1 / 10

Medication Reconciliation

Medication Reconciliation. Dept of Family Medicine and Community Health Bethesda, Broadway, Phalen , Smileys Clinics Nov 8, 2018. Disclosures. No funding disclosures. Quality Gap. Patient safety Medication reconciliation seldom done

moua
Download Presentation

Medication Reconciliation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Medication Reconciliation Dept of Family Medicine and Community Health Bethesda, Broadway, Phalen, Smileys Clinics Nov 8, 2018

  2. Disclosures • No funding disclosures

  3. Quality Gap • Patient safety • Medication reconciliation seldom done • <5% of visits with documented medication reconciliation • MIPS measure

  4. Aim / Measures Aim By Sept 30 2018, implement a systematic medication reconciliation process and document provider or pharmacist medication reconciliation* on 70% of patient visits. * Med reconciliation defined as the process of identifying the most accurate list of medications that a patient is taking. This includes name, dosage, frequency, and route. The list should include all known prescriptions, OTC, herbals, and vitamin/mineral/dietary(nutritional) supplements. Measures • % visits with med rec documented by provider or pharmacist (outcome) • % visits with attempted med rec documented by PCS staff (process) • % staff/providers able to articulate med rec process (process) • % staff/providers satisfied with med rec process (balance)

  5. Interventions • Design a team-based med reconciliation process (June-Oct 2017) -- Multiple PDSAs -- Process flow diagram -- Pilots (Aug-Oct 2017) 2. Training and implementation (Nov/Dec 2017) 3. Re-education / training (July 2018) 4. Satisfaction surveys (June 2017, May 2018, Sept 2018)

  6. Intervention - Process Flow Diagram (1)

  7. Intervention - Process Flow Diagram (2)

  8. Interventions – Examples of PDSAs Medication review methodology by PCS – PDSAs • Paper method • EMR – Meds section • EMR – Orders section • EMR – Home meds section

  9. Outcomes Re-education Training Pilots

  10. Sustain / Spread Sustain • Standard work written • Supervisor audits for PCS • Monthly data • Review data quarterly at FaMQIC • Intervene if needed Spread • Presenting at STFM Practice Improvement Conference (Dec 2018)

More Related