A Pharmacy-Hospital Discharge: Transitions of Care Project to Facilitate Transfer of Care Between Pharmacy Practice Settings and Improve Patient Medication Knowledge and Medication Experience at Hospital Discharge  


Jenna welcomes Carole Goodine, a practicing pharmacist, manager, and researcher for Horizon Health Network, Pharmacy services. Carole maintains a clinical pharmacy practice on the Healthy Aging and Rehabilitation unit at the Doctor Everett Chalmers Hospital (DECH) in Fredericton, NB, and participates in antipsychotic review rounds on the Transitional Care Unit at DECH. Carole’s training includes a Bachelor of Science in Pharmacy, Accredited Hospital Pharmacy Residency program, Doctor of Pharmacy degree, and post-doctoral fellowship. Her research interests include inpatient medication management, deprescribing in long-term care, and pharmacy practice.

She is currently leading the Hospital to Home Pharmacy Project, an applied research project funded by the Healthy Seniors Pilot Project initiative. The goal of the Hospital to Home Pharmacy Project is to help seniors stay healthy and improve pharmacy practice in New Brunswick. She looks forward to discussing this project with MileAGE listeners!

We’re all aging, and everyone’s talking about it!

Key Takeaways

[:41] Jenna welcomes Carol Goodine to talk about her project: “a pharmacy hospital discharge: transitions of care prospect to facilitate transfer of care between pharmacy practice settings and improve patient medication knowledge and medication experience at hospital discharge.”

[1:54] Dr. Goodine explains what transition of care means and the problems that can arise from it.

[3:49] Medication harm and medication compliance are two areas where patient health might be at risk from miscommunication.

[7:19] Dr. Goodine breaks down where the study is taking place, who the major actors currently are, and what protocols this study is testing to streamline communication modalities.

[12:04] Jenna offers an example scenario and Dr. Goodine shares how her study works to modify the current service offer.

[14:55] Dr. Goodine explains how the program is structured so that hospital pharmacists, community pharmacist, and patients have open channels of communication.

[16:20] Dr. Goodine shares what her hopes are for the study both at the patient and pharmacy levels.

[18:01] The major goal for a sustainable program like this one is simply to ensure the continuity of useful service for patient care. Dr. Goodine speaks about some really interesting takeaways that stakeholder meetings yielded.

[22:25] Jenna thanks Dr. Goodine for sharing preliminary details of this project and signs off until next episode. Thank you to all listeners!

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Mentioned in this episode

The MileAGE Podcast

Healthy Seniors Pilot Project

Dr. Everett Chalmers Regional Hospital

Toolkits for Medication Management at Transitions of Care:

CSHP — Discharge Medication Management Toolkit (available to CSHP members only). ISMP HOSPITAL TO HOME — FACILITATING MEDICATION SAFETY AT TRANSITIONS A TOOLKIT FOR HEALTHCARE PROVIDERS. Login or register to download at: Hospital to Home—Facilitating Medication Safety at Transitions (A Toolkit for Healthcare Providers)

Agency for Healthcare Research and Quality Discharge Planning and Transitions of Care Primer available at: Discharge Planning and Transitions of Care | PSNet

World Health Organisation (WHO) Medication Without Harm initiative: Medication Without Harm

WHO Medication Safety in Transitions of Care publication available at: Medication safety in transitions of care

WHO Transitions of Care Primer available at: Transitions of Care

More about your hosts

Jenna Roddick at APPTA

Jenna Roddick on Twitter

Jenna Roddick on LinkedIn

More about the research team (Updated Feb 8, 2023)

Principal Investigator:

  • Carole Goodine, BSc (Pharm), ACPR, Pharm. D., Pharmacy Clinical Manager, DECRH


  • Heather Naylor, BScPharm, ACPR, CHC, Regional Pharmacy Research and Education Coordinator
  • Penny Demmings, Patient Experience Advisor
  • Samantha Fowler, B.A. (Hons.), M.A., MSSU Clinical Research Manager, Office of Research Services
  • Christine Boudreau, Pharm. D., BCGP, Pharmacist, Sobeys
  • Michael LeBlanc, BSc (Chem), BSc (Pharm), Pharm. D., FCSHP, Regional Manager, Clinical Pharmacy Services, Horizon Health Network
  • Sarah Bridges, BSc. Kinesiology, MAHSR, MSSU Clinical Research Assistant, Office of Research Services Horizon Health Network
  • Douglas Doucette, BSc (Pharm), Pharm. D., FCSHP, Director of Pharmacy, Horizon Health Network

Research staff:

  • Natalie MacDonald, BSc (Pharm), Research Pharmacist
  • Research Coordinator — vacant
  • Tyler Adams, BSc. Kin, MSc. Kin, Research Assistant
  • Siyum Mohiuddin, BSc. Kin, Research Assistant
  • Selena Oakes, BSc. Kin, Research Assistant

Student learners:

  • Hanna Ramsay, Pharm. D. candidate

Additional Advisors:

  • Carol Reimer, BScN, MSc, Patient Experience Advisor
  • Loreigh MacKay, BSc (Pharm), Community pharmacist consultant, Fredericton area