74 bed hospital, 20 clinics, 5 LTC, 1 Res Care, 5 sets of independent living units, HCS/Hospice, HME, cardiac rehab, oncology/radiologyAll facilities are integrated electronically throughout the continuum of care.
MIB is the process improvement model designed and used by CMH, closely follows the PDCA model.Recognized the need to formally address NPSG – Medication Reconciliation
Education through Healthstream an electronic educational system, which allows access by staff at anytime including from home. Provides the ability to track completion and test for understanding.
Exploring methods for tracking and sharing med errrors and/or near miss events secondary to poor completion of med rec
Focus on carrying a current list of all meds, show it to physicians and pharmacists, ask for help keeping it updated. Possibly scan card for updated list.Michelle will share some of the electronic designs employed by CMH to accomplish MR
CMH Medication Reconciliation Journey 2011
CITIZENS MEMORIAL HEALTHCARE <br />MEDICATION RECONCILIATION JOURNEY<br />1<br />
Designing the Process<br /><ul><li>2008 Strategic Plan identified Med Rec as a critical process requiring an action plan.
Home Care – learning to work with a new software program
LTC is in initial process of rolling out for admission from home </li></ul>5<br />
Summer of 2010 joined the national collaboration with Primaris<br />Outlined processes again- new issues identified<br />Staff had designed “work arounds”<br />Staff focused on admission and discharge, ignoring med rec at transfer<br /><ul><li>New focus on education of nurses, physicians, community:</li></ul>6<br />
Education in process or for consideration:<br /><ul><li> New employee orientation
Lessons Learned<br /><ul><li>Staff from all business units must know where to find the “source of truth”
We can measure completion of med rec but it is very difficult to find the resources to track accuracy
Staff becomes dependent on the system to guide the process
Biggest Lesson Learned: We have a process now but if one person does not do their part completely the entire process is impacted and it is hard to identify errors.</li></ul>29<br />
For More Information or Clarification<br />Aileen Kelley RN,BC CMH Quality Coordinator<br />email@example.com<br />Michelle Cahow CMH IS Specialist<br />firstname.lastname@example.org<br />30<br />