Preventing medication-related problems among older Americans.

This article provides an overview of the Fleetwood Project, a major three-phase research and demonstration initiative to: (1) evaluate how consultant pharmacist services influence health outcomes and costs by reducing medication-related problems in long-term care settings, (2) compare outcomes from federally mandated drug regimen reviews to prospective reviews and formalized pharmaceutical care planning (the Fleetwood Model) for nursing facility residents at highest risk for medication-related problems, and (3) apply and evaluate this model in a national sample of nursing and assisted-living facilities.