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Patient Safety Organizations Whats new and why should you care

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7,000 deaths each year in the US. Preventing Medication Errors ... To demonstrate the critical contributions pharmacists make to healthcare. APMS Responsibilities ... – PowerPoint PPT presentation

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Title: Patient Safety Organizations Whats new and why should you care


1
Patient Safety Organizations Whats new and
why should you care?
  • Tara Modisett
  • VP Quality Initiatives
  • Alliance for Patient Medication Safety

2
Agenda
  • Overview of 2005 Patient Safety Act
  • Discussion of Patient Safety Organizations
  • Alliance for Patient Medication Safety
  • Impact of increased focus of quality in
    pharmacies
  • Opportunities and partnerships

3
Emphasis on Quality
  • Error is a reality
  • Pharmacists are human, humans make mistakes
  • Institute of Medicine Quality Chasm Series
  • To Err is Human
  • Medication errors estimated to cause
  • 7,000 deaths each year in the US
  • Preventing Medication Errors
  • 1.5 million preventable ADEs annually

4
Patient Safety Focus
  • Federal Legislation
  • Patient Safety and Quality Improvement Act of
    2005
  • State Laws, Board of Pharmacy Rules
  • CA, FL, IA, MA, NC, TX, AZ, KS
  • CMS
  • Medicare Part D requirement
  • Quality Assurance

5
Patient Safety and Quality Improvement Act of
2005
  • Goals
  • To encourage the expansion of voluntary,
    provider-driven initiatives.
  • To promote rapid learning about the underlying
    causes of risks and harms in the delivery of
    health care.
  • To share those findings widely, thus speeding the
    pace of improvement.

6
Patient Safety and Quality Improvement Act of
2005
  • Encourages the development of Patient Safety
    Organizations (PSOs) - identify, analyze, and
    reduce the risks and hazards associated with
    patient care.

7
Patient Safety and Quality Improvement Act of
2005
  • Fosters a culture of safety by establishing
    strong Federal confidentiality and privilege
    protections for information assembled and
    developed by provider organizations, physicians,
    and other clinicians for deliberations and
    analyses regarding quality and safety.

8
Patient Safety and Quality Improvement Act of
2005
  • Accelerates the speed with which solutions can
    be identified for the risks and hazards
    associated with patient care by facilitating the
    aggregation of a sufficient number of events in a
    protected legal environment.

9
Impact of Safety Focus on Pharmacies
  • Increased pressure from the public, state
    regulations and MCOs
  • Pharmacies ARE collecting patient safety data,
    but is it protected?
  • State peer review protection varies

10
PSO Solution
  • strong Federal confidentiality and privilege
    protections for information assembled and
    developed by provider organizations, physicians,
    and other clinicians for deliberations and
    analyses regarding quality and safety

11
Alliance for Patient Medication Safety (APMS)
  • Formed by the National Alliance of State Pharmacy
    Associations (NASPA).
  • Designated and listed (Dec 2008) by HHSs AHRQ as
    a PSO.

12
Alliance for Patient Medication Safety (APMS) a
federally listed PSO
  • APMS is a PSO centered around collecting data
    from pharmacists to improve medication use.
  • Federal confidentiality and privilege protections
    applies for information reported.
  • www.medicationsafety.org

13
APMS - a federally listed PSO
  • The mission of APMS is to foster a culture of
    quality within the profession of pharmacy that
    promotes a continuous systems analysis to develop
    best practices that will reduce medication
    errors, improve medication use and enhance
    patient care.
  •  

Quality Assurance Reporting Services
14
APMS Goals
  • To encourage voluntary reporting, conduct
    analysis and share aggregate information to
    improve quality of care provided by the pharmacy
    workforce.
  • To provide peer review protections to pharmacists
    reporting quality-related events through APMS.
  • To provide a revenue stream for state pharmacy
    associations so that we can continue to support
    the pharmacists in patient safety initiatives.
  • To demonstrate the critical contributions
    pharmacists make to healthcare.

12/21/2009
14
15
APMS Responsibilities
  • provides training to pharmacies on how to
    safeguard patient safety work product.
  • adhere to Policies and Procedures outlined in
    Patient Safety ACT.
  • provide recommendations and best practices to
    participating pharmacies.

16
Opportunities to Partner
  • NASPA welcomes any organization that agrees with
    the mission of the Alliance for Patient
    Medication Safety to be part of this ongoing
    effort.
  • Pharmacy related organizations
  • Entities involved in collection of patient
    safety data
  • Consumer groups
  • Quality and standard setting organizations
  • Other PSOs

17
Alliance for Patient Medication Safety (APMS)
a listed PSO
  • Other Studies and Demonstration Projects
  • North Dakota Medication Error Reporting and
    Hospital Quality Indicator program
  • Patient Centric Model a pilot aimed at
    improving the patients medication persistence
  • E-Prescribing Medication Therapy Intervention
    (MTI) Project
  • Minds on Quality Schools of Pharmacy
  • North Dakota Tele-pharmacy Project
  • Risk Assessment Consulting

18
APMS
  • www.medicationsafety.org
  • Info_at_medicationsafety.org
  • Tara Modisett
  • tara_at_naspa.us
  • (866) 365-7472
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