Medication Reconciliation Process; Reducing Prescribing Errors

Size: px
Start display at page:

Download "Medication Reconciliation Process; Reducing Prescribing Errors"

Transcription

1 Medication Reconciliation Process; Reducing Prescribing Errors Amjed Abu Alburak, RN, BSN, ACCPC CRN, Nursing Administration Medication Safety Program KAMC- CR, Kingdom of Saudi Arabia Saudi Heart Association January 29 th 2012

2 Acknowledgments Dr. Mubashar Kharal, Chairman, MSP/Consultant, Internal Medicine Ms. Janice Munday, Director, Clinical Nursing Ms. Souzan Al Owais, QM Specialist Mr. Saeed Al Dosari, Assistant Director, Pharmacy Dr. Hind Al Modaimegh, Clinical Pharmacist Ms. Hadeel Al Deraihem, QM Specialist RpH. Saad Al Nofaie, Team Leader, CIMS Ms. Julie Elizabeth Craig, CRN, Emergency Care Center Ms. Mona Al Mehaid, Manager, CIMS Mr. Abelardo Pineda, Senior Programmer Analyst Ms. Maha Al Mazyad, Application Analyst, CIMS Ms. Evangeline Jose, MSP Auditor Ms. Marilyn Tancio, MSP Auditor Mr. Norme Sandayan, MSP Secretary

3 Learning Objectives Medication Reconciliation - Definition - Process - Rational - Case where it can help Methods Results Tips for Success Take home Message

4 JCAHO s Definition of Medication Reconciliation Reconciliation is the process of comparing what the patient is taking at the time of admission or entry to a new setting with what the organization is providing to avoid errors of Transcription Omission Duplication of therapy Drug-drug Drug-disease interactions, etc. JCAHO National Patient Safety Goals FAQs ; Available at: aqs.faqs; 4

5 The Reconciliation Process The basic steps: Collect an accurate medication history and home medication list (name, dose, route, frequency) Clarify inconsistent or questionable information Compare list to H&P, admission profile, medication orders on admission, transfer, & discharge including outpatient treatment Cite rational for medication changes or omissions Correct discrepancies, problems, or unclear changes within a reasonable time frame Communicate updated medication list to the providers of outpatient care 5

6 Rationale for Reconciliation Hospitals medical errors occur at care Interfaces: - 46% occur at admission or discharge % omission error rate on hospital admission % duplication error rate on hospital discharge Poor communication among caregivers (and patients) Fragmented continuum of care Illegible hand writing Rozich et al. JCOM 2001;8(10) Pronovost et al. J Crit Care 2003;18(4): Branowicki P. Coalition for the Prevention of Medication Errors Conference, Billman G. AAP Patient Safety Summit, 2002.

7

8 A. Cumadin 8 mg Po daily B. Avandia 8 mg Po daily C. Immodium 8 mg Po daily

9 A. Zestril 20 mg Po Q 6 hrs B. Inderal 20 mg Po Q 6 hrs C. Isordil 20 mg Po Q 6 hrs D. Plendil 20 mg Po Q 6 hrs

10 Where Medication Reconciliation Can Help? Admission Patient was admitted to a hospital for Community Acquired Pneumonia (CAP). Patient s medical history was significant for Atrial fibrillation. Chronic Warfarin therapy was not continued on admission because the patient's home dose was unknown. Patient s history was not clarified and NO Warfarin (nor any other anticoagulants) were initiated. On day 10, the patient developed an ischemic stroke. Patient never regained consciousness and subsequently died on day 32 due to respiratory complications. The case was resolved through settlement for $500,

11 Good Medication Histories AVOID Problems by evaluating: Allergies Vitamins & herbal products Over the counter products Interaction possibilities Drugs currently (or previously) prescribed Patient co-morbidity disease conditions 11

12 Old Process at KAMC Admission NURSE Obtain History PHYSICIAN Obtain History Document on Admission Assessment Database Process Orders Document on Admission Note/Form v Write Orders 12

13 Insanity is doing the same things the same way and expecting different results --Albert Einstein

14 Why Do We Need a Formal Medication Reconciliation Process at KAMC? Methods 77 Chart review data: Audits (3 units) show unacceptable rates of un-reconciled medications Admission 41% - 56% Ward A Ward B Ward C Total number of charts reviewed Total number of medications reviewed Total number of medication omitted* % of un-reconciled medications 56% 41% 53% * Omitted Medications means it is been neglected/ignored or not prescribed

15 Use small rapid cycles of change PDSA Methodology Pilot in single area 15

16 Methods Developing Pre Printed Physician Medication Admission Order Form (All patient's active medications). Developing guidelines to outline procedures and responsibilities. Providing educational sessions & materials to accompany the new process.

17 176 cm 85 Kg 17

18 176 cm 85 Kg 18

19 Post-Implementation of Admission Medication Reconciliation Results 19

20 % of Un-Reconciled Medication Pre - Implementation of Medication 60% Reconciliation 50% 40% 30% 20% A B C WARD 6 WARD 8 WARD 20 10% 0% Audit Timing (Weeks) P value < Percentage of un-reconciled medication pre and post implementation of preprinted physician medication admission order form.

21 % of Unreconciled Medications on ADMISSION Pre & Post Printed Physician Medication Admission Orders ( Over - All HOSPITAL ) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 4th Quarter MARCH-Week APRIL- Week1 Pre-implementation of Medication Reconciliation Week2 Week3 Week MAY- Week1 Week2 Week3 Week4 Week JUNE- Week1 Week2 Week3 Week JULY- Week1 Week2 Week3 Week AUGUST- Week1 % medications unreconciled 75% reduction Week2 Week3 Week SEPTEMBER- Week1 Week2 Week3 Week OCTOBER- Week1 Week2 Week3 Week NOVEMBER- Week1 Week2 Week3 Week DECEMBER- Week1 Week2 Week3 Week4

22 The PATIENT is the overall key to success Involve family or caregiver Multidisciplinary team with champions (MD, RN, RPH) Encourage patients to bring their medications to each visit (SMS messages)

23 Start Small; one (1) patient, one (1) nurse and one (1) physician. * Do not rush to implement the change Spread process Admission Discharge Transfers Automation & Computerization. Education, Education, Education!! 23

24 Why Patient Education is important?

25 Safe Patient Care Is Our Goal 25

Reconciling the Differences. Karen Lippett B.Sc.Phm Humber River Regional Hospital Renal Dialysis Unit

Reconciling the Differences. Karen Lippett B.Sc.Phm Humber River Regional Hospital Renal Dialysis Unit Reconciling the Differences Karen Lippett B.Sc.Phm Humber River Regional Hospital Renal Dialysis Unit Objectives 1. Review the medication discharge counselling process in the renal dialysis program 2.

More information

RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home

RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home Sergio Petrillo, PharmD Clinical Pharmacist Specialist, Rhode Island Hospital

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

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

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

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

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

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

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

Truth or Consequences, Best Medication List Practices to Deliver Best Care. Leaning & Action Network Session

Truth or Consequences, Best Medication List Practices to Deliver Best Care. Leaning & Action Network Session Truth or Consequences, Best Medication List Practices to Deliver Best Care Leaning & Action Network Session Introduction David Cook (5 minutes) Housekeeping: - In event of a fire? - Restrooms? David R.

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

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

MEDICATION SAFETY RECONCILIATION

MEDICATION SAFETY RECONCILIATION MEDICATION SAFETY RECONCILIATION T O O L K I T Medication Safety Reconciliation 1 MEDICATION SAFETY RECONCILIATION T O O L K I T Developed by the North Carolina Center for Hospital Quality and Patient

More information

Institutional Pharmacy Advance Practice Experience Transcript

Institutional Pharmacy Advance Practice Experience Transcript Institutional Pharmacy Advance Practice Experience Transcript Student name UM Professional Ability-Based Outcomes 1a. Collect and organize patient data, medical records, interviews, and psychomotor evaluations

More information

NIMC VTE Prophylaxis Section Audit and Reporting Tool User Guide

NIMC VTE Prophylaxis Section Audit and Reporting Tool User Guide NIMC VTE Prophylaxis Section Audit and Reporting Tool User Guide November 2013 Commonwealth of Australia 2013 This work is copyright. It may be reproduced in whole or in part for study or training purposes

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

TABLE OF CONTENTS CHAPTER 9 PATIENT COUNSELING AND PROSPECTIVE DRUG USE REVIEW REGULATIONS

TABLE OF CONTENTS CHAPTER 9 PATIENT COUNSELING AND PROSPECTIVE DRUG USE REVIEW REGULATIONS TABLE OF CONTENTS CHAPTER 9 PATIENT COUNSELING AND PROSPECTIVE DRUG USE REVIEW REGULATIONS Section 1. Authority 9-1 Section 2. Definitions 9-1 Section 3. Patient Profile Records 9-1 Section 4. Prospective

More information

One of the Institute of Medicine s 10 rules for health

One of the Institute of Medicine s 10 rules for health MEDICATION RECONCILIATION TOOL A Practical Tool to Reduce Medication Errors During Patient Transfer from an Intensive Care Unit Peter Pronovost, MD, PhD, Deborah Baugher Hobson, BSN, Karen Earsing, RN,

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

Patients Receive Recommended Care for Community-Acquired Pneumonia

Patients Receive Recommended Care for Community-Acquired Pneumonia Patients Receive Recommended Care for Community-Acquired Pneumonia For New Jersey to be a state in which all people live long, healthy lives. DSRIP LEARNING COLLABORATIVE PRESENTATION The Care you Trust!

More information

Overview of emar Electronic Medication Administration Record

Overview of emar Electronic Medication Administration Record Overview of emar Electronic Medication Administration Record March 2006 WHAT IS emar? emar Electronic Medication Administration Record - Replaces the paper MAR MAK Medication Administration Check (Siemens)

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

Mona Osman MD, MPH, MBA

Mona Osman MD, MPH, MBA Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare

More information

Learning Objectives. Introduction to Reconciling Medication Information. Background. Elements of Performance NPSG.03.06.01

Learning Objectives. Introduction to Reconciling Medication Information. Background. Elements of Performance NPSG.03.06.01 Pharmacy Evaluation of Medication Reconciliation Initiated in the Emergency Department Manuel A. Calvin, Pharm.D. PGY1 Pharmacy Resident Saint Francis Hospital, Tulsa, OK OSHP Annual Meeting Residency

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

Order and/or Delegated Procedure :

Order and/or Delegated Procedure : MEDICAL DIRECTIVE Guelph Family Health Team Responsible Person: Cathy Brown Approval Date: December 2007 Re-approval date: Approved by: INR CLINIC Medical Directive Number: GFHTMD 020 Review or Revision

More information

Z Take this folder with you to your

Z Take this folder with you to your my health care notebook Why? Being an active part of your health care team helps you feel better and helps you get even better care. Starting on Day 1, you can keep track of important information and questions.

More information

Community Care of North Carolina

Community Care of North Carolina Community Care of North Carolina CCNC Transitional Care Management Jennifer Cockerham, RN, BSN, CDE Director, Chronic Care Programs & Quality Management 1 Chronic Care Population Within the NC Medicaid

More information

PROTOCOL TITLE: Ambulatory Initiation and Management of Warfarin for Adults

PROTOCOL TITLE: Ambulatory Initiation and Management of Warfarin for Adults PROTOCOL NUMBER: 7 PROTOCOL TITLE: Ambulatory Initiation and Management of Warfarin for Adults THIS PROTOCOL APPLIES TO: UW Health Clinics: all adult outpatients with an active order for warfarin TARGET

More information

SafetyFirst Alert. Errors in Transcribing and Administering Medications

SafetyFirst Alert. Errors in Transcribing and Administering Medications SafetyFirst Alert Massachusetts Coalition for the Prevention of Medical Errors January 2001 This issue of Safety First Alert is a publication of the Massachusetts Coalition for the Prevention of Medical

More information

How To Educate Nursing Staff On Medication Reconciliation, Nurse Education, And

How To Educate Nursing Staff On Medication Reconciliation, Nurse Education, And Advancing Medication Reconciliation in an Outpatient Internal Medicine Clinic through a Pharmacist-Led Educational Initiative Sarah M. Westberg, Pharm.D. 1 and Kathrine Beeksma, R.N. 2 1 College of Pharmacy

More information

Use of Novel Oral Anticoagulants (NOACs) and the new DAWN modules at Scripps

Use of Novel Oral Anticoagulants (NOACs) and the new DAWN modules at Scripps Use of Novel Oral Anticoagulants (NOACs) and the new DAWN modules at Scripps Cheryl Ea, Pharm D. Anticoagulation Services Scripps Clinic and Scripps Green Hospital La Jolla, California Pharmacist Management

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

Inpatient Anticoagulation Safety. To provide safe and effective anticoagulation therapy through a collaborative approach.

Inpatient Anticoagulation Safety. To provide safe and effective anticoagulation therapy through a collaborative approach. Inpatient Anticoagulation Safety Purpose: Policy: To provide safe and effective anticoagulation therapy through a collaborative approach. Upon the written order of a physician, Heparin, Low Molecular Weight

More information

HPSJ s Cognitive Services Program 07/2015

HPSJ s Cognitive Services Program 07/2015 HPSJ s Cognitive Services Program 07/2015 Pharmacy & MTM Services Growing demand for MTM services Each year, inappropriate use of medications have led to $1.5 million dollars spent on preventable, medication-related

More information

TITLE: Processing Provider Orders: Inpatient and Outpatient

TITLE: Processing Provider Orders: Inpatient and Outpatient POLICY and PROCEDURE TITLE: Processing Provider Orders: Inpatient and Outpatient Number: 13211 Version: 13211.3 Type: Patient Care Author: Janice Dinner; Provider Order Policy Committee Effective Date:

More information

Electronic Medication Administration Record (emar) (For Cerner Sites Only)

Electronic Medication Administration Record (emar) (For Cerner Sites Only) POLICY NO. 1009 Approved: 12/05 Effective: 12/05 Reviewed: 9/10; 5/12 1. Purpose: Electronic Medication Administration Record (emar) (For Cerner Sites Only) To provide direction for the transcription and

More information

Utilizing Pharmacy Technicians for Medication Reconciliation. Kristy Malacos, MS, CPhT Magruder Hospital Port Clinton, OH Pharmacy Systems, Inc.

Utilizing Pharmacy Technicians for Medication Reconciliation. Kristy Malacos, MS, CPhT Magruder Hospital Port Clinton, OH Pharmacy Systems, Inc. Utilizing Pharmacy Technicians for Medication Reconciliation Kristy Malacos, MS, CPhT Magruder Hospital Port Clinton, OH Pharmacy Systems, Inc. Magruder Hospital Located on the shores of Lake Erie in Port

More information

Dorset Cardiac Centre

Dorset Cardiac Centre P a g e 1 Dorset Cardiac Centre Patients with Atrial Fibrillation/Flutter undergoing DC Cardioversion or Ablation procedures- Guidelines for Novel Oral Anti-coagulants (NOACS) licensed for this use February

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

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

MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts

MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts Any deviation in practice from this procedure must be discussed with the Community

More information

PHYSICIAN ORDER POLICY

PHYSICIAN ORDER POLICY PURPOSE: To clarify requirements and assure all physician orders are complete and valid for safe patient care SUPPORTIVE DATA: Medication: Prescribing and Ordering Procedure #790.25 RCW 18.164.011 and

More information

Describe the characteristics that medication reconciliation processes used in various health care settings should include

Describe the characteristics that medication reconciliation processes used in various health care settings should include The Role of Medication Reconciliation in Ensuring Patient Safety Release Date: 07/14/2011 Expiration Date: 07/14/2014 FACULTY: Kathryn L Haldiman MS, RN FACULTY AND ACCREDITOR DISCLOSURE STATEMENTS: Kathryn

More information

Stroke Prevention In Atrial Fibrillation Integrated Care Clinics Patient Reported Outcome Measures

Stroke Prevention In Atrial Fibrillation Integrated Care Clinics Patient Reported Outcome Measures Stroke Prevention In Atrial Fibrillation Integrated Care Clinics Patient Reported Outcome Measures Apodi Healthcare Mathew s Practice, Sheffield. June & July 2013 This SPAF Integrated Care Clinic programme

More information

Medication Coordination and Coverage in Hospice

Medication Coordination and Coverage in Hospice Medication Coordination and Coverage in Hospice Alen Voskanian, MD, FAAHPM, AAHIVS Regional Medical Director, VITAS Innovative Hospice Care Assistant Clinical Professor of Medicine, David Geffen School

More information

Evidence Based Practice Information Sheets for Health Professionals. Strategies to reduce medication errors with reference to older adults

Evidence Based Practice Information Sheets for Health Professionals. Strategies to reduce medication errors with reference to older adults Volume 9, issue 4, 2005 ISSN 1329-1874 BestPractice Evidence Based Practice Information Sheets for Health Professionals Information source Strategies to reduce medication errors with reference to older

More information

Medication errors are one of the leading causes

Medication errors are one of the leading causes National Patient Safety Goals Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies Gina Rogers Eric Alper, M.D. Diane Brunelle, M.S., R.N., C.N.A.A. Frank Federico,

More information

Ernest Boyd, R.Ph., MBA Executive Director Ohio Pharmacists Association

Ernest Boyd, R.Ph., MBA Executive Director Ohio Pharmacists Association Ernest Boyd, R.Ph., MBA Executive Director Ohio Pharmacists Association CDC s Guide for Pharmacist Partnership for Public Health Brief overview of Pharmacists All graduate with 6 to 8 year Doctor of Pharmacy

More information

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY Measure #326 (NQF 1525): Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy National Quality Strategy Domain: Effective Clinical Care 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS,

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

Patient frequently asked questions

Patient frequently asked questions Patient frequently asked questions What is atrial fibrillation?...2 What are dabigatran and rivaroxaban and what are they used for?...2 Which is better, dabigatran or rivaroxaban?...2 For patients with

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

What You Need to KnowWhen Taking Anticoagulation Medicine

What You Need to KnowWhen Taking Anticoagulation Medicine What You Need to KnowWhen Taking Anticoagulation Medicine What are anticoagulant medicines? Anticoagulant medicines are a group of medicines that inhibit blood clotting, helping to prevent blood clots.

More information

Quiz 4 Arrhythmias summary statistics and question answers

Quiz 4 Arrhythmias summary statistics and question answers 1 Quiz 4 Arrhythmias summary statistics and question answers The correct answers to questions are indicated by *. All students were awarded 2 points for question #2 due to no appropriate responses for

More information

Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia

Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia Date: October 20, 2015 Presented by Mike Crooks, PharmD., PCMH-CCE Pharmacy Interventions, Technical Lead 11/9/2015 1 Objectives:

More information

Anticoagulants for stroke prevention in atrial fibrillation Patient frequently asked questions

Anticoagulants for stroke prevention in atrial fibrillation Patient frequently asked questions Anticoagulants for stroke prevention in atrial fibrillation Patient frequently asked questions What is atrial fibrillation?...2 What are dabigatran, rivaroxaban and apixaban and what are they used for?...2

More information

Guidelines on Counseling. Approved by PEIPB

Guidelines on Counseling. Approved by PEIPB Guidelines on Counseling Approved by PEIPB November 2005 1 Patient Counseling Patient counseling is a key competency element of the Pharmaceutical Care process. Given the advertising for medication in

More information

Compliance Audit Tool

Compliance Audit Tool CMS FY 2011 Top 10 Hospice Survey Deficiencies Compliance Audit Tool National Hospice and Palliative Care Organization www.nhpco.org/regulatory This audit tool is based on CMS s national aggregated analysis

More information

Hospital Based Transitions of Care Program. Dr Jeffery Liles, MD FHM. Providence Health Care

Hospital Based Transitions of Care Program. Dr Jeffery Liles, MD FHM. Providence Health Care Outcomes and Applications of a Hospital Based Transitions of Care Program. Dr Jeffery Liles, MD FHM Medical Director Care Management Providence Health Care -Importance of D/C planning and transitions of

More information

Service Specification Template Department of Health, updated June 2015

Service Specification Template Department of Health, updated June 2015 Service Specification Template Department of Health, updated June 2015 Service Specification No. : 2 Service: Commissioner Lead: Provider Lead: Period: Anti-coagulation monitoring Date of Review: 31 st

More information

Submitted Electronically RE: CMS-1609-P: ISSUE # 1: Solicitation of Comments on Definitions of Terminal Illness and Related Conditions :

Submitted Electronically RE: CMS-1609-P: ISSUE # 1: Solicitation of Comments on Definitions of Terminal Illness and Related Conditions : June 20, 2014 Submitted Electronically Ms. Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC

More information

Disclosure. Meaningful use 2009. Objectives. Meaningful use. Fundamentals of Transitions of Care (TOC)

Disclosure. Meaningful use 2009. Objectives. Meaningful use. Fundamentals of Transitions of Care (TOC) 47 th Annual Meeting August 2-4, 2013 Orlando, FL Fundamentals of Transitions of Care (TOC) Rebecca R. Prevost, B.S., Pharm.D., PSO Medication Safety Officer Florida Hospital Disclosure I do not have a

More information

Disease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification

Disease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification Disease Management UnitedHealthcare Disease Management (DM) programs are part of our innovative Care Management Program. Our Disease Management (DM) program is guided by the principles of the UnitedHealthcare

More information

The author has no disclosures

The author has no disclosures Mary Bradbury, PharmD, BCPS Clinical Pharmacy Specialist, Cardiac Surgery September 18, 2012 Mary.bradbury@inova.org This presentation will discuss unlabeled and investigational use of products The author

More information

Meaningful Use (MU) Education

Meaningful Use (MU) Education Meaningful Use (MU) Education The 2014 MU training program has been developed to ensure high quality patient outcomes in conjunction with meeting CMS regulatory requirements. The new charting and ordering

More information

Publication Year: 2013

Publication Year: 2013 IMPACT OF A CLINICAL DECISION SUPPORT TOOL IN THE EMERGENCY DEPARTMENT ON ANTIMICROBIAL PRESCRIBING PATTERNS FOR THE TREATMENT OF PNEUMONIA UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM Publication Year: 2013

More information

ISSUED BY: TITLE: ISSUED BY: TITLE: President

ISSUED BY: TITLE: ISSUED BY: TITLE: President CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE: Stroke Care Rehabilitation Unit DATE OF ISSUE: 2005, 05 PAGE 1 OF 7 NUMBER: CPG 20-3 SUPERCEDES: New ISSUED BY: TITLE: Chief of Medical Staff ISSUED

More information

Readmissions as an Enterprise Priority. Presenters 4/17/2014

Readmissions as an Enterprise Priority. Presenters 4/17/2014 Readmissions as an Enterprise Priority April 24, 2014 Presenters Vincent A. Maniscalco, MPA, LNHA Administrator Middletown Park Rehabilitation and Health Care Center Vmaniscalco@parkmanorrehab.com Eileen

More information

Introduction to Medication Management Systems, Inc. Comprehensive Medication Therapy Management Solutions

Introduction to Medication Management Systems, Inc. Comprehensive Medication Therapy Management Solutions Introduction to Medication Management Systems, Inc. Comprehensive Medication Therapy Management Solutions Vision Medication Management Systems, Inc. (MMS) envisions a health care system in which all patients

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

Proposal for Consideration. Submitted by: The South Okanagan Similkameen Divisions of Family Practice and the Interior Health Authority

Proposal for Consideration. Submitted by: The South Okanagan Similkameen Divisions of Family Practice and the Interior Health Authority Service Delivery Model for Quality Medical Care in Residential Care for Interior Health Authority Contracted Residential Care Facilities in Penticton and Summerland Proposal for Consideration Submitted

More information

Medication Therapy Management (MTM) Program

Medication Therapy Management (MTM) Program Medication Therapy Management (MTM) Program Regence offers a Medication Therapy Management (MTM) program to ensure you are receiving the most effective medications, while also helping to reduce the risk

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

SERVICES OFFERED: Yearly Comprehensive Medication Review (CMR) Quarterly Targeted Medication Review (TMR)

SERVICES OFFERED: Yearly Comprehensive Medication Review (CMR) Quarterly Targeted Medication Review (TMR) MEDICATION THERAPY MANAGEMENT (MTM) PROGRAM 2015 plan year This document contains information about the MTM Program for plan year 2015. Our goal is to help you get the best results from your medications

More information

Briefing Document on Sound-Alike Look-Alike Drugs (SALADs)

Briefing Document on Sound-Alike Look-Alike Drugs (SALADs) Briefing Document on Sound-Alike Look-Alike Drugs (SALADs) About the IMSN The Irish Medication Safety Network (IMSN) is an independent group of pharmacists and other specialists working in the acute sector,

More information

Medication Reconciliation. Darned if you do, Darned if you don t!

Medication Reconciliation. Darned if you do, Darned if you don t! Medication Reconciliation Darned if you do, Darned if you don t! 1 Why is Medication Reconciliation Important An estimated 60% of all medication errors occur during times of care transitions. Approximately

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

Henry Ford Health System Care Coordination and Readmissions Update

Henry Ford Health System Care Coordination and Readmissions Update Henry Ford Health System Care Coordination and Readmissions Update September 2013 BACKGROUND Most hospital readmissions are viewed as avoidable, costly, and in some cases as a potential marker of poor

More information

Cerner PowerChart/FirstNet Home Medication History

Cerner PowerChart/FirstNet Home Medication History Cerner PowerChart/FirstNet Home Medication History Training Script Training and Education Services, IST Division Table of Contents INTRODUCTION...5 ICONS...6 TERMINOLOGY...6 SIGNING IN...8 OPENING THE

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

Revised: X Date: 04/07/14. 1. All medication orders shall be reviewed, signed, or co-signed by a Registered Nurse (RN).

Revised: X Date: 04/07/14. 1. All medication orders shall be reviewed, signed, or co-signed by a Registered Nurse (RN). Vermont Psychiatric Care Hospital Procedure Revised: X Date: 04/07/14 I. Medication Orders 1. All medication orders shall be reviewed, signed, or co-signed by a Registered Nurse (RN). 2. Medication orders

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

Anticoagulation Dosing at UCDMC Indication Agent Standard Dose Comments and Dose Adjustments VTE Prophylaxis All Services UFH 5,000 units SC q 8 h

Anticoagulation Dosing at UCDMC Indication Agent Standard Dose Comments and Dose Adjustments VTE Prophylaxis All Services UFH 5,000 units SC q 8 h Indication Agent Standard Dose Comments and Dose Adjustments VTE Prophylaxis All Services UFH 5,000 units SC q 8 h See EMR adult VTE prophylaxis CI order set Enoxaparin See service specific dosing Assess

More information

Mayo Clinic College of Medicine Pharmacy Services. Rotation Summary

Mayo Clinic College of Medicine Pharmacy Services. Rotation Summary Mayo Clinic College of Medicine Pharmacy Services Rotation Summary Rotation Title: PGY-2 Pediatric Hematology-Oncology Rotation Length: 3-6 weeks Primary Preceptor Name: Amanda Kuper, PharmD, BPCS, Ron

More information

Reducing Medication Risks of Electronic Medication Systems

Reducing Medication Risks of Electronic Medication Systems Program Date: August 10, 2012 Geriatric Grand Rounds Topic: Reducing Medication Risks of Electronic Medication Systems Presenter: Laura Finn, CGP, FASCP, Consultant Pharmacist Adjunct Associate Professor

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

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation PATIENT EDUCATION GUIDE What is atrial fibrillation? Atrial fibrillation

More information

Pain Management Tools Information Technology. Mohit Rastogi, MD The University of Michigan Department of Anesthesiology Division of Pain Medicine

Pain Management Tools Information Technology. Mohit Rastogi, MD The University of Michigan Department of Anesthesiology Division of Pain Medicine Pain Management Tools Information Technology Mohit Rastogi, MD The University of Michigan Department of Anesthesiology Division of Pain Medicine Information is not knowledge. -Albert Einstein "Americans

More information

Centricity Enterprise Nursing Workflow Tools

Centricity Enterprise Nursing Workflow Tools GE Healthcare Centricity Enterprise Nursing Workflow Tools The system that supports a critical piece of patient care your nurses. Nurses are the cornerstone of patient care delivery. Their work spans the

More information

ESCO- Information Technology Requirements With An Example of Solutions

ESCO- Information Technology Requirements With An Example of Solutions ESCO- Information Technology Requirements With An Example of Solutions Pramen Applasamy DCI Application Manager Doug Johnson, MD DCI Vice Chairman of the Board July 15, 2014 15-WEEK WEBINAR SERIES EVERY

More information

Role of the Pharmacy Technician in the Emergency. Pat Miller Pharmacy Technician Victoria General Hospital

Role of the Pharmacy Technician in the Emergency. Pat Miller Pharmacy Technician Victoria General Hospital Role of the Pharmacy Technician in the Emergency Pat Miller Pharmacy Technician Victoria General Hospital Back Ground Graduate of the South WPG Pharmacy Technician course. Pharmacy Technicain for 25 years.

More information

First Use: Imbedded Nursing Terminology in Interdisciplinary Plans of Care

First Use: Imbedded Nursing Terminology in Interdisciplinary Plans of Care First Use: Imbedded Nursing Terminology in Interdisciplinary Plans of Care Debbie Raposo, RN BSN, NI-BC, CIDI, LNC Clinical Informatics Director South Coast Hospitals Group Marina Douglas, MS, RN Principal

More information

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - SHREVEPORT MEDICAL RECORDS CONTENT/DOCUMENTATION

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - SHREVEPORT MEDICAL RECORDS CONTENT/DOCUMENTATION LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - SHREVEPORT MEDICAL RECORDS CONTENT/DOCUMENTATION Hospital Policy Manual Purpose: To define the components of the paper and electronic medical record

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

Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care

Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care Hospital to Physician Office to Home: A Respiratory Led Program Across the Continuum of Care Charley P. Starnes, RRT, RCP Clinical Respiratory Specialist- COPD Education Important Milestones July 2011-

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

Pharmacy Practice in U.S. Hospitals. Douglas Scheckelhoff, MS, FASHP Vice President Practice Advancement

Pharmacy Practice in U.S. Hospitals. Douglas Scheckelhoff, MS, FASHP Vice President Practice Advancement Pharmacy Practice in U.S. Hospitals Douglas Scheckelhoff, MS, FASHP Vice President Practice Advancement Objectives Discuss ASHP and its mission Discuss the goals of hospital pharmacy Describe the historical

More information

CCNC Care Management Standardized Plan

CCNC Care Management Standardized Plan Standardization & Reporting: Why is standardization important? Community Care Networks are responsible for the delivery of targeted care management services that will improve quality of care while containing

More information