Optimizing prescribing decisions for hospitalized older adults with chronic conditions

The project aims to address knowledge gaps regarding clinician rationale for chronic medication changes prescribed at discharge and subsequent patient outcomes. It involves three main objectives: 1) Conduct a prospective mixed-methods cohort study of older adults discharged from the hospital with chronic medication changes to evaluate clinician's reasons for making changes, older adults' understanding of changes, and patient-reported outcomes; 2) Develop and refine a clinical decision framework for individualizing discharge diabetes and hypertension prescribing decisions for hospitalized older adults; and 3) Conduct a pilot pretest-posttest trial to assess if providing the clinical decision framework tool facilitates self-efficacy to individualize prescribing decisions and leads to improved patient understanding of medication changes.