Welcome to Georgia HEN Hospital Acquired Condition July Affinity Call

1. Welcome to Georgia HEN Hospital Acquired Condition July Affinity Call July 17, 2013

2. Medication Reconciliation “Presented to” Georgia Hospitals July 17, 2013 Kristine Gleason, MPH, RPh - Clinical Quality Leader, Northwestern Memorial Hospital Vicky Agramonte, RN, MSN - Project Manager, IPRO

3. Objectives • Explain the benefits MATCH Toolkit for implementing a sustainable medication reconciliation process. • Explain the time commitment of participation in the MATCH project. • Promote hospital participation in upcoming regional meetings and follow-up “coaching” calls.

4. The Georgia Experience Improving Medication Reconciliation http://www.ahrq.gov/research/findings/case-studies/patient-safety/ps2012g.html

5. Medication Reconciliation Process • Goal to decrease medication errors and patient harm by: • Obtaining, verifying, and documenting patient’s current prescription and over-the-counter medications; including vitamins, supplements, eye drops, creams, ointments, and herbals • Comparing patient’s pre-admission/home medication list to ordered medicines and treatment plans to identify unintended discrepancies • Discussing unintended discrepancies (e.g., those not explained by the patient’s clinical condition or formulary status) with the physician for resolution • Providing and communicating an updated medication list to patients and to the next provider of service at discharge Adapted from The Joint Commission National Patient Safety Goal 03.06.01

6. Achieving Synergies:Linking Medication Reconciliation with Other Current Initiatives

7. “Bundling” Medication Reconciliationwith Current Initiatives Care Transitions Order, Transcribe, Clarify Procure, Dispense Deliver Educate, Discharge Med History, Reconcile Administer Monitor Phases of Medication Management Identifying Opportunities to “Bundle” Medication-related Initiatives

8. MATCH Toolkit: Step-by-Step Guide to Improving Medication Reconciliation MATCH Toolkit, with customizable, actionable information, is available at: http://www.ahrq.gov/qual/match/ match.pdf

9. Guiding Principles • Clearly define roles and responsibilities. • Standardize, simplify, and eliminate unnecessary redundancies. • Make the right thing to do the easiest thing to do. • Develop effective forcing functions, prompts, and reminders during the appropriate time within workflow. • Educate workforce, and patients, families, and caregivers. • Ensure process design meets all pertinent local laws or regulatory requirements. • Commitment to the “One Source Of Truth” medication management system.

10. Assessing the Quality of Medication Reconciliation Goal: To eliminate avoidable adverse drug events and associated patient harm due to medication discrepancies. • Evaluation of the medication reconciliation process post-implementation to determine: • Frequency and causes of medication reconciliation failures • Type of discrepancies involved • Potential patient harm averted • Patient and/or medication-related risk factors frequently responsible for inaccurate medication reconciliation Supported by grant number 5 U18 HS015886 from the Agency for Healthcare Research and Quality (AHRQ). Publication: Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010 May;25(5):441-7.

11. MATCH “lite” Collaborative Timeline • July 17, 2013 HAC Call to introduce collaborative • July 31, 2013 Introduction to the MATCH toolkit and Collaborative Pre-work • August 20, 2012 Regional Meeting – Savannah • August 27, 2013 Regional Meeting – Atlanta • September/October Coaching Calls – Date/Time TBD

12. Questions and Discussion Vicky Agramonte, RN, MSN Project Manager Healthcare Quality Improvement Program  Island Peer Review Organization, Inc. (IPRO)  Albany, NY 12211-2370 (518) 426-3300 X115 vagramonte@ipro.org Kristine Gleason, MPH, RPh Clinical Quality Leader Northwestern Memorial Hospital Chicago IL 60611 312.926.9172 kmgleaso@nmh.org THANK YOU! If you want to learn more about IPRO, please visit our website at: http://www.ipro.org. If you want to learn more about Northwestern Memorial Hospital, please visit our website at http://www.nmh.org.