LifeCorp™Westridge Assurance Partners
Medication Continuity: Independent Evaluation of Refill Coordination
A staggered service evaluation found fewer administrative refill interruptions, with unchanged prescribing authority.
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Scope and engagement
LifeCorp commissioned and paid Westridge Assurance Partners to evaluate refill coordination across eight existing residential service sites. Westridge selected the comparison method, inspected source records and retained control of its conclusions. The engagement concerns administrative continuity, rather than clinical efficacy.
Problem and intervention
Residents had reported missed renewals when prescriber approval, pharmacy supply and transport booking followed separate schedules. The intervention combined a seven-day renewal reminder, a named coordinator and a resident-confirmed delivery slot. Prescribers retained treatment decisions. Residents could retain their pharmacy and decline coordination without a contribution adjustment.
Method and measures
Eight sites were paired by size and prior interruption rate; one site in each pair was randomly assigned to begin coordination in January 2026 and the other continued usual administration through June. The analysis followed 400 consenting adults with recurring prescriptions, 200 per group, over six months. The primary measure was the proportion experiencing at least one documented interruption exceeding 48 hours attributable to administrative coordination. Clinician-directed pauses were excluded under a definition fixed before allocation. Reviewers checked pharmacy dispatch records and resident follow-up; endpoint reviewers received coded records without site assignments.
Findings
An administrative interruption occurred for 18 of 200 participants receiving coordination (9%) and 40 of 200 receiving usual administration (20%): an 11-percentage-point absolute reduction. Both groups completed follow-up. All eight sites supplied complete dispatch logs. Westridge’s review of unresolved delivery complaints found no additional uncounted interruptions meeting the endpoint definition.
Interpretation and limitations
The result supports an administrative benefit in these sites. Eight clusters provide limited precision, and site-level differences may affect the estimated magnitude. Six months of observation cannot establish effects on hospital admissions or long-term health. No claim of clinical improvement is made. The review found that the service delivered its intended improvement without changing prescribing authority or pharmacy choice.
Management disposition
Resident Services accepted the findings and approved a phased extension using the same voluntary model. Operations will retain named coordinators and report interruptions against the original definition. Finance authorized the staffing allocation within the existing healthcare service budget. Westridge recommends repeating the review after the next six-month operating period.