HCCIntelligence™ Webinar Recording: Medication Management: Art of Deprescribing Medications in HBPC

Video Transcription

Video Summary

In this webinar, Dr. Paul Chang discusses medication management and the art of deprescribing in home-based medical care. He highlights the importance of appropriate prescribing and reducing polypharmacy in this population. Dr. Chang suggests using guidelines such as the Beers Criteria and the STOP criteria to identify potentially inappropriate medications and reduce them. He also emphasizes the need to consider the risks and benefits of each medication and whether it is necessary for the patient's goals of care. Dr. Chang provides a framework for deprescribing, which includes reconciling medications, justifying their use, optimizing prescribing based on the patient's condition, and demonstrating how to use the medication correctly. He recommends prioritizing medications for discontinuation based on potential harm and ease of discontinuation. Dr. Chang also advises close monitoring of patients as medications are tapered or stopped. He acknowledges the challenges of deprescribing, such as patient and family attachment to certain medications, and suggests having open discussions with patients and involving them in the decision-making process. Overall, Dr. Chang encourages providers to regularly review medications and be willing to deprescribe when necessary for the well-being of patients.

Keywords

deprescribing

medication management

polypharmacy

Beers Criteria

STOP criteria

patient's condition

medication correctness

prioritizing discontinuation

open discussions