Performance Measures: Medication Reconciliation at Admission

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Performance Measures: Medication Reconciliation at Admission"

Transcription

1 Background Transition points in the care continuum are particularly prone to risk, and the communication of medication information has been identified as a key area for improving the safety of health care delivery. 1, 2 In the Canadian Adverse Events Study, medication errors were identified as the second most common type of adverse event. 3 Medication errors have a substantial impact on client health outcomes and system resources, 4 and medication reconciliation is a cost-effective and beneficial model to prevent adverse drug events. 5 Medication reconciliation is widely recognized as an important safety initiative. In Canada, Safer Healthcare Now! identifies medication reconciliation as a safety priority. 6 The World Health Organization (WHO) has also developed a Standard Operating Protocol for medication reconciliation as an intervention designed to enhance patient safety. 7 Purpose of measuring medication reconciliation at admission Medication reconciliation is a structured process in which health care professionals partner with clients, families, and caregivers for accurate and complete transfer of medication information at transitions of care. Given the importance of medication reconciliation and the priority of establishing an accurate medication list at the beginning of services, medication reconciliation has been identified as an important indicator for medication safety. 8 Accreditation Canada requires organizations to measure the proportion of clients receiving formal medication reconciliation at admission, each visit, or the beginning of services, depending on the service area. The performance measure will provide a measurable guide for organizations as medication reconciliation is conducted more widely throughout the organization. 1 Institute for Healthcare Improvement. Medication Reconciliation Review. 2 Safer Healthcare Now. Medication Reconciliation Getting Started Kit. t.pdf 3 Baker, G., Norton, P., et al. (2004) The Canadian Adverse Events Study: The incidence of adverse events among hospitalized patients in Canada. CMAJ, 170: Medication errors, drug related problems and patient safety. The Translator. Volume 2, summer Canadian Pharmacists Association. 5 Karnon, et al. (2009) Model-based cost-effectiveness analysis of interventions aimed at preventing mediation error at hospital admission. J Eval Clin Pract. 15: Safer Healthcare Now! Getting Started Kit: Medication Reconciliation Prevention of Adverse Drug Events. 7 World Health Organization. High 5s - Action on Patient Safety Getting Started Kit. Assuring Medication Accuracy at Transitions of Care: Medication Reconciliation. 8 Nigam et al (2008). Development of Canadian safety indicators for medication use. Healthcare Quarterly, 11: Page 1 of 5

2 Sampling Strategies Teams in each service area should collect data for a sample of 20 charts per month. If the number of admissions to the service area is less than 20, teams should collect data for all admissions. Larger service areas may choose to review more charts each month depending on patient volumes. Charts reviewed should be taken from a random sample. Two strategies that could be used for selecting a random sample are described at the end of the protocol. Exceptions: Long Term Care Services: Due to the manageable number of admissions to Long Term Care settings, and the increased risk level of this client population, data should be collected for all admissions. Home Care Services, Case Management Services: Sampling for Home Care is based on discharged client charts. For clients with medication management as a component of care, teams should collect data for a sample of 10 discharged client charts per month. If the number of discharged clients for the month is less than 10, collect data for all discharged clients. Target Populations If organizations are not able to conduct medication reconciliation for all clients, they are permitted to select target populations of clients for formal medication reconciliation at admission. Defined target populations are shown on Accreditation Canada s organizational portal, and are based on evidence, e.g. risk, volume. Target populations of clients may not be applied to the denominator. This will permit valid comparisons and trending over time for performance measure data. Definitions Best Possible Medication History (BPMH): A comprehensive list of all medications a client has been taking prior to admission/visit/beginning of service. The BPMH is compiled using a number of different sources, and includes information about prescription medications, non-prescription medications, vitamins, and supplements, along with detailed documentation of drug name, dose, frequency, and route of administration. Page 2 of 5

3 For teams using standards: Medicine Services, Surgical Care Services, Long Term Care Services, Cancer Care and Oncology Services, Critical Care Services, Obstetrics/Perinatal Care Services, Acquired Brain Injury Services, Mental Health Services, Rehabilitation Services, Substance Abuse and Problem Gambling Services, Hospice Palliative and End of Life Services. Numerator: Number of clients admitted for the measurement period and receiving formal medication reconciliation. Include as an event for admission the process of accepting clients for medical and nursing care in a hospital or other health care institution for the diagnosis and treatment of disease and the maintenance of health. 9 Include as an event for medication reconciliation if steps are taken to achieve the following: 1. generate a comprehensive list of all medications the client has been taking prior to admission (Best Possible Medication History) 2. use the BPMH to create admission medication orders (proactive model) or make a timely comparison of the BPMH with admission medication orders (retroactive model) 3. discrepancies are identified, discussed, and resolved with the prescriber; and appropriate modifications to medications are made where necessary Denominator: Total number of clients admitted for the measurement period. For teams using standards: Emergency Department Services Formal medication reconciliation is implemented for clients with a decision to admit. Numerator: Number of clients in the Emergency Department with a decision to admit receiving formal medication reconciliation for the measurement period. 1. generate a comprehensive list of all medications the client has been taking prior to arrival at the Emergency Department (Best Possible Medication History) 2. use the BPMH to create admission medication orders (proactive model) or make a timely comparison of the BPMH with admission medication orders (retroactive model) 3. discrepancies are identified, discussed, and resolved with the prescriber; and appropriate modifications to medications are made where necessary Denominator: Total number of clients in the Emergency Department with a decision to admit for the measurement period. 9 MeSH : U.S. National Library of Medicine vocabulary for indexing articles for MEDLINE/PubMed. Page 3 of 5

4 For teams using standards: Home Care Services, Case Management Services Formal medication reconciliation is implemented at the beginning of service when medication management is a component of care. Numerator: Number of clients who begin receiving services including medication management as a component of care for the measurement period, having a BPMH completed, with discrepancies communicated to the appropriate health care practitioner. Include as an event for the beginning of service the process of accepting clients in order to provide health services for the diagnosis or treatment of disease or the maintenance of health. 1. generate a comprehensive list of all medications the client is taking at the beginning of service when medication management is a component of care (Best Possible Medication History) 2. conduct a timely comparison of the BPMH with medications being prescribed, dispensed, or administered during service 3. communicate the BPMH and discrepancies requiring resolution to the appropriate health care provider, and document actions taken in the client record Denominator: Total number clients who begin receiving services including medication management as a component of care for the measurement period. For teams using standards: Ambulatory Care Services Formal medication reconciliation is implemented for clients at each visit if medications have been discontinued, altered, or prescribed. Numerator: Number of clients receiving services for the measurement period and receiving formal medication reconciliation. 1. generate or update a comprehensive list of all medications the client has been taking prior to the visit (Best Possible Medication History) 2. conduct a timely comparison of the Best Possible Medication History with medications being discontinued, altered, or prescribed during the visit 3. discrepancies are identified, discussed, and resolved; appropriate modifications are made to the new medications list; and clients are provided with clear information about the changes Denominator: Total number of clients who had a visit where medications were discontinued, altered, or prescribed for the measurement period. Page 4 of 5

5 Methods to Generate a Random Sample: 1. Nth Client Method: Based on admission histories, teams will estimate the average number of clients for a month. Then, based on this number, calculate the nth number of clients to sample to ensure a random sample of at least 20 clients is achieved. For example, service area A has an average of 200 clients per month. The independent observer will select every 10 th client to achieve a sample of at least 20. Notes for Method 1: For the Nth client method, it is important to start at a random starting point, i.e. not always with the 3 rd or 4 th client. If one is sampling every 10 th client, the first client sampled should be a random digit selected between 1 and 10, and then every 10 th client thereafter. 2. X Days in a Month Method: Based on admission histories, teams will estimate the average number of clients for a month. Then, based on this number, calculate the mean number of clients per day, followed by the number of days required for the independent observer to ensure a random sample of at least 20 clients. For example service area B has an average of 200 clients per month resulting in an average of 6 clients per day. With this method three to four days could be randomly selected (random number generator) out of the month to conduct measurements. Notes for Method 2 Less preferable method due to several types of potential bias, such as selected days (i.e. 3 Mondays vs 3 Thursdays) having different performance. For the X days per month method, once the number of days to be sampled per month is determined, these days need to be randomly sampled within the month. Additional Notes for Selecting a Random Sample: Once an organization has selected one of the sampling strategies, this approach must be used consistently throughout the data collection period. To reduce potential bias, the independent observer should be the only one to know which sampling strategy is selected, and which cases will be reviewed. Page 5 of 5

UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2014 October 1 st, 2014

UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2014 October 1 st, 2014 UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2014 October 1 st, 2014 Department Name: Department of Pharmacy Department Director: Steve Rough, MS,

More information

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1 Medicines reconciliation on admission and discharge from hospital policy April 2013 WHSCT medicines reconciliation policy 1 Policy Title Policy Reference Number Medicines reconciliation on admission and

More information

MARY T. INC. PROGRAM POLICY MANUAL

MARY T. INC. PROGRAM POLICY MANUAL MARY T. INC. PROGRAM POLICY MANUAL POLICY Safe Medication Assistance and SECTION: 2-2C TITLE: Administration Policy REVISED BY: Jane Strobel, RN PAGE: 1of 6 APPLIES TO: All Services Operating Under Rule

More information

National Patient Safety Goals Effective January 1, 2015

National Patient Safety Goals Effective January 1, 2015 National Patient Safety Goals Goal 1 Nursing are enter ccreditation Program Improve the accuracy of patient and resident identification. NPSG.01.01.01 Use at least two patient or resident identifiers when

More information

Health Professions Act BYLAWS SCHEDULE F. PART 2 Hospital Pharmacy Standards of Practice. Table of Contents

Health Professions Act BYLAWS SCHEDULE F. PART 2 Hospital Pharmacy Standards of Practice. Table of Contents Health Professions Act BYLAWS SCHEDULE F PART 2 Hospital Pharmacy Standards of Practice Table of Contents 1. Application 2. Definitions 3. Drug Distribution 4. Drug Label 5. Returned Drugs 6. Drug Transfer

More information

UNIFORM HEALTH CARRIER EXTERNAL REVIEW MODEL ACT

UNIFORM HEALTH CARRIER EXTERNAL REVIEW MODEL ACT Model Regulation Service April 2010 UNIFORM HEALTH CARRIER EXTERNAL REVIEW MODEL ACT Table of Contents Section 1. Title Section 2. Purpose and Intent Section 3. Definitions Section 4. Applicability and

More information

Addressing forecasted oncologist shortage: A Cancer Education Program for Pharmacy Students (CEPPS)

Addressing forecasted oncologist shortage: A Cancer Education Program for Pharmacy Students (CEPPS) Addressing forecasted oncologist shortage: A Cancer Education Program for Pharmacy Students (CEPPS) Dr. Department of Pharmacy Practice State University of New York School of Pharmacy and Pharmaceutical

More information

For purposes of this policy, "medication" means any prescription drug or over-the-counter medicine or nutritional supplement.

For purposes of this policy, medication means any prescription drug or over-the-counter medicine or nutritional supplement. 5330/Page 1 of 5 M 5330 The Board of Education disclaims any and all responsibility for the diagnosis and treatment of the illness of any pupil. At the same time, the Board recognizes that a pupil's attendance

More information

Cedars Sinai Medical Center (CSMC) Learning Objectives. Why Medication Reconciliation?

Cedars Sinai Medical Center (CSMC) Learning Objectives. Why Medication Reconciliation? Management Case Study: Transitions Trifecta Calibrating the Severity of Drug Related Problems, dherence, and Literacy in a High Risk Population Tuesday, December 10, 2013 2:00 p.m. 2:30 p.m. Management

More information

Compliance Tip Sheet CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS CMS TOP TEN HOSPICE SURVEY DEFICIENCIES

Compliance Tip Sheet CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS CMS TOP TEN HOSPICE SURVEY DEFICIENCIES Compliance Tip Sheet National Hospice and Palliative Care Organization www.nhpco.org/regulatory CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS INTRODUCTION The Centers for Medicare

More information

Keeping patients safe when they transfer between care providers getting the medicines right

Keeping patients safe when they transfer between care providers getting the medicines right PART 1 Keeping patients safe when they transfer between care providers getting the medicines right Good practice guidance for healthcare professions July 2011 Endorsed by: Foreword Taking a medicine is

More information

Agency # 070.00 REGULATION 9 PHARMACEUTICAL CARE/PATIENT COUNSELING

Agency # 070.00 REGULATION 9 PHARMACEUTICAL CARE/PATIENT COUNSELING Agency # 070.00 REGULATION 9 PHARMACEUTICAL CARE/PATIENT COUNSELING 09-00: PATIENT COUNSELING 09-00-0001--PATIENT INFORMATION, DRUG USE EVALUATION, AND PATIENT COUNSELING The intent of this regulation

More information

CNA and NSO Risk Control Self-assessment Checklist for Nurse Practitioners 1. Self-assessment topic Yes No Actions needed to reduce risks

CNA and NSO Risk Control Self-assessment Checklist for Nurse Practitioners 1. Self-assessment topic Yes No Actions needed to reduce risks Risk Control Self-assessment Checklist for Nurse Practitioners This checklist is designed to help nurse practitioners evaluate risk exposures associated with their current practice. For additional nurse

More information

RULES OF DEPARTMENT OF HEALTH DIVISION OF PAIN MANAGEMENT CLINICS CHAPTER 1200-34-01 PAIN MANAGEMENT CLINICS TABLE OF CONTENTS

RULES OF DEPARTMENT OF HEALTH DIVISION OF PAIN MANAGEMENT CLINICS CHAPTER 1200-34-01 PAIN MANAGEMENT CLINICS TABLE OF CONTENTS RULES OF DEPARTMENT OF HEALTH DIVISION OF PAIN MANAGEMENT CLINICS CHAPTER 1200-34-01 PAIN MANAGEMENT CLINICS TABLE OF CONTENTS 1200-34-01-.01 Purpose 1200-34-01-.06 Notifications 1200-34-01-.02 Definitions

More information

Case Management and Care Coordination:

Case Management and Care Coordination: HEALTH MANAGEMENT CUP recognizes the importance of promoting effective health management and preventive care for conditions that are relevant to our populations, thereby improving health care outcomes.

More information

Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience at Cleveland Clinic s Community Hospitals

Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience at Cleveland Clinic s Community Hospitals Learning Objectives Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience at Cleveland Clinic s Community Hospitals Describe the 5 steps needed to create an effective hospital

More information

KENTUCKY ADMINISTRATIVE REGULATIONS TITLE 201. GENERAL GOVERNMENT CABINET CHAPTER 9. BOARD OF MEDICAL LICENSURE

KENTUCKY ADMINISTRATIVE REGULATIONS TITLE 201. GENERAL GOVERNMENT CABINET CHAPTER 9. BOARD OF MEDICAL LICENSURE KENTUCKY ADMINISTRATIVE REGULATIONS TITLE 201. GENERAL GOVERNMENT CABINET CHAPTER 9. BOARD OF MEDICAL LICENSURE 201 KAR 9:260. Professional standards for prescribing and dispensing controlled substances.

More information

The Changing Landscape

The Changing Landscape The Changing Landscape and J a r r o d M a l o n e, J D jmalone@hallrender.com WHAT WE WILL TALK ABOUT TODAY Medical and legal issues for physicians best practices Reducing liability Medical Malpractice

More information

An Overview of Accreditation Results: Alberta

An Overview of Accreditation Results: Alberta An Overview of Accreditation Results: Alberta December 2014 Accreditation Canada retains all intellectual property rights for the information presented herein, unless otherwise specified. The Accreditation

More information

Prevention of Medical Errors: 2015

Prevention of Medical Errors: 2015 Prevention of Medical Errors: 2015 David L. Adelson, Esq. What will we cover? Root-Cause Analysis Error Reduction Error Prevention Patient Safety Most Misdiagnosis or Mistreated Conditions: Addiction Psychiatric

More information

BOARD OF MEDICINE: 2009 SCOPE OF PRACTICE: A COMPARISON OF FLORIDA HEALTHCARE PRACTITIONERS

BOARD OF MEDICINE: 2009 SCOPE OF PRACTICE: A COMPARISON OF FLORIDA HEALTHCARE PRACTITIONERS BOARD OF MEDICINE: 2009 SCOPE OF PRACTICE: A COMPARISON OF FLORIDA HEALTHCARE PRACTITIONERS Anesthesiologist Assistant Medicine - Medical Doctor Medicine - House Physician PROFESSIONS Anesthesiologist

More information

Understanding Alberta s Drug Schedules

Understanding Alberta s Drug Schedules Understanding Alberta s Drug Schedules Preface In May 2002, the provincial drug schedules to the Pharmaceutical Profession Act were amended. In April 2007, the Alberta Regulation 66/2007 to the Pharmacy

More information

*The Medicare Hospice Conditions of Participation (2008) (CoPs) contain the federal regulations that govern all Medicare-certified hospice programs.

*The Medicare Hospice Conditions of Participation (2008) (CoPs) contain the federal regulations that govern all Medicare-certified hospice programs. Compliance Tip Sheet National Hospice and Palliative Care Organization www.nhpco.org/regulatory CMS TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS INTRODUCTION The Centers for Medicare

More information

LEGISLATURE OF THE STATE OF IDAHO Sixtieth Legislature First Regular Session 2009 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO.

LEGISLATURE OF THE STATE OF IDAHO Sixtieth Legislature First Regular Session 2009 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. LEGISLATURE OF THE STATE OF IDAHO Sixtieth Legislature First Regular Session 0 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. BY BUSINESS COMMITTEE 0 AN ACT RELATING TO HEALTH INSURANCE; AMENDING TITLE,

More information

The College of Family Physicians of Canada. Position Statement Prescribing Rights for Health Professionals

The College of Family Physicians of Canada. Position Statement Prescribing Rights for Health Professionals The College of Family Physicians of Canada Position Statement Prescribing Rights for Health Professionals Introduction The College of Family Physicians of Canada (CFPC) supports models of practice that

More information

Prevention of Falls and Fall Injuries in the Older Adult: A Pocket Guide

Prevention of Falls and Fall Injuries in the Older Adult: A Pocket Guide INTERNATIONAL AFFAIRS & BEST PRACTICE GUIDELINES Prevention of Falls and Fall Injuries in the Older Adult: A Pocket Guide 2 Introduction to the Pocket Guide This pocket guide resource has been summarized

More information

Pain Management Regulations Affect More Than Pain Management Specialists January 2012. Of counsel to

Pain Management Regulations Affect More Than Pain Management Specialists January 2012. Of counsel to Pain Management Regulations Affect More Than Pain Management Specialists January 2012 LINDA A. KEEN MSN, JD, LHCRM LAW OFFICE OF LINDA A. KEEN P.A. TALLAHASSEE, FL Of counsel to Pain Management Regulations

More information

Ch. 109 NURSING SERVICES 28 CHAPTER 109. NURSING SERVICES GENERAL PROVISIONS

Ch. 109 NURSING SERVICES 28 CHAPTER 109. NURSING SERVICES GENERAL PROVISIONS Ch. 109 NURSING SERVICES 28 CHAPTER 109. NURSING SERVICES GENERAL PROVISIONS Sec. 109.1. Principle. 109.2. Director of nursing services. 109.3. Assistants to director of nursing services. 109.4. Professional

More information

COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER STANDARDIZED PROCEDURES

COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER STANDARDIZED PROCEDURES COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER STANDARDIZED August 2010 Page 2 TABLE OF CONTENTS I. Development, Review and Approval of Psychiatric Mental

More information

GUIDELINES ON PREVENTING MEDICATION ERRORS IN PHARMACIES AND LONG-TERM CARE FACILITIES THROUGH REPORTING AND EVALUATION

GUIDELINES ON PREVENTING MEDICATION ERRORS IN PHARMACIES AND LONG-TERM CARE FACILITIES THROUGH REPORTING AND EVALUATION GUIDELINES GUIDELINES ON PREVENTING MEDICATION ERRORS IN PHARMACIES AND LONG-TERM CARE FACILITIES THROUGH REPORTING AND EVALUATION Preamble The purpose of this document is to provide guidance for the pharmacist

More information

Medication Reconciliation

Medication Reconciliation Medication Reconciliation Jackie Rice, RN EMR Team Supervisor Frederick Memorial Hospital Frederick, Maryland Scope of the Project Implement an automated medication reconciliation tool Meet the 2006 JCAHO

More information

NOTICE OF PRIVACY PRACTICES. The University of North Carolina at Chapel Hill. UNC-CH School of Nursing Faculty Practice Carolina Nursing Associates

NOTICE OF PRIVACY PRACTICES. The University of North Carolina at Chapel Hill. UNC-CH School of Nursing Faculty Practice Carolina Nursing Associates NOTICE OF PRIVACY PRACTICES The University of North Carolina at Chapel Hill UNC-CH School of Nursing Faculty Practice Carolina Nursing Associates THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU

More information

Medication Guidelines

Medication Guidelines Medication Guidelines January 2014 Approved by the College and Association of Registered Nurses of Alberta Provincial Council, January 2014. Second printing with editorial change (p16), November 2014.

More information

410-127-0020 Definitions... 1. 410-127-0040 Coverage... 5. 410-127-0050 Client Copayments... 6. 410-127-0060 Reimbursement and Limitations...

410-127-0020 Definitions... 1. 410-127-0040 Coverage... 5. 410-127-0050 Client Copayments... 6. 410-127-0060 Reimbursement and Limitations... Home Health Services Administrative Rulebook Division of Medical Assistance Programs Policy and Planning Section Table of Contents Chapter 410, Division 127 Effective January 1, 2014 410-127-0020 Definitions...

More information

Breakfast symposium: From hospital to home - the focus on the patient

Breakfast symposium: From hospital to home - the focus on the patient Breakfast symposium: From hospital to home - the focus on the patient Nadya Hamedi DARZI Fellow UCLPartners and Barts Health NHS Trust in collaboration with North Central London Local Pharmaceutical Committee

More information

HealthCare Partners of Nevada. Heart Failure

HealthCare Partners of Nevada. Heart Failure HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with

More information

Stroke/VTE Quality Measure Build for Meaningful Use Stage 1

Stroke/VTE Quality Measure Build for Meaningful Use Stage 1 Stroke/VTE Quality Measure Build for Meaningful Use Stage 1 Presented by Susan Haviland, BSN RN Senior Consult, Santa Rosa Consulting Meaningful Use Quality Measures Centers for Medicare and Medicaid Services

More information

2015 Indiana General Assembly

2015 Indiana General Assembly 2015 Indiana General Assembly As of Tuesday: 454 Senate Bills 349 House Bills Budget Full funding of Medicaid forecast $19M - IU medical school campus in Evansville $8M Enhance awareness and provide prenatal

More information

By definition, medication means something that treats the symptoms of

By definition, medication means something that treats the symptoms of Chapter 1 The Nurse s Role in Medication Reconciliation Authors Jennifer S. Johnson, R.N., C.M.A., charge nurse, telemetry unit; Paul Mollo, Pharm.D., director of Pharmacy; Caryl-Ann Mannino, R.N., O.C.N.,

More information

The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section

The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section TITLE I: PREVENTION SUBTITLE A- PRESCRIBER EDUCATION PRACTITIONER EDUCATION This subtitle requires practitioners who

More information

Optimizing Medication Administration in a Pediatric ER

Optimizing Medication Administration in a Pediatric ER Optimizing Medication Administration in a Pediatric ER ER Pharmacist Review of First Dose Non-Emergent Medications Penny Williams, RN, MS Clinical Program Manager, Emergency Center Children s Medical Center

More information

8/14/2012 California Dual Demonstration DRAFT Quality Metrics

8/14/2012 California Dual Demonstration DRAFT Quality Metrics Stakeholder feedback is requested on the following: 1) metrics 69 through 94; and 2) withhold measures for years 1, 2, and 3. Steward/ 1 Antidepressant medication management Percentage of members 18 years

More information

Advanced Pharmacy Technician Practice Model Case Study

Advanced Pharmacy Technician Practice Model Case Study Advanced Pharmacy Technician Practice Model Case Study Froedtert Hospital, Milwaukee, Wisconsin Discharge Pharmacy Technician Lindsey Clark, Pharm.D. PGY2 Health-System Pharmacy Administration Resident

More information

Component 2: The Culture of Health Care

Component 2: The Culture of Health Care Component 2: The Culture of Health Care Unit 9: Sociotechnical Aspects: Clinicians and Technology Lecture 1 This material was developed by Oregon Health & Science University, funded by the Department of

More information

Quality Management. Substance Abuse Outpatient Care Services Service Delivery Model. Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA)

Quality Management. Substance Abuse Outpatient Care Services Service Delivery Model. Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) Quality Management Substance Abuse Outpatient Care Services Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan White

More information

Patient Flow and Care Transitions Strategy 2013-2018. Updated September 2014

Patient Flow and Care Transitions Strategy 2013-2018. Updated September 2014 Patient Flow and Care Transitions Strategy 2013-2018 Updated Introduction Island Health s Patient Flow and Care Transitions 2013-2018 Strategy builds on the existing work within the organization to address

More information

New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE

New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE I. DEFINITION OF SERVICE New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE CORE MEDICAL SERVICE Support for Substance Abuse Treatment Services-Outpatient,

More information

Reducing Medical Errors with an Electronic Medical Records System

Reducing Medical Errors with an Electronic Medical Records System Reducing Medical Errors with an Electronic Medical Records System A recent report by the Institute of Medicine estimated that as many as 98,000 people die in any given year from medical errors in hospitals

More information

5557 FAQs & Definitions

5557 FAQs & Definitions 5557 FAQs & Definitions These Questions and Answers are intended to present information that has been acquired as part of the discovery process and provides necessary context for the Policy Directives

More information

NEWFOUNDLAND AND LABRADOR PHARMACY BOARD Standards of Pharmacy Practice. Standards for Hospital Pharmacies

NEWFOUNDLAND AND LABRADOR PHARMACY BOARD Standards of Pharmacy Practice. Standards for Hospital Pharmacies NEWFOUNDLAND AND LABRADOR PHARMACY BOARD Standards of Pharmacy Practice Standards for Hospital Pharmacies Approved by the Newfoundland and Labrador Pharmacy Board January 11, 1998 Updated: June 16, 2007

More information

Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use

Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this protocol to determine whether the facility

More information

02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION

02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION Effective June 13, 2010 02-313, 02-373, 02-380, 02-383, 02-396 Chapter 21 page 1 02 DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION 313 BOARD OF DENTAL EXAMINERS 373 BOARD OF LICENSURE IN MEDICINE

More information

PRACTICE BRIEF. Preventing Medication Errors in Home Care. Home Care Patients Are Vulnerable to Medication Errors

PRACTICE BRIEF. Preventing Medication Errors in Home Care. Home Care Patients Are Vulnerable to Medication Errors PRACTICE BRIEF FALL 2002 Preventing Medication Errors in Home Care This practice brief highlights the results of two home health care studies on medication errors. The first study determined how often

More information

We ask that you allow our office 24-48 hours to respond to telephone messages and callbacks.

We ask that you allow our office 24-48 hours to respond to telephone messages and callbacks. NOTICE OF PRIVACY PRACTICE Associated Physicians Group This notice describes how your medical information may be disclosed and how you can get access to this information. Please review these policies carefully.

More information

Building a Specialty Pharmacy Business. Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services

Building a Specialty Pharmacy Business. Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services Building a Specialty Pharmacy Business Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services Overview Agenda Brief overview of Fairview Barriers for hospital/health

More information

Medication Error. Medication Errors. Transitions in Care: Optimizing Intern Resources

Medication Error. Medication Errors. Transitions in Care: Optimizing Intern Resources Transitions in Care: Optimizing Intern Resources DeeDee Hu PharmD, MBA Clinical Specialist Critical Care and Cardiology PGY1 Program Director Memorial Hermann Memorial City Medical Center Medication Error

More information

EDI Business Rules for Revision E EOBR Code List Based on Line Item Paid ASC only on the DWC-90 (Updated 05/26/2011)

EDI Business Rules for Revision E EOBR Code List Based on Line Item Paid ASC only on the DWC-90 (Updated 05/26/2011) EDI Business Rules for Revision E EOBR Code List Based on Line Item Paid ASC only on the DWC-90 (Updated 05/26/2011) 06 Payment disallowed: location of service(s) is not consistent with the level of service(s)

More information

Welcome to Magellan Complete Care

Welcome to Magellan Complete Care Magellan Complete Care of Florida Provider Newsletter Welcome to Magellan Complete Care On behalf of Magellan Complete Care of Florida, thank you for your continued support and collaboration. As the only

More information

8/24/2015. Objectives. The Scope of Pharmacy Technician Practice. Role of a Technician. Pharmacy Technician. Technician Training

8/24/2015. Objectives. The Scope of Pharmacy Technician Practice. Role of a Technician. Pharmacy Technician. Technician Training Objectives The Scope of Pharmacy Technician Practice Sara Vander Ploeg, PharmD Northwestern Memorial Hospital The speaker has no actual or potential conflicts of interest as it relates to this presentation.

More information

Nursing Home to Community Program: A Discharge Planning Manual

Nursing Home to Community Program: A Discharge Planning Manual Nursing Home to Community Program: A Discharge Planning Manual March 2006 Portions of this Manual may be cited on condition that proper credit is given to: Broome County Community Alternative Systems Agency

More information

Prescribing Standards for Nurse Practitioners (NPs)

Prescribing Standards for Nurse Practitioners (NPs) Prescribing Standards for Nurse Practitioners (NPs) July 2014 Approved by the College and Association of Registered Nurses of Alberta Provincial Council, (July 2014) Permission to reproduce this document

More information

Driver Diagram and Change Package Leadership and Culture. Primary Drivers

Driver Diagram and Change Package Leadership and Culture. Primary Drivers Aim Driver Diagram and Change Package Leadership and Culture Primary Drivers Promote a culture of reflective learning and improvement. Secondary Drivers Increase awareness of safety issues within practice,

More information

Investigational Drugs: Investigational Drugs and Biologics

Investigational Drugs: Investigational Drugs and Biologics : I. PURPOSE The purpose of this policy is to establish procedures for the proper control, storage, use and handling of investigational drugs and biologics to ensure that adequate safeguards are in place

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICN 908184 October 2014 This booklet was current at the time it was published or uploaded onto the web. Medicare policy

More information

Louisiana Administrative Code. Title 46 Professional and Occupational Standards. Part LIII: Pharmacists

Louisiana Administrative Code. Title 46 Professional and Occupational Standards. Part LIII: Pharmacists Chapter 17. Institutional Pharmacy Louisiana Administrative Code Title 46 Professional and Occupational Standards Subchapter A. General Requirements Part LIII: Pharmacists 1701. Cross References A. For

More information

Guide to Chronic Disease Management and Prevention

Guide to Chronic Disease Management and Prevention Family Health Teams Advancing Primary Health Care Guide to Chronic Disease Management and Prevention September 27, 2005 Table of Contents 3 Introduction 3 Purpose 4 What is Chronic Disease Management

More information

Patient Assistance Program Primer

Patient Assistance Program Primer Patient Assistance Program Primer Suzanne Lepage Private Health Plan Strategist Suzanne Lepage Consulting Inc. Kitchener, Ontario The opinions expressed in this presentation are those of the speaker. The

More information

National Quality Forum Safe Practices for Better Healthcare

National Quality Forum Safe Practices for Better Healthcare National Quality Forum Safe Practices for Better Healthcare UCLA Health System advocates the National Quality Forum (NQF) endorsed safe practices.this set of safe Practices encompasses 34 practices that

More information

Chapter 4 Health Care Management Unit 1: Care Management

Chapter 4 Health Care Management Unit 1: Care Management Chapter 4 Health Care Unit 1: Care In This Unit Topic See Page Unit 1: Care Care 2 6 Emergency 7 4.1 Care Healthcare Healthcare (HMS), Highmark Blue Shield s medical management division, is responsible

More information

SECTION 5 HOSPITAL SERVICES. Free-Standing Ambulatory Surgical Center

SECTION 5 HOSPITAL SERVICES. Free-Standing Ambulatory Surgical Center SECTION 5 HOSPITAL SERVICES Table of Contents 1 GENERAL POLICY... 2 1-1 Clients Enrolled in a Managed Care Plan... 3 1-2 Clients NOT Enrolled in a Managed Care Plan (Fee-for-Service Clients)..................

More information

Community Center Readiness Guide Additional Resource #17 Protocol for Physician Assistants and Advanced Practice Nurses

Community Center Readiness Guide Additional Resource #17 Protocol for Physician Assistants and Advanced Practice Nurses Community Center Readiness Guide Additional Resource #17 Protocol for Physician Assistants and Advanced Practice Nurses PROTOCOL FOR PHYSICIAN ASSISTANTS AND ADVANCED PRACTICE NURSES 1. POLICY Advanced

More information

Safe Transitions Best Practice Measures for

Safe Transitions Best Practice Measures for Safe Transitions Best Practice Measures for Home Health Agencies Setting-specific process measures focused on cross-setting communication and patient activation, supporting safe patient care across the

More information

TEXAS ~ STATUTE Continued

TEXAS ~ STATUTE Continued TEXAS ~ STATUTE STATUTE DATE Enacted 1981 REGULATORY BODY Texas Rev. Civ. Stat., Occupations Code, Chapter 204: Physician Assistant Licensing Act; Occupations Code Chapter 157; Authority of Physician to

More information

Medication Administration Procedure

Medication Administration Procedure Medication Administration Procedure Procedure Name Medication Administration Approved by Category Work Practice Approval date April 2014 Version 1 Review date April 2016 Why do we need this procedure?

More information

RULES OF DEPARTMENT OF COMMUNITY HEALTH HEALTHCARE FACILITY REGULATION

RULES OF DEPARTMENT OF COMMUNITY HEALTH HEALTHCARE FACILITY REGULATION Disclaimer: This is an unofficial copy of the rules that has been provided for the convenience of the public by the Department of Community Health. The official rules for this program are on record with

More information

Overview. Accreditation Canada. Qmentum Standards. Qmentum Standards. in Qmentum. Accreditation Canada Program

Overview. Accreditation Canada. Qmentum Standards. Qmentum Standards. in Qmentum. Accreditation Canada Program Overview Client- and Family-Centred through the Accreditation Canada Program October 5, 2014 Wendy Nicklin President and Chief Executive Officer Accreditation Canada Qmentum Accreditation Program Client-

More information

Before implementing the program, agency staff and the consultant pharmacist must complete training. Long-term services and supports In-home services

Before implementing the program, agency staff and the consultant pharmacist must complete training. Long-term services and supports In-home services HomeMeds Program Description HomeMeds is a medication use improvement program developed specifically for agencies providing in-home services and health care to older adults. The program addresses four

More information

Safety indicators for inpatient and outpatient oral anticoagulant care

Safety indicators for inpatient and outpatient oral anticoagulant care Safety indicators for inpatient and outpatient oral anticoagulant care 1 Recommendations from the British Committee for Standards in Haematology (BCSH) & National Patient Safety Agency (NPSA) Address for

More information

Care Definition, Practice Foundations, and Ability-Based Outcomes Updated May 23, 2013

Care Definition, Practice Foundations, and Ability-Based Outcomes Updated May 23, 2013 University of Washington School of Pharmacy Care Definition, Practice Foundations, and Ability-Based Outcomes The pharmacist graduating from the University of Washington School of Pharmacy promotes the

More information

RN PRESCRIBING AND ORDERING DIAGNOSTIC TESTS: REQUIREMENTS AND STANDARDS. (Date TBD)

RN PRESCRIBING AND ORDERING DIAGNOSTIC TESTS: REQUIREMENTS AND STANDARDS. (Date TBD) RN PRESCRIBING AND ORDERING DIAGNOSTIC TESTS: REQUIREMENTS AND STANDARDS (Date TBD) This document has not been approved by CARNA Provincial Council, it is a draft only for review and not for use. Once

More information

DEKALB COUNTY GOVERNMENT DRUG-FREE WORKPLACE POLICY

DEKALB COUNTY GOVERNMENT DRUG-FREE WORKPLACE POLICY DEKALB COUNTY GOVERNMENT DRUG-FREE WORKPLACE POLICY Reviewed For Updates March 1, 2015 CURRENT DATE OF CONTENTS OF DRUG-FREE WORKPLACE POLICY Pg. Section Date 1 1.1.0. 02/19/1992 1 1.1.1. 02/19/1992 1

More information

DEPARTMENT OF HEALTH. TRANSPARENCY AND QUALITY COMPACT MEASURES (voluntary indicators) GUIDE FOR CARE AND SUPPORT PROVIDERS

DEPARTMENT OF HEALTH. TRANSPARENCY AND QUALITY COMPACT MEASURES (voluntary indicators) GUIDE FOR CARE AND SUPPORT PROVIDERS TRANSPARENCY AND QUALITY COMPACT MEASURES (voluntary indicators) GUIDE FOR CARE AND SUPPORT PROVIDERS 1 Transparency and Quality Compact Measures (voluntary indicators) The Government has worked with care

More information

UW School of Dentistry Comprehensive Medication Policy

UW School of Dentistry Comprehensive Medication Policy UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY Subject: UW School of Dentistry Comprehensive Medication Policy Policy Number: Effective Date: December 2014 Revision Dates: June 2015 PURPOSE This policy provides

More information

Administrative Policies and Procedures for MOH hospitals /PHC Centers. TITLE: Organization & Management Of Medication Use APPLIES TO: Hospital-wide

Administrative Policies and Procedures for MOH hospitals /PHC Centers. TITLE: Organization & Management Of Medication Use APPLIES TO: Hospital-wide Administrative Policies and Procedures for MOH hospitals /PHC Centers TITLE: Organization & Management Of Medication Use APPLIES TO: Hospital-wide NO. OF PAGES: ORIGINAL DATE: REVISION DATE : السیاسات

More information

Alternatives to Hospital: Models of Integrated Care

Alternatives to Hospital: Models of Integrated Care Alternatives to Hospital: Models of Integrated Care Tom Bowen The Balance of Care Group www.balanceofcare.com IMA Health 2007, London, UK 2 April 2007 Projects taking whole systems approach Sheffield Designed

More information

Employers Overview to Managing Substance Abuse in the Workplace

Employers Overview to Managing Substance Abuse in the Workplace Employers Overview to Managing Substance Abuse in the Workplace How common is Substance Abuse in the Workplace? Statistics taken from the Canadian Alcohol and Drug Use Monitoring Survey (CADUMS) 2011:

More information

What Every Practitioner Needs to Know About Controlled Substance Prescribing

What Every Practitioner Needs to Know About Controlled Substance Prescribing What Every Practitioner Needs to Know About Controlled Substance Prescribing New York State Department of Health Use of Controlled Substances Controlled substances can be effective in the treatment of

More information

Licensure & Scope of Practice: The Nurse Practice Act

Licensure & Scope of Practice: The Nurse Practice Act Nursing Care Delivery: Current Challenges, Future Opportunities Leading Age 2015 Senior Living Conference September 29, 2015 9:00 am Polsinelli PC. In California, Polsinelli LLP Licensure & Scope of Practice:

More information

Tips and Strategies on Handoffs

Tips and Strategies on Handoffs Tips and Strategies on Handoffs In 2007, the Handoffs & Transitions Learning Network (H&T) was established to support the mid-atlantic healthcare community in tackling the complex problem of handoffs and

More information

a Foundation for Change

a Foundation for Change Continuous Quality Improvement ADEs: Steven Utilizing R. Abel, Measurement PharmD, FASHP as Nital Patel, PharmD. MBA a Foundation for Change Sheri Helms, PharmD Candidate Brian Heckman, PharmD Candidate

More information

Implementation of Florida s PDMP. Rebecca Poston Program Manager

Implementation of Florida s PDMP. Rebecca Poston Program Manager Implementation of Florida s PDMP Rebecca Poston Program Manager Disclaimer I have no relevant financial relationships or commercial interest in the content presented in this program. Learning Objectives:

More information

Medication Reconciliation Technician Standard Workflow

Medication Reconciliation Technician Standard Workflow Process Description: Medication Reconciliation is the process of making a good faith attempt to obtain a patients prior to admission medication history, which is eventually reconciled against a patients

More information

AMERICAN PSYCHOLOGICAL ASSOCIATION

AMERICAN PSYCHOLOGICAL ASSOCIATION A. Definitions AMERICAN PSYCHOLOGICAL ASSOCIATION MODEL LEGISLATION FOR PRESCRIPTIVE AUTHORITY Approved by APA Council of Representatives, 2009 (1) Board means the {state psychology licensing board}. (2)

More information

March 2015. Medication Guidelines

March 2015. Medication Guidelines March 2015 Medication Guidelines Approved by the College and Association of Registered Nurses of Alberta Provincial Council, March 2015. Permission to reproduce this document is granted. Please recognize

More information

Position No. Job Title Supervisor s Position 10-11228, 10-11229, 10-11231 Registered Nurse, Acute Care Services (GDN)

Position No. Job Title Supervisor s Position 10-11228, 10-11229, 10-11231 Registered Nurse, Acute Care Services (GDN) 1. IDENTIFICATION Position No. Job Title Supervisor s Position 10-11228, 10-11229, 10-11231 Registered Nurse, Acute Care Services (GDN) Supervisor, Community Health Program Inpatient Services Department

More information

Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute.

Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute. osition Official Title and Summary Prepared by the Attorney General Requires drug and alcohol testing of doctors and reporting of positive test to the California Medical Board. Requires Board to suspend

More information

DATE ISSUED: 11/7/2006 1 of 5 UPDATE 78 FFAC(LEGAL)-P

DATE ISSUED: 11/7/2006 1 of 5 UPDATE 78 FFAC(LEGAL)-P CONSENT TO FORM OF CONSENT MINOR S CONSENT TO TREATMENT The school in which a minor student is enrolled may consent to medical, dental, psychological, and surgical treatment of that student, provided all

More information

CHILDREN ADMITTED TO HOSPITAL WITH SUSPECTED OR CONFIRMED ABUSE OR NEGLECT

CHILDREN ADMITTED TO HOSPITAL WITH SUSPECTED OR CONFIRMED ABUSE OR NEGLECT Schedule 1 CHILDREN ADMITTED TO HOSPITAL WITH SUSPECTED OR CONFIRMED ABUSE OR NEGLECT PURPOSE 1. This schedule sets out the agreement between the District Health Board (DHB), Child, Youth and Family (CYF)

More information

Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2015

Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2015 Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2015 About this chart: This chart is to be used as a guide only and does not contain all details or exclusions.

More information