Healthcare Quarterly

Healthcare Quarterly 23(3) October 2020 : 34-39.doi:10.12927/hcq.2020.26335
Innovation in Health Services

Cost Impact of a Pharmacist-Driven Medication Reconciliation Program during Transitions to Long-Term Care and Retirement Homes

Denis O’Donnell, Carla Beaton, June Liang, Kisalaya Basu, Michael Hum, Amanda Propp, Liz Yanni, Yannan Chen and Parnian Ghafari


The current provincial funding model in Ontario, Canada, does not offer dedicated funding to drive medication reconciliation (MedRec) programs during transitions into long-term care and retirement homes. This economic analysis aimed to estimate potential cost savings attributed to hospitalizations averted and decreases in polypharmacy by a MedRec program from a healthcare payer perspective. From a pool of 6,678 pharmacist recommendations, a limited sample of recommendations targeting specific medication-related adverse events showed potential savings of $622.35 per patient from hospital admissions avoided and of $1,414.52 per patient per year from medication discontinuations. Pharmacist-driven MedRec, conducted virtually, delivers substantial healthcare savings.



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