Welcome to Georgia HEN Hospital Acquired Condition July Affinity Call
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Transcript of Welcome to Georgia HEN Hospital Acquired Condition July Affinity Call
Welcome to Georgia HEN Hospital Acquired Condition July Affinity Call
July 17, 2013
“Presented to”
Georgia Hospitals
July 17, 2013
Kristine Gleason, MPH, RPh - Clinical Quality Leader, Northwestern Memorial Hospital
Vicky Agramonte, RN, MSN - Project Manager, IPRO
Medication Reconciliation
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 Reconciliationwith Current Initiatives
Med History, Reconcile
Order, Transcribe,
Clarify
Procure, DispenseDeliver
Administer Monitor Educate, Discharge
Phases of Medication Management
Identifying Opportunities to “Bundle” Medication-related Initiatives
Care Transitions
• 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 MATCH Toolkit: Step-by-Step Guide to Improving Medication ReconciliationImproving 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
• Evaluation of the medication reconciliation process post-implementation 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.
Goal: To eliminate avoidable adverse drug events and associated patient harm due to medication discrepancies.
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
Vicky Agramonte, RN, MSNProject Manager
Healthcare Quality Improvement Program Island Peer Review Organization, Inc. (IPRO)
Albany, NY 12211-2370(518) 426-3300 [email protected]
Kristine Gleason, MPH, RPhClinical Quality Leader
Northwestern Memorial Hospital Chicago IL 60611
Questions and Discussion
THANK YOU!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.