Medication Reconciliation Collaborative

1. Medication Reconciliation Collaborative PowerHour Information 03/09/2011

2. Outline • Background • Description • Vision • Mission • Measurements • Participation Requirements

3. Background • Recent data shows that: • 73% of patients had at least one medication discrepancy between the surgery and anesthesiology preoperative medication histories.1 • Up to 27% of all hospital prescribing errors can be attributed to incomplete medication histories at the time of admission.2 • 33% of patients discharged from the ICU had one or more of their chronic medications omitted at hospital discharge.3

4. Background • Recent data shows that: • 22% of medication discrepancies could have resulted in patient harm during their hospitalization, and • 59% of the discrepancies could have resulted in patient harm if the discrepancy continued after discharge.4 Medication Reconciliation is an important issue that greatly impacts patient safety.

5. Description Partnering with the • Agency for Healthcare Research and Quality (AHRQ), IPRO – • the Quality Improvement Organization (QIO) for New York State, • the Georgia Medical Care Foundation (GMCF), • and the Georgia Hospital Association’s Partnership for Health and Accountability (PHA), hospitals will use the AHRQ-funded toolkit to improve medication reconciliation.

6. Vision • All patients admitted to Georgia Hospitals will receive the necessary tools and information that insures accurate and complete administration of medication during hospitalization as well as prepare the patient to receive appropriate medications after the hospital stay.

7. Mission • Improve the overall health outcomes of the patient we serve through an accurate medication reconciliation process.

8. Measurements(Numerators , Denominators and definitions to be provided upon sign up) • Percent of patient records with a complete medication history collected on admission. • Percent of patient records with unreconciled medication on admission. • Adverse drug events from unreconciled medication on admission.

9. Participation Requirements • Submit CEO Commitment Letter and Memorandum of Agreement. • Participate in monthly education calls. • Submit self–assessment/Action Improvement Plan • Submit data where appropriate.

10. Questions? • This collaborative has started. A second cohort will begin in June, with a possible third cohort starting in September. • Please contact Kathy McGowan, 770-249-4519, kmcgowan@gha.org, with any questions.

11. Resources 1Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. QualSaf Health Care 2005;14:414-416. 2Dobrzanski S, Hammond I, Khan G, et al. The nature of hospital prescribing errors. Br J Clin Govern 2002;7:187-93. 3 Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of Chronic Medications in Patients Discharged from the Intensive Care Unit. J Gen Intern Med 2006; 21:937-941. 4 Sullivan C, Gleason KM, Groszek JM, et al. Medication Reconciliation in the Acute Care Setting, Opportunity and Challenge for Nursing. J Nurs Care Qual2005; 20:95-98.