Performance Measures: Medication Reconciliation at Admission

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

Required Organizational Practices. September 2011

Required Organizational Practices. September 2011 s September 2011 CONTENTS OVERVIEW...1 ABOUT THE ROP HANDBOOK...2 SAFETY CULTURE Adverse events disclosure...3 Adverse events reporting...4 Client safety as a strategic priority...5 Client safety quarterly

More information

Medicines Management Driver Diagram and Change Package

Medicines Management Driver Diagram and Change Package Medicines Management Driver Diagram and Change Package The Institute for Healthcare Improvement A driver diagram is used to conceptualise an issue and to determine its system components which will then

More information

Approved Standards & EPs for The Joint Commission Primary Care Medical Home Option

Approved Standards & EPs for The Joint Commission Primary Care Medical Home Option HR.0001 Approved Standards & EPs for The Joint Commission Primary Care Medical Home Option Ambulatory Care Accreditation Program **Please Note: Shading indicates a new or revised requirement** For organizations

More information

Medication error is the most common

Medication error is the most common Medication Reconciliation Transfer of medication information across settings keeping it free from error. By Jane H. Barnsteiner, PhD, RN, FAAN Medication error is the most common type of error affecting

More information

Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination

Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION:

More information

Getting Started Kit MEDICATION RECONCILIATION IN ACUTE CARE. Reducing Harm Improving Healthcare Protecting Canadians. Version 3.0

Getting Started Kit MEDICATION RECONCILIATION IN ACUTE CARE. Reducing Harm Improving Healthcare Protecting Canadians. Version 3.0 Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN ACUTE CARE Getting Started Kit Version 3.0 www.saferhealthcarenow.ca Safer Healthcare Now! We invite you to join Safer

More information

Mental Health and Patient Safety: The Beginning of Our Journey. Medication Safety Panel Discussion

Mental Health and Patient Safety: The Beginning of Our Journey. Medication Safety Panel Discussion Mental Health and Patient Safety: The Beginning of Our Journey Medication Safety Panel Discussion OHA Conference in partnership with CPSI Marriott Eaton Centre, Toronto September 19, 2008 Sylvia Hyland

More information

Policy. Medication Reconciliation UW Hospital and Clinics

Policy. Medication Reconciliation UW Hospital and Clinics Policy Medication Reconciliation UW Hospital and Clinics Policy Number: 7.60 Manual: Hospital Administrative Section: Patient Support (Hospital Administrative) Effective Date: April 3, 2007 Version: Original

More information

How to have safe and successful health care at the hospital

How to have safe and successful health care at the hospital www.ntocc.org guidelines for a hospital stay For Patient, Family, & Caregiver Don t Hesitate to Communicate First and foremost, talk to your doctor and all members of the hospital staff. Tell them how

More information

Medicine Reconciliation

Medicine Reconciliation National Medication Safety Programme Medicine Reconciliation Obtaining the most accurate medicines list Learning Objectives After this session, you should be able to: 1. explain why at least two information

More information

Qmentum Program Substance Abuse and Problem Gambling Services STANDARDS. Accredited by ISQua. Ver. 2

Qmentum Program Substance Abuse and Problem Gambling Services STANDARDS. Accredited by ISQua. Ver. 2 2009 STANDARDS Substance Abuse and Problem Gambling Accredited by ISQua Published by Accreditation Canada. All rights reserved. No part of this publication may be reproduced, or transmitted in any form

More information

National Patient Safety Goals Effective January 1, 2015

National Patient Safety Goals Effective January 1, 2015 National Patient Safety Goals Effective January 1, 2015 Goal 1 Improve the accuracy of patient identification. NPSG.01.01.01 Home are Accreditation Program Use at least two patient identifiers when providing

More information

Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience

Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience Thursday, April 10 2014 4:00-4:30pm Ohio Society of Health Systems Pharmacists Learning Objectives Describe the steps

More information

NHS FORTH VALLEY. Medicines Reconciliation Policy

NHS FORTH VALLEY. Medicines Reconciliation Policy NHS FORTH VALLEY Medicines Reconciliation Policy Date of First Issue 13/04/2015 Approved 09/04/2015 Current Issue Date 13/04/2015 Review Date 31/03/2017 Version 1.4 EQIA Yes 13/04/2015 Author / Contact

More information

NCQA Level 3 PCMH Recognition Requirements Compared to 2013 Joint Commission Standards and EPs

NCQA Level 3 PCMH Recognition Requirements Compared to 2013 Joint Commission Standards and EPs NCQA Level 3 PCMH Recognition Requirements Compared to 2013 Standards and EPs This tool, prepared by The, compares the National Committee for Quality Assurance (NCQA) general standard areas for its 2011

More information

MedsCheck for Diabetes

MedsCheck for Diabetes MedsCheck Diabetes Program The MedsCheck Program for Ontarians living with Diabetes The MedsCheck Diabetes program is an annual medication review by a community pharmacist for Ontarians living with diabetes

More information

Approval Date. 12/20/11 Archive Information

Approval Date. 12/20/11 Archive Information COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Clinical Care Author: Dr. Timothy Florence Policy and Procedure Administration of Medication & Other Medical Treatment Local Policy

More information

Oncology Nursing Society and Association of Oncology Social. Work Joint Position on Palliative and End-of-Life Care

Oncology Nursing Society and Association of Oncology Social. Work Joint Position on Palliative and End-of-Life Care Adopted as of January 27, 2012 Oncology Nursing Society and Association of Oncology Social Work Joint Position on Palliative and End-of-Life Care Palliative and end-of-life care is integral to oncology

More information

Medication Administration Safety

Medication Administration Safety Medication Administration Safety Medication Administration Safety Outline Introduction to Safe Medication Practice 4 Phases of the Medication Administration Safety Process High Alert Medications Technological

More information

PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland

PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland AD Award Number: W81XWH-07- TITLE: PRINCIPAL INVESTIGATOR: CONTRACTING ORGANIZATION: REPORT DATE: TYPE OF REPORT: PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012

More information

Type of Program: AMBULATORY PHARMACY PRACTICE RESIDENCY PROGRAM. Note: Currently, there are no standards for accreditation of this program.

Type of Program: AMBULATORY PHARMACY PRACTICE RESIDENCY PROGRAM. Note: Currently, there are no standards for accreditation of this program. Sunnybrook Health Sciences Centre (SHSC) Type of Program: AMBULATORY PHARMACY PRACTICE RESIDENCY PROGRAM No. of residents: 1 Program Description "Ambulatory care" includes health- related services that

More information

Allergy Status Identification and Documentation

Allergy Status Identification and Documentation Allergy Status Identification and Documentation Basic Medication Safety (BMS) Certification Course King Saud bin Abdulaziz University for Health Sciences Ministry of National Guard Health Affairs Learning

More information

Medication Reconciliation Training Packet. Legacy Health System

Medication Reconciliation Training Packet. Legacy Health System Medication Reconciliation Training Packet Legacy Health System 1 Objectives To identify the key elements of the medication reconciliation process To describe the role of the nurse in the medication reconciliation

More information

Health Professions Act BYLAWS SCHEDULE F. PART 3 Residential Care Facilities and Homes Standards of Practice. Table of Contents

Health Professions Act BYLAWS SCHEDULE F. PART 3 Residential Care Facilities and Homes Standards of Practice. Table of Contents Health Professions Act BYLAWS SCHEDULE F PART 3 Residential Care Facilities and Homes Standards of Practice Table of Contents 1. Application 2. Definitions 3. Supervision of Pharmacy Services in a Facility

More information

Ontario Primary Care Medication Reconciliation Guide

Ontario Primary Care Medication Reconciliation Guide Ontario Primary Care Medication Reconciliation Guide About the Guide The intent of this guide is to provide quality improvement based strategies and best practice ideas for implementing, sustaining and

More information

Children and young people with cancer

Children and young people with cancer Children and young people with cancer Issued: February 2014 NICE quality standard 55 guidance.nice.org.uk/qs55 NICE 2014 Contents Introduction... 6 Why this quality standard is needed... 6 How this quality

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

Joint Commission s National Patient Safety Goals 2011

Joint Commission s National Patient Safety Goals 2011 Joint Commission s National Patient Safety Goals 2011 National Patient Safety Goals (NPSG) Purpose of the Joint Commission s NPSG program is to promote specific improvements in patient safety. The Goals

More information

Can I see your medications, please? Objectives. Medication Reconciliation

Can I see your medications, please? Objectives. Medication Reconciliation Can I see your medications, please? Sonjia Hauser RN Clinical Manager, Ray Hickey Hospice House Objectives Define the term medication reconciliation and explain why this is an important National Patient

More information

Getting Medicines Right

Getting Medicines Right South of England Improving Safety in Mental Health Collaborative Getting Medicines Right Driver Diagram and Change Package A driver diagram is used to conceptualize an issue and to determine its system

More information

Example Activities for the 2014 Competencies, Goals, and Objectives

Example Activities for the 2014 Competencies, Goals, and Objectives for the 2014 Competencies, Goals, and s The example activities below are intended as a guide to help preceptors generate ideas for activities. Activities for each objective must reflect activities that

More information

MEDICINES RECONCILIATION POLICY Safely In, Safely Home

MEDICINES RECONCILIATION POLICY Safely In, Safely Home AGENDA ITEM 1.14 Reference Number: TBA 1 Date of Next Review: TBA Previous Trust/LHB Reference Number: not applicable Policy Statement MEDICINES RECONCILIATION POLICY Safely In, Safely Home Cardiff and

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

Medicines Reconciliation In Hospital

Medicines Reconciliation In Hospital Medicines Reconciliation In Hospital Author(s) Dr A MacLaren on behalf of NHSGG&C Medicines Reconciliation Oversight Group Responsible Director(s) Dr D Stewart, Lead Director for Acute Medical Services

More information

Medication Safety in ABMU Health Board. Roger Williams Head of Pharmacy Acute Services June 2014

Medication Safety in ABMU Health Board. Roger Williams Head of Pharmacy Acute Services June 2014 Medication Safety in ABMU Health Board Roger Williams Head of Pharmacy Acute Services June 2014 Aims of presentation To consider: 1. Governance arrangements to provide assurances for medication safety

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

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

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

ENDORSEMENT SUMMARY: Patient Safety: Complications

ENDORSEMENT SUMMARY: Patient Safety: Complications JANUARY 2013 Purpose of the Project American are exposed to more preventable medical errors than patients in other industrialized nations, costing the United States close to $29 billion per year in healthcare

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

NABP/ASCP JOINT REPORT: MODEL RULES FOR LONG-TERM CARE PHARMACY PRACTICE

NABP/ASCP JOINT REPORT: MODEL RULES FOR LONG-TERM CARE PHARMACY PRACTICE NABP/ASCP JOINT REPORT: MODEL RULES FOR LONG-TERM CARE PHARMACY PRACTICE Executive Summary: The National Association of Board of Pharmacy s (NABP) Model State Pharmacy Act and Model Rules (Model Act) serves

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

Clinical Trials at PMH

Clinical Trials at PMH Clinical Trials at PMH What You Need To Know UHN Patient Education Improving Health Through Education A Guide for Patients, Their Families and Friends in the PMH Cancer Program This information is to be

More information

NYL%26BreakthroughPain%5BDec11%5D.pdf

NYL%26BreakthroughPain%5BDec11%5D.pdf APPENDIX 1 PROCEDURE NAME & NUMBER Supply and Administration of Intranasal Fentanyl Spray AUTHOR OF CURRENT VERSION: Debbie Jenkins Palliative Care Consultant Jane Barnes Pharmacy Manager, NHH DATE OF

More information

Surgical Care Improvement Project (SCIP) Best Practices Initiative Change Package Document Action Strategies

Surgical Care Improvement Project (SCIP) Best Practices Initiative Change Package Document Action Strategies 1. Hospital executive leadership commitment to prevention of surgical site infections 1.1. Establish Surgical Site Infection prevention as a strategic priority 1.2. Develop and implement business/strategic

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

WAC Pain management Intent. These rules govern the use of opioids in the treatment of patients for chronic noncancer pain.

WAC Pain management Intent. These rules govern the use of opioids in the treatment of patients for chronic noncancer pain. WAC 246-853-660 Pain management Intent. These rules govern the use of opioids in the treatment of patients for chronic noncancer pain. WAC 246-853-661 Exclusions. The rules adopted under this section do

More information

Administrative Policies and Procedures for MOH hospitals /PHC Centers. TITLE: Patient Drug Allergy APPLIES TO: Pharmacy, Medical and Nursing staff

Administrative Policies and Procedures for MOH hospitals /PHC Centers. TITLE: Patient Drug Allergy APPLIES TO: Pharmacy, Medical and Nursing staff Administrative Policies and Procedures for MOH hospitals /PHC Centers TITLE: Patient Drug Allergy APPLIES TO: Pharmacy, Medical and Nursing staff السیاسات والا جراءات الا داریة بمستشفیات ومراكز وزارة الصحة

More information

Enabling Palliative Care at Home

Enabling Palliative Care at Home Home Care is a vital and integral component of the health care system. In Ontario, health system stakeholders have committed to establishing a system of care with improved access to evidence- based palliative

More information

National Patient Safety Goals Effective January 1, 2015

National Patient Safety Goals Effective January 1, 2015 National Patient Safety Goals Effective January 1, 2015 Goal 1 Improve the accuracy of resident identification. NPSG.01.01.01 Long Term are ccreditation Program Medicare/Medicaid ertification-based Option

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

2011 NCQA PCMH TM Recognition Standards PCMH-A Item (Level A) Change Concepts for Practice Transformation: Key Changes

2011 NCQA PCMH TM Recognition Standards PCMH-A Item (Level A) Change Concepts for Practice Transformation: Key Changes Direct match between NCQA Factor and PCMH-A 2011 Item. NCQA PCMH Signifies Meaningful RECOGNITION Use (MU); Core STANDARDS or Menu set of objectives. AND FACTORS COMPARED TO PCMH-A ITEMS required for AND

More information

PRIMARY FUNCTION: Medicine, Nursing, Pharmacy

PRIMARY FUNCTION: Medicine, Nursing, Pharmacy EFFECTIVE DATE: 1/06 PAGE 1 OF 6 PURPOSE: To define the process for reconciling lists of medications at each transition point in the delivery of patient care, including admissions, emergency department

More information

Personal Medical Journal

Personal Medical Journal Personal Medical Journal PersonalMedJournal_es.indd 1 12/13/2010 4:25:41 PM Table of Contents Personal Medical Journal Information... 3 Background Information... 4 Clinical Care... 10 Ready To Go Home...

More information

Health Care Leader Action Guide to Reduce Avoidable Readmissions

Health Care Leader Action Guide to Reduce Avoidable Readmissions Health Care Leader Action Guide to Reduce Avoidable Readmissions January 2010 TRANSFORMING HEALTH CARE THROUGH RESEARCH AND EDUCATION Osei-Anto A, Joshi M, Audet AM, Berman A, Jencks S. Health Care Leader

More information

Medication Reconciliation: Preventing Errors and Improving Patient Outcomes. Amanda Boren. Murray State University School of Nursing

Medication Reconciliation: Preventing Errors and Improving Patient Outcomes. Amanda Boren. Murray State University School of Nursing Running Head: MEDICATION RECONCILIATION: PREVENTING ERRORS AND IMPROVING PATIENT 1 Medication Reconciliation: Preventing Errors and Improving Patient Outcomes Amanda Boren Murray State University School

More information

Chapter 01: Introduction to Nursing Care of Children Test Bank

Chapter 01: Introduction to Nursing Care of Children Test Bank Chapter 01: Introduction to Nursing Care of Children Test Bank MULTIPLE CHOICE 1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric

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

Measure #130 (NQF 0419): Documentation of Current Medications in the Medical Record National Quality Strategy Domain: Patient Safety

Measure #130 (NQF 0419): Documentation of Current Medications in the Medical Record National Quality Strategy Domain: Patient Safety Measure #130 (NQF 0419): Documentation of Current Medications in the Medical Record National Quality Strategy Domain: Patient Safety 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION:

More information

Improvement Targets and Initiatives

Improvement Targets and Initiatives Improvement Targets and Initiatives [Insert Hospital Logo] North York General Hospital, 4001 Leslie Street Toronto, Ontario M2K 1E1 Please do not edit or modify provided text in Columns A, B & C AIM MEASURE

More information

Meaningful Use Stage 1 Quality Measures for Hospitals

Meaningful Use Stage 1 Quality Measures for Hospitals Meaningful Use Stage 1 Quality Measures for Hospitals Paul Kleeberg, MD, FAAFP, FHIMSS Clinical Director Regional Extension Assistance Center for HIT (REACH) REACH - Achieving - Achieving meaningful meaningful

More information

Program-Level, Ability-Based Outcomes for Pharm.D. Education College of Pharmacy The Ohio State University

Program-Level, Ability-Based Outcomes for Pharm.D. Education College of Pharmacy The Ohio State University Program-Level, Ability-Based Outcomes for Pharm.D. Education College of Pharmacy The Ohio State University Executive Summary: New graduates of a Pharm.D. program are expected to be able to deliver pharmaceutical

More information

The Joint Commission and Patient Safety. David Bundy, MD, MPH Johns Hopkins University

The Joint Commission and Patient Safety. David Bundy, MD, MPH Johns Hopkins University This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

CRITICAL ACCESS HOSPITALS

CRITICAL ACCESS HOSPITALS Note: Pharmaceutical services at a CAH can be provided either as direct services or through an agreement. The direction of pharmaceutical services may not require continuous on premise supervision at the

More information

HOUSE OF COMMONS STANDING COMMITTEE ON HEALTH STUDY ON POST-MARKET SURVEILLANCE OF PHARMACEUTICAL PRODUCTS

HOUSE OF COMMONS STANDING COMMITTEE ON HEALTH STUDY ON POST-MARKET SURVEILLANCE OF PHARMACEUTICAL PRODUCTS HOUSE OF COMMONS STANDING COMMITTEE ON HEALTH STUDY ON POST-MARKET SURVEILLANCE OF PHARMACEUTICAL PRODUCTS Jeff Poston Executive Director Canadian Pharmacists Association Ottawa, Ontario February 14, 2008

More information

PLAN OF CORRECTION. Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.)

PLAN OF CORRECTION. Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.) ID Prefix Tag (X4) R000 R200 Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.) Submission and implementation of this Plan of Correction does

More information

May 15, 2013 Joint Committee on Finance Paper #363

May 15, 2013 Joint Committee on Finance Paper #363 Legislative Fiscal Bureau One East Main, Suite 301 Madison, WI 53703 (608) 266-3847 Fa: (608) 267-6873 Email: fiscal.bureau@legis.wisconsin.gov Website: http://legis.wisconsin.gov/lfb May 15, 2013 Joint

More information

NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM

NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM 2007 STATE OF NEBRASKA TITLE 181 CHAPTER 6 Cancer Drug Repository Program NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM Department of Health and Human Services Regulation and Licensure Credentialing Division

More information

Optimizing Medication Safety at Care Transitions - Creating a National Challenge. February 10, 2011, Toronto ON

Optimizing Medication Safety at Care Transitions - Creating a National Challenge. February 10, 2011, Toronto ON Optimizing Medication Safety at Care Transitions - Creating a National Challenge February 10, 2011, Toronto ON Optimizing Medication Safety at Care Transitions - Creating a National Challenge February

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

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

A well-informed patient is a safer patient! It s Your Health... Get Involved!

A well-informed patient is a safer patient! It s Your Health... Get Involved! A well-informed patient is a safer patient! It s Your Health... Get Involved! Take an active role in your health care Patient safety is a high priority for New Brunswick's Regional Health Authorities,

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

What Impact Does Pharmacist Led Medication Reconciliation Strategies Have on Reduction of Medication Errors in the Older Adult?

What Impact Does Pharmacist Led Medication Reconciliation Strategies Have on Reduction of Medication Errors in the Older Adult? What Impact Does Pharmacist Led Medication Reconciliation Strategies Have on Reduction of Medication Errors in the Older Adult? Lorraine Von Eeden, DNP, CPNP/FNP lvoneeden@pace.edu Disclosure. Author:

More information

Menu Case Study 3: Medication Administration Record

Menu Case Study 3: Medication Administration Record Menu Case Study 3: Medication Administration Record Applicant Organization: Ontario Shores Centre for Mental Health Sciences Organization s Address: 700 Gordon Street, Whitby, Ontario, Canada, L1N5S9 Submitter

More information

GUIDELINES WHEN USING SYRINGE PUMP COMMUNITY CHARTS

GUIDELINES WHEN USING SYRINGE PUMP COMMUNITY CHARTS GUIDELINES WHEN USING SYRINGE PUMP COMMUNITY CHARTS These charts have been developed by a multi-professional team of specialists on behalf of the London Cancer Alliance (LCA). Their design is based on

More information

Medication Error Reduction Strategies

Medication Error Reduction Strategies Medication Error Reduction Strategies Afshan A. Ali, MD Jonathan Jacques Children s Cancer Center Miller Children s Hospital & Long beach Memorial Medical Center & Children s Cancer Alliance Medication

More information

Providing Medication Therapy Management Services for Patients Receiving Oral Chemotherapy at a Comprehensive Cancer Center

Providing Medication Therapy Management Services for Patients Receiving Oral Chemotherapy at a Comprehensive Cancer Center 1 Providing Medication Therapy Management Services for Patients Receiving Oral Chemotherapy at a Comprehensive Cancer Center Justin P. Huynh, PharmD Sarah E. Cabral, PharmD, BCOP Rhode Island Hospital

More information

Clinical pathway concept - a key to seamless care

Clinical pathway concept - a key to seamless care SECTION 5: PATIENT SAFETY AND QUALITY ASSURANCE 1 Clinical pathway concept - a key to seamless care Audrey Janoly-Dumenil, Hôpital Edouard Herriot, CHU Lyon Marie-Camille Chaumais, Hôpital Antoine Béclère,

More information

2016 Quality Improvement Work Plan Summary

2016 Quality Improvement Work Plan Summary 2016 Quality Improvement Project Member Service and Satisfaction Commercial Products: Commercial Project Description: To improve member service and satisfaction and increase member understanding of how

More information

April 28, Docket No. DEA-389. Dear Administrator Leonhart:

April 28, Docket No. DEA-389. Dear Administrator Leonhart: April 28, 2014 Michelle Leonhart Administrator Drug Enforcement Administration Attention: DEA Federal Register Representative/ODW 8701 Morrissette Drive Springfield, VA 22152 Docket No. DEA-389 Dear Administrator

More information

Medication Management Policy / Procedure

Medication Management Policy / Procedure Medication Management Policy / Procedure Unit Dose Distribution System Inpatient Care Areas POLICY The IWK Health Centre shall use a decentralized automated unit dose system in combination with centralized,

More information

Seven day working in Hospital Pharmacies

Seven day working in Hospital Pharmacies Holyrood Park House T 0131 556 4386 106 Holyrood Road E scotinfo@rpharms.com Edinburgh EH8 8AS W www.rpharms.com Seven day working in Hospital Pharmacies The Royal Pharmaceutical Society (RPS) understands

More information

Trauma Distinction Information Package

Trauma Distinction Information Package Accredited by ISQua 2014 Accreditation Canada 1150, Cyrville Road Ottawa, Ontario K1J 7S9 613-738-3800 1-800-814-7769 accreditation.ca Table of contents Overview.... iv Standards of excellence... 1 Performance

More information

USMLE Physician Tasks/Competencies

USMLE Physician Tasks/Competencies USMLE Physician Tasks/Competencies A Joint Program of the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners USMLE Physician Tasks/Competencies provides

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

PGY1 Pharmacy Residency Rotation Descriptions

PGY1 Pharmacy Residency Rotation Descriptions PGY1 Pharmacy Residency Rotation Descriptions Orientation (July) Orientation is intended to introduce the resident to Lawrence Memorial Hospital and the Department of Pharmacy. Each resident will participate

More information

Drug Distribution Systems for Long Term Care Facilities

Drug Distribution Systems for Long Term Care Facilities Pharmacy 492 Winter Quarter 2007 Drug Distribution Systems for Long Term Care Facilities Annie Lam, Pharm.D, CGP, FASCP Drug Distribution The process: Receipt/ transcription of orders Interpretation/ evaluation

More information

Office of the National Coordinator for Health Information Technology (ONC) Medication Management Prototype Use Case

Office of the National Coordinator for Health Information Technology (ONC) Medication Management Prototype Use Case Office of the National Coordinator for Health Information Technology (ONC) Medication Management Table of Contents 1.0 INTRODUCTION...2 1.1 USE CASE DESCRIPTION...2 1.2 SCOPE OF THE USE CASE...2 2.0 USE

More information

NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST MEDICINES CODE OF PRACTICE - SUPPLY OF MEDICINES FROM THE PHARMACY DEPARTMENT

NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST MEDICINES CODE OF PRACTICE - SUPPLY OF MEDICINES FROM THE PHARMACY DEPARTMENT NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST MEDICINES CODE OF PRACTICE - SUPPLY OF MEDICINES FROM THE PHARMACY DEPARTMENT Reference CL/MM/003 Date approved Approving body Directors Group Implementation date

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

National Patient Safety Goal 8 Medication Reconciliation

National Patient Safety Goal 8 Medication Reconciliation National Patient Safety Goal 8 Medication Reconciliation During October 2009, The Joint Commission hosted focus group calls with its ambulatory health care, behavioral health care, critical access hospitals,

More information

Preparing Family Caregivers to Manage Medications: A Guide for Health Care Providers

Preparing Family Caregivers to Manage Medications: A Guide for Health Care Providers Preparing Family Caregivers to Manage Medications: A Guide for Health Care Providers Medications can relieve symptoms and improve a patient s quality of life. Some are literally life-saving. But those

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

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

GENERAL PRACTICE BASED PHARMACIST

GENERAL PRACTICE BASED PHARMACIST GENERAL PRACTICE BASED PHARMACIST JOB PURPOSE Provide expertise in clinical medicines review 1 and address public health and social needs of patients in GP practices Reduce inappropriate poly-pharmacy

More information

Buprenorphine-containing Transmucosal products for Opioid Dependence (BTOD) Risk Evaluation and Mitigation Strategy (REMS)

Buprenorphine-containing Transmucosal products for Opioid Dependence (BTOD) Risk Evaluation and Mitigation Strategy (REMS) Initial REMS approval: 02/2013 Most recent modification: 06/2015 Buprenorphine-containing Transmucosal products for Opioid Dependence (BTOD) Risk Evaluation and Mitigation Strategy (REMS) This REMS applies

More information

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION. Pharmacy department, Worcestershire Royal Hospital or Alexandra Hospital, Redditch

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION. Pharmacy department, Worcestershire Royal Hospital or Alexandra Hospital, Redditch Title: Term of contract: WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION Pre-Registration Pharmacy Graduate 12 months fixed term Pay Band: Agenda for Change Band 5 Hours: Base: Accountable to:

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

Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital

Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital Shady Botros Lead Clinical Pharmacist for Surgery John Dunn Specialist Pharmacist for Surgery Owain Prys-Jones

More information