Transcript Mount Hope - St. Joseph`s Med Rec Presentation For SHN! Feb 2010

Medication Reconciliation at
Mount Hope
Presented by MaryBeth Blokker February 2010
[email protected]
OUR TEAM
Medication Safety Coordinator

MaryBeth Blokker
Pharmacists
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
Moumita Bhattacharya
Sharon Molnar
Mount Hope Staff Educator

Heather Orr
Nursing Lead

Christine Forsythe
Social Workers
University of Waterloo Pharmacy Student

Denise Kreutzwiser


Audrey Dow
Shirley Pretty
Physician Lead

“primum non nocere”
Dr. Albert Annen
BASELINE RESULTS
• Total # of baseline admissions = 5
• Total # of scripts = 44
• Total discrepancies:
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
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Type 0 = 33
Type 1 = 5
Type 2 = 1
Type 3 = 5
“primum non nocere”
OUR AIMS
1.
2.
3.
Formalize BPMH collection/documentation
Modify the current admission form to facilitate the
MedRec process
Implement a sustainable process that efficiently
using our current resources and will NOT
increase the workload
“primum non nocere”
OUR PLAN
• Educate staff about MedRec
• Develop a MedRec on Admission Process Flow
Document
• Develop a BPMH/AMO document tool
• Establish a BPMH prompt tool
• Enable pharmacists to access the ODB Drug Profile
Viewer & electronic medical records system to
facilitate reconciliation and documentation
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CHANGES ALONG THE WAY
• Several drafts of the Process Flow and
BPMH/AMO tool
• Enable pharmacy technicians to also
access the ODB Drug Profile Viewer
“primum non nocere”
RESULTS
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RESULTS
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RESULTS
“primum non nocere”
RESULTS
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RESULTS
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RESULTS
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LESSONS LEARNED
• Original Plan – Rely on MedsCheck to
get ‘Preliminary BPMH’
• Barrier – Most patients move into
Mount Hope within 72 hours of being
offered a room so getting a MedsCheck
done is not as realistic as we had hoped
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NEXT STEPS
• Social workers to pilot an admission script
• Pilot the BPMH/AMO tool on one floor where
all the patients have a common physician
• Train the pharmacists and pharmacy
technicians how to use the electronic medical
records system to document completion of
MedRec on Admission and any discrepancies
“primum non nocere”
CONTACT INFORMATION
MaryBeth Blokker
Medication Safety Coordinator
[email protected]
(519) 685-4000 ext. 65531
“primum non nocere”