middle Aged, United States, Female, Veterans/*statistics & numerical data, Aged, 80 and over, *Practice Guidelines as Topic, Geriatrics/*standards, Inappropriate Prescribing/*statistics & numerical data, Pharmaceutical Services/*standards, Potentially Inappropriate Medication List/*standards, United States Department of Veterans Affairs/*standards","pages":"425–430","bibtex":"@article{burningham_va_2019,\n\ttitle = {{VA} {Geriatric} {Scholars} {Program}'s impact on prescribing potentially inappropriate medications.},\n\tvolume = {25},\n\tissn = {1936-2692 1088-0224},\n\tabstract = {OBJECTIVES: The Veterans Affairs (VA) Geriatric Scholars Program (GSP) is a workforce development program to enhance skills and competencies among VA clinicians who provide healthcare for older veterans in VA primary care clinics. An intensive geriatrics didactics (IGD) course is a core element of this professional development program. The objective of this study was to evaluate the impact of completing the IGD course on providers' rates of prescribing definite potentially inappropriate medications (DPIMs) based on Beers Criteria from 2008 to 2016. STUDY DESIGN: We applied a longitudinal interrupted time series design to examine changes in DPIM prescribing rates for GSP participants before and after completing the IGD course. METHODS: The time series was divided into two 12-month periods, representing the preintervention period (ie, 12 months prior to completing the IGD course) and the postintervention period (ie, 12 months after completing the IGD course), and populated with pharmacy dispensing data from the VA's Corporate Data Warehouse. An adjusted slope impact model was developed to estimate the postintervention change in the proportion of the dispensed medications identified as DPIMs. RESULTS: After adjusting for case mix, we observed a statistically significant reduction in the proportion of DPIMs dispensed post IGD (slope change, 0.994; 95\\% CI, 0.991-0.997). This change in slope reflects a total decrease of 7971 DPIM dispensings during the postintervention period. This equates to an estimated 24 fewer DPIM dispensings per provider during the postintervention period. CONCLUSIONS: Although the size of the effect was modest, we found that participation in the GSP IGD course reduced prescribing of DPIMs for older veterans.},\n\tlanguage = {eng},\n\tnumber = {9},\n\tjournal = {The American journal of managed care},\n\tauthor = {Burningham, Zachary and Chen, Wei and Sauer, Brian C. and Richter Lagha, Regina and Hansen, Jared and Huynh, Tina and Patel, Shardool and Leng, Jianwei and Halwani, Ahmad and Kramer, B. 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