Presentation is loading. Please wait.

Presentation is loading. Please wait.

Medication Reconciliation is a Physician Issue. What is Medication Reconciliation? 1.Creating the list of medications your patient is on at home. 2.Accounting.

Published byMegan Bradford Modified over 9 years ago

Similar presentations

Presentation on theme: "Medication Reconciliation is a Physician Issue. What is Medication Reconciliation? 1.Creating the list of medications your patient is on at home. 2.Accounting."— Presentation transcript:

1 Medication Reconciliation is a Physician Issue

2 What is Medication Reconciliation? 1.Creating the list of medications your patient is on at home. 2.Accounting for each home medication when the patient enters the episode of care. 3.Communicating the discharge medication list and why there are changes from the home medication list.  In acute care…

3 Medico-legal Precedents *2013 CMPA educational publication

4 Admission (Etchells et al.) Acute Care (Norton et al.) ICU (Donchin et al, Critical Care Med 1995) Transfer (LEE et al, Ann Pharmacother. 2010) Discharge (Forster et al, CMAJ 2004) - Errors in medications 54% - 40% potential serious harm - Canadian Adverse Events Study: - 1 in 9 patients are potentially given the wrong medication or wrong dose. - 1.7 errors per patient per day in ICU - 40% with potential for serious harm - 62% of patients had errors on transfer - 36% with potential for serious harm mostly omitted meds - Biggest contributing factor: lack of a BPMH (best possible medication history) - 56% of patients discharged had adverse drug events; Harm ranged: -68% only symptoms -6%with permanent disability or death - In 50% of cases the adverse event was either preventable or ameliorable Evidence in the Literature

5 Why is this not being done on SCM or Netcare? Current SCM cannot create a functional home medication list…. yet. The pharmacy uploads to Netcare are NOT proper medication lists (and never will be). They reflect medications dispensed, not medications taken – this can only obtained though history. Med Rec can get on Netcare using your discharge summary.

6 TRANSITION OF CARE (transfer) Complete “Medication Reconciliation at Transitions of Care” report from SCM BPMHADMISSIONDISCHARGE TRANSITIONS OF CARE (transfer) Complete “Medication Reconciliation at Transitions of Care” report from SCM

7 MedRec Transitions of Care Report in SCM

8 Transferring doctor to handwrite any medications that appear on the BPMH that do not appear on this list and document reasons for omission. Transferring doctor to compare these meds with the home med list and document reasons for any changes. Eg: transfer from surg to hospitalist

9 A Medication Reconciliation at Transitions of Care report has been developed in the current 5.0 version of SCM MedRec Transitions of Care Report in SCM

10 Discharge – 3 Ways to do a Summary 1.SCM discharge summary – compare current meds to the home med list (BPMH), and type the reasons for changes into the white box below the med list. 2.Dictated discharge summary – same as above, but after dictating the meds for discharge, dictate the reasons for changes from the home med list. 3.Handwritten – Do Med Rec on the Form. In your discharge order, request the form be photocopied and faxed to the family doctor.

11

12 Discharge

13 Roll out of MedRec in Acute Care PLC Nov. 26, 2013 FMC Jan 20, 2014 ACH Dec 9, 2013 RGH Nov/Dec, 2013 SHC Sept, 2013

14 Medication Reconciliation Implementation is required by Dec, 2015 In development….  Outpatient clinics

15 What about patient or community pharmacist involvement? Patients: A resource developed by the HQCA is available in print, and on the AHS website. Pharmacists: There is a fee code for doing a patient interview and creating a medication list. Currently it requires a phone call to the pharmacist to obtain this list, if it is done.

16 Lynn Whitten, Project Manager: 403-909-9894 Dr. Echo Enns, Physician Lead: 403-616-0844 Nancy Hoeght, Project Coordinator: 403-619-5975 Mandy McCabe, Project Coordinator: 403-605-7190 Kathy Lee, Pharmacy Consultant: 403-943-3877 Alim Amershi, Project Coordinator (data):403-615-4739 Main Number - Administrative Assistant: 403 943-3532 In site Web Pages MedRec - http://insite.albertahealthservices.ca/5713.asphttp://insite.albertahealthservices.ca/5713.asp Elearning modules - http://insite.albertahealthservices.ca/8740.asphttp://insite.albertahealthservices.ca/8740.asp Accreditation - http://insite.albertahealthservices.ca/4086.asphttp://insite.albertahealthservices.ca/4086.asp Calgary Zone Project Team

17 Discharge

18 Why MedRec? Identified by AHS as a major patient safety initiative An Accreditation Canada Required Organizational Practice Identified by the World Health Organization as one of the top 5 priorities, “the High Fives Project” Med Rec will be integrated into all AHS clinical service delivery areas by Dec 2015

19 The Solution on Admission to Acute Care: Med Rec is where we take this…

20 and before you know it, this!

21 and turn it into this… (for now…)

Download ppt "Medication Reconciliation is a Physician Issue. What is Medication Reconciliation? 1.Creating the list of medications your patient is on at home. 2.Accounting."

Similar presentations

© Institute for Safe Medication Practices Canada 2008® Safer Healthcare Now! Getting Started in Homecare Sept. 11, 2008 Welcome to New Teams.

© Institute for Safe Medication Practices Canada 2008® Safer Healthcare Now! Getting Started in Homecare Sept. 11, 2008 Welcome to New Teams.
MEDICATION RECONCILIATION Jo-Anne Thompson RN Patient Safety Officer South Eastman Health.

MEDICATION RECONCILIATION Jo-Anne Thompson RN Patient Safety Officer South Eastman Health.
Medication Reconciliation in Home & Community Care Jo Dunderdale, RN, MA Program Development & Planning Leader Home & Community Care Vancouver Island Health.

Medication Reconciliation in Home & Community Care Jo Dunderdale, RN, MA Program Development & Planning Leader Home & Community Care Vancouver Island Health.
© Institute for Safe Medication Practices Canada 2008® Medication Reconciliation in Long Term Care Atlantic Node Collaborative Margaret Colquhoun SHN Intervention.

© Institute for Safe Medication Practices Canada 2008® Medication Reconciliation in Long Term Care Atlantic Node Collaborative Margaret Colquhoun SHN Intervention.
Med Rec in Rural NSW hospitals –the High 5s study and accreditation.

Med Rec in Rural NSW hospitals –the High 5s study and accreditation.
Continuity of Medication Management Medication Reconciliation A Systematic Process to Reduce Adverse Medication Events Hospital Presenter Month YYYY.

Continuity of Medication Management Medication Reconciliation A Systematic Process to Reduce Adverse Medication Events Hospital Presenter Month YYYY.
Medication Reconciliation in Long Term Care. Medication Reconciliation, or “Med Rec”, is a formal process of creating a Best Possible Medication History.

Medication Reconciliation in Long Term Care. Medication Reconciliation, or “Med Rec”, is a formal process of creating a Best Possible Medication History.
Continuity of Medication Management Medication Reconciliation: Beyond Admission Hospital Presenter Month YYYY.

Continuity of Medication Management Medication Reconciliation: Beyond Admission Hospital Presenter Month YYYY.
Accreditation Canada & ISMP Canada ISMP Community of Practice Medication Reconciliation October 15, 2008.

Accreditation Canada & ISMP Canada ISMP Community of Practice Medication Reconciliation October 15, 2008.
Island Health – Implementation of a fully automated Electronic Health Record and Closed Loop Medication System – lessons learned Jan Walker Regional Leader,

Island Health – Implementation of a fully automated Electronic Health Record and Closed Loop Medication System – lessons learned Jan Walker Regional Leader,
Coming Full Circle: AMI and Med Rec Across the Continuum. Western Node Collaborative Brandon Regional Health Authority Home Care Medication Reconciliation.

Coming Full Circle: AMI and Med Rec Across the Continuum. Western Node Collaborative Brandon Regional Health Authority Home Care Medication Reconciliation.
2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.

2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.
Company LOGO Discharge Orders/Medication Reconciliation Medication Education Module 4.

Company LOGO Discharge Orders/Medication Reconciliation Medication Education Module 4.
PICO Presentation July 29, 2011 Jaclyn Wakita Pharmacy Resident University Hospital of Northern British Columbia.

PICO Presentation July 29, 2011 Jaclyn Wakita Pharmacy Resident University Hospital of Northern British Columbia.
Medication Reconciliation Insert your hospital’s name here.

Medication Reconciliation Insert your hospital’s name here.
15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Welcome.

$1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Welcome.
Medication Safety Standard 4 Part 3 – Documentation of Patient Information, Continuity of Medication Management Margaret Duguid, Pharmaceutical Advisor.

Medication Safety Standard 4 Part 3 – Documentation of Patient Information, Continuity of Medication Management Margaret Duguid, Pharmaceutical Advisor.
1 DISCLAIMER We are speaking today in an individual capacity and not as employees of Alberta Health Services. The views and opinions presented are entirely.

1 DISCLAIMER We are speaking today in an individual capacity and not as employees of Alberta Health Services. The views and opinions presented are entirely.
1 Medication Reconciliation: Opportunity to Improve Resident Safety.

1 Medication Reconciliation: Opportunity to Improve Resident Safety.
Medication Reconciliation : MSNU. Origins of Medication Reconciliation as a Patient Safety strategy The Institute for Healthcare Improvement (IHI) introduced.

Medication Reconciliation : MSNU. Origins of Medication Reconciliation as a Patient Safety strategy The Institute for Healthcare Improvement (IHI) introduced.

Similar presentations

Ads by Google