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© Institute for Safe Medication Practices Canada 2008® Safer Healthcare Now! Getting Started in Homecare Sept. 11, 2008 Welcome to New Teams
© Institute for Safe Medication Practices Canada 2008® Agenda What is Safer Healthcare Now (SHN)? Why medication reconciliation in homecare? What is the medication reconciliation homecare pilot? Objectives Expectations Getting started
© Institute for Safe Medication Practices Canada 2008® Grassroots 2 yr+ pan Canadian Campaign National Steering Committee (CPSI Chairs) 3 National Working Groups Intended to help teams, systems develop skills/capacity to monitor their performance, improve quality The focus is on implementing proven patient safety best practices to improve outcomes for patients, residents, families and care givers. Safer Healthcare Now!
© Institute for Safe Medication Practices Canada 2008® The Key focus of SHN! is solving the implementation issues that stand between our knowledge of "what works and our ability to reliably and sustainably provide this standard of care for all patients. Safer Healthcare Now! Nodes aim to provide quality improvement ideas, supports and resources to teams across the country with the goal of providing safer care. SHN! is about team based collaboration and capacity building Safer Healthcare Now!
© Institute for Safe Medication Practices Canada 2008® Getting Started Kits Getting Started Calls Communities of Practice Web sites Node Leaders (4) National Working Groups Safety Improvement Advisors Local level education Site visits / working with teams Resources and Team Support
© Institute for Safe Medication Practices Canada 2008® Total at July, 2008
© Institute for Safe Medication Practices Canada 2008® Medication Reconciliation A process in which an accurate list of patients home medications are compared at transitions of care Discrepancies are identified and reconciled with physician Intended to minimize potential patient harm from unintended discrepancies
© Institute for Safe Medication Practices Canada 2008® The Goal of Medication Reconciliation in Homecare Clarify medications patient is actually taking (BPMH) Identify and resolve discrepancies between what providers perceive client is taking and BPMH Create and communicate clear and accurate medication lists to patients, families and homecare clinicians Reduce potential ADEs
© Institute for Safe Medication Practices Canada 2008® Why Is Medication Reconciliation Important? Most frequently cited category of root cause for serious adverse drug events: Ineffective communication Most vulnerable parts of a process: Links between the steps (hand-offs) Medication reconciliation addresses these
© Institute for Safe Medication Practices Canada 2008® Medication Reconciliation Teams Acute Care – 333 Long Term Care – 49 Homecare – 7 previously in western node Now ~ 20 in pilot
© Institute for Safe Medication Practices Canada 2008® Why Medication Reconciliation ? The literature Accreditation Canada Experience in acute and long term care (LTC)
© Institute for Safe Medication Practices Canada 2008® Literature: The Case for Medication Reconciliation Many patients (70%) not receiving medication instructions at discharge (Alibhai SMH, Han RK, Naglie G. Medication Education of Acutely Hospitalized Older Patients. J Gen Intern Med 1999 Oct;14: 610-616)
© Institute for Safe Medication Practices Canada 2008® Patient Medication Adverse Events Post Discharge 328 patients who were discharged from a Canadian teaching hospital were studied prospectively in 2002 for 14 weeks. (AJ Forster,et al., CMAJ 2004:170(3)345-349.) Developed by Courtyard-Group for E-Health Conference 2004 23% of Discharged Patients from a Canadian Hospital experienced an adverse event – of those 72% were drug related
© Institute for Safe Medication Practices Canada 2008® Real Patient Stories
© Institute for Safe Medication Practices Canada 2008® Home Care Accreditation: Expectation - Patient Safety Area: Communication GOAL: Improve the effectiveness and coordination of communication among care/service providers and with the recipients of care/service across the continuum ROP: 1.Reconcile the patient/clients medications upon admission to the organization and with the involvement of the patient/client 2.Reconcile medications with the patient/client at referral or transfer, and communicate the patients/clients medications to the next provider of service at referral or transfer to another setting, service, service provider, or level of care within or outside the organization
© Institute for Safe Medication Practices Canada 2008® Homecare Practice Setting with Unique challenges High risk population with complex medication issues and drug related problems Not well defined or understood Best Practice Medication reconciliation required by accreditation standards but best practices/ optimal sustainable models not well defined SHN Campaign Not well known
© Institute for Safe Medication Practices Canada 2008® Objectives of Pilot Introduce medication reconciliation to a broader ambulatory/ community based homecare audience Design and test strategies for implementation of medication reconciliation in homecare across Canada Validate the key steps of the process for front-line clinicians and teams in this unique setting Measure actual patient results Develop a structured and sustainable process for homecare
© Institute for Safe Medication Practices Canada 2008® Principles Pilot Advisory Steering Committee Consider varied organizational structures across Canada Incorporate and build on learning from 2007 Western Node homecare pilot
© Institute for Safe Medication Practices Canada 2008® Criteria for Team Selection Expressed interest Senior leadership support Must agree to guidelines set out by steering committee Basic understanding of quality improvement Commitment to timelines, data submission, conference calls etc Pan Canadian
© Institute for Safe Medication Practices Canada 2008® Key Partners VON and ISMP Canada SHN Secretariat CPSI All nodes Western Node Collaborative medication reconciliation homecare teams
© Institute for Safe Medication Practices Canada 2008® What has Been Done Briefing document The Case for Medication Reconciliation in Homecare Detailed workplan Conceptual framework Developed measures to test Teams recruited
© Institute for Safe Medication Practices Canada 2008® How Will the Pilot Work? Teams meet virtually to learn about medication reconciliation Why and how Measures for pilot Criteria for patients/clients How to reconcile Teams develop and test reconciliation processes in their environment Learning is documented and shared for greater homecare implementation in Canada
© Institute for Safe Medication Practices Canada 2008® Homecare Teams Support Enrollment package Monthly calls and/or Webexs Support and feedback from Central Measurement Team, Safety Improvement Advisors, Node Leaders VON Canada and ISMP Canada One face-to-face meeting Model for Improvement
© Institute for Safe Medication Practices Canada 2008® Next Steps Ensure leadership commitment & active involvement Form team Read materials Call Sept. 22 to Get Started!!
© Institute for Safe Medication Practices Canada 2008®
© Institute for Safe Medication Practices Canada 2008® Medication Reconciliation in Long Term Care Atlantic Node Collaborative Margaret Colquhoun SHN Intervention.
DRIVING QUALITY HEALTH SERVICES ACCREDITATION CANADA AGRÉMENT CANADA Accredited by ISQua Accreditation Canada & ISMP Canada ISMP Community of Practice.
Medication Reconciliation: Spread to MSNU & 4 West Pre- Admit Clinic.
Medication Reconciliation : MSNU. Origins of Medication Reconciliation as a Patient Safety strategy The Institute for Healthcare Improvement (IHI) introduced.
Coming Full Circle: AMI and Med Rec Across the Continuum Medication Reconciliation in Home Care Date: April 23 rd, 2007 Time: 10 – 11 am MDT Dial-in:
…a shared responsibility for health care How Medication Reconciliation Supports Patient Safety 15 September 2007 Jane Richardson, BSP, PhD, FCSHP Coordinator,
Implementing Medication Reconciliation in Long-Term Care O’Connell Date: April 14, 2008 by Bonnie Walker Risk Manager /Patient Safety Advisor.
Theresa Fillatre MHSA RN BSW CHE Atlantic Node Leader & Accreditation Canada Surveyor AMI National Call June 2008 Med Rec & Accreditation Canada Standards.
Medication Reconciliation: Opportunity to Improve Patient Safety Presented to [Insert Group or Committee Name of Front-line Staff] [Date] By [Insert Name]
MEDICATION RECONCILIATION Jo-Anne Thompson RN Patient Safety Officer South Eastman Health.
Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative Vancouver Island Health Authority Home & Community Care Medication Reconciliation.
ATRIAL FIBRILLATION TRANSITIONS OF CARE For the Healthcare Provider 1.
Accredited by /Agréé par ISQua CCHSA Accreditation: New Standards for Managing Medications Jessica Peters Lead, Research & Product Development CCHSA.
1 North West Toronto Health Links. 2 1.Primary care attachment 2.Coordinated care planning 3.7-Day post-discharge primary care follow-up 4.Reduce avoidable.
© Institute for Safe Medication Practices Canada 2008® The 30 Minute BPMH Work Out: Tips, Tools and Strategies for Getting an Efficient and Complete Best.
Susan Tallett MB BS MEd FRCPC Professor of Paediatrics Member Safety Competencies Steering Committee June 2008 – PS Working Group Paediatric Chairs of.
Where Are We with MedRec? Alice Watt, ISMP Canada March 3, 2011.
Revised for 2013 Shannon Hein RN, CPN(C). published in the Canadian Medical Association Journal in May 2004 Found an overall incidence rate of adverse.
The Implementation of Medication Reconciliation in PAC Enhancing Patient Safety The Implementation of Medication Reconciliation in PAC Enhancing Patient.
بسم الله الرحمن الرحیم. Teamwork Challenges Dr Fatemeh Oskouie Center for Nursing Care Research Iran University of Medical Sciences.
Medication Reconciliation in Home & Community Care Jo Dunderdale, RN, MA Program Development & Planning Leader Home & Community Care Vancouver Island Health.
Pharmacy Services Medication Reconciliation Using PharmaNet-based Forms … It’s about the conversation
Medication Reconciliation Insert your hospital’s name here.
© Institute for Safe Medication Practices Canada 2009® Passing the Baton: Medication Reconciliation at Internal Transfer and Discharge Olavo Fernandes.
Nova Scotia Falls Prevention Update Preventing Falls Together Conference October 29, 2009 Suzanne Baker.
AN OVERVIEW: SAFER HEALTHCARE NOW! Canadian Patient Safety Institute Falls Faculty Meeting January 25 th, 2012 Theresa Fillatre.
Hilary Rowe BSc(Pharm) VIHA Pharmacy Resident
Cypress Health Region SK Falls Prevention Collaborative.
Medication Reconciliation is a Physician Issue. What is Medication Reconciliation? 1.Creating the list of medications your patient is on at home. 2.Accounting.
Pharmacy Services Providence Health Care Medication Reconciliation Western Node Collaborative Residential Team Learning Session 3 Storyboard.
MedRec Reality Check – Moving From Intervention to Practice Elaine Orrbine President & CEO Canadian Association of Paediatric Health Centres JoAnne Whittingham.
Coming Full Circle: AMI and Med Rec Across the Continuum Western Node Breakthrough Series Collaborative May 2007 – May 2008.
Standard 4: Medication Safety Advice Centre Network Meeting Margaret Duguid Pharmaceutical Advisor February 2013.
Standard 6: Clinical Handover Suellen Allen, Accrediting Agencies Surveyor Workshop, 11 July 2012.
Standard 5: Patient Identification and Procedure Matching Nicola Dunbar, Accrediting Agencies Surveyor Workshop, 10 July 2012.
Care Transitions – Critical to Quality and Patient Safety Society of Hospital Medicine Lakshmi K. Halasyamani, MD.
Medication Reconciliation July 12, 2005 Glenn Billman, M.D., Medical Safety Officer, Children’s Hospitals and Clinics of Minnesota.
Western Node Collaborative Capital Health MEDICATION RECONCILIATION Edmonton, Alberta Suburban / Rural Communities & Sturgeon Community Hospital.
Coming Full Circle: AMI and Med Rec Across the Continuum. Western Node Collaborative Brandon Regional Health Authority Home Care Medication Reconciliation.
Specialised Geriatric Services Heather Gilley Sharon Straus.
Guide to Patient & Family Engagement Insert hospital logo here Working With Patient and Family Advisors: Part 1. Introduction and Overview [Hospital Name.
Leading a Patient Safety Program Madeleine Biondolillo, MD Massachusetts Department of Public Health Gordon Schiff, MD Brigham & Women’s Hospital; Harvard.
Presented to: AHRQ Attendees AHRQ 2007 Annual Conference September 27, 2007 By Kristine Gleason, RPh Quality Leader, Clinical Quality and Patient Safety.
Coming Full Circle: AMI and Med Rec Across the Continuum Enrollment Package Conference Call April 18, 2007 Western Node Breakthrough Series Collaborative.
Western Node Collaborative David Thompson Health Region Medication Reconciliation Project.
2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.
Western Node Collaborative Forensic Psychiatric Hospital and Clinics Medication Reconciliation October 2, 2006 Zaheen Rhemtulla B.Sc. (pharm)
Thunder Bay Regional Health Sciences Centre (TBRHSC) Medication Reconciliation.
August 19 th Webex. Review article and discuss strategies for application of learning Round table discussion/question list.
Nina Muscillo and Andrew Hargreaves November 2014 Supporting Medication Reconciliation.
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