Transcript Presentation - Patient Safety

Welcome to Georgia HEN Hospital Acquired
Condition July Affinity Call
July 17, 2013
Medication Reconciliation
“Presented to”
Georgia Hospitals
July 17, 2013
Kristine Gleason, MPH, RPh - Clinical Quality Leader, Northwestern Memorial Hospital
Vicky Agramonte, RN, MSN - Project Manager, IPRO
Objectives
•
Explain the benefits MATCH Toolkit for implementing a
sustainable medication reconciliation process.
•
Explain the time commitment of participation in the MATCH
project.
•
Promote hospital participation in upcoming regional meetings
and follow-up “coaching” calls.
The Georgia Experience
Improving Medication Reconciliation
http://www.ahrq.gov/research/findings/case-studies/patient-safety/ps2012g.html
Medication Reconciliation Process
Goal to decrease medication errors and patient harm by:
1. Obtaining, verifying, and documenting patient’s current prescription and
over-the-counter medications; including vitamins, supplements, eye
drops, creams, ointments, and herbals
2. Comparing patient’s pre-admission/home medication list to ordered
medicines and treatment plans to identify unintended discrepancies
3. Discussing unintended discrepancies (e.g., those not explained by the
patient’s clinical condition or formulary status) with the physician for
resolution
4. Providing and communicating an updated medication list to patients
and to the next provider of service at discharge
Adapted from The Joint Commission National Patient Safety Goal 03.06.01
Achieving Synergies:
Linking Medication Reconciliation
with Other Current Initiatives
“Bundling” Medication Reconciliation
with Current Initiatives
Care Transitions
ED
Admission
Intrahospital
Transfer
Discharge
PostDischarge
Phases of Medication Management
Med History,
Reconcile
Order,
Transcribe,
Clarify
Procure,
Dispense
Deliver
Administer
Monitor
Educate,
Discharge
Identifying Opportunities to “Bundle” Medication-related Initiatives
• Reducing medication-related readmissions
• Process of Care (Core) Measures
• Meaningful Use of EHRs involving medications
• Effective communication/handoff practices with
next provider of service
• Avoiding preventable ADEs
• TJC Med Mgmt Standards and NPSGs
(e.g., high alert meds, anticoagulants)
• Patient Experience (HCAHPS)
• Follow-up Phone Calls Post-Discharge
MATCH Toolkit: Step-by-Step Guide to
Improving Medication Reconciliation
MATCH Toolkit, with
customizable, actionable
information, is available at:
http://www.ahrq.gov/qual/match/
match.pdf
Guiding Principles
•
Clearly define roles and responsibilities.
• Standardize, simplify, and eliminate unnecessary redundancies.
• Make the right thing to do the easiest thing to do.
•
Develop effective forcing functions, prompts, and reminders during
the appropriate time within workflow.
•
Educate workforce, and patients, families, and caregivers.
•
Ensure process design meets all pertinent local laws or regulatory
requirements.
•
Commitment to the “One Source Of Truth” medication management
system.
Assessing the Quality of Medication Reconciliation
Goal: To eliminate avoidable adverse drug events and associated patient
harm due to medication discrepancies.
• Evaluation of the medication reconciliation process postimplementation to determine:
– Frequency and causes of medication reconciliation failures
– Type of discrepancies involved
– Potential patient harm averted
– Patient and/or medication-related risk factors frequently responsible for
inaccurate medication reconciliation
Supported by grant number 5 U18 HS015886 from the Agency for Healthcare Research and Quality (AHRQ).
Publication: Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010 May;25(5):441-7.
MATCH “lite” Collaborative Timeline
•
July 17, 2013 HAC Call to introduce collaborative
•
July 31, 2013 Introduction to the MATCH toolkit and
Collaborative Pre-work
• August 20, 2012 Regional Meeting – Savannah
•
August 27, 2013 Regional Meeting – Atlanta
•
September/October Coaching Calls – Date/Time TBD
Questions and Discussion
Vicky Agramonte, RN, MSN
Project Manager
Healthcare Quality Improvement Program
Island Peer Review Organization, Inc. (IPRO)
Albany, NY 12211-2370
(518) 426-3300 X115
[email protected]
Kristine Gleason, MPH, RPh
Clinical Quality Leader
Northwestern Memorial Hospital
Chicago IL 60611
312.926.9172
[email protected]
THANK YOU!
If you want to learn more about IPRO, please visit our website at: http://www.ipro.org.
If you want to learn more about Northwestern Memorial Hospital, please visit our website at http://www.nmh.org.