Nursing Survey Results Current Medication Reconciliation Process at a Community Family Health Clinic: Pilot Study Brittany Bittner1, Ana Glavas1, Samantha Marquardt1, Karli Welter1 Preceptor: Dr. Emily Beckett2 1University of Iowa College of Pharmacy, PharmD Candidate 2020, 2University of Iowa College of Pharmacy, PharmD, BCPS Background Broadlawns Family Health Center, Des Moines IA Provides comprehensive primary and preventative health care for the entire family to the underserved population Staff includes 40 providers/residents, 9 nurses, and one 50% pharmacist Results 8/9 nurses responded to the pre-pilot survey and 7/8 nurses responded to the post-pilot survey 35 (~20%) patient medication lists and data-collecting questionnaires were returned 4 medication lists included a change in dosage strength. 50% reported an unknown reason, while 25% reported a dose increase and decrease 4 medication lists included a change in dosage frequency, all of which were reported as unknown 70.6% reported an unknown reason for medication deletion, while the remaining 29.4% reported a specific reason for deletion (i.e. duplicate medications) Nursing Survey Results Question Pre-Pilot Post-Pilot I feel that accurate medication lists are important to deliver good patient care. 1.50 1.00 Broadlawns current medication reconciliation process is efficient at accurately updating each patient medication list. 2.75 1.40 I feel comfortable with current medication reconciliation process. 2.13 1.20 I feel comfortable completing medication reconciliation with patients. 1.63 I always go through each medication on the medication list with every patient and accurately update the EMR. 1.88 The current EMR technology at Broadlawns allows me to accurately perform medication reconciliation and update medication lists  2.25 1.60 Objective Develop a framework for patient interviewing and medication reconciliation performance that can be implemented in a family health clinic to assess completion of accurate medication lists The current EMR system, Meditech, requires nurses to check medications as “reviewed,” which eliminates the ability to know if the medication reconciliation occurred with quality and the ability to see past updates to patients’ medication lists Limitations Broadlawns previously did not have a formal procedure in completing medication reconciliations Researchers had to rely on nursing staff and fourth-year pharmacy students for data collection Unable to determine if nurses did not complete medication reconciliations based on a patient’s extensive medication list or if particular nurses were not compliant with the new policy 1 = fully agree, 2 = somewhat agree, 3 = neither agree nor disagree, 4 = somewhat disagree, 5 = fully disagree Methods Pre Reminder phone calls to patients to bring in their medications/lists Nursing survey Created medication reconciliation procedure and medication pocket card template Pilot Nursing staff reviews and applies policy Front staff prints patient’s medication list, which the patient update in the waiting room Input all changes to patients’ medication lists into our online data collection questionnaire Post Identify and implement necessary changes to the new policy 199 patients seen in clinic during pilot study 178 patients eligible to participate in pilot study 35 responses from nursing staff Average Prescription Per Patient 9.09 Conclusions The overall understanding, comfortability, and confidence of the nursing staff performing medication reconciliations has improved Medication reconciliations are essential for accurate medication lists, leading to improved outcomes in patient safety and quality of care The Broadlawns medication reconciliation process remains a work in progress Average OTC Per Patient 2.49 Average Number of Changes to Each Medication List = 1.8 Updates