A7 · Post-acute transitional care
In-home medication reconciliation visits, coordinated from the hospital
Coordinate brown-bag medication reviews in the home for polypharmacy patients, with discrepancy counts and adherence plans reported back to the sponsor.
Mission template A7 · Medication reconciliation visit
On scene- Received09:12
Referral raised by hospital cm, Polypharmacy (10 or more medications), transition of care, or pharmacist referral.
- Scheduled10:04
A program covering the address accepts inside the window: ≤7 days.
- En route13:06
Crew departs; the patient receives an arrival window by SMS.
- On scene14:11
Brown-bag review; Remove duplicates and expired medications; Pill organizer.
- Completed14:40
Outcome fields recorded (Medications reviewed (count); Discrepancies); referrer notified.
Why this program
The medication list in the chart and the bottles on the kitchen counter are rarely the same list. Duplicates, expired bottles and pre-admission doses survive every discharge.
A paramedic with the bottles in hand and a pharmacist a video call away resolves in one visit what three phone calls cannot.
The template is fixed so every referral arrives the same way: a defined trigger, a defined window, a defined skill set, and a defined set of outcome fields. That is what makes the work reportable later without asking crews to write anything twice.
Mission template A7
Medication reconciliation visit · sponsor persona: Hospital CM · window: ≤7 days · single mission · tele-MD optional
Trigger and window
Polypharmacy (10 or more medications), transition of care, or pharmacist referral
Window: ≤7 days
Skills required: CP
Steps
- Brown-bag review
- Remove duplicates and expired medications
- Pill organizer
- Adherence plan
Outcome fields
- Medications reviewed (count)
- Discrepancies
- Organizer set Y/N
Escalation and child orders
High-risk interaction → pharmacist or MD
Child orders: Pharmacy delivery, Pill-pack. Logistics requests are raised on VectorCare and tracked against the same mission.
What the sponsor sees
Pharmacy and care management see how many medications were reviewed, what discrepancies existed, and what was resolved.
Status moves through received, scheduled, active, and completed, escalated or aborted. Exception statuses notify the referrer rather than waiting to be discovered at the end of the week.
What the program does
The program runs the brown-bag review, sets up the organizer, and records counts rather than a full narrative.
Programs choose which templates they accept, and set their own coverage area and capacity. Nothing is auto-assigned.
What you can measure
- Discrepancies found per visit
- High-risk interactions escalated to a pharmacist
- Adherence at the next touch
- 30-day readmission for the polypharmacy cohort
Figures shown elsewhere on this site are illustrative unless a source is given. Your reporting reflects your own missions.
Rural Health Transformation
This template maps to CMS strategic goals 1 and 4. Missions, outcome fields and county-level coverage export for state reporting.
DispatchCare is a technology vendor. It does not administer Rural Health Transformation funds.
Questions buyers ask
Polypharmacy (10 or more medications), transition of care, or pharmacist referral. DispatchCare does not receive 911 calls; emergency requests stay in the dispatch system.
Related mission templates
See a mission go from the chart to the home and back.
A 30-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.