Central CCAC e-Health Conference 2013 Medication Management Support Services (MMSS) at Central CCAC May 27, 2013 Mary Burello-Cordovado Senior Manager, Central CCAC 1 Outstanding care – every person, every day

Central CCAC

Meeting the challenge of increasing complexity of care needs Growing demand for Central CCAC services Increasing complexity of care needs - 16% of the total high needs patients provincially Almost 60% of our patients are transitioning directly from hospital (about 35,000 in ) Medication issues remain one of the biggest challenges and opportunities in community care 3

Central CCAC Medication Management Support Services (MMSS) Developed by Central CCAC in partnership with hospital and community partners Central CCAC qualified in December 2011 under the Medication Reconciliation Category Medication Reconciliation - helps providers work with patients, families and other clinicians to ensure accurate and comprehensive medication information is communicated consistently across transitions of care 4

Central CCAC Improving patient safety in transitions in care through MMSS Reduces falls and improves pain management Engages patients in their care and is an effective way Results in safer transitions between care settings Builds capacity in the community to deliver a wide range of home care services Improves quality of care for people with complex needs, supporting them to live safely and independently Enables information sharing - CHRIS to MMSS 5

Central CCAC The MMSS Process 6

Central CCAC Creating new technology Central CCAC’s secure web-based solution for MMSS Process improvement – exchange secure information Reduction in workload for CCAC staff and Pharmacists/Rapid Response Nurses/Contracted Vendors Better accessibility and transparency of MMSS information Broader range of information available to Central CCAC Improved data quality 7

Central CCAC 8 MMSS Technical Infrastructure MMSS – Medication Management Support Services CHRIS – Client Health and Related Information System DMZ – Demilitarized Zone SSL – Secure Socket Layer Central CCAC – Central Community Care Access Centre OACCAC – Ontario Association of Community Care Access Centres

Central CCAC Medication Inventory and Schedule 9

Central CCAC Benefits: Process and Data Fewer handoffs = decreased risk of errors Complete and submit documents online – no faxing, no printing saves time and resources Filed document sends automated message to care coordinators to follow-up Better access to critical information Transparency and compliance of process and policies Improved data quality and reporting IMPROVED patient OUTCOMES! 10

Central CCAC MMSS Indicator List 2012/13 11

Central CCAC Building on the success of MMSS Implemented to support patients returning home from hospital who were at risk for falls, ED visits and hospital readmits due to medication adverse events MMSS pharmacists (2009–2013) Spread to other high need patients with medication management needs through MMSS database Rapid Response Nurses (2013) Palliative Nurse Practitioners (2013) Contracted Vendors (2013) 12

Central CCAC Discussion and Questions View our MMSS video on