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BUREAU OF ASSISTED LIVING MEDICATION MANAGEMENT INITIATIVE Laurie Arkens, Susan Blount, Barb Brock-Arndt, Susan Murphy

Concerns:Increased needs of individuals residing in assisted living facilities, resulting in complex medication regimensOccurrence of serious medication errorsInadequate medication administration systemsIneffective medication administration monitoring. Action Plan:Medication Management Initiative (M2I) Workgroup formed March 2007AL Regional DirectorsDQA Pharmacist ConsultantProvide information, guidance, recommendations and resources to assisted living providers in Wisconsin.

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BUREAU OF ASSISTED LIVING MEDICATION MANAGEMENT INITIATIVE Laurie Arkens, Susan Blount, Barb Brock-Arndt, Susan Murphy

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    1. BUREAU OF ASSISTED LIVING ******** MEDICATION MANAGEMENT INITIATIVE Laurie Arkens, Susan Blount, Barb Brock-Arndt, Susan Murphy March 11, 2008

    2. Concerns: Increased needs of individuals residing in assisted living facilities, resulting in complex medication regimens Occurrence of serious medication errors Inadequate medication administration systems Ineffective medication administration monitoring

    3. Action Plan: Medication Management Initiative (M2I) Workgroup formed March 2007 AL Regional Directors DQA Pharmacist Consultant Provide information, guidance, recommendations and resources to assisted living providers in Wisconsin

    4. Research/Information Gathering: Input from AL surveyors Review of all medication related citations (1/2005 to 3/2007) Add in sample of questions included in survey to staff…… Regarding ciata…review the chart and give summary stats and examplesAdd in sample of questions included in survey to staff…… Regarding ciata…review the chart and give summary stats and examples

    5. Reduce medication errors in assisted living facilities Improve medication management systems in assisted living facilities Goals:

    6. Provide guidance to providers in improving communication with practitioners Discuss the role of the pharmacist Provide guidance for drug regimen review Goals (continued):

    7. Promote the use of accepted standards of practice related to medication dosages, interactions, side effects and lab values Provide information related to insulin administration Goals (continued):

    8. Consider the role of the RN in medication management in assisted living Provide information regarding RN delegation Goals (continued):

    9. Identify training needs and resources Provide sample forms/tools for pharmacy review, communication, medication administration record, etc. Increase awareness of self-administration of medications Goals (continued):

    10. Provide information and resources about the safe use of psychotropic medications, including PRN usage, benefits/risks and side effects Goals (continued):

    11. Result: Developed a website with information and resources related to medication management

    17. Find an example that has something included under “Best Practice, Tools & Forms” section – Page 8…Medication Storage and Disposal…or Page 2….Controlled Substances? Find an example that has something included under “Best Practice, Tools & Forms” section – Page 8…Medication Storage and Disposal…or Page 2….Controlled Substances?

    18. Medication Management Initiative Website: “Living Document” Contributions to the website: Best Practice Forms Policy Resources

    19. Resources Utilized: Assisted Living Workgroup Report to US Senate Committee on Aging DQA Memos DQA Pharmacy Newscapsule DQA Safety in Healthcare “Mistake-Proofing the Design of Health Care Processes” (Agency for Healthcare Research & Quality)

    20. Resources Utilized (continued): US Drug Enforcement Administration (DEA) Med-Pass, Inc. Briggs Corporation American Diabetes Association Food & Drug Administration (FDA) The Joint Commission

    21. Resources Utilized (continued): WebMD Wisconsin DNR Wisconsin DATCP The United States Pharmacopeia (USP) The American Geriatrics Society

    22. Resources Utilized (continued): JD.MD, Inc. National Coordinating Council for Medication Error Reporting & Prevention OPUS Medication Systems The Wisconsin Council on Developmental Disabilities

    23. Resources Utilized (continued): Institute for Safe Medication Practices (ISMP) Agency for Health Care Policy and Research (AHCPR) Clinical Practice Guidelines Annals of Long-Term Care

    24. Timeline for Implementation: Presentation to Forum Comments & Review Projected completion date 4/23/08 Meeting with web designer Roll-out of website with introduction via DQA memo

    25. Send Comments and Suggestions to: Susan Murphy murphsr@dhfs.state.wi.us Please use subject line of: “M2I Comment” and Submit by 3/21/2008 State that for now comments should be limited to format/topic pages, etc. When the site is rolled out, that will be the time to submit items for inclusion on the website.State that for now comments should be limited to format/topic pages, etc. When the site is rolled out, that will be the time to submit items for inclusion on the website.

    26. Questions

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