Canadian MedRec Quality Audit National Call

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Purpose of the Call:
•Introduce the quality audit month
•Describe front line experience with using audit tool and key learning
•Respond to questions about the tool and the audit month

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Canadian MedRec Quality Audit National Call

  1. 1. Canadian MedRec Quality Audit National Call October 1st, 2013 www.saferhealthcarenow.ca
  2. 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. 3. Overview • Brief review of the MedRec quality audit tool • Share the experience of two organizations who have used the audit tool • Describe the Canadian MedRec Quality Audit Month • Respond to Questions www.saferhealthcarenow.ca
  4. 4. Please complete our poll www.saferhealthcarenow.ca
  5. 5. Highlights of the MedRec Quality Audit Tool Jennifer Turple www.saferhealthcarenow.ca
  6. 6. MedRec Quality Assessment DCF 6 www.saferhealthcarenow.ca
  7. 7. June 2013 Webinar/National Call A Novel Tool to Assess the Quality of Admission MedRec Processes Jennifer Turple ISMP Canada Alex Titeu Safer Healthcare Now! Central Measurement (Patient Safety Metrics) http://www.saferhealthcarenow.ca/EN/events/NationalCalls/2013/Pages/A-Novel-Tool-toAssess-the-Quality-of-Admission-MedRec-Processes.aspx www.saferhealthcarenow.ca
  8. 8. Why focus on Admission? www.saferhealthcarenow.ca
  9. 9. Presence of an Admission MedRec /BPMH form on chart Are the processes “behind the form” of good quality? www.saferhealthcarenow.ca
  10. 10. How often are we doing everything as intended? www.saferhealthcarenow.ca
  11. 11. Selected Audit Tool Questions • Was MedRec performed? • Was the BPMH collected using more than 1 medication information source? • Was there a patient or caregiver interview to verify actual medication use? • Has every medication, as listed in the BPMH, been accounted for in the admission documentation? (i.e. are there any outstanding differences/discrepancies despite the MedRec process?) • Where differences between the admission documentation and the BPMH exist, were these differences resolved? www.saferhealthcarenow.ca
  12. 12. MedRec Audit Experiences “from the field” www.saferhealthcarenow.ca
  13. 13. My Experience with the MedRec Quality Audit Tool October 1, 2013 Béatrice Patton Patient Safety Pharmacist WRHA Quality and Patient Safety Winnipeg Regional Health Authority 13
  14. 14. Winnipeg Health Region Churchill Health Centre
  15. 15. Current WRHA MedRec audit tools Form #1 Compliance Form #2 Overall quality of completeness Collating results manually
  16. 16. Future WRHA MedRec audit tool What is not to like?  ONE reporting form  Easy to use/complete  Simple to submit  Focuses on the QUALITY of admission MedRec processes  Collated results available within minutes in system!  Automated reports accessible to sites/organization
  17. 17. The Raw Data
  18. 18. The Quality Measures
  19. 19. The Score
  20. 20. Expected results Actual results 60-80% compliance with MedRec admission form All pre-admission patients interviewed for medication use At least 1 info source used (most commonly DPIN) 100% of patients audited had a completed form in chart 7/10 patients had a medication history taken with patient 6/7 who had a pt interview, also had one other info source Missing components in in medication information Not all meds reconciled (ie. decision box not checked off) >75 % rationale for holding Each medication was complete! All meds were assessed/ reconciled! 2/10 patients had a rationale provided 100% “reconciled”/completed at only 1/10 met perfect QA score admission deficiencies in process!
  21. 21. The Next Steps Plan for improvement:  Pre-admission clinic:  Use one information source along with patient interview  Indicate “unable to perform” on form when patients unreliable/unable (need section on form)  Surgeons/HMOs  Communicate importance of indicating rationale for holding/discontinuing Share and celebrate results with the orthopedic team:  Great job in completing the MedRec admission form (completeness of medication information, capturing information source, reconciliation)
  22. 22. Interior Health Interior Health Quality Audit Med Rec Geoff Schierbeck Quality Consultant Interior Health Geoff.schierbeck@interiorhealth.ca Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia.
  23. 23. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  24. 24. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  25. 25. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  26. 26. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  27. 27. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  28. 28. Interior Health Authority Is the BPMH based on greater than 1 source? Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  29. 29. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  30. 30. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  31. 31. Interior Health Authority Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
  32. 32. MedRec Quality Audit Month • During the month of October, we are challenging all acute and long-term care organizations to audit their established processes for MedRec at admission. • Auditing the process will help to identify areas of excellence and areas for improvements. Measurement is critical in the journey to improve the delivery of safe and effective care for patients. • The purpose of the Canadian MedRec Audit Month is to encourage acute care and long term care organizations to: • Qualify and quantify how they are performing the basics tenets of the admission MedRec process, • Use the Canadian MedRec Audit data collection/audit tool to inform admission MedRec process improvements, • Use Patient Safety Metrics System* to view and analyze collated results. www.saferhealthcarenow.ca
  33. 33. October is MedRec Quality Audit Month! Want to participate? HERE’s HOW…. www.saferhealthcarenow.ca
  34. 34. STEP  Determine your eligibility to use this audit tool. You should: 1- Have an implemented ADMISSION MedRec process and 2- Have a MedRec process follows an Acute Care OR Long Term Care model. www.saferhealthcarenow.ca
  35. 35. STEP  Consider which care areas you would like to audit and how you might wish to group/analyze the audit results. For example, would you like to collect and analyze audit data from multiple units?, across multiple sites?, across a region? www.saferhealthcarenow.ca
  36. 36. MedRec Quality Assessment DCF 36 www.saferhealthcarenow.ca
  37. 37. STEP  Register/Enroll to participate in Canadian MedRec Quality Audit Month. Free to participate, by registering you are committing auditing your admission MedRec process during the month of October. https://secure.e-registernow.com/cgibin/mkpayment.cgi?MID=1527&state=step2direct&e vent=500000274139982 www.saferhealthcarenow.ca
  38. 38. Registration The information entered here allows the Patient Safety Metrics team to help build your area specific data collection forms/audit tool www.saferhealthcarenow.ca
  39. 39. STEP  Access your audit tool Either you can: • Receive your audit tool from the Patient Safety Metrics team via email OR • Generate your tool yourself, via the Patient Safety Metrics System www.saferhealthcarenow.ca
  40. 40. Generating Audit Tool/Data Collection Form 1. Login into Patient Safety Metrics site: https://shn.med.utoronto.ca/metrics/Login.aspx 2. Select the Data tab 3. Select the Intervention for which you wish to add Either by selecting the intervention from the list or selecting the intervention from the intervention tab 4. Click the Add new Data Collection Form button 5. Select the Survey from the drop-down menu, along with any applicable attributes such as In/Out, Adult/Paediatrics, Age Group, Program, Service, Unit/Site, Procedure, or Patient Sample. Please fill-out all as much information as possible. This will allow for better data roll-up and drill-down for reporting. 6. Click the Save button to add the new data collection form. www.saferhealthcarenow.ca
  41. 41. STEP  Choose a sampling approach The number of charts you audit and the method you choose to select patients for auditing is up to the end user. We would suggest a minimum of 10-20 charts be audited, and that these charts be randomly selected. www.saferhealthcarenow.ca
  42. 42. STEP  Complete the audit Follow the guidance for completion of the tool as provided on the June 18th, 2013 webinar: http://www.saferhealthcarenow.ca/EN/events/Nation alCalls/2013/Pages/A-Novel-Tool-to-Assess-theQuality-of-Admission-MedRec-Processes.aspx www.saferhealthcarenow.ca
  43. 43. STEP  Submit your results (via fax) to the patient safety metrics system Using a high resolution setting, fax your audit tool to the number found on bottom of the audit tool www.saferhealthcarenow.ca
  44. 44. Questions? 44 www.saferhealthcarenow.ca
  45. 45. 3 ways to ask a question via Webex  Under participants panel, raise your hand by clicking on the hand icon. If you have a phone icon beside your name we can unmute your line enabling you to ask your question “live” Type your question in the chat box, select “all participants” from the drop down and click “send” Type your question in the “Q & A” box 45 All Participants www.saferhealthcarenow.ca
  46. 46. We are here to help! Key Contacts: ISMP Canada MedRec Team medrec@ismp-canada.org www.ismp-canada.org/medrec CPSI Central Measurement Team metrics@saferhealthcarenow.ca Virginia Flintoft - 416-946-8350 Alexandru Titeu - 416-946-3103 Key Links: Patient Safety Metrics System: https://shn.med.utoronto.ca/metrics/Login.aspx June 18th Audit Tool Call Slides/Recording: http://tinyurl.com/puxq8cj Registration Page for MedRec Audit Month: http://tinyurl.com/pox49bf www.saferhealthcarenow.ca
  47. 47. Please complete our poll www.saferhealthcarenow.ca
  48. 48. October 28th -November 1st, 2013. October 30th Theme: Medication Safety: Across the Continuum Program Includes: •Implementing Med Rec Successfully. The New Paper to Electronic Toolkit 12:15 pm MT / 2:15 pm ET Dr. Andre Kushnirik, Professor, School of Health Information Science, University of Victoria; Adjunct Associate Professor, University of Toronto Faculty of Medicine and the Mt. Sinai School of Medicine, New York •Engaging Consumers in Medication Safety: Results of three years of consumer error reporting program and planned plain language labeling project 11:00 am MT / 1:00 pm ET Lynn Riley, Medication Safety Specialist and Educator, Institute for Safe Medication Practices Canada (ISMP Canada) •The Canadian MedRec Admission Quality Audit Results 12:40 pm MT / 2:40 pm ET Hugh McLeod, CEO, Canadian Patient Safety Institute Full details available at: http://www.patientsafetyinstitute.ca/english/news/canadasforumpatientsafety/pages/defa ult.aspx www.saferhealthcarenow.ca

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