Cost analysis of a home-based nurse care coordination program.

Objectives: To determine whether a home-based care coordination program focused on medication self-management would affect the cost of care to the Medicare program and whether the addition of technology, a medication-dispensing machine, would further reduce cost.

Design: Randomized, controlled, three-arm longitudinal study.

Setting: Participant homes in a large Midwestern urban area.

Medication regimens of frail older adults after discharge from home healthcare.

The purpose of this study was to examine the number and types of discrepancy errors present after discharge from home healthcare in older adults at risk for medication management problems following an episode of home healthcare. More than half of the 414 participants had at least one medication discrepancy error (53.2%, n = 219) with the participant's omission of a prescribed medication (n = 118, 30.

Nurse care coordination and technology effects on health status of frail older adults via enhanced self-management of medication: randomized clinical trial to test efficacy.

Background: Self-management of complex medication regimens for chronic illness is challenging for many older adults.

Objectives: The purpose of this study was to evaluate health status outcomes of frail older adults receiving a home-based support program that emphasized self-management of medications using both care coordination and technology.

Design: This study used a randomized controlled trial with three arms and longitudinal outcome measurement.