Purpose of the call:
To learn about:
•successful strategies and approaches to engage patients and caregivers in MedRec,
•how teams effectively dialogue with patients and their caregivers on the benefits of having an accurate medication list, and
•the development of paper and electronic tools and resources created for patients and their caregivers to create and maintain their medication lists.
Watch the webinar http://bit.ly/1fnE61V
Partnering with our patients - Engaging patients, families and caregivers in MedRec to achieve the best and safest care
1. Partnering with our patients
Engaging patients, families and caregivers in MedRec to
achieve the best and safest care
February 2014
www.saferhealthcarenow.ca
2. Welcome to our francophone
attendees
Bienvenue à nos participants
francophones
Hélène Riverin
Conseillère en sécurité et en amélioration
Safety Improvement Advisor
www.saferhealthcarenow.ca
3. Pour nos participants francophones..
Pour accéder aux diapositives
français:
-Cliquez sur l'onglet "FRENCH"
OU
-Envoyer un courriel à
helene.riverin@csssvc.qc.ca
Suivre la boîte «Chat» pour les
commentaires du conférencière
traduit en français
www.saferhealthcarenow.ca
4. Where to find our webinars…
www.saferhealthcarenow.ca
6. Sunrise Health Region (SK) “Champion Your
Health” Team
• Theresa Abrahamson – Registered Nurse
• Carla Rusnak – Patient Representative for
MedRec
• Louise Belanger – Health Promotion
• Jennifer Krett – Primary Care Paramedic
• Michelle Trowell-Repsch – MedRec lead at
Sunrise Health region
6
www.saferhealthcarenow.ca
7. February 11, 2014
Carla Rusnak
Jennifer Krett
Louise Belanger
Teresa Abrahamson
Michelle Trowell-Repsch
9. Building on Existing Tools and Resources
Billboard
Health Info Kits
Posters
Sunrise Health Region
website
‘Knowledge is the Best Medicine’
Working together…for healthy people in healthy communities.
Business cards
10. Community Educator
Louise Belanger, MSc
• “marketing” health
• Improve health literacy
• 4Cs Model
Comprehension,
Connection, Credibility,
and Contagiousness.
Working together…for healthy people in healthy communities.
11. Primary Care Paramedic (EMS)
Jennifer Krett, PCP
• Personal medication tool
• Improved patient
communication
• Quicker access to
treatment
Working together…for healthy people in healthy communities.
12. Clinical Improvement Facilitator
Michelle Trowell-Repsch, RN, BSN
• Supports medication
reconciliation
• Accurate & timely care
Working together…for healthy people in healthy communities.
13. Home Care Nurse
Theresa Abrahamson, RN
• Assists med rec
• Challenges
• Patient ownership
Working together…for healthy people in healthy communities.
14. Patient Representative
Carla and Payton Rusnak
• Improves patient safety
• Easy to share
Working together…for healthy people in healthy communities.
17. Metrics
% of pts presenting with medication list/ vials for Health Care services
64%
Acute care
100%
Long Term care
93%
Paramedics
80%
Physio
62%
Diabetes Ed
57%
Dentist
83%
Nurse Practitioner
100%
Home care
92%
Optometrist
90%
Massage Therapy
21. Objectives
• Learn how one hospital implemented, measured and
evaluated a medication reconciliation initiative.
• Learn innovative approaches to have patients
become advocates for themselves and others
regarding safe medication management and
communication with healthcare providers.
• Learn how to implement a community awareness
campaign to effectively educate the community,
providers and organization on the benefits of having
an accurate medication list.
22. North Bay Regional Health Centre
• 424 beds: 275 acute; 149 tertiary, specialized mental health
• Emergency Department: 58,200 patient visits annually
• Ambulatory Care Services: 48,000 patient visits annually
• 2300 Employees
• 200 physicians
• 400 volunteers
• Affiliated with the Northern Ontario School of Medicine (NOSM)
and over 65 health education institutions
27. Bags and Print Collateral
• Tent Cards, Banners, and Poster
– Campaign Design - $1,000
– In-house Printing - $900.00
• Knowledge Is The Best Medicine Booklet: FREE
• Bags
– Local North Bay, Ontario Supplier – Carte Blanche
Products www.carteblancheproducts.com
• Cost per bag: Approx.$2.00/bag
33. Alberta Health Services (AHS)
Provincial MedRec Team
Dawn Vallet-Macdonald RN, BScN, Msc
33
www.saferhealthcarenow.ca
34. The Alberta Health Services (AHS)
MedRec Public Awareness Campaign
If it’s on the list, it won’t be missed!
35. Objectives
• Learn AHS’s approach to a province
wide MedRec implementation
• Review the collaborative steps
taken to develop the provincial
public awareness campaign
• Highlight AHS’s planned methods
and media for public awareness
35
36. Alberta Health Services
# Albertans 3.9 Million
# Employees 96,000
# Volunteers 17,600
# of Physicians 8,400
# of Sites 450
36
37. History of MedRec in AHS
• Major Patient Safety Initiative
• An Accreditation Canada
Required Organizational
Practice (ROP)
• Varied Past
• Desired Future
– Coordinated, integrated
approach
37
38. Implementation across AHS
PHASE I:
2011 – 2013
WORKING
GROUP
• POLICY
• DEFINE HIGH RISK
• TOOLKIT
• APPROACH
• ZONE TEAMS
• MEASURES
• PRACTITIONER
ENGAGEMENT
• INITIATE
PATIENT/PUBLIC
ENGAGEMENT
ZONE TEAMS
(UNIT/ SERVICE
OR PROGRAM
TEAMS)
• DEFINE ROLES
• PLACEMENT
ON CHART
• LOCAL PLAN
EDUCATION
ROLL OUT
STAFF &
PHYSICIANS
PUBLIC
EDUCATION
CAMPAIGN/
TOOLS FOR
PUBLIC
PHASE 2:
2014 (TBC)
IMPLEMENT ADMISSION MED REC
• ACUTE CARE
• ACH SUPPORTIVE LIVING/HOSPICE &
PALLIATIVE CARE
• AHS LONG TERM CARE
• AHS HOME CARE (select patients)
• URGENT CARE (select patients)
• EMERGENCY DEPARTMENT (select
patients)
• PreADMISSION CLINICS
• Meet ACCRED ROP'S for Admission,
Transfer and Referral/Discharge within
defined timelines
PHASE 3:
2015 (TBC)
IMPLEMENT TRANSFER
& DISCHARGE MEDREC
COMPLETE MED
REC FOR
ADMISSION MED REC
AMB CARE (select
AMBULATORY
CARE
patients)
WORK WITH
EDUCATIONAL
INSTITUTIONS
38
39. MedRec and Patient/Family Involvement
Patient
Engagement
Improving quality
outcomes by
effectively
engaging with
patients at the
planning and
evaluation table.
Patient &
Family Centred
Care
Communication is
key!
Improving quality
outcomes by
helping care
providers engage
effectively with
patients at the
point of care.
39
40. Collaborative Steps
Public Consultation:
• AHS Patient & Family
Advisory Group
• AHS Health Advisory
Councils
• Health Quality Council of
Alberta (HQCA) Patient &
Family Safety Advisory
Panel
• Public focus groups
40
41. What we heard!
Three main strategies emerged:
• Preference for lists
• Universal shared network
• Prompting is useful for improving
MedRec
“Create an understanding for
the need for a medication list”
“I don’t know my
medications but my
doctor does”
“…it is the responsibility of
the medical professional…to
ask the right questions and,
the responsibility of the
patient … to have the
information at hand ….”
41
42. What we heard!
Recommended strategies to inform the public
include:
• Reinforce the benefits for the patients
• Use of consistent, repeated messaging
• Use of multiple methods of exposure
• Availability of information and tools
• Consideration of various cultural contexts
42
43. Collaborative Steps
Other Stakeholder consultation:
• Provincial and Zone MedRec
content experts
• Patient Engagement experts
• Communications expert
• MedRec Working groups and
committees
• Health Quality Council of Alberta
(HQCA)
43
45. Methods to Increase Awareness
Posters &
brochures
- Healthcare
facilities
- Physician offices
- Pharmacies
Print
- Apple
Magazine
- Newspapers
- Newsletters
TV & Radio ads
Health Link
Alberta
Website
- Banners
- Medlist tools
- Med safety
info
Partnering
with other
campaigns
Public
Awareness
Social
media
45
51. Acknowledgements
•
•
•
•
•
•
•
•
•
•
•
•
•
AHS Patient & Family Advisory Group (PFAG)
AHS Health Advisory Councils
HQCA Patient & Family Safety Advisory Panel
Alberta public focus groups
AHS Knowledge Management consultants
AHS Survey & Evaluation Services
Provincial MedRec Support Working Group
Provincial MedRec Working Group
Provincial MedRec Implementation
Coordinating Committee
Zone MedRec project teams and
AHS frontline staff and physicians
Zone MedRec sponsors
Safer Healthcare Now! (ISMP Canada/CPSI)
Provincial MedRec Public
Engagement Working Group
• Public Advisor/PFAG Member
• HQCA
• AHS Communications
• AHS Patient Engagement
• AHS Provincial MedRec team
51
52. Questions
1. Raise your hand and we
may be able to open your
phone line
2. Send feedback via
the “chat” box
•
•
•
Select “All participants”
Type message
Click “Send”
All Participants
www.saferhealthcarenow.ca
54. Upcoming MedRec Webinars
March 25th, 2014 Continuing the Circle of Care: MedRec in
Community
April 8th, 2014
May 6th, 201 4
54
Making a PDiF-ference – Results of the
Pharmacy Discharge Facilitator Initiative
for high-risk medical inpatients.
UBC’s MedRec Inter-professional Event
www.saferhealthcarenow.ca