Online Medication Administration ManagementTechnology to Support Student Safety

Presented by

Vicki Taliaferro RN, BSN, NSNC

Peggy McCarthy MBA

Carol Damm MA

Welcome

McCarthy Medical Marketing, Inc.

Founded 1987

Integrating health, education, and technology

Agenda

1. Welcome and Introductions 5 minutes

2. Clinical Study 10 minutes

3. Examining the Data 20 minutes

4. Conclusions & Summary 5 minutes

5. Discussion 20 minutes

Clinical Study: MedsRightGetting It Right!™

• NICHD funded

• SBIR clinical study in 6 states

• Enrolled 91 schools in 9 districts

• 80 schools completed study

• Data analysis ongoing

Alabama

Arizona

Florida

Michigan

New York

Tennessee

eMedication Administration System for Schools

QuickTimeª and a decompressor

are needed to see this picture.

Online training• 9 Educational modules• 8 Clinical modules with return demonstration• Remote monitoring

Scheduling and documentation of meds admin• Point-of-care eMR• Remote tracking and monitoring• Customized reports generated• Data hosted in HIPAA-compliant, secure database

eMedication Administration System for Schools

Examining the Data Collected

• Quality Assurance

• Trend Data

• Staff Development Needs

• Using Data to Market School Nurse Programs

Examining the Data Collected Quality Assurance

Technical Issues

• Signal problems• Alternative Device provided

• Smart phone not turned on• Lack of proficiency and/or lack of confidence• Tech support resolved problems

• Database not set up to track undefined errors

Examining the Data Collected Quality Assurance

Return Demonstration• A means to verify capability when giving meds

• Return demo was not consistently performed

• Successful when required by nurse supervisor

Examining the Data Collected Quality Assurance

General categories of failure to administer meds as scheduled

n=646 events

%

Examining the Data CollectedQuality Assurance

Success rates for medication administration attempts with smart phone

n=4166 scheduled meds

36.5%

63.5%

Examining the Data Collected Trend Data

Medication dosage formulations by category as scheduled by School Nurses

n=158 formulations (type of medication and dose)

Examining the Data Collected Trend Data

n=4166

Medication administrations by School Nurse or non-licensed staff using smart phone

34.6%65.5%

Examining the Data Collected Trend Data

Job Tit leNo. of

Non-l icensed

Admin. Assistant 3

Asst. Principal 1

Asst. Teacher 1

Clerical Asst. 13

Health Aide 18

Principal 3

Secretary 23

Teacher 6

Other 6

Unknown 37n=111

Study participants by Job Title

Examining the Data Collected Staff Development Needs

Study participant certification attempts of educational training

n=452

Examining the Data Collected Staff Development Needs

Study participant certification attempts of clinical training

n=535

Examining the Data Collected Staff Development Needs

General categories of failure to administer and document medications as scheduled

n=646 events

%

Examining the Data Collected Using Data to Market School Nurse Programs

• The size of the medication administration program

• Quality of the program

• The significance of the program

Examining the Data Collected Lessons Learned

• Webinar hands-on training

• Greater publicity of technical support line

• Mandate return demonstration

• User gives reason why medication not given

• Use drop down boxes and other guided selection

Conclusions and Summary

Training of non-licensed personnel inconsistent

Validated training modules appropriate and on target

Medication administration can be inconsistent

This system reveals issues/concerns in medication administration

Nationwide mandate for electronic medical records (eMR)

GetMedsRight™ for schools complies with standards

Online System

Discussion

• Barriers to adopt this program?

• Value of the data?

• What data would help to market School Health?

• How could this benefit you?

Contact Information

McCarthy Medical Marketing, Inc.

14212 NW 31st Court

Vancouver, WA 02420

phoneemail

companytraining system website

360-699-1994pmccarthy@mmmincorp.commccarthymedicalmarketing.comGetMedsRight.com