2. 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Welcome to Who Wants to be a Millionaire 50:50

3. © Mark E. Damon - All Rights Reserved Who wants to be a contestant?

4. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

5. © Mark E. Damon - All Rights Reserved A: Please Do Something, Anything C: Plan- Do- Study- Act B: Platelet Disorder Support Association D: Professional Diving Schools Association 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Using a quality definition, PDSA stands for…

6. © Mark E. Damon - All Rights Reserved Using a quality definition, PDSA stands for… A.Please Do Something, Anything B.Platelet Disorder Support Association C.Plan- Do- Study- Act D.Professional Diving Schools Association 60

7. © Mark E. Damon - All Rights Reserved A: Please Do Something, Anything C: Plan- Do- Study- Act B: Platelet Disorder Support Association D: Professional Diving Schools Association 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Using a quality definition, PDSA stands for…

8. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

9. © Mark E. Damon - All Rights Reserved A: Prevent adverse drug events at interfaces of care C: To pass accreditation B: Eliminate undocumented discrepancies D: To adhere to professional responsibilities 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 The ultimate goal of Medication Reconciliation is…

10. © Mark E. Damon - All Rights Reserved The ultimate goal of Medication Reconciliation is… A.Prevent adverse drug events at interfaces of care B.Eliminate undocumented discrepancies C.To pass accreditation D.To adhere to professional responsibilities 60

11. © Mark E. Damon - All Rights Reserved A: Prevent adverse drug events at interfaces of care C: To pass Accreditation B: Eliminate undocumented discrepancies D: To adhere to professional responsibilities 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 The ultimate goal of medication reconciliation is…

12. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

13. © Mark E. Damon - All Rights Reserved A: Medication Reconciliation C: Getting a BPMH B: Reconciling Orders D: Preventing ADEs 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Obtaining an up-to-date accurate medication list of all regular medication use using more than one source of information is called….

14. © Mark E. Damon - All Rights Reserved Obtaining an up-to-date accurate medication list of all regular medication use using more than one source of information is called…. A.Medication Reconciliation B.Reconciling Orders C.Getting a BPMH D.Preventing ADEs 60

15. © Mark E. Damon - All Rights Reserved A: Medication Reconciliation C: getting a BPMH B: Reconciling Orders D: Preventing ADEs 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Obtaining an up-to-date accurate medication list of all regular medication use using more than one source of information is called….

16. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

17. © Mark E. Damon - All Rights Reserved A: old orders vs. new orders C: BPMH vs. old orders B: BPMH & MAR vs. transfer orders D: MAR vs. transfer orders 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Medication Reconciliation at transfer involves comparing…

18. © Mark E. Damon - All Rights Reserved Medication Reconciliation at transfer involves comparing… A.Old orders vs. new orders B.BPMH & MAR vs. transfer orders C.BPMH vs. old orders D.MAR vs. transfer orders 60

19. © Mark E. Damon - All Rights Reserved A: old orders vs. new orders C: BPMH vs. old orders B: BPMH & MAR vs. transfer orders D: MAR vs. transfer orders 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Medication Reconciliation at transfer involves comparing…

20. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

21. © Mark E. Damon - All Rights Reserved A: Help you build your case for Medrec C: Defines the existing problem B: Help get senior management and staff buy-in D: All of the above 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 What is the aim for collecting baseline data?

22. © Mark E. Damon - All Rights Reserved What is the aim for collecting baseline data? 60 A.Help you build your case for med rec B.Help get senior management and staff buy-in C.Defines the existing problem D.All of the Above

23. © Mark E. Damon - All Rights Reserved A: Help build case for MedRec C: Defines the existing problem B: Senior management /staff buy-in D: All of the above 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 What is the aim for collecting baseline data

24. © Mark E. Damon - All Rights Reserved Congratulations! You’ve Reached the $1,000 Milestone! Congratulations! C o n g r a t u l a t i o n s !

25. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

26. © Mark E. Damon - All Rights Reserved A: BPMH C: BPMDP B: DP D: Rxs 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Name the acronym for the reconciled document given to the patient at discharge

27. © Mark E. Damon - All Rights Reserved Name the acronym for the reconciled document given to the patient at discharge 60 A.BPMH B.DP C.BPMDP D.Rxs

28. © Mark E. Damon - All Rights Reserved A: BPMH C: BPMDP B: DP D: Rxs 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Name the acronym for the reconciled document given to the patient at discharge

29. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

30. © Mark E. Damon - All Rights Reserved A: All of the below C: Retroactive Model B: Proactive Model D: A hybrid of proactive and retroactive 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 What practice model can be used to reconcile medications?

31. © Mark E. Damon - All Rights Reserved What practice model can be used to reconcile medications? A.All of the below B.Proactive Model C.Retroactive Model D.A hybrid of proactive and retroactive 60

32. © Mark E. Damon - All Rights Reserved A: All of the Below C: Retroactive Model B: Proactive Model D: a hybrid of proactive and retroactive 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 What practice model can be used to reconcile medications?

33. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

34. © Mark E. Damon - All Rights Reserved A: After you get the BPMH C: A fter reconciliation is completed B: Before the AMO are written D: You don’t need to measure 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 At which stage in the process do you measure discrepancies, in a proactive model?

35. © Mark E. Damon - All Rights Reserved At which stage in the process do you measure discrepancies, in a proactive model? 60 A.After you get the BPMH B.Before the AMO are written C.After reconciliation is completed D.You don’t need to measure

36. © Mark E. Damon - All Rights Reserved A: after you get the BPMH C: After reconciliation is completed B: Before the AMO are written D: You don’t need to measure 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 At which stage in the process do you measure in a proactive model of measuring discrepancies?

37. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

38. © Mark E. Damon - All Rights Reserved A: Reconciling time is greater C: Getting a BPMH B: Time to getting a complete BPMH is greater D : Use different sources to get History 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 The Accreditation Canada test for compliance for MedRec ROP includes:

39. © Mark E. Damon - All Rights Reserved What is your opinion? A.Reconciling time is greater B.Time to getting a complete BPMH is greater C.Getting a BPMH D.Use different sources to get History The Accreditation Canada test for compliance for MedRec ROP includes: 60

40. © Mark E. Damon - All Rights Reserved A: Reconciling time is greater C: Getting a BPMH B: Time to getting a complete BPMH is greater D : Use different sources to get History 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 The Accreditation Canada test for compliance for MedRec ROP includes:

41. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

42. © Mark E. Damon - All Rights Reserved A: Monthly by service C: By facility annually B: By provider daily D: By Service quarterly 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 How does Accreditation Canada expect to see the “% patients reconciled at admission” measure collected?

43. © Mark E. Damon - All Rights Reserved How does Accreditation Canada expect to see the “% patients reconciled at admission” measure collected? 60 A.Monthly by service B.By provider daily C.By facility annually D.By Service quarterly

44. © Mark E. Damon - All Rights Reserved A: Monthly by service C: By facility anually B: By provider daily D: By Service quarterly 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 How does Accreditation Canada expect to see the “% patients reconciled at admission” measure collected?

45. © Mark E. Damon - All Rights Reserved Congratulations! You’ve Reached the $32,000 Milestone! Congratulations! C o n g r a t u l a t i o n s !

46. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

47. © Mark E. Damon - All Rights Reserved A: B, C & D C: Present organizational discrepancy data B: Explain or present evidence D : Personalize data with actual patient stories 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Name some key strategies for gaining champions in doing the medication reconciliation process.

48. © Mark E. Damon - All Rights Reserved Name some key strategies for gaining champions in doing the medication reconciliation process. 60 A.B, C & D B.Explain or present evidence C.Present organizational discrepancy data D.Personalize data with actual patient stories

49. © Mark E. Damon - All Rights Reserved A: B, C & D C: Present organizational discrepancy data B: Explain or present evidence D : Personalize data with actual patient stories 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Name some key strategies for gaining champions in doing the medication reconciliation process.

50. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

51. © Mark E. Damon - All Rights Reserved A: Demonstrated results C: A senior leader is responsible for spread of the changes B: One person is responsible for Med Rec D: An agreed-upon plan is documented 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Which is not essential for spread beyond the pilot unit?

52. © Mark E. Damon - All Rights Reserved Which of these is not essential for spread beyond the pilot unit? 60 A.Demonstrated results B.One person responsible for Med Rec throughout the organization C.A senior leader is responsible for spread of the changes D.There is an agreed upon plan documented

53. © Mark E. Damon - All Rights Reserved A: Demonstrated Results C: A senior leader responsible for spread of the c B: One person responsible for Med Rec throughout the organization D: Needs additional resources 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Which of these is not essential for spread beyond the pilot unit?

54. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

55. © Mark E. Damon - All Rights Reserved A: 100% C: 50% B: 75% D: Difficult to say 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 From the Ontario node data, what percentage of LTC residents had their medication reconciled upon admission?

56. © Mark E. Damon - All Rights Reserved From the Ontario node data, what percentage of LTC residents had their medication reconciled upon admission? 60 1.100% 2.75% 3.50% 4.Difficult to say

57. © Mark E. Damon - All Rights Reserved A: 100% C: 50% B: 75% D: Difficult to say 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 From the Ontario node data, what percentage of LTC residents had their medication reconciled upon admission?

58. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

59. © Mark E. Damon - All Rights Reserved A: To identify duplicate drugs C: To measure if the process is working as planned B: To measure workload D: To get staff buy-in 50:50 15 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 What is the aim of measuring the mean unintentional/ undocumented intentional discrepancies per patient? 14

60. © Mark E. Damon - All Rights Reserved What is the aim of measuring the mean unintentional/ undocumented intentional discrepancies per patient? 60 A: To identify duplicate drugs B: To measure workload C: To measure if the process is performing as planned D: Staff buy-in

61. © Mark E. Damon - All Rights Reserved C: To measure if the process is working as planned B: To measure workload D: Staff Buy-In 50:50 15 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 What is the aim of measuring the mean unintentional/ undocumented intentional discrepancies per patient? A: To identify duplicate drugs 14

62. © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

63. © Mark E. Damon - All Rights Reserved A: Never C: Held gains for 3 consecutive data points B: When you reach your goal or 0.3 Unintentionals/patient D: Both B & C 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 When can you stop/change Frequency of Measuring Discrepancies?

64. © Mark E. Damon - All Rights Reserved When can you stop/change the frequency of measuring discrepancies? 60 A.Never B.When you reach your goal or 0.3 unintentionals/patient C.Held gains for 3 consecutive data points D.Both B&C

65. © Mark E. Damon - All Rights Reserved A: Never C: Held Gains for 3 data points B: When you reach goal or 0.3 unintentionals per patient D: Both B&C 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 When can you stop/change frequency of measuring discrepancies?

66. © Mark E. Damon - All Rights Reserved YOU WIN $1 MILLION DOLLARS!