1. Understanding Medication Reconciliation Needs at a Family Medicine Residency
Principal Investigator:
Dr. Morgan Sayler Herring, PharmD, BCPS
Co-Investigators:
Olivia Altemeier, Jordyn Anderson, Kelly Tocki, Louis Swaka

2. MEDICATION RECONCILIATION
What is it?
Why is it important?
Who does it affect?
Medication reconciliation is the process of creating an accurate and updated medication list with information such as drug name, dosage, frequency, and route of administration.
Importance: to be able to treat patients effective and achieve better patients outcomes, we must have an accurate and frequently updated patient medications list to make sound clinical recommendation regarding patients therapy. Any gaps in patient’s medications informations may lead to catastrophic outcomes.

3. OBJECTIVES Create a survey Determine most common problems
Design solutions that address problems
Implement strategies

4. PARTICIPANTS Providers (16) CMAs (11)
Respondents were from UnityPoint Family Medicine in east Des Moines, Iowa.

5. STUDY RESOURCES

6. METHODS
Provider participants completed a 5 question survey while CMA participants completed a 9 question survey via
The overarching theme between both surveys was to discover which areas in the med rec process were the most challenging
Generally, the questions addressed medication knowledge, provider/CMA confidence, and patient contribution during the process.

7. RESULTS PRESCRIBER SURVEY

8. PRESCRIBER SURVEY

9. PRESCRIBER SURVEY

10. CMA SURVEY

11. CMA SURVEY

12. CMA SURVEY

13. SURVEY FINDINGS
Most providers reported a high frequency of discrepancies between patients home medication list and the reported medication list at their visit.
Majority of providers believe there is a need to standardize medication reconciliations.
Most providers believe that more medication education to staff and patients would be beneficial

14. FUTURE DIRECTIONS Standardizing the medication reconciliation process
Creation of Collaborative Education Institution course (CEI)
Require patient to bring in medications
Use of technology that helps patients relay information from one provider to the next.

15. LIMITATIONS Timeline Email integrity Location of site
Limited external validity

16. CONCLUSIONS
Discrepancies in medication records remains a major issue that providers deal with in their everyday practice.
Pharmacists are spending more time and more money correcting errors presented in CMAs.
This provides us with an opportunity to brainstorm solutions to implement in the near future.

17. REFERENCES https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3078655/