2025 Southeastern Residency Conference

Title: Med-to-Bed Program Expansion to Transplant Services


Authors: Amelia Hornaday, Alyson Ghizzoni-Burns, Heather Kundert, Alexandra Pyatt, Danielle Eskens


Objective: To expand the med-to-bed program to transplant services.


Background: Prisma Health has an established Kidney Transplant Program. It is vital to provide patients with strong continuity of care to support them through life post-transplant. Med-to-Bed programs were developed to decrease readmissions, improve medication adherence, reduce barriers to medication access, improve patient experience, and increase discharge prescription capture. Greenville Memorial Hospital’s med-to-bed program is offered to nearly all inpatient units through Upstate Medical Pharmacy, an internal outpatient pharmacy. Discharge prescriptions for transplant patients are currently being filled and mailed to the hospital by a third-party pharmacy. Given the increasing number of transplants and desire to expand services offered, it is imperative to the patient and organization to develop a process to include solid organ and bone marrow transplant services within the med-to-bed program.


Methods: Current and proposed processes were evaluated and compared to outside institutions to determine best practices. A Medicare Part B billing contract was established at Upstate Medical Pharmacy and test claims were billed for various insurance types. A workgroup was established consisting of both pharmacy and transplant staff to operationalize the workflow. Prior to go-live, education will be provided to transplant nursing and providers, inpatient pharmacy staff, and the outpatient med-to-bed team. Upon program expansion go-live, respective units will be auto-enrolled for med-to-bed in the electronic health record at the point of patient admission. The primary outcome is revenue generation and continued prescription capture rate.


Results: In progress


Conclusion: In progress