Determine whether the facility allows patients to bring in previously prescribed and dispensed medications from home. If the facility does permit this:

• The patient may be able to bring their bleeding disorder medication with them upon admission,

• This approach avoids delays and reduces the need for the facility to navigate unfamiliar procurement processes.

If the facility does not have a home medication policy in place:

• You can suggest that they consider adopting one, and

• Offer to provide a sample home medication policy and procedure document as a starting point.

What to say:

“If your facility doesn’t currently have a home medication policy, we’d be happy to share a sample that other programs have used successfully. It can serve as a useful template to ensure safe, streamlined, and patient-centered care.”

If the facility does not allow medications from home, the bleeding disorder treatment team can assist by:

• Identifying local specialty pharmacies that are able to deliver the prescribed medication directly to the facility,

• Supporting coordination between the pharmacy and the facility’s clinical or administrative staff.

If the facility:

• Does not allow home medications, and

• Cannot receive direct delivery from a specialty pharmacy,

Then it’s important to explore alternate care pathways, such as:

• Bringing the patient to a local hemophilia treatment center (HTC),

• Utilizing a nearby infusion center or emergency department (ED) for scheduled infusions/injections.

What to say:

Reinforce the importance of maintaining treatment:
“Maintaining [insert patient name]’s established treatment protocol is essential to ensuring medical stability and significantly reduces the risk that their mental health or substance use treatment will be interrupted by bleeding events.”

Suggest bringing previously dispensed medication from home:
“Would your facility allow [insert patient name] to bring their prescribed bleeding disorder medication from home? This could streamline care and avoid delays.”

Encourage adoption of a home medication policy if they don’t have one:

“If your facility doesn’t currently have a home medication policy, we’d be happy to share a sample that other programs have used successfully. It can serve as a useful template to ensure safe, streamlined, and patient-centered care.”

Offer assistance in coordinating medication delivery:
“If bringing medication from home is not allowed, we’d be happy to help identify a local specialty pharmacy that can deliver the product directly to your facility.”

Explore alternative infusion locations:
“If obtaining or storing the medication onsite is not feasible, would your facility consider transporting [insert patient name] to a local hemophilia treatment center, infusion center, or emergency department to receive their medication as scheduled?”