Your SlideShare is downloading. ×
0
Medication Reconciliation Recent changes introduced by Accreditation Canada                           Safer Healthcare Now...
Required Organizational Practices                        for 2013© Accreditation Canada/Agrément Canada                   ...
Why Med Rec?    Prevent adverse drug events    Recognized by:             WHO = five patient safety challenges         ...
What is Med Rec?     Med Rec is a three-step process:      COLLECT the Best Possible Medication          History      CO...
History of MedRec    2006 = Med Rec ROP became part of the        program    2008 = Med Rec ROP requirements scaled     ...
Improved performance   ROP                                                       Compliance (%)                           ...
Why Change MedRec       Performance has improved       More support and resources available       Broader scope       ...
Consultation and Development    Extensive consultation during the development        of MedRec revisions(Mar-Nov 2012)   ...
Overview of changes:    Increased expectations for implementation    Broader definition of “service”    A two-phased ap...
Overview of changes - ROP Structure   OLD                                   REVISED    Med Rec as an organizational      ...
Medication Reconciliation as a   Strategic Priority   The organization has a strategy to partner with       clients to co...
Med Rec as a Strategic Priority:   Tests for Compliance   1. The organization has a medication reconciliation      policy ...
Med Rec as a Strategic Priority:   Tests for Compliance (continued)   4. The organizational plan is led and sustained     ...
Medication Reconciliation at Care   Transitions    With the involvement of the client, family, or     caregiver (as appro...
STANDARDS SET                            VersionAboriginal Integrated Primary Care Services                     Ambulatory...
Acute care version:   Tests for Compliance   1.      Upon or prior to admission, the team generates and documents a Best  ...
Ambulatory care version:   Tests for Compliance   1.      The organization identifies and documents the type of ambulatory...
Home and community care version:   Tests for Compliance   1. The organization identifies and documents the types of client...
Long-term care version:   Tests for compliance   1.      Upon or prior to admission, the team generates and documents a Be...
Implementation    Revised ROPs apply to on-site surveys beginning     in 2014    Implementation in one service (broadly ...
Resources    Accreditation Canada             Backgrounder             FAQ             Webcast             Webinar Se...
Proud to be a                     Top 25 Employer                 in 2010, 2011, and 2012.                   Fier de faire...
Upcoming SlideShare
Loading in...5
×

Medication Reconciliation Recent changes introduced by Accreditation Canada

1,384

Published on

Objectives:

1.Review the changes in Accreditation Canada expectations for implementing MedRec beginning in 2014.

2.Overview of changes to the ROP structure, for Medication Reconciliation ROPs in the leadership and service-based standards.

3.Direct organizations to additional information, resources, and support.

Click the link to read more http://bit.ly/10LqxjQ

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,384
On Slideshare
0
From Embeds
0
Number of Embeds
4
Actions
Shares
0
Downloads
10
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "Medication Reconciliation Recent changes introduced by Accreditation Canada"

  1. 1. Medication Reconciliation Recent changes introduced by Accreditation Canada Safer Healthcare Now! National Call March 5 2013 Heather Howley Health Services Research Specialist, Accreditation Canada Accredited by Agréé par© Accreditation Canada/Agrément Canada
  2. 2. Required Organizational Practices for 2013© Accreditation Canada/Agrément Canada 2
  3. 3. Why Med Rec?  Prevent adverse drug events  Recognized by:  WHO = five patient safety challenges  CPSI = core objective  Canadian Health Jurisdictions = key patient safety priority© Accreditation Canada/Agrément Canada 3
  4. 4. What is Med Rec? Med Rec is a three-step process:  COLLECT the Best Possible Medication History  COMPARE what the client is actually taken with what is prescribed to identify discrepancies  COMMUNICATE and resolve medication discrepancies© Accreditation Canada/Agrément Canada 4
  5. 5. History of MedRec  2006 = Med Rec ROP became part of the program  2008 = Med Rec ROP requirements scaled back due to challenges  2010 – 2012 = customization and clarity to the service level ROPs© Accreditation Canada/Agrément Canada 5
  6. 6. Improved performance ROP Compliance (%) 2009 2010 2011 Medication reconciliation as an organizational priority ---- 61 77 Medication reconciliation at admission 46 47 60 Medication reconciliation at transfer/discharge 44 36 50© Accreditation Canada/Agrément Canada 6
  7. 7. Why Change MedRec  Performance has improved  More support and resources available  Broader scope  Higher expectations = patient safety  Clarification and realignment of expectations© Accreditation Canada/Agrément Canada 7
  8. 8. Consultation and Development  Extensive consultation during the development of MedRec revisions(Mar-Nov 2012)  Drafts of the revised ROPs sent out for national consultation (Nov – Dec 2012)  Changes were implemented as a result of excellent feedback© Accreditation Canada/Agrément Canada 8
  9. 9. Overview of changes:  Increased expectations for implementation  Broader definition of “service”  A two-phased approach:  Phase 1: 2014-2017, in one service area  Phase 2: 2018 and beyond, in all service area© Accreditation Canada/Agrément Canada 9
  10. 10. Overview of changes - ROP Structure OLD REVISED  Med Rec as an organizational  Med Rec as a strategic priority priority (Leadership Standards)  2 ROPs: Med Rec at admission and  1 single ROP Med Rec at Care Med Rec at transfer/discharge transitions (service-based standards)© Accreditation Canada/Agrément Canada 10
  11. 11. Medication Reconciliation as a Strategic Priority  The organization has a strategy to partner with clients to collect accurate and complete information about client medications and utilize this information during transitions of care.© Accreditation Canada/Agrément Canada 11
  12. 12. Med Rec as a Strategic Priority: Tests for Compliance 1. The organization has a medication reconciliation policy and process to collect and utilize accurate and complete information about client medication at transitions of care. (Major) 2. The organization defines roles and responsibilities for completing medication reconciliation. (Minor) 3. The organization has a plan to implement and sustain medication reconciliation that specifies services/programs, locations and timelines. (Major)© Accreditation Canada/Agrément Canada 12
  13. 13. Med Rec as a Strategic Priority: Tests for Compliance (continued) 4. The organizational plan is led and sustained by an interdisciplinary coordination team. (Minor) 5. There is documented evidence that the organization educates staff and physicians responsible for medication reconciliation. (Major) 6. The organization monitors compliance with the medication reconciliation process, and makes improvements when required. (Minor)© Accreditation Canada/Agrément Canada 13
  14. 14. Medication Reconciliation at Care Transitions  With the involvement of the client, family, or caregiver (as appropriate), the team generates a Best Possible Medication History (BPMH) and uses it to reconcile client medications ....  Five versions:  Acute care  Ambulatory care  Home and Community care  Long-term care  Substance misuse (unchanged)© Accreditation Canada/Agrément Canada 14
  15. 15. STANDARDS SET VersionAboriginal Integrated Primary Care Services AmbulatoryAboriginal Substance Misuse Services Standards Substance MisuseAcquired Brain Injury Services AcuteAmbulatory Care AmbulatoryAmbulatory Systemic Cancer Therapy Services AmbulatoryCancer Care and Oncology Services AcuteCase Management Services Home and CommunityCommunity-Based Mental Health Services and Supports Standards Home and CommunityCorrectional Service of Canada Health Services Standards AcuteCritical Care AcuteEmergency Department AcuteHome Care Services Home and CommunityHospice, Palliative, and End-of-Life Services AcuteLong Term Care Services Long-term careMedicine Services AcuteMental Health Services AcuteObstetrics Services AcuteProvincial Correctional Health Services Standards AcuteRehabilitation Services AcuteResidential Homes for Seniors Long-term careSpinal Cord Injury Acute Services AcuteSpinal Cord Injury Rehabilitation Services AcuteSubstance Abuse and Problem Gambling Services Substance MisuseSurgical Care Services Acute© Accreditation Canada/Agrément Canada 15
  16. 16. Acute care version: Tests for Compliance 1. Upon or prior to admission, the team generates and documents a Best Possible Medication History (BPMH), with the involvement of the client, family, or caregiver (and others, as appropriate). (Major) 2. The team uses the BPMH to generate admission medication orders OR compares the Best Possible Medication History (BPMH) with current medication orders and identifies, resolves, and documents any medication discrepancies. (Major) 3. A current medication list is retained in the client record. (Major) 4. The prescriber uses the Best Possible Medication History (BPMH) and the current medication orders to generate transfer or discharge medication orders. (Major) 5. The team provides the client, community-based health care provider, and community pharmacy (as appropriate) with a complete list of medications the client should be taking following discharge. (Major) *Special consideration in emergency departments© Accreditation Canada/Agrément Canada 16
  17. 17. Ambulatory care version: Tests for Compliance 1. The organization identifies and documents the type of ambulatory care visits where medication reconciliation is required. (Major) 2. For ambulatory care visits where medication reconciliation is required, the organization identifies and documents how frequently medication reconciliation should occur. (Major) 3. During or prior to the initial ambulatory care visit, the team generates and documents the Best Possible Medication History (BPMH), with the involvement of the client, family, caregiver (as appropriate). (Major) 4. During or prior to subsequent ambulatory care visits, the team compares the Best Possible Medication History (BPMH) with the current medication list and identifies and documents any medication discrepancies. This is done as per the frequency documented by the organization. (Major) 5. The team works with the client to resolve medication discrepancies OR communicates medication discrepancies to the client’s most responsible prescriber and documents actions taken to resolve medication discrepancies. (Major) 6. When medication discrepancies are resolved, the team updates the current medication list and retains it in the client record. (Major) 7. The team provides the client and the next care provider (e.g., primary care provider, community pharmacist, home care services) with a complete list of medications the client should be taking following the end of service. (Major)© Accreditation Canada/Agrément Canada 17
  18. 18. Home and community care version: Tests for Compliance 1. The organization identifies and documents the types of clients who require medication reconciliation. (Major) 2. At the beginning of service the team generates and documents a Best Possible Medication History (BPMH), with the involvement of the client, family, health care providers, and caregivers (as appropriate). (Major) 3. The team works with the client to resolve medication discrepancies OR communicates medication discrepancies to the client’s most responsible prescriber and documents actions taken to resolve medication discrepancies. (Major) 4. When medication discrepancies are resolved, the team updates the current medication list and provides this to the client or family (or primary care provider, as appropriate) along with clear information about the changes. (Minor) 5. The team educates the client and family to share the complete medication list when encountering health care providers within the client’s circle of care. (Major)© Accreditation Canada/Agrément Canada 18
  19. 19. Long-term care version: Tests for compliance 1. Upon or prior to admission, the team generates and documents a Best Possible Medication History (BPMH), in consultation with the resident, family, health care providers, and caregivers (as appropriate). 2. The team compares the Best Possible Medication History (BPMH) with the admission orders and identifies, resolves, and documents any medication discrepancies. 3. The team uses the reconciled admission orders to generate a current medication list that is kept in the resident record. 4. Upon or prior to re-admission from another service environment (e.g., acute care), the team compares the discharge medication orders with the current medication list and identifies, resolves, and documents any medication discrepancies. 5. Upon transfer out of long-term care, the team provides the resident and next care provider (e.g., another long-term care facility or community- based health care provider), as appropriate, with a complete list of medications the resident should be taking.© Accreditation Canada/Agrément Canada 19
  20. 20. Implementation  Revised ROPs apply to on-site surveys beginning in 2014  Implementation in one service (broadly defined) is expected for on-site surveys between 2014 and 2017.  For services that use standards that contain an applicable MedRec ROP  Implementation in all services is expected for on- site surveys in 2018 and beyond  For services that use standards that contain an applicable MedRec ROP© Accreditation Canada/Agrément Canada 20
  21. 21. Resources  Accreditation Canada  Backgrounder  FAQ  Webcast  Webinar Series  Accreditation Specialist  MedRec@accreditation.ca  Safer Healthcare Now! Getting Started kits© Accreditation Canada/Agrément Canada 21
  22. 22. Proud to be a Top 25 Employer in 2010, 2011, and 2012. Fier de faire partie des 25 meilleurs employeurs en 2010, 2011 et 2012.© Accreditation Canada/Agrément Canada© Accreditation Canada/Agrément Canada 22
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×