Understanding Medication Reconciliation Needs at a Family Medicine Residency Clinic Altemeier, O1 Anderson, J1 Tocki, K1 Swaka, L1, Herring, M2 1 The University of Iowa College of Pharmacy, PharmD Candidate, 2020, 2 PharmD, BCP                     Background  Medication reconciliation is an important aspect of improving patient care and achieving better outcomes  This project is aimed at discovering the most common discrepancies reported by the healthcare staff in completing the medication reconciliation process Provider Results CMA Results                      Discussion Discrepancies in medication records remains a major issue Majority of providers report lack of a standardized template but believe there is a need for one Overall lack of knowledge of medications How important do you feel that the medication reconciliation process is? What part of the medication reconciliation process do you feel is the most difficult?  Very Important Not knowing what questions to ask Lack of standardized template Somewhat Important Patients not knowing their medications Not feeling comfortable with med names and uses Not Important Unfamiliar with Electronic Health Record                         Objectives Create a survey Determine most common problems Design solutions that address problems Implement strategies               Future Directions Standardize medication reconciliation process at UnityPoint Create a Collaborative Education Institution (CEI) Request that patients bring in medication bottles to appointments Better utilization of electronic health records How often do you find mistakes in the updated medication list at each visit? How comfortable do you feel with recognizing medication names? Never Very  Comfortable Sometimes Half the time Somewhat Comfortable Most of the time                      Methods Survey created to assess provider and CMA attitudes towards process Providers completed 5 question survey, CMA completed 9 question survey via email 16 providers, 11 CMAs Survey responses collected using Qualtrics No statistical analysis was performed Not Comfortable Always Limitations Limited external validity: Only surveyed at Unity Point Family Medicine in Des Moines, Iowa Small Sample Size Limited responses due to email hacks at the clinic Do you feel that more education on the medication reconciliation process for CMAs would be beneficial? How comfortable do you feel with recognizing medication uses and/or side effects? Very  Comfortable Somewhat Comfortable Yes  Not Comfortable No