Hospitals should closely monitor polypharmacy and hyperpolypharmacy to review if the effects are in alignment with their mission and values. Table 6: Mission Statement Examples Top Five Notable Hospitals Mission Statement
Core Values
Mayo Clinic
● The needs of the patient come first
Inspiring hope and pronouncing health through integrated clinical practice, education, and research Caring for life, researching for health, educating those who serve Guided by the needs of our patients and their families, we aim to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education; and to improve the health and well-being of the diverse communities we serve
Cleveland Clinic
● Quality and safety, empathy, inclusion, integrity, teamwork, innovation ● Excellence in patient care every day ● Outstanding service to our patients, their families, and our referring healthcare providers ● Access to clinical care for all patients at the right time, in the right place by the right clinician ● Seamless integration of research and clinical care for the benefits of our patients ● Basic research that advances science and increases our understanding of the nervous system and its functions ● Efficient and rapid translation of laboratory advances to patient care ● Teamwork and collaboration ● Education and mentoring for all our trainees and staff
Massachusetts General Hospital
Toronto General Hospital—University Health Network
Transforming lives and communities through excellence in care, discovery, and learning To improve the health of our community and the world by setting the standards of excellence in patient care
Johns Hopkins Hospital
(Qin et al., 2023)
Evidence-based practice! Advances in medication and medical specialties have enabled people to experience healthier longevity than at any other time in history. The irony is that according to Daunt et al., (2023) these advances have created healthcare systems and processes in which healthcare professionals and patients expect medication to be readily accessible for every single clinical issue. Daunt suggests the concept of “polypharmacy stewardship” as a means of designing structured care that develops recognized guidelines that can limit interactions and adverse outcomes while delivering care that is coordinated and designed to align each treatment plan with the needs and preferences for each patient. This stewardship, which is led by a pharmaceutical expert, has been shown to improve outcomes and be cost effective relative to antibiotic use as well as deprescribing opioids for pain. This process may be an effective application for all patients dealing with polypharmacy and multimorbidity.
Table 7: Polypharmacy Impact on Hospitalizations Country Polypharmacy Hospitalization Indication Taiwan Yes All-cause and fracture hospitalizations Australia Yes, nine or more medications Correlated to first hospitalization, number of
days admitted, and number of hospitalization episodes Increased risk of hospitalization
Korea
Yes, 6-9 medications over 3 months as well as excessive polypharmacy, 10+ medications over 3 months
(Qin et al., 2023)
Polypharmacy’s impact on disorders and conditions Polypharmacy and diabetes One of the most prevalent chronic age-related conditions is diabetes, which affects approximately 20% of people over age 65, equivalent to 135.6 million people (Tristao et al
2023), with over 80% of them also living with other chronic conditions and illness, many of which are exacerbations from diabetes. In the case of diabetes, polypharmacy can present challenges of expanded multimorbidity as well as issues
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