1. 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 to Who Wants to be a Millionaire 50:50

2. © Mark E. Damon - All Rights Reserved Another Presentation © 2000 - All rights Reserved markedamon@hotmail.com

3. © Mark E. Damon - All Rights Reserved

4. seamstress : cloth :: shoemaker : 1.leather 2.wood 3.steel 4.paper 20

5. © Mark E. Damon - All Rights Reserved S_F_T_ 1.E Y A 2.Z A U 3.O I R 4.I L E 20

6. © Mark E. Damon - All Rights Reserved 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

7. © Mark E. Damon - All Rights Reserved A: Obtaining a complete and accurate list of current home medications C: All of the above (A, B & D) B: Using a BPMH when writing admission, transfer and discharge medication orders D: Comparing the BPMH with orders to identify and fix any discrepancies 50:50 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 In Acute Care, what is the Medication Reconciliation process?

8. © Mark E. Damon - All Rights Reserved In Acute Care, what is the Medication Reconciliation process? A: Obtaining a complete and accurate list of current home medications B: Using a BPMH when writing admission, transfer and discharge medication orders C:All of the above (A, B & D) D: Comparing the BPMH with orders to identify and fix any discrepancies 60

9. © Mark E. Damon - All Rights Reserved A: Obtaining a complete and accurate list of current home medications C: All of the above (A, B & D) B: Using a BPMH when writing admission, transfer and discharge medication orders D: Comparing the BPMH with orders to identify and fix any discrepancies 50:50 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 In Acute Care, what is the Medication Reconciliation process?

10. © Mark E. Damon - All Rights Reserved 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

11. © Mark E. Damon - All Rights Reserved A: a multidisciplinary team C: Physicians B: Pharmacists D: Nurses 50:50 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 Complete this sentence: MedRec is a process which involves …

12. © Mark E. Damon - All Rights Reserved MedRec is a process which involves … 10 A.A multidisciplinary team B.Pharmacists C.Physicians D.Nurses

13. © Mark E. Damon - All Rights Reserved A: a multidisciplinary team C: Physicians B: Pharmacists D: Nurses 50:50 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 Complete this sentence: MedRec is a process which involves …

14. © Mark E. Damon - All Rights Reserved 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

15. © Mark E. Damon - All Rights Reserved A: Intentional Discrepancy C: Undocumented Intentional Discrepancy B: Unintentional discrepancy D: Medication error 50:50 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 A patient on a maintenance dose of atenolol for hypertension was admitted for surgery. The surgeon did not order atenolol on admission, due to concerns about perioperative hypotension. There was no written reason for not ordering atenolol. How would you code this discrepancy?

16. © Mark E. Damon - All Rights Reserved How would you code this discrepancy? A.Intentional Discrepancy B.Unintentional discrepancy C.Undocumented Intentional Discrepancy D.Medication error 60

17. © Mark E. Damon - All Rights Reserved A: Intentional Discrepancy C: Undocumented Intentional Discrepancy B: Unintentional discrepancy D: Medication error 50:50 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 A patient on a maintenance dose of atenolol for hypertension was admitted for surgery. The surgeon did not order atenolol on admission, due to concerns about perioperative hypotension. There was no written reason for not ordering atenolol. How would you code this discrepancy?

18. © Mark E. Damon - All Rights Reserved 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

19. © Mark E. Damon - All Rights Reserved A: labels on pill bottles C: community pharmacy lists B: all available sources D: discharge prescriptions 50:50 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 In Home Care what do you compare the BPMH from the client interview to?

20. © Mark E. Damon - All Rights Reserved In Home Care what do you compare the BPMH from the client interview to? 60 A.Labels on pill bottles B.All available sources C.Community pharmacy lists D.Discharge prescriptions

21. © Mark E. Damon - All Rights Reserved A: labels on pill bottles C: community pharmacy lists B: all available sources D: discharge prescriptions 50:50 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 In Home Care what do you compare the BPMH from the client interview to?

22. © Mark E. Damon - All Rights Reserved 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

23. © Mark E. Damon - All Rights Reserved A: Undocumented intentional discrepancy C: Unintentional discrepancy B : Any discrepancy which requires clarification D: Intentional discrepancy 50:50 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 In Home Care where there are often no order forms to compare to, how do you describe a discrepancy?

24. © Mark E. Damon - All Rights Reserved In Home Care where there are often no order forms to compare to, how do you describe a discrepancy? A.Undocumented intentional discrepancy B.Any discrepancy which requires clarification C.Unintentional discrepancy D.Intentional discrepancy 60

25. © Mark E. Damon - All Rights Reserved A: Undocumented intentional discrepancy C: Unintentional discrepancy B : Any discrepancy which requires clarification D: Intentional discrepancy 50:50 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 In Home Care where there are often no order forms to compare to, how do you describe a discrepancy?

26. © Mark E. Damon - All Rights Reserved Congratulations! You’ve Reached the $1,000 Milestone! Congratulations! C o n g r a t u l a t i o n s !

27. © Mark E. Damon - All Rights Reserved 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

28. © Mark E. Damon - All Rights Reserved A: 100 C: 447 B: 332 D: 800 50:50 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 How many SHN Medication Reconciliation teams are there in Canada?

29. © Mark E. Damon - All Rights Reserved How many SHN Medication Reconciliation teams are there in Canada? A.100 B.332 C.447 D.800 60

30. © Mark E. Damon - All Rights Reserved A: 100 C: 447 B: 332 D: 800 50:50 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 How many SHN Medication Reconciliation teams are there in Canada?

31. © Mark E. Damon - All Rights Reserved 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

32. © Mark E. Damon - All Rights Reserved A: All of the below C: Retroactively B: Proactively D: a hybrid of proactive and retroactive 50:50 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 Which is the correct way (model) for measuring medication discrepancies?

33. © Mark E. Damon - All Rights Reserved Which is the correct way (model) for measuring medication discrepancies? 1.All of the below 2.Proactively 3.Retroactively 4.A hybrid of proactive and retroactive 60

34. © Mark E. Damon - All Rights Reserved A: All of the below C: Retroactively B: Proactively D: a hybrid of proactive and retroactive 50:50 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 Which is the correct way (model) for measuring medication discrepancies?

35. © Mark E. Damon - All Rights Reserved 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

36. © Mark E. Damon - All Rights Reserved A: After you get the BPMH C: After you have reconciled B: Before the AMO are written D: You don’t need to measure 50:50 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 At which stage in the process do you measure in a retroactive model of measuring discrepancies?

37. © Mark E. Damon - All Rights Reserved At which stage in the process do you measure in a retroactive model of measuring discrepancies? A.After you get the BPMH B.Before the AMO are written C.After you have reconciled D.You don’t need to measure 60

38. © Mark E. Damon - All Rights Reserved A: after you get the BPMH C: after you have reconciled B: Before the AMO are written D: You don’t need to measure 50:50 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 At which stage in the process do you measure in a retroactive model of measuring discrepancies?

39. © Mark E. Damon - All Rights Reserved 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

40. © Mark E. Damon - All Rights Reserved A: BPMH training C: A, B, & D B: measurement/coding training D : Rationale for doing MedRec 50:50 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 Which are the critical components for creating a learning package for Medication Reconciliation?

41. © Mark E. Damon - All Rights Reserved Which are the critical components for creating a learning package for Medication Reconciliation? A.BPMH training B.measurement/ coding training C.A, B, & D D.Rationale for doing MedRec 60

42. © Mark E. Damon - All Rights Reserved A: BPMH training C: A, B, & D B: measurement/coding training D : Rationale for doing Med Rec 50:50 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 Which are the critical components for creating a learning package for Medication Reconciliation?

43. © Mark E. Damon - All Rights Reserved 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

44. © Mark E. Damon - All Rights Reserved A: getting a complete list of home medications C: timely reconciliation B: a formal process with shared client/organization responsibility D: All the above plus a documented spread plan 50:50 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 Compliance for the Current Accreditation ROP for MedRec at admission must include:

45. © Mark E. Damon - All Rights Reserved Compliance for the Current Accreditation ROP for MedRec at admission must include: A.Getting a complete list of home medications B.A formal process with shared client/organization responsibility C.Timely reconciliation D.All the above plus a documented spread plan 60

46. © Mark E. Damon - All Rights Reserved A: getting a complete list of home medications C: timely reconciliation B: a formal process with shared client/organization responsibility D: All the above plus a documented spread plan 50:50 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 Compliance for the Current Accreditation ROP for MedRec at admission must include:

47. © Mark E. Damon - All Rights Reserved Congratulations! You’ve Reached the $32,000 Milestone! Congratulations! C o n g r a t u l a t i o n s !

48. © Mark E. Damon - All Rights Reserved 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

49. © Mark E. Damon - All Rights Reserved A: All transferred/referred patient’s/clients have documented evidence of MedRec C: Timely reconciliation B: a formal process with shared client/organization responsibility D : requires documentation that 2 lists have been compared 50:50 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 Which item is NOT Currently included, to test Compliant without flags for MedRec at transfer?

50. © Mark E. Damon - All Rights Reserved Which item is NOT Currently included, to test Compliant without flags for MedRec at transfer? A.All transferred/referred patient’s/clients have documented evidence of MedRec B.A formal process with shared client/organization responsibility C.Timely reconciliation D.Requires documentation that 2 lists have been compared 60

51. © Mark E. Damon - All Rights Reserved A: All transferred/referred patient’s/clients have documented evidence of MedRec C: Timely reconciliation B: a formal process with shared client/organization responsibility D : requires documentation that 2 lists have been compared 50:50 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 Which item is NOT Currently included, to test Compliant without flags for MedRec at transfer?

52. © Mark E. Damon - All Rights Reserved 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

53. © Mark E. Damon - All Rights Reserved A: Is impossible C: is called a run chart B: Connects change with results D: Needs additional resources 50:50 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 Choose the BEST answer to complete this sentence: Collecting data over time ….

54. © Mark E. Damon - All Rights Reserved Choose the BEST answer to complete this sentence: Collecting data over time …. A.Is impossible B.Connects change with results C.Is called a run chart D.Needs additional resources 60

55. © Mark E. Damon - All Rights Reserved A: Is impossible C: is called a run chart B: Connects change with results D: Needs additional resources 50:50 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 Choose the BEST answer to complete this sentence: Collecting data over time ….

56. © Mark E. Damon - All Rights Reserved 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

57. © Mark E. Damon - All Rights Reserved A: MedRec C: SSI B: VTE D: AMI 50:50 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 The highest subscribed Manitoba SHN intervention is……

58. © Mark E. Damon - All Rights Reserved The highest subscribed Manitoba SHN intervention is…… 1.MedRec 2.VTE 3.SSI 4.AMI 60

59. © Mark E. Damon - All Rights Reserved A: MedRec C: SSI B: VTE D: AMI 50:50 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 The highest subscribed Manitoba SHN intervention is……

60. © Mark E. Damon - All Rights Reserved 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

61. © Mark E. Damon - All Rights Reserved A: are over 65 years of age C: attend the clinic B: have medication adjustments D: Have more than 4 medications 50:50 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 In Ambulatory Care, Accreditation Canada requires Medication reconciliation to be demonstrated for those clients who...

62. © Mark E. Damon - All Rights Reserved In Ambulatory Care, Accreditation Canada requires Medication reconciliation to be demonstrated for those clients who... A.Are over 65 years of age B.Have medication adjustments C.Attend the clinic D.Have more than 4 medications 60

63. © Mark E. Damon - All Rights Reserved A: are over 65 years of age C: attend the clinic B: have medication adjustments D: Have more than 4 medications 50:50 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 In Ambulatory Care, Accreditation Canada requires Medication reconciliation to be demonstrated for those clients who...

64. © Mark E. Damon - All Rights Reserved 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

65. © Mark E. Damon - All Rights Reserved A: Safer Healthcare Now! C: Canadian Patient Safety Institute B: Manitoba Institute for Patient Safety D: ISMP Canada 50:50 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 The Sponsor of our Million Dollar gift is….

66. © Mark E. Damon - All Rights Reserved The Sponsor of our Million Dollar gift is…. A.Safer Healthcare Now! B.Manitoba Institute for Patient Safety C.Canadian Patient Safety Institute D.ISMP Canada 60

67. © Mark E. Damon - All Rights Reserved A: Safer Healthcare Now! C: Canadian Patient Safety Institute B: Manitoba Institute for Patient Safety D: ISMP Canada 50:50 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 The Sponsor of our Million Dollar gift is….

68. © Mark E. Damon - All Rights Reserved YOU WIN $1 MILLION DOLLARS!