National Jewish Health Best Practices for Medication Reconciliation in a Respiratory Academic Medical Center
|
|
- Gloria Campbell
- 5 years ago
- Views:
Transcription
1 National Jewish Health Best Practices for Medication Reconciliation in a Respiratory Academic Medical Center Introduction/Background/History: Please include any relevant information that may be helpful for others to understand this initiative. Medical Reconciliation (MR), a 2012 Joint Commission requirement, is the process of systematically and comprehensively reviewing all the medications a patient is currently taking to ensure that medications being added, changed, or discontinued are carefully evaluated with the goal of maintaining an accurate list and avoiding potential safety concerns. In 2006, The Joint Commission first introduced MR as a required component of the National Patient Safety Goals (NPSG). In 2009, the Society for Hospital Medicine convened multiple stakeholders to produce a consensus statement on MR that was endorsed by many leading organizations, including the American Academy of Pediatrics, Institute for Healthcare, The Joint Commission, Society of General Internal Medicine, and the Society of Hospital Medicine. In addition, the 2010 Patient Protection and Affordable Care Act identified MR components that are critical for optimized patient care. Although properly reconciling medications is proven to reduce medication errors and adverse drug events (ADEs), there are many barriers to implementing MR processes in hospitals and outpatient settings. As a global leader in respiratory health, NJH treats patients from around the world, many of whom have difficult-to-manage respiratory disease and multiple comorbid conditions. This complicates the MR process, as patients may see multiple providers within the system and may have incomplete medication histories. NJH has over 300 health care providers (HCPs), and over 40,000 patient encounters each year, many of which are from patients with asthma, COPD, or other respiratory illnesses. MR is extremely important in this patient population because of the increased risk for polypharmacy. In an effort to improve our process as well as the outcomes for our respiratory patients, NJH has identified an interdepartmental process redesign team to carefully examine its current MR process and data in order to identify gaps and areas for improvement. Objective Electronic Medical Record (EMR) data as well as subjective interviews with NJH providers indicated a strong need for improvement, including improved documentation and a standardization and simplification of the documentation process. Initiative Goal: Please describe the overall goal of this initiative, including the patient population or disease area that this initiative will address. The overall goal for this initiative is to meet The Joint Commission requirements and quality standards of at least 90% of patients receiving an accurate medication list after visiting National Jewish Health. The supporting objectives to achieve the overall goal include: 1. Identify quality indicators for an accurate medication list and meet quantitative goals for these indicators. 2. Improve the interdisciplinary process of MR at NJH. 3. Develop education and tools for providers and patients that are sustainable internally and replicable externally.
2 4. Improve communication with patients through print and hands-on education as well as use of the patient portal. 5. Improve patients transfer of care by communicating accurate medication lists with physicians outside of NJH. Target Learners: Please describe the intended participants of this educational initiative, as well as the estimated number of learners. The new process will be piloted on the adult respiratory clinics, and lessons learned from our pilot will be applied to the rollout of the MR process to the rest of the institution, which includes 134 MDs, 117 nurses, and 46 MA/CNAs, and 5 pharmacists. Patients will also be a target audience of this initiative. Collaborators: Please include a brief description of the role of each collaborator in the initiative. At NJH, we believe that a collective team approach is better than a team of one in order to achieve the most robust and comprehensive educational programs, including needs assessments, educational design, activity implementation and educational outcomes that ultimately lead to improved patient health. This project is interdepartmental in nature, and includes the following key collaborators at NJH each department has a member on the practice redesign leadership team: Department of Medicine (Allergy & Pulmonology) Department of Pediatrics Department of Pharmacy Department of Administrative and Executive Services Department of Information Services and Technology Department of Nursing Department of Patient Quality and Safety Department of Professional Education Patients Educational Design: Please describe how this initiative will be designed, as well as the approximate time span of this initiative. This program is a 24 month initiative from planning to completion of outcomes, and has been designed using an adaptation of the a toolkit based on the Medications at Transitions and Clinical Handoffs (MATCH) website, which was developed through the support of the Agency for Healthcare Research and Quality (AHRQ), and was based on a collaboration between Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, and The Joint Commission, and helped us to create a systematic methodology and framework for our program design in order to critically review and improve our process. The MATCH Toolkit includes the following step-wise approach, which we ve adapted to meet the needs of our institution, as well as the American Medical Association s (AMA) format for PI CME:
3 Stage A - Baseline & Planning Stage B - Intervention & Process Change Stage C - Assessment Sustainability Step 1: Build the Project Foundation: Gain Leadership Support, Identify Resources, Project Team & Scope, & Link to Other Institutional Initiatives Step 2: Establish a Measurement Strategy using the EMR & Create a Flowchart of Current Medication Reconciliation Process Step 3: Developing Change: Design the Medication Reconciliation Process Based on Gaps & Integrate Design into Existing Workflow Step 4: Pilot Test the New Design & Develop Implementation Strategy Step 5: Develop the Education & Training Strategy & Curriculum for HCPs & Patients Step 6: Post-Assessment: Report EMR Results Step 7: Process Evaluation for Continuous Step 8: Post-Implementation Strategies to Increase & Sustain Compliance Publication Strategy: Please describe how educational outcomes results from this initiative will be disseminated. Aggregate data will be shared organizationally, locally and nationally. Our goal is that this project is sustainable internally, and also replicable by other organizations. Upon success of this initiative, we plan to use this framework with other PI/QI initiatives here at NJH. Educational outcomes will be submitted for publication to the Journal of Continuing Education in Health Care Professions (JCHEP), and a summary will be published on NJH s website, In addition, we will submit an abstract for presentation at the Alliance for Continuing Education in the Health Professions (ACEHP) as well as the Society for Academic Continuing Medication Education (SACME). Educational/Quality/ Professional Practice Gaps Strategies Used to Identify Gaps (eg, peer-reviewed published data, national consensus sources for clinical performance/quality measures, chart audit/ehr data, medical claims data, etc.) Learning Objectives ABMS MOC Process (Part I-IV) and/or Core Competencies Addressed (e.g., IOM, ACGME, ABMS) Educational Outcomes/Measures (Please include Moore Level 1 when appropriate) Strategies Used to Measure Outcomes (e.g., direct and objective performance assessments, chart, medical claims data, EHR data, disease screening, patient surveys, etc.)
4 Missing data is a gap in quality, and can increase the risk for adverse drug events (ADEs). Our EMR can indicate that a patient is not taking any medications. This designation should be used in lieu of no (i.e. missing) data entry. An EMR audit indicated that 1% of patients were missing a medication list in the EMR altogether. A one month data snapshot showed there were 45 patients in just that one month with a missing list. The health care team (MA, nurses, physicians) will be able to ascertain and document the medication history at each patient visit, including the absence of medications. Our goal is that 100% of patients active in our practice will have documentation of a medication list, or have the documentation that they are not taking any medications. Patients are missing a sig (dose and frequency information) on prescribed medications on their list. Therefore, the medication list is incomplete, and the patient has an increased risk for ADEs. An EMR audit indicated that 17% of patients (or 606 patients in only one month) were missing a sig. MAs will be able to correctly document the medication history sig (dose and frequency), using the pharmacy tools built into the EMR. able to communicate the importance of participating in complete documentation of the sig for prescribed medications in the patients medication history. importance of providing complete and accurate medication histories, containing dose and frequency, to NJH providers. Our goal is to reduce the percent of patients lacking a sig on any prescribed medication to 5% or less. Patients have redundant respiratory medications on their medication list (listed twice, or listed as brand name and generic name), which is a patient safety issue and can increase the risk for ADEs. An EMR audit indicated able to correctly identify duplicate or equivalent respiratory medications in a patient s medication list. able to communicate the Our goal is that no patients will have any duplicate rescue inhalers medications on their medication list. We plan to expand this measure to other respiratory medications in addition to rescue inhalers.
5 that 5% of unique patients had at least two of the same rescue inhalers on their medication list. This equates to 157 patients in only one month s time with duplicate rescue inhalers. importance of eliminating duplicate or equivalent respiratory medications in the patients medication history. Patients are not consistently getting their printed Medication List. The print form of the list is our standard tool to communicate the medication regiment to the patients, and can increase patient medication adherence. An EMR audit indicated that only 32% of patients are receiving their printed medication list, and The Joint Commission requires that 90% of patients receive an accurate medication list. The health care team will systematically communicate the reconciled medication list in a printed form to the patients. importance of an accurate medication list. ; Provide Patient-Centered Care Our goal is that at least 95% of our clinic patients will receive a printed copy of their reconciled medication list. & Patient Surveys Patients are lacking at least one documented offer or decline of the Medication Safety handout. The Safety handout is an important patient education tool to prevent ADEs and promote medication safety. An EMR audit indicated that only 41% of patients (or 1,655 patients in only one month s time) are receiving (or declining) the Safety handout. The health care team will recognize the importance of patients knowledge of medication safety issues regarding their own medication regimen. importance of Medication Safety and will have improved communication with their health care team. ; Provide Patient-Centered Care Our goal is that at least 95% of patients have a documented receipt and/or decline of the Medication Safety Handout at the time of their visit. & Patient Surveys Please contact the educational provider for additional information regarding the initiative.
Who Cares About Medication Reconciliation? American Pharmacists Association American Society of Health-system Pharmacists The Joint Commission Agency
The Impact of Medication Reconciliation Jeffrey W. Gower Pharmacy Resident Saint Alphonsus Regional Medical Center Objectives Understand the definition and components of effective medication reconciliation
More informationA CME Activity Developed by National Jewish Health and Medscape Education
A CME Activity Developed by National Jewish Health and Medscape Education Performance Improvement CME (PI CME) Initiative: A Systems-Based Educational Initiative to Improve the Team- Based Care and Health
More informationNCL MEDICATION ADHERENCE CAMPAIGN FREQUENTLY ASKED QUESTIONS 2013
NCL MEDICATION ADHERENCE CAMPAIGN FREQUENTLY ASKED QUESTIONS 2013 1. WHAT EXACTLY IS MEDICATION ADHERENCE? Adhering to medication means taking the medication as directed by a health care professional-
More informationThe Role of Health IT in Quality Improvement. P. Jon White, MD Health IT Director Agency for Healthcare Research and Quality
The Role of Health IT in Quality Improvement P. Jon White, MD Health IT Director Agency for Healthcare Research and Quality and I m Here to Help NOTICE Persons attempting to find a motive in this narrative
More informationH2H Mind Your Meds "Challenge. Webinar #3- Lessons Learned Wednesday, April 18, :00 pm 3:00 pm ET. Welcome
H2H Mind Your Meds "Challenge Webinar #3- Lessons Learned Wednesday, April 18, 2012 2:00 pm 3:00 pm ET 1 Welcome Take Home Messages Understand how to implement the Mind Your Meds strategies and tools in
More informationA Pharmacist Network for Integrated Medication Management in the Medical Home
A Pharmacist Network for Integrated Medication Management in the Medical Home Marie Smith, PharmD UConn School of Pharmacy Professor/Dept. Head Pharmacy Practice Asst. Dean, Practice and Public Policy
More informationIssue Date: December 11, 2015
Issue Date: December 11, 2015 Call for Grant Notification: Genentech Medical Education & Research Grants The Medical Education and Research Grants team at Genentech, a member of the Roche Group, invites
More informationMedication Reconciliation Review
The Medication Reconciliation Review tool provides step-by-step instructions for conducting a review of closed patient records to identify errors related to unreconciled medications. Organizations that
More informationCOMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)
COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) Ahmed Albarrak 301 Medical Informatics albarrak@ksu.edu.sa 1 Outline Definition and context Why CPOE? Advantages of CPOE Disadvantages of CPOE Outcome measures
More informationMedications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Prepared for:
More informationMeasure #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 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE:
More informationTHE BEST OF TIMES: PHARMACY IN AN ERA OF
OBJECTIVES THE BEST OF TIMES: PHARMACY IN AN ERA OF ACCOUNTABLE CARE Toni Fera, BS, PharmD October 17, 2014 1. Describe the role of pharmacists in accountable care organizations (ACO). 2. List four key
More informationLearner Manual. Document Best Possible Medication History (BPMH)
Learner Manual Document Best Possible Medication History (BPMH) Table of Contents Medication safety... 1 Medication errors impact everyone... 1 Who should obtain the BPMH?... 1 When is the BPMH obtained?...
More informationIMPROVING MEDICATION RECONCILIATION WITH STANDARDS
Presented by NCPDP and HIMSS for the Pharmacy Informatics Community IMPROVING MEDICATION RECONCILIATION WITH STANDARDS December 13, 2012 Keith Shuster, Manager, Acute Pharmacy Services, Norwalk Hospital
More informationQuality ID #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination
Quality ID #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE:
More information5. returning the medication container to proper secured storage; and
111-8-63-.20 Medications. (1) Self-Administration of Medications. Residents who have the cognitive and functional capacities to engage in the self-administration of medications safely and independently
More informationMedication Safety Action Bundle Adverse Drug Events (ADE) All High-Risk Medication Safety
Medication Safety Action Bundle Adverse Drug Events (ADE) All High-Risk Medication Safety Background The Institute of medicine (IOM) estimates that 1.5 million preventable Adverse Drug Events (ADE) occur
More informationJumpstarting population health management
Jumpstarting population health management Issue Brief April 2016 kpmg.com Table of contents Taking small, tangible steps towards PHM for scalable achievements 2 The power of PHM: Five steps 3 Case study
More informationMeasure #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 2017 OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS ONLY MEASURE TYPE: Process
More informationTreatment Improvement Initiative: Improved Planning for Youths being Discharged from Inpatient Care CT BHP 2007
Treatment Improvement Initiative: Improved Planning for Youths being Discharged from Inpatient Care CT BHP 2007 Introduction During 2007, CT BHP partnered with family members and providers to address the
More informationCONTINUING EDUCATION ACTIVITY PLANNING WORKSHEET
CONTINUING EDUCATION ACTIVITY PLANNING WORKSHEET Rutgers Biomedical and Health Sciences is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education
More informationUsing Facets of Midas+ Hospital Case Management to Support Transitions of Care. Barbara Craig, Midas+ SaaS Advisor
Using Facets of Midas+ Hospital Case Management to Support Transitions of Care Barbara Craig, Midas+ SaaS Advisor What does Transitional Care Include? Transitional Care is the smooth conversion of a patient
More informationMEDS TO BEDS AND CARE MANAGEMENT MEDICATION ASSESSMENT TOOLKIT: FOR HOSPITAL TEAM AND PHARMACISTS
MEDS TO BEDS AND CARE MANAGEMENT MEDICATION ASSESSMENT TOOLKIT: FOR HOSPITAL TEAM AND PHARMACISTS Implementation Toolkit Last Updated: 02/2018 OneCity Health Services 199 Water Street, 31st Floor, New
More informationIdentifying Errors: A Case for Medication Reconciliation Technicians
Organization: Solution Title: Calvert Memorial Hospital Identifying Errors: A Case for Medication Reconciliation Technicians Program/Project Description and Goals: What was the problem to be solved? To
More informationPRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication
More informationImproving Primary Care Medication Patient Safety: System-level Medication Adherence Issues
Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues Marie Smith, PharmD Professor and Asst. Dean, Practice and Public Policy Partnerships Meg Mello Moniz, PharmD
More informationMedication Reconciliation
Medication Reconciliation The Care Transitions Network National Council for Behavioral Health Montefiore Medical Center Northwell Health New York State Office of Mental Health Netsmart Technologies Today
More informationMedication Reconciliation: Using Pharmacy Technicians to Improve Care. Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh
Medication Reconciliation: Using Pharmacy Technicians to Improve Care Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh Objectives Evaluate the medication reconciliation process and evidence for
More informationGuidance for Medication Reconciliation and System Integration Process
Guidance for Medication Reconciliation and System Integration Process Identifying points of failure within the medication reconciliation process and determining systematic approaches (via health IT) to
More informationSociety of Hospital Medicine Medication Reconciliation: A Team Approach A Multi-disciplinary Conference AHRQ Sponsored Chicago, Illinois - March 6,
Society of Hospital Medicine Medication Reconciliation: A Team Approach A Multi-disciplinary Conference AHRQ Sponsored Chicago, Illinois - March 6, 2009 Conference Purpose The purpose of the conference
More informationMedication Reconciliation: Using Pharmacy Technicians to Improve Care. Objectives THE BASICS AND USING TECHNICIANS 3/22/2017
Medication Reconciliation: Using Pharmacy Technicians to Improve Care Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh Objectives Evaluate the medication reconciliation process and evidence for
More informationMEDICATION THERAPY MANAGEMENT. MemberChoice FORMULARY MANAGEMENT MEDICATION THERAPY MANAGEMENT (MTM) SPECIALTY DRUG MANAGEMENT
MemberChoice FORMULARY MANAGEMENT MEDICATION THERAPY MANAGEMENT (MTM) SPECIALTY DRUG MANAGEMENT MEDICATION THERAPY MANAGEMENT Medication Therapy Management 1 $ 290 Billion Wasted in avoidable costs due
More informationI-PASS is Recognized in the Medical Community and is Award Winning
THE COMPANY AND ITS BUSINESS Evolution of the Company and Definition of Terms I-PASS Patient Safety Institute, Inc. (referred to herein as I-PASS Institute, the Company, us or we ) was founded in April
More informationCPC+ CHANGE PACKAGE January 2017
CPC+ CHANGE PACKAGE January 2017 Table of Contents CPC+ DRIVER DIAGRAM... 3 CPC+ CHANGE PACKAGE... 4 DRIVER 1: Five Comprehensive Primary Care Functions... 4 FUNCTION 1: Access and Continuity... 4 FUNCTION
More informationMedication History for Hospital Settings: Better Data, Better Decisions. Tuesday, March 25, 2014 Pharmacy Town Hall Series
Medication History for Hospital Settings: Better Data, Better Decisions Tuesday, March 25, 2014 Pharmacy Town Hall Series Program Purpose The availability of comprehensive and accurate medication history
More informationPharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02
Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02 V02 issued Issue 1 May 11 Issue 2 Dec 11 Planned review May
More informationMedication Reconciliation: Looking Forward
Medication Reconciliation: Looking Forward Bruce Lambert, Ph.D. Associate Professor Department of Pharmacy Administration University of Illinois at Chicago 833 S. Wood St. (MC 871) Chicago, IL 60612-7231
More informationMeasure #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 2017 OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS ONLY MEASURE TYPE: Process
More informationCare Management in the Patient Centered Medical Home. Self Study Module
Care Management in the Patient Centered Medical Home Self Study Module Objectives Describe the goals of care management Identify elements of successful care management Recognize the 5 step Care Management
More informationMedication Reconciliation for Older Adults Transitioning from. Long-Term Care to Home. Allison (Leverett) Kackman
Medication Reconciliation for Older Adults Transitioning from Long-Term Care to Home By Allison (Leverett) Kackman Washington State University Spokane. Riverpoint campus Ubrary P.O. Box 1495 Spokane, WA
More informationEVOLENT HEALTH, LLC. Asthma Program Description 2018
EVOLENT HEALTH, LLC Asthma Program Description 2018 1 Evolent Health Asthma Program Description 2018 Table of Contents Section Page Number I. Introduction... 3 II. Program Scope... 3 III. Program Goals...
More informationIMPROVING TRANSITIONS OF CARE IN POPULATION HEALTH
IMPROVING TRANSITIONS OF CARE IN POPULATION HEALTH TABLE OF CONTENTS 1. The Transitions Challenge 2. Impact of Care Transitions 3. Patient Insights from Project Boost 4. Identifying Patients 5. Improving
More informationSafe Transitions Best Practice Measures for
Safe Transitions Best Practice Measures for Nursing Homes Setting-specific process measures focused on cross-setting communication and patient activation, supporting safe patient care across the continuum
More informationPharmacy Technicians and Interns: Charting New Territory
Pharmacy Technicians and Interns: Charting New Territory Peter Dippel Pharm.D, BCPS Clinical Pharmacist II Baptist Health Medical Center NLR Objectives Understand what Pharmacist Extenders are and why
More informationExpanding PCMH: Beyond the Practice to the Community
Expanding PCMH: Beyond the Practice to the Community Project Leader Tracy Callahan, RN, MSN, CDE Email: callat@mmc.org Phone: 207.482.7053 The MMC Physician-Hospital Organization is located at 110 Free
More informationPromoting Interoperability Performance Category Fact Sheet
Promoting Interoperability Fact Sheet Health Services Advisory Group (HSAG) provides this eight-page fact sheet to help providers with understanding Activities that are eligible for the Promoting Interoperability
More informationInformation shared between healthcare providers when a patient moves between sectors is often incomplete and not shared in timely enough fashion.
THE DISCHARGE MEDICINES REVIEW SERVICE Introduction During a stay in hospital a patient s medicines may be changed. Studies show that many patients may experience an error or problem with their medicines
More informationFrom Health Literacy Evidence and Tools to Patient Understanding, and Navigation: The Imperative to Take Action to Improve Health Care Outcomes
From Health Literacy Evidence and Tools to Patient Understanding, and Navigation: The Imperative to Take Action to Improve Health Care Outcomes Cindy Brach Center for Delivery, Organization, and Markets
More informationMedication Reconciliation as a Patient Safety Practice During Transitions of Care
Medication Reconciliation as a Patient Safety Practice During Transitions of Care Janice L. Kwan, MD, MPH, FRCPC Division of General Internal Medicine Mount Sinai Hospital, University of Toronto Recorded
More information4/28/2017. Medication Management for Improved Compliance & Home Care Satisfaction PREPARED FOR NEHCC Presenter. Overview
Medication Management for Improved Compliance & Home Care Satisfaction PREPARED FOR NEHCC 2017 Presenter Debra Demar, MS is the Community Liaison for White Cross Pharmacy, serving RI, MA and CT. She has
More informationNational Learning Competencies to Support Excellence in CEhp
National Learning Competencies to Support Excellence in CEhp Executive Summary Background In 2011, the Alliance for Continuing Medical Education took steps to respond to the environmental changes in health
More informationPharmaceutical Services Report to Joint Conference Committee September 2010
Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory
More informationImprovement Activities for ACI Bonus Measures
Improvement Activity Performance Category Subcategory Expanded Practice Activity Name Activity Improvement Activity Performance Category Weight Provide 24/7 access to eligible clinicians or groups, who
More information2019 Quality Improvement Program Description Overview
2019 Quality Improvement Program Description Overview Introduction Eon/Clear Spring s Quality Improvement (QI) program guides the company s activities to improve care and treatment for the member s we
More informationPGY1 Medication Safety Core Rotation
PGY1 Medication Safety Core Rotation Preceptor: Mike Wyant, RPh Hours: 0800 to 1730 M-F Contact: (541)789-4657, michael.wyant@asante.org General Description This rotation is a four week rotation in duration.
More information47th Critical Care Congress Continuing Education, Continuing Medical Education, and Maintenance of Certification Information
Learning Objectives Apply new knowledge and strategies to optimize the care of the critically ill patient as provided by the multiprofessional team Examine evidence-based medicine techniques to evaluate
More informationNeeds Assessment, Outcome Measurements, and Professional Practice Gaps. Needs Assessments
LMU-DCOM Doc. I Needs Assessment, Outcome Measurements, and Professional Practice Gaps Needs Assessments A needs assessment is an analysis of the type of CME that is needed by the intended audience for
More informationThe Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010
The Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010 This document is a summary of the key health information technology (IT) related provisions
More informationImprovement Activities Data Validation Criteria
Activity ID Subcategory Activity Name Activity Description Activity Validation Suggested Documentation (inclusive of dates during the selected continuous 90-day or year Name Weighting long reporting period)
More informationAll Wales Multidisciplinary Medicines Reconciliation Policy
All Wales Multidisciplinary Medicines Reconciliation Policy June 2017 This document has been prepared by the Quality and Patient Safety Delivery Group of the All Wales Chief Pharmacists Group, with support
More informationAdministrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Morgan Pendleton, PharmD, BCOP Hematology/Oncology Clinical Pharmacist Wake Forest Baptist Health Objectives Evaluate the need
More informationPartnering with Pharmacists to Enhance Medication Management
Partnering with Pharmacists to Enhance Medication Management Tamara Ravn PharmD BCACP Staff Pharmacist Clinical Cancer Pharmacy Froedtert & The Medical College of Wisconsin April 6, 2016 Objectives Describe
More informationConsumer ehealth Affinity Group
Consumer ehealth Affinity Group Embracing Barriers in the Delivery of IVR Technology for Older, Chronically ll Patients Jeremy Rich HealthCare Partners Institute and HealthCare Partners Medical Group Janelle
More informationMedication Reconciliation with Pharmacy Technicians
Technician Education Day March 29, 2014 Jacksonville, FL Outline with Pharmacy Technicians Roma Merrick RPhT., CPhT. Pharmacy Technician Coordinator St. Vincent s Medical Center Southside Jacksonville,
More informationTexas Administrative Code
RULE 19.1501 Pharmacy Services A licensed-only facility must assist the resident in obtaining routine drugs and biologicals and make emergency drugs readily available, or obtain them under an agreement
More informationPromoting Interoperability Measures
Promoting Interoperability Measures Previously known as Advancing Care Information for 2017 and Meaningful Use from 2011-2016 Participants: In 2018, promoting interoperability measure reporting (PI) is
More informationMedicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME
Medicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME The Process What is medicine reconciliation? Medicine reconciliation is an evidence-based process, which has been
More informationWhat is MTM? Objectives. MTM: Successfully Engaging Eligible Patients. What is MTM? MTM Background. MTM Examples 09/11/2012
MTM: Successfully Engaging Eligible Patients Objectives Explain What MTM is as defined by the Medicare Modernization Act Describe examples of MTM services Recognize the various entities who pay for MTM
More informationConstipation, Screening and Management in Palliative Care Patients Prescribed Opioids (Continued, Titrated, or Initiated)
Report on a QI Project Eligible for MOC ABMS Part IV and AAPA PI-CME Constipation, Screening and Management in Palliative Care Patients Prescribed Opioids (Continued, Titrated, or Initiated) Instructions
More informationTHE AMERICAN BOARD OF PATHOLOGY PATIENT SAFETY COURSE APPLICATION
THE AMERICAN BOARD OF PATHOLOGY PATIENT SAFETY COURSE APPLICATION Requirements: Component I Patient Safety Self-Assessment Program Programs must meet the following criteria to be an ABP approved Patient
More informationPharmacy s Role in Decreasing Hospital Readmissions
Pharmacy s Role in Decreasing Hospital Readmissions ACPE UAN 107-000-11-004-L04-P & 107-000-11-004-L04-T Activity Type: Knowledge-Based 0.15 CEU/1.5 Hr Program Objectives for Pharmacists: Upon completion
More informationStrategy Guide Specialty Care Practice Assessment
Practice Transformation Network Strategy Guide Specialty Care Practice Assessment 1/20/2017 1 Strategy Guide: Specialty Care PAT 2.2 Contents: Demographics Tab: 3 Question 1: Aims... 3 Question 2: Aims...
More informationROTATION DESCRIPTION
ROTATION DESCRIPTION ROTATION TITLE: PGY1 - Outpatient Transplant Ambulatory Care PURPOSE The Medical Center performed over 200 abdominal organ transplants annually. This clinical practice site will provide
More informationOUTCOMES SUMMARY REPORT. Live Educational Activity December 6, 2016 Halcyon Hotel in Cherry Creek Denver, CO
OUTCOMES SUMMARY REPORT Live Educational Activity December 6, 2016 Halcyon Hotel in Cherry Creek Denver, CO Executive Summary: Activity Details Background This highly-interactive live symposium addressed
More informationLearning Together to Practice Together
Learning Together to Practice Together Jann T. Balmer PHD RN Director, Continuing Medical Education University of Virginia School of Medicine Faculty Disclosure Conflict of Interest I (and/or my spouse/partner)
More informationHealth Literacy. Definition & Controversies
Health Literacy Definition & Controversies Michael Wolf, MA MPH PhD Assistant Professor of Medicine and Learning Sciences Director, Center for Communication in Healthcare Feinberg School of Medicine School
More informationNEW Patient Reported Medications & Reconciliation
To: All WRS Users From: Date: 11/09/17 WRS Development Team Re: Updates to the WRS Health System NEW Patient Reported Medications & Reconciliation WRS is proud to announce the release of a new medications
More informationAdvancing Care Information Measures
Participants: Advancing Care Information Measures In 2017, Advancing Care Information (ACI) measure reporting is optional for Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, CRNAs,
More informationEvolving Roles of Pharmacists: Integrating Medication Management Services
Evolving Roles of Pharmacists: Integrating Management Services Marie Smith, PharmD, FNAP Palmer Professor and Assistant Dean, Practice and Policy Partnerships UCONN School of Pharmacy (marie.smith@uconn.edu)
More informationPediatric Residents. A Guide to Evaluating Your Clinical Competence. THE AMERICAN BOARD of PEDIATRICS
2017 Pediatric Residents A Guide to Evaluating Your Clinical Competence THE AMERICAN BOARD of PEDIATRICS Published and distributed by The American Board of Pediatrics 111 Silver Cedar Court Chapel Hill,
More informationIntroduction of EPMA in paediatric practice in UK:
Introduction of EPMA in paediatric practice in UK: REALISING THE CLINICAL BENEFITS AND ENGAGING CLINICAL STAFF Stephen Marks Consultant Paediatric Nephrologist and EPMA lead Great Ormond Street Hospital
More informationProvider Information Guide Complex Care and Condition Care Overview
Complex and Overview Introduction Complex and are essential components of Passport Health Plan s (Passport) Coordination services, which are used to support the practitioner-patient relationship and plan
More informationPharmacy Technicians: Improving Patient Care through Medication Reconciliation
Pharmacy Technicians: Improving Patient Care through Medication Reconciliation Disclosure I, Holly Katayama, have no financial relationships to disclose. Objectives Describe how to fully utilize pharmacy
More informationThe Search for Best Practice in Medication Reconciliation
The Search for Best Practice in Medication Reconciliation National Medicines Forum November 2013 Marie Kehoe O Sullivan Director, Safety and Quality Improvement HIQA HIQA Collaboration with IHI Open School
More informationPrepared Jointly by the American Society of Health-System Pharmacists and the Academy of Managed Care Pharmacy
Required and Elective Educational Outcomes, Educational Goals, Educational Objectives, and Instructional Objectives for Postgraduate Year One (PGY1) Managed Care Pharmacy Residency Programs Prepared Jointly
More informationTransitions of Care. Objectives 1/6/2016. Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital. The author has nothing to disclose.
Transitions of Care Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital 1 The author has nothing to disclose. 2 Objectives Discuss current healthcare trends and the need for pharmacists in
More informationAged residential care (ARC) Medication Chart implementation and training guide (version 1.1)
Aged residential care (ARC) Medication Chart implementation and training guide (version 1.1) May 2018 Prepared by and the Health Quality & Safety Commission Version 1, March 2018; version 1.1, May 2018
More informationROTATION DESCRIPTION - PGY1 Adult Internal Medicine
ROTATION DESCRIPTION - PGY1 Adult Internal Medicine PURPOSE The IM rotation provides the opportunity for PGY1 residents to improve their knowledge base and pharmacotherapeutic skills while enhancing care
More informationMEDICINES RECONCILIATION GUIDELINE Document Reference
MEDICINES RECONCILIATION GUIDELINE Document Reference G358 Version Number 1.01 Author/Lead Job Title Jackie Stark Principle Pharmacist Clinical Services Date last reviewed, (this version) 29 November 2012
More informationDAVIES COMMUNITY HEALTH AWARD COMMUNITY HEALTH ORGANIZATION
DAVIES COMMUNITY HEALTH AWARD COMMUNITY HEALTH ORGANIZATION Name of Organization: Mountain Park Health Center Address: 2702 North 3 rd Street Suite 4020 Phoenix, AZ 85004 Primary Contact: Alana Podwika,
More informationCOLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE
COLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE KPhA Annual Meeting September 7, 2014 Tiffany R. Shin, PharmD, BCACP Lyndsey N. Hogg, PharmD, BCACP Objectives Describe basic concepts of collaborative
More information1 Title Improving Wellness and Care Management with an Electronic Health Record System
HIMSS Stories of Success! Graybill Medical Group 1 Title Improving Wellness and Care Management with an Electronic Health Record System 2 Background Knowledge It is widely understood that providers wellness
More informationMaking a case for medication reconciliation in primary care
Safer Healthcare Now! MedRec National Teleconference Making a case for medication reconciliation in primary care Speakers: Karen Hall Barber, BSc (Hons), MD, CCFP Sherri Elms, BSc (Pharm), RPh ACPR Danyal
More informationUNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2017 October 1 st, 2016
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2017 October 1 st, 2016 Department Name: Department of Pharmacy Department Director: Steve Rough, MS,
More informationMeeting Joint Commission Standards for Health Literacy. Communication and Health Care. Multiple Players in Communication
Meeting Joint Commission Standards for Health Literacy Christina L. Cordero, PhD, MPH Project Manager Division of Standards and Survey Methods The Joint Commission Wisconsin Literacy SW/SC Regional Health
More informationImproving Transitions to Home & Community- Based Care Settings
This presenter has nothing to disclose. Improving Transitions to Home & Community- Based Care Settings Eric Coleman September 29, 2015 Session Objectives Participants will be able to: Describe the role
More informationA. Cover Page. Grant ID:
A. Cover Page 1. Program Title: Screen, Refer and Track: A Personalized Medicine and Systems-Based Approach to Improve the Outcomes of Patients with Rheumatoid Arthritis at Risk for Cardiovascular Disease
More informationE.H.R. s and Improving Patient Safety - What Has Been the Real Impact?
E.H.R. s and Improving Patient Safety - What Has Been the Real Impact? Presented by: Mary Erickson, RN, HTS Accounting Manager HTS, a division of Mountain Pacific Quality Health Foundation 1 Understand
More informationExecutive Summary: Davies Ambulatory Award Community Health Organization (CHO)
Davies Ambulatory Award Community Health Organization (CHO) Name of Applicant Organization: Community Health Centers, Inc. Organization s Address: 110 S. Woodland St. Winter Garden, Florida 34787 Submitter
More informationCMS Proposed Rule. The IMPACT Act. 3 Overhaul Discharge Planning Processes to Comply With New CoPs. Arlene Maxim VP of Program Development, QIRT
Overhaul Discharge Planning Processes to Comply With New CoPs Arlene Maxim VP of Program Development, QIRT 1 CMS Proposed Rule Included discharge planning specifics However, when the CoPs were finalized,
More information