Transcript Mom and Pops Presentation on the Issues concerning

Introducing the Medication
Recording System Schedule
Ed Castagna
Mom & Pop’s Small Business Services
Doctors Prescribe and
Patients Administer
Doctor Prescribes Medication to
improve patient during illness
Patient administers medication
until some time
Patient and Doctor reevaluate
continued need for medications
Current Doctor and Patient
Problems
Patient may not recall all their
current medications
Patient may not be able to
understand drug information
given
Patient may not be able to
administer medications well
Patient may be unwilling to take
additional medications
Current Doctor and Patient
Problems
Patient may not understand drug paper
documentation
Patient may not know how to add
medication to schedule
Patient may be overwhelmed with the
practitioner coordination needs
Patient may not be physically able to
administer drug (for instance, standard
Insulin Injection for arthritic patients)
Patient Issues
Improving Outcomes
Understanding Medications
Improving Continuity of Care
Improved Ability to Control
Medications Administration
Doctor Issues
Improving Outcomes
Continuity of Care
Training Patient re Medications
Improving Patient Compliance
Improving Patient Feedback
Pharmacist Issues
Improving Outcomes
Improving Continuity of Care
Training Patient re Medications
Improving Pharmaceuticals
Dispensing, Renewals,
Scheduling, and Delivery
Minimizing Costs
Insurers Issues
Improving Outcomes
Continuity of Care
Training Patient re Medications
Improving Patient Compliance
Improving Patient Feedback
Improving Pharmaceuticals
Dispensing, Renewals,
Scheduling, and Delivery
Insurers Issues
Minimizing Cost
Minimizing Costly Emergency
Room Visits due to wrong
medicine, missed doses, double
doses, inappropriate diagnosis,
treatment options.
Sample Medication Recording
System Schedule
Updated: November 11, 1999
Time
Medication/Results Dosage
Doctor
Since
__
__
Before Breakfast
6:30 am
Blood Sugar Test _________
6:30 am
Insulin 70/30
70 units
Dr. Feldman 1998
Dr. Feldman 1999
__
__
__
__
__
Breakfast Time
7:15 am
Ecotrin
5 mg
7:15 am
Synthroid
.1 mg
7:15 am
Norvasc
5 mg
7:15 am
Centrum Gold
pill
7:15 am
Calcium/Magnesium 450/325
Dr. Robeson
Dr. Robeson
Dr. Robeson
Personal
Dr. Robeson
_
1999
1999
1999
1990
1998
Sample Medication Recording
System Schedule
Updated: November 11, 1999
Time
Medication/Results Dosage
Doctor
Since
10 mg
Dr Eligeti
1998
Blood Sugar Test_________
Dr Feldman
1998
Insulin 70/30
Insulin 50/50
Dr Feldman
Dr Feldman
1999
1999
__
After Breakfast
9 am
Vasotec
__
Lunch Time
12:30 am
Before Dinner
__
__
15 units
10 units
A Team Approach to
Medication Recording System
Patient arrives at Doctor for checkup
Doctor suggests additional medication
is needed
Patient hands doctor Medication
Recording System Schedule
All current medications appear on
schedule
A Team Approach to
Medication Recording System
Doctor notes existing medications
Doctor prescribes medication , dosage,
number of pills, number of
administrations/day
Doctor suggests potential timing of
dosage administration
Patient updates Medication Recording
System Schedule with new medication
A Team Approach to
Medication Recording System
Patient shows Medication Recording
System Schedule to Pharmacist
Pharmacist checks for drug interactions
Pharmacist updates his view of patient
with additional medication
Pharmacist delivers medication and
blessing
Patient administers medications regularly
based on schedule
Old Hospital Discharge
Scenario
Patient is in Hospital for something
Patient is medicated regularly in Hospital
with Nursing Support
Patient is Discharged with pending
medications needs
Hospital may give patients a day’s worth
of drugs
Old Hospital Discharge
Scenario
Patient is at home with a Discharge
Summary they do not know how to read
Patient needs to verify information found
on Discharge Summary to turn it into
timely drug administration needs in
outside world
Patient solicits Hospital Nursing Staff
after discharge for help with unknown
state
Old Hospital Discharge
Scenario
Patient solicits Primary Care Physician
to help with unknown state
Patient Solicits Pharmacist to help with
unknown state
Discharge orders may be continued,
follow-up with Primary Care Physician
should be recommended
Old Hospital Discharge
Scenario
Primary Care Physician prescribes those
medications from Hospital to be
continued for patient
Pharmacist delivers newly prescribed
medications
Patient is satisfied that the Primary Care
Physician has evaluated Hospital
medications handoff to home
Hospital Discharge with
Medication Recording System
Patient is in Hospital for something
Patient is medicated regularly in Hospital
with Nursing Support
Patient is Discharged with pending
medications needs
Medication Recording System Schedule is
created for patient
Hospital may give patient sufficient
dosing till Primary Physician visit
Hospital Discharge with
Medication Recording System
Patient is at home with a Discharge
Summary and a Medication Recording
System Schedule they find easy to
understand
Patient fills prescriptions based on
Medication Recording System Schedule.
Patient Solicits Primary Care Physician
to understand issues relating to
Discharge Summary at a lower priority
than immediate medication needs.
Hospital Discharge with
Medication Recording System
Primary Care Physician coordinates with
Hospital Staff to understand Discharge
Summary. Patient consults Primary
Care Physician to help with unknown
state
Pharmacist coordinates with Hospital
Staff to understand Discharge
Summary.
Hospital Discharge with
Medication Recording System
Primary Care Physician prescribes those
medications from Hospital to be
continued for patient
Pharmacist delivers newly prescribed
medications
Patient is satisfied that the Primary Care
Physician has evaluated Hospital
medications handoff to home
Old Doctor’s Office Visit
Patient visits Primary Care Physician
noting symptoms
Doctor evaluates symptoms and
prescribes medication
Patient gets prescription from local drug
store
Medication Information shows side effects
which patient decides not to bear the
risk of
Old Doctor’s Office Visit
Next Patient visit Doctor notes no further
improvement
Patient confides in Doctor that the side
effects were not acceptable. Is there
another way of treating
Patient may have put himself at risk
Doctor’s Office Visit with
Medication Recording System
Patient visits Primary Care Physician
noting symptoms
Doctor evaluates symptoms and
prescribes medication
Doctor reviews medications and side
effects and gains patient’s approval for
intended treatment plan.
Doctor revises Medication Recording
System Schedule with new medications
Doctor’s Office Visit with
Medication Recording System
Patient gets prescription from local drug
store
Doctor Tickles Patient in timely fashion to
evaluate if the medications are being
taken.
If Patient is not fulfilling treatment plan,
Doctor offers another visit with
alternate treatment plan.
Problems Addressed by
Medication Recording System
Doctor rely on Patient’s ability to
followup with medications
Patients have a hard time understanding
specifics of Doctor’s medications
requests, interactions between
medications, foods
Let’s attempt to make it easier for patients
to administer medication prescribed by
Doctors
Medication Recording System
Schedule
Patients carry schedule to Doctor’s office
for visit
Doctors have list of medicines readily
available to make optimal decisions
Patients have best chance of following
Doctor’s orders.
Internet Solution allows access if Patient
does not have schedule on hand.
Patient Benefit
Patients are more able to understand
medicine administration needs. These
functions are currently only offered in
Hospital Settings, with Nursing
Delivery.
Easier to comply than reading the bottles
for frequency of medications delivery
Responsibility is appropriately on
caregivers to assist with scheduling the
medication administration
Doctor Benefit
Doctors have a list which can be used for
allergies, current medication
information rather than patient’s
memory.
Doctors have agreement of the patient
that they can handle the new schedule
before the patient leaves the office.
Patient has a greater ability to implement
doctor’s intended medication schedule.
Pharmacist Benefit
Pharmacists have a schedule which can
be used for allergies, current
medication information rather than
relying on a patient’s memory
Pharmacists can facilitate drug
interaction checks more successfully
against a full medication schedule.
Pharmacists can coordinate monthly
renewal needs for renewable
prescriptions
Insurer Benefit
Patients who are able to follow the schedule
will be less prone to costly Emergency
Room Visits based on medication
administration failures.
Improved continuity of care among
caregivers aware of a patient’s medication
needs should improve patient outcomes,
wellness, and minimize costs
Empowering Claimants and their family
frees up scarce resources
Medication Recording System
Schedule
Thank You
Medication Recording System
Schedule
Q&A
Other Scenarios (Doctor’s Office,
Discharge from Hospital) needing to be
addressed
Are you comfortable with the program