Synergy for Success: Implementing Medication Reconciliation at VCH
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Medication Reconciliation It’s about the conversation. Synergy for Success: Implementing Medication Reconciliation at VCH-PHC BC Patient Safety & Quality Council Quality Forum March 2012 Karin Trapnell Fruzsina Pataky
Transcript of Synergy for Success: Implementing Medication Reconciliation at VCH
Medication Reconciliation
It’s about the conversation.
Synergy for Success:
Implementing Medication Reconciliation at
VCH-PHC
BC Patient Safety & Quality Council Quality Forum
March 2012
Karin Trapnell
Fruzsina Pataky
Medication Reconciliation
It’s about the conversation.
Overview
• Implementing MedRec on admission across a large complex health organization that spreads across rural and city centres presents with significant challenges
• To be successful requires a new world view of the organization and a strong leadership model in which leaders empower leaders with the support and the freedom to create a new path for change
Medication Reconciliation
It’s about the conversation. 3
VCH-PHC at a Glance
• 22,000 staff
• 556 locations
• 13 acute care hospitals
• 15 community health centres
• 3+million patient days of care
• Primary, secondary, tertiary and quaternary services
• Care, teaching, research
• Affiliation with universities and colleges
• ≈80,000 admissions /yr
Medication Reconciliation
It’s about the conversation.
Synergy for Success
Medication Reconciliation
It’s about the conversation.
• ……paradox of a living system… Each organism
maintains a clear sense of its individual identity
within a larger network of relationships that helps
shape its identity. Each being is noticeable as a
separate entity, yet it is simultaneously part of the
whole system
Wheatley, M. (2006). Leadership and the New Science: Discovering Order in a Chaotic World
Synergy for Success
Medication Reconciliation
It’s about the conversation.
Leadership Support
• Vancouver Coastal Health (VCH) and Providence
Health Care (PHC) senior leadership team “walk
the talk”
• Medication Reconciliation is an organizational
strategic directive. “1.3 – To provide the best
quality of care -Build a regional medication
reconciliation system across the continuum.”
Medication Reconciliation
It’s about the conversation.
Project Structure
• Regional Steering Committee
• Executive Steering Committees (VCH & PHC)
• TOR and Regional Project Charter
↓
Regional MedRec Leads Committee
Medication Reconciliation
It’s about the conversation.
Project Structure
Medication Reconciliation
It’s about the conversation.
• The primary goal of the team leads has been to
work together to create a regional approach to
successfully implement MedRec
• The MedRec team leads created standardized
tools and processes for implementation,
education, communication, and evaluation to be
utilized and adapted at local levels
Team Leads Committee
Medication Reconciliation
It’s about the conversation.
Team Leads Committee
Medication Reconciliation
It’s about the conversation.
Implementation Scope
Medication Reconciliation
It’s about the conversation.
• Implementation plan template
• PharmaNet populated forms
• Manual forms for all Communities of Care (CoCs)
• Forms for ambulatory care, residential care
• Policy
• Training module (ppt)
• E module on CCRS
• Webpage created
• Medication safety pamphlet
• Data coordination and reporting
Regional Supports
Medication Reconciliation
It’s about the conversation.
• The process for implementing MedRec forces us to connect in ways we haven’t before
• We’re getting to know and appreciate each other’s importance as part of a greater system
• We’ve come to understand the necessity of strengthening our relationships
• We realize to be successful - we need each other!
Learnings
Medication Reconciliation
It’s about the conversation.
• Progress
• Performance
• Outcome
Measures of Success
Medication Reconciliation
It’s about the conversation.
Progress Measures –
Residential Care
Medication Reconciliation
It’s about the conversation.
Progress Measures – Acute Care
Medication Reconciliation
It’s about the conversation.
Performance
Medication Reconciliation
It’s about the conversation.
Outcome Measures
Medication Reconciliation
It’s about the conversation.
• Lindsay Bendickson - Clinical Resource Nurse, Professional Practice, Van Community
• Renee Bjarnson – Pharmacist, Burnaby Centre for Mental Health & Addiction
• Val Cartmel – Team Lead, Coastal Community of Care (to Jan 2012)
• Jo Chang - Coordinator of Residential Pharmacy, UBCH - Koerner Pavilion
• Chris Foley - Manager, Cambie Older Adult Mental Health Team.
• Maylene Fong - Manager - AOA & PC, Evergreen CHC
• Debra Halket - GNE, Pharmacy/Nursing PHC
• Zoe Krickan - Supervisor - Patient Care Coordinator, Magnolia House
• Nadine Lambert - Medication Safety Pharmacist and Medication Reconciliation Coordinator
• Melissa Lo - VCH/PHC Regional Medication Safety Coordinator
• Mary Marlow - Professional Practice Lead, Addiction Services
• Grant McCullough - Practice Consultant, Professional Practice and Nursing
• Naomi Monaster - AOA Clinical Applications Support Educator, IMITS - Community Applications
• Shelley Novak - Medication Safety Pharmacist, Vancouver
• Fruzsina Pataky - Regional Medication Safety Coordinator (to Nov. 11)
• Nicola Piggott - Practice Initiatives Coordinator, Richmond MH & A,
• Lisa Ramage - Manager - Mental Health & Addiction, Acute, Richmond
• Mary Shyng - Medication Safety Pharmacist - Coastal
• Jamie Simpson - Team Lead (Clinical) for IMITIS - Primary and Community Care
• Karin Trapnell- Regional MedRec Project Manager-Professional Practice-Nursing
• Harjender Walia - Clinical Educator Nursing, VA
• Heather Wright - AOA Manager, Three Bridges CHC
Medication Reconciliation Team Leads 2011-2012
Medication Reconciliation
It’s about the conversation.
Questions?
