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Partnering with Veterans and their Medications

Learn about the importance of medication information and reconciliation for veterans and their caregivers. Explore strategies for improving medication adherence and reducing medication harm.

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Partnering with Veterans and their Medications

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  1. Partnering with Veterans and their Medications Part Two: Patient Medication Information Rosemary Grealish, RPh & Maureen Layden, MD, MPH

  2. Who we are Rosemary Grealish, RPh Maureen Layden, MD, MPH Mark McConnell, MD Eric Spahn, PharmD

  3. VA Patient Medication Information & Medication Reconciliation Initiative

  4. Objectives

  5. What is Medication Information?

  6. Why is Medication Information Important?

  7. Medication Information and the Patient Protection and Affordable Care Act

  8. The Trajectory of Medication Information Kim M. Nazi, PhD, FACHE

  9. Patient Medication Reconciliation Medication Information Management

  10. Patient Medication Reconciliation Medication Information Management

  11. Staff Medication Reconciliation Medication Information Management

  12. Staff Medication Reconciliation Medication Information Management

  13. Iterative Cycle of Reconciliationwith permission of Dr. Blake Lesselroth Lesselroth et al., Greenwald et al, Markowitz et al, Vermeire et al

  14. Case Dr. Mark McConnell from Tomah, Wisconsin

  15. Partnering with Patients

  16. Minimally Disruptive MedicineWith permission of Dr. Victor Montori

  17. Medication Harm

  18. Adherence

  19. Adherence World Health Organization. Adherence to long-term therapies: evidence for action, 2003.

  20. What can you do for the Veteran and Caregiver? With permission of Katharina Echt, PhD

  21. Poll Question Non adherence to medications can be due to which factor or factors? • Health Literacy • Unpleasant side effects • Number of medications per day • Unclear medication information • All of the above

  22. Sergeant First Class William Fraas, retired and his wife Mrs. Marie Fraas The Same Page OEF/OIF/OND Team VA Pittsburgh Healthcare System

  23. Poll Results Non adherence to medications can be due to which factor or factors? • Health Literacy • Unpleasant side effects • Number of medications per day • Unclear medication information • All of the above

  24. Poll Results • Health Literacy • Unpleasant side effects • Number of medications per day • Unclear medication information • All of the above

  25. Defining the Page: Essential Med Info Standards Directive

  26. National Alliance of Patient Medication Information Standardization “NAPMIS”

  27. VA Pharmacy Benefits Management Your Guide to Essential Medication Information

  28. Medication Information Content Essential Med Info Standardization Directive

  29. Drug Name, Strength How the Veteran takes the med Who prescribed it Where they got it What’s important to the Veteran

  30. Med Info: VA

  31. Med Info: Non VA

  32. With permission of Dr. Lesselroth

  33. Medication Review: Innovation Used with permission from hi2 – HMP development, Thomas Heller, RPh.

  34. VHA Outpatient

  35. Medication Information Display Standards Essential Med Info Standardization Directive

  36. Used with permission from hi2 – non VA Med App development, Thomas Heller, RPh

  37. Medication Information Authoritative Source Standards Essential Med Info Standardization Directive

  38. The Authoritative Source of Medication Information: PBM The Pharmacy Files Example: Medication Name “Lisinopril”

  39. Poll Question The Essential Med Info Standards Directive defines: • Medication List Content • Sources for Medication Information • Medication Information Display • All of the Above

  40. Medication Image Library With permission of Bob Gale, RPh, MBA

  41. Medication Image LibraryWith permission of Bob Gale, RPh, MBA

  42. Poll Results The Essential Med Info Standards Directive defines: • Medication List Content • Sources for Medication Information • Medication Information Display • All of the Above

  43. Poll Results • Medication List Content • Sources for Medication Information • Medication Information Display • All of the Above

  44. Reconciliation

  45. Exemplars

  46. With permission of Kenneth Weingardt, PhD

  47. My Medications Functionality Overview With permission of Kenneth Weingardt, PhD

  48. With permission of Kenneth Weingarten, PhD

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