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Medication Reconciliation: Implementation of a Standardized Process in the Electronic Medical Record

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Medication Reconciliation: Implementation of a Standardized Process in the Electronic Medical Record Kathryn Montanya, PharmD Lu Ann Vis, RN Camille Robinson, RN ... – PowerPoint PPT presentation

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Title: Medication Reconciliation: Implementation of a Standardized Process in the Electronic Medical Record


1
Medication Reconciliation Implementation of a
Standardized Process in the Electronic Medical
Record
  • Kathryn Montanya, PharmD Lu Ann Vis, RN
  • Camille Robinson, RN Connie Giere, RN
  • Sue Flores, RN Cindy Fellencer, RN
  • Jeri Katsaros, RN Bridget Gaughan, RN
  • Pamela Malone, RN Martina Novotny, PharmD

2
Project Aims
  • Design and implement a process to document an
    accurate list of the patients current
    medications upon entry into our organization.
  • This includes a process to compare, or reconcile
    the medications to be provided with those on the
    list.
  • Provide the list of medications to the patient
    and their next care provider.

3
Standardized Process
  • Outpatient medication list is documented in EPIC
  • By admitting MD for inpatients
  • By RN or other caregiver for ambulatory
  • List is reviewed (reconciled) prior to new
    medications being ordered
  • By ordering MD for inpatients
  • Documentation required EPIC alert
  • By MD during HP approval in procedure areas
  • By MD in ambulatory

4
Standardized Process
  • Updated list is provided to patient
  • MD creates list and RN reviews with patient at
    inpatient discharge
  • Procedure area staff provides list if meds are
    prescribed
  • Clinic staff provides list to all patients
  • Updated list is provided to the next caregiver
  • All LUHS providers have access through EPIC
  • For inpatients, Admitting identifies outside
    provider, Medical Records will mail the list
  • For ambulatory and procedure patients, the list
    is provided to outside providers via referral
    letters

5
Current Goals
  • Increase the number of inpatients with an
    outpatient medication list documented in EPIC
  • Decrease the number of errors in outpatient
    medication lists
  • Increase the number of outpatient medication
    lists that have been Reviewed during current
    admission

6
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7
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8
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9
Future Goals
  • Increase number of patients discharged with
    accurate medication list.
  • Decrease number of RN and PharmD interventions
    required to correct medication lists.
  • Evaluate and improve the inpatient transfer
    process.
  • Develop ambulatory and procedure area process
    measures.
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