Background • Pilot project done with respite admissions to 2 Personal Care Homes (PCH) using the Home Medication and Initial Orders (HMIO) form early 2007 • Joined Western Node Collaborative of SHN April 2007 • Education occurred for new site specific policy and use of HMIO form in Rideau Park (June) & Fairview (August) PCH • Implementation dates for new admission process – Rideau Park June 19 th – Fairview August 23 rd Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Aims • Aim Statements for Long Term Care – To reduce unintentional discrepancies by 90% on admission to PCH by May 2008 – To reduce undocumented intentional discrepancies by 90% on admission to PCH by May 2008 Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Team Members • Mary Lou Lester – Pharmacist & Team Leader • Tracey Anderson – Resident Care Manager (Rideau Park) • Kristi Chorney – Quality/Risk Management • Dr. Groves – Physician Liaison • Sheldon Kokorudz – Pharmacy Director • Liliana Rodriguez – Planning/Evaluation Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Long Term Care Working Group • Cindy Smith/Lori Nevins – Resident Care Managers • Christine Machado – Rideau Park educator • Jean Robson – Fairview Educator • Cheryl Bourdeau D’Hui/Trudy Curtis – Coordinator Resident Services • Bonnie Coombs – contract pharmacist • Nestor Atamanchuk Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Changes Tested • Trial of Home Medication and Initial Orders (HMIO) for all respite admissions to PCH • Trial of HMIO for 1 admission at Fairview to test new site specific policy for admission • Assisted Home Care working group with Universal Medication Form (UMF) trial for respite admissions Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Results Baseline data • Mean Number of Undocumented Intentional Discrepancies -- 0 • Mean Number of Unintentional Discrepancies -- 1. 6 • Medication Reconciliation Success Index -- 86% • Rate of potential harm -- 43% Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Keys to Success & Barriers • Keys to Success – Co-operation of contract pharmacist to complete BPMH for data collection – One of the first admissions post-implementation at Rideau Park saw the HMIO help prevent several potential discrepancies – staff buy-in • Barriers – Lack of on-site pharmacist within PCH – Low number of admissions extended the amount of time required to collect baseline data Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Lessons Learned & Next Steps • Lessons Learned – Timeline for an identical project will vary from facility to facility • Education of staff • Admission rate • Staff involvement • Next Steps – Discuss the current 3 month review (done by contract pharmacist & physician) – Discuss the current process for residents sent to BRHC for acute care Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Contact Information • Tracey Anderson – andersont@brandonrha. mb. ca • Mary Lou Lester – lesterm@brandonrha. mb. ca Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative
Скачать презентацию Background Pilot project done with respite admissions
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