TABLE 3.

Rank of the top medication optimization priorities identified from final round of Delphi process (live vote)

Final Rank	Score (x/9)	Priority
1	7.3	Improving efforts (e.g., funding) towards developing novel technologies innovations focused on facilitating appropriate medication prescribing and/or deprescribing in older adults living with frailty.
2	6.5	Increasing research into developing or improving models that facilitate pharmacists playing an active role in the process of monitoring and assessing use of potentially inappropriate medications.
2	6.5	Further research into the values and preferences held by elderly patients living with frailty with respect to medication use (e.g., determine perspectives regarding appropriate medication prescription or deprescribing).
3	6.4	Building an (electronic) system and practice system so that a patient’s medications can be monitored and reviewed in real time to determine the current need and appropriateness of each medication, as well as potential for adverse drug–drug interactions.
3	6.4	Advocacy for clinical trials that specifically evaluate the therapeutic benefit and adverse effects of new and current medications on seniors living with frailty. [merged and edited]
4	6.2	New innovations being developed so that patients (and their trained care providers) are empowered to monitor and assess their own medication use.
5	4.9	Promoting and supporting the development of a nation-wide Pharmacare plan for all Canadians.