1. Semiannual MAP TRAINER WEBINAR Spring 2016

2.  What's New ?  Updates  Reminders  Trends Agenda

3.  DPH MAP Advisories 1.Naloxone Use 2.Methadone  Take Home Doses  In a storm or emergency 3.Electronic Signatures What’s New?

4. www.mass.gov/dph/map

5.  Naloxone Use  The only Schedule VI med  That can be prescribed to  Someone other than  The ultimate user DPH MAP Advisory

6.  Methadone  Take Home Doses  In a storm or emergency DPH MAP Advisory

7.  Electronic Signatures  Are acceptable  Proof of authentication if requested DPH MAP Advisory

8. Examples

9.  MAP software revision  Version 7  Phase one  Piloted by providers What’s New?

10.  Sample protocol templates  Clozapine  Coumadin What’s New?

11. Clozapine Protocol Template

12. Coumadin Protocol Template

13.  MAP Coordinator  Training program support  Coming soon What’s New?

14. Updates

15.  ABI/MFP and DDS individuals  Medication refusals  Not a medication occurrence  If tracked in HCSIS, must meet  Incident reporting guidelines  Decision tree Updates

16. Decision Tree

17.  MCSR  New site  Application  Proof that site is operated/funded by DDS/DMH-DCF Updates

18.  MCSR  Existing DDS sites  Confirmation required  Address remains a DDS site Updates

19.  CLIA  Required:  Testing by agency staff  Not required:  Testing only by outside agency or  Individual  If there is no staff involvement Updates

20.  Epi-pen management at  Work site  Not MAP Registered  Individual  Non self-administering  Must have protocol Epi-Pen

21.  Protocol options: 1.No epi-pen available  During transport and/or at work site  911 in event of emergency 2.MAP staff 1:1 3.Work staff agree to epi-pen training Epi-Pen

22.  Training for work staff  Completed by outside agency  Not a MAP Trainer Epi-Pen

23.  Work site must manage own supply of epi-pen  May not transfer epi-pen between MAP staff and non-MAP staff Epi-Pen

24.  Review options with HCP  Include in epi-pen protocol Epi-Pen

25.  Medication  Transportation  MAP Certified or licensed staff must be available Oxygen

26.  Mandatory  Verification form D&S Diversified Technologies

28. Verification Form

29. D&S Diversified Technologies

30.  Identification  Only one form required  US Government  Picture  Non-expired D&S Diversified Technologies

31.  Trends  Testing reminders:  Comparing 5 rights  Encourage pointing D&S Diversified Technologies

32.  Trends  Testing reminders:  No “scanning eyes” D&S Diversified Technologies

33.  Trends  Signatures  ID compared to sign in sheet  For authenticity D&S Diversified Technologies

34.  MAP Certification  Printed from D&S  Includes where valid D&S Diversified Technologies

36.  Training resource  Posted March 2016  www.mass.gov/dph/map www.mass.gov/dph/map  DDS MAP Webinars MAP Trainer Basics Webinar

37. DDS MOR Stats 2014 MORs  Total 5750 2015 MORs  Total 5707

38. Most Common MOR Category 2014 MORs 1.Wrong Time 4245  73.8% of all MORs  Omission 3610  85% of all Wrong Time MORs 2015 MORs 1.Wrong Time 4108  72% of all MORs  Omission 3463  84.3% of all Wrong Time MORs

39.  2014 and 2015  Did not order, pick up or receive refills from pharmacy Most Common Reason

40. Hotline MOR Stats 2014 Hotlines  Total 64  1.1% of MORs 2015 Hotlines  Total 80  1.4% of MORs

41. Most Common Hotline Category 2014 Hotlines 1.Wrong Time 23  35.9% 2.Wrong Individual 22  34.4% 2015 Hotlines 1.Wrong Individual 40  48.8% 2.Wrong Time 28  35%

42. Hotline MOR Stats 2014  Wrong Time 23  17 Omissions 2015  Wrong Time 28  21 Omissions

43.  Wrong Time  Did not order, pick up or receive refills from pharmacy and failure to compare label to med sheet  Wrong Individual  Misidentified person and meds not secured Most Common Hotline Reasons 2014

44.  Wrong Individual  Misidentified person  Meds not properly secured  Wrong Time  Did not order pick up or receive refill from pharmacy  Failure to compare label to med sheet Most Common Hotline Reasons 2015

45. Reminders

46.  MOR data entry  Phone number on the MOR  Must be site phone number  Not agency main office Reminders

47.  Training resource  Posted Oct 2015  www.mass.gov/dph/map www.mass.gov/dph/map  DDS MAP Webinars MOR HCSIS Data Entry Webinar

48. Reminder

53.  AMRW Trainer Manual 5.2.1  Curriculum 5.1.1 Reminder

54.  Training resource  Posted Oct 2015  www.mass.gov/dph/map www.mass.gov/dph/map  DDS MAP Webinars Administering Medications the Right Way Webinar

55.  Train the Trainer  Waiver of 2 year RN experience  Must have experience as a LPN or MAP Certified staff  At a MAP registered site Reminder

56.  Data tracking required for medication administration  Must be tracked on the med sheet  Above or below the med Trends

57.  HCP Orders  If typed by staff  Before HCP signs  Ensure accuracy Trends

58.  What is taught in Certification Training  Expected to be practiced in the work place Trends

59.  Documentation required when contacting a MAP Consultant  Including recommendations Trends

60.  Fall 2016 Next Webinar Date