CMH Medication Reconciliation Journey 2011
•Download as PPTX, PDF•
0 likes•1 view
Citizens Memorial Healthcare developed a medication reconciliation process across multiple departments and sites of care. An action plan established teams to map current medication reconciliation workflows and identify weaknesses. Staff received education on the new process, which focused on stopping the practice of automatically resuming all medications and improving electronic listing and reconciliation of medications during transfers. The process was initially rolled out in the Emergency Department and then to other areas over time. Participation in a national collaboration helped identify additional issues like lack of reconciliation during transfers. Ongoing efforts aim to strengthen the process through continued education, community outreach, and use of the electronic medical record.
Report
Share
Report
Share
![Designing the Process ,[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
Integrating a certified diabetes educator (cde) (2)
The document discusses integrating a Certified Diabetes Educator (CDE) into existing home care programs using telehealth to improve access to preventative diabetes care. Key aspects include using monitoring devices and the AADE7 system to remotely collect patients' clinical data, vital signs, and survey responses in their home which are sent securely to a care team including a CDE. The care team then monitors the data daily and contacts patients and providers if measures fall outside limits to intervene earlier using a multi-disciplinary approach.
How to achieve the NICE guidelines on Managing Medicines in Care Homes
The NICE Quality Standard on Managing Medicines in Care Homes is due for publication in March 2015. A NICE Quality Standard is a concise set of statements designed to drive and measure improvements in quality. They are based on national guidelines (including NICE guidelines which consist of around 90 recommendations) and can be used to review services, highlight areas where quality needs to be improved and offer suggestions as to how this can be achieved.
Using Technology to Address Medication Errors by John Chee,
Using Technology to Address Medication Errors by John Chee,Using Technology to Address Medication Errors
Computerized Physician Order Entry: A Case Study
Dr. Pappas describes the planning, implementation, and lessons learned of a Computerized Physician Order Entry (CPOE) launch at a small community hospital in Chicago, IL. He shares his experience as the director overseeing the project, its challenges and solutions. The goal of his presentation gives administrators, providers, and analysts information on what to expect when trying to implement CPOE and Health Information Systems.
skills resume
Carol Schnadenberg has over 25 years of experience as a registered nurse with expertise in clinical supervision, performance improvement, and technology. She has instituted programs to reduce readmissions and improve medication compliance. She has held roles as a clinical supervisor, ICU nurse, and home health field nurse. She has experience with medical software including EPIC, Meditech, and Microsoft Office applications. She holds a Master's in Health Administration and Bachelor's in Liberal Studies.
medication reconciliation
The document discusses medication reconciliation and errors. It notes that adverse drug events are common in hospitals and can result in harm or death. A study found over 50% of patients had at least one unintentional medication discrepancy upon admission. The challenges include a lack of standardized processes and clear ownership when patients transition between care settings. The document proposes interventions like education, standardized workflows, technology solutions, and policies to fully implement a medication reconciliation program across nursing, pharmacy, physicians, and patients to reduce errors and discrepancies.
Quality Improvement in HIV Clinics
One in every 20 adults in Uganda lives with HIV/AIDS. The Healthcare Improvement Project works to improve healthcare quality and efficiency in countries like Uganda that have a shortage of healthcare workers. The project uses a collaborative approach where teams of healthcare workers identify inefficient processes, develop improvements, and share results with other teams. An evaluation of the project's Data Management Collaborative in Uganda found that clinics significantly reduced record retrieval times and clinic hours through quality improvement interventions. A cost-benefit analysis showed the project provided a net benefit of over $82,000 per year.
Electronic health record
Electronic health records (EHR), also known as electronic computer charting (ECC), allows multiple healthcare providers to view and contribute to a patient's record simultaneously. EHR streamlines documentation by standardizing assessments and includes nursing notes, care plans, and reports from therapy and dietary departments. While EHR eliminates lost records and facilitates data analysis, drawbacks include a lack of electronic physician notes and inability to share records with certain external providers like laboratories. The document recommends fully integrating EHR across specialties and providing 24/7 support to address issues.
Recommended
Integrating a certified diabetes educator (cde) (2)
The document discusses integrating a Certified Diabetes Educator (CDE) into existing home care programs using telehealth to improve access to preventative diabetes care. Key aspects include using monitoring devices and the AADE7 system to remotely collect patients' clinical data, vital signs, and survey responses in their home which are sent securely to a care team including a CDE. The care team then monitors the data daily and contacts patients and providers if measures fall outside limits to intervene earlier using a multi-disciplinary approach.
How to achieve the NICE guidelines on Managing Medicines in Care Homes
The NICE Quality Standard on Managing Medicines in Care Homes is due for publication in March 2015. A NICE Quality Standard is a concise set of statements designed to drive and measure improvements in quality. They are based on national guidelines (including NICE guidelines which consist of around 90 recommendations) and can be used to review services, highlight areas where quality needs to be improved and offer suggestions as to how this can be achieved.
Using Technology to Address Medication Errors by John Chee,
Using Technology to Address Medication Errors by John Chee,Using Technology to Address Medication Errors
Computerized Physician Order Entry: A Case Study
Dr. Pappas describes the planning, implementation, and lessons learned of a Computerized Physician Order Entry (CPOE) launch at a small community hospital in Chicago, IL. He shares his experience as the director overseeing the project, its challenges and solutions. The goal of his presentation gives administrators, providers, and analysts information on what to expect when trying to implement CPOE and Health Information Systems.
skills resume
Carol Schnadenberg has over 25 years of experience as a registered nurse with expertise in clinical supervision, performance improvement, and technology. She has instituted programs to reduce readmissions and improve medication compliance. She has held roles as a clinical supervisor, ICU nurse, and home health field nurse. She has experience with medical software including EPIC, Meditech, and Microsoft Office applications. She holds a Master's in Health Administration and Bachelor's in Liberal Studies.
medication reconciliation
The document discusses medication reconciliation and errors. It notes that adverse drug events are common in hospitals and can result in harm or death. A study found over 50% of patients had at least one unintentional medication discrepancy upon admission. The challenges include a lack of standardized processes and clear ownership when patients transition between care settings. The document proposes interventions like education, standardized workflows, technology solutions, and policies to fully implement a medication reconciliation program across nursing, pharmacy, physicians, and patients to reduce errors and discrepancies.
Quality Improvement in HIV Clinics
One in every 20 adults in Uganda lives with HIV/AIDS. The Healthcare Improvement Project works to improve healthcare quality and efficiency in countries like Uganda that have a shortage of healthcare workers. The project uses a collaborative approach where teams of healthcare workers identify inefficient processes, develop improvements, and share results with other teams. An evaluation of the project's Data Management Collaborative in Uganda found that clinics significantly reduced record retrieval times and clinic hours through quality improvement interventions. A cost-benefit analysis showed the project provided a net benefit of over $82,000 per year.
Electronic health record
Electronic health records (EHR), also known as electronic computer charting (ECC), allows multiple healthcare providers to view and contribute to a patient's record simultaneously. EHR streamlines documentation by standardizing assessments and includes nursing notes, care plans, and reports from therapy and dietary departments. While EHR eliminates lost records and facilitates data analysis, drawbacks include a lack of electronic physician notes and inability to share records with certain external providers like laboratories. The document recommends fully integrating EHR across specialties and providing 24/7 support to address issues.
Electronic health record
Electronic health records (EHR), also known as electronic computer charting (ECC), allows multiple healthcare providers to view and contribute to a patient's record simultaneously. EHR streamlines documentation by standardizing assessments and includes nursing notes, care plans, and reports from other departments. While EHR eliminates lost records and facilitates data analysis, drawbacks include a lack of full integration between the EHR system and doctors, labs, pharmacies and other providers. The document recommends expanding EHR adoption across specialties and providing 24/7 support to address issues.
2FINAL LHCO Sheet
The document provides examples of career paths and positions that graduates of the Leadership of Healthcare Organizations program may pursue. It lists various administrative, management, and clinical roles at different levels from mid-level management to executive management. It also notes local companies where graduates have been employed, including hospitals, clinics, and healthcare organizations. Finally, it shows data on the timespan within which graduates changed careers after receiving their degree, with most changes occurring within 2 years.
League Health Plan - Amwell Telehealth
A look at how WEA Trust's partnership with Amwell provides a convenient and cost-effective way to see a doctor from anywhere. 24 hours a day, 7 days a week.
Cpoe Clinical Case
1) The document discusses strategies for increasing physician adoption of computerized physician order entry (CPOE) at hospitals, including establishing leadership support and messaging the clinical benefits to patients.
2) It recommends emphasizing how CPOE can reduce medication errors and improve adherence to evidence-based guidelines to improve patient care.
3) Studies show CPOE can reduce medication errors by an average of 66% and significantly reduce venous thromboembolism rates through improved guideline adherence for prevention.
power point informatics
This document discusses computerized provider order entry (CPOE), which allows healthcare providers to electronically enter orders for admissions, medications, labs, and other services. CPOE aims to replace verbal and written orders and reduce errors. The document outlines the types of orders that can be entered in CPOE and who is authorized to enter them. It also discusses advantages like improved legibility and safety, and disadvantages such as increased costs and workflow changes. Overall, the document provides an overview of CPOE systems, their uses, and impact on healthcare.
How do your medication management processes weigh up?
The document discusses the benefits of electronic medication management (EMM) systems in care homes. It notes that medication errors occur in 8.4% of administration events in care homes. EMM systems can reduce errors by enforcing the six rights of administration and providing alerts. EMM also increases efficiency by eliminating paperwork, enhances governance through data analytics, and streamlines communication between care homes and pharmacies. Overall, EMM improves safety, reduces pressure on staff, and leads to better resident outcomes and experiences.
Uk benefits of medication management 160407
Electronic medication management (EMM) systems can help reduce errors, streamline processes, and improve safety and compliance in care homes. Specifically:
1. EMM reduces medication administration errors from 8.4% to near zero by automating documentation and enforcing safety checks.
2. It increases efficiency by centralizing records and alerting staff to only medications due in a given time period.
3. EMM reduces pressure on nursing staff by providing a shared electronic record for all staff to access.
4. Management gains real-time data and oversight to improve decision making and compliance. Streamlined communication between care homes and pharmacies also occurs.
5. Staff experience improved workflows with more time
Medicines Reconciliation Needs You!
This session will introduce delegates to medicines reconciliation and its role in reducing the opportunity for error and harm to patients by making sure they are given the right medicines at every stage of their care.
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient...
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient...Health IT Conference – iHT2
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient Care Innovation, Banner Health Benefits Of EHR/CPOE
Evaluation of the Benefits of Electonic Health Record Through the Dimensons of Cost, Access, and Quality
Info
Nurse managers play a key role in healthcare reform efforts by guiding the implementation and use of new technologies like electronic health records to increase efficiency and reduce costs. As healthcare organizations collect more patient data every day, nurse managers must develop knowledge worker skills to properly analyze the large amounts of information and apply the findings to improve patient care delivery and outcomes on their units. Nurse managers work with informatics nurses and their own staff to determine what specific data should be prioritized and how technology can best support the unique needs of each patient care area.
Part 1
The document discusses problems with the current healthcare system including long wait times, lack of access to patient information, and poor communication between providers. It identifies that patients often lack health information and there is no standardized IT system to share data. A proposed solution is a national patient database that would give authorized healthcare providers up-to-date patient information to improve coordination and allow for more informed care decisions. The expected benefits include increased efficiency, reduced wait times, and improved health outcomes.
Improving efficiencies in medication reconciliation: The McGill Story
Improving efficiencies in medication reconciliation: The McGill StoryCanadian Patient Safety Institute
The document discusses challenges in medication reconciliation and potential benefits of using IT-enabled solutions. It describes research from McGill University that developed an electronic medication reconciliation application called RightRx, which integrated with the Quebec health insurance database to retrieve patient medication histories and automate communication of changes to community providers. The research found that automated retrieval of community medication lists and integration with computerized provider order entry can reduce medication discrepancies and potential adverse drug events.Measure the Improvement
This document discusses measurement for quality improvement in healthcare. It defines measurement as the systematic collection of quantifiable data over time or at a single point in time about processes and outcomes. The purpose of measurement is to identify areas for improvement, track performance changes, and focus efforts on strategic priorities. The document recommends measuring effectiveness, efficiency, and factors that support strategic goals using simple metrics developed with employee input. Examples provided include measures for length of stay, patient satisfaction, and infection rates. Cause-and-effect diagrams and a framework for cascading measures across different system levels are also presented.
Sr infographic automating ed followup - sept2014
This document discusses the challenges facing emergency departments, including increasing patient volumes, pressure to improve satisfaction scores, and changes to reimbursement policies. It proposes automating patient follow-up after discharge as a solution to check on patients' progress, engage with them about care, and manage high-utilizing patients more efficiently. Hospitals that have implemented automated follow-up saw improved satisfaction scores, better patient care, and increased organizational efficiency.
SCIP HF Results
This document summarizes the results of a SCIP/HF Project at Primaris. It discusses measures related to heart failure, infections, blood clots, and best practices implemented around continuing medications, flagging patients in medical records, automatic stop alerts for antibiotics, and VTE risk assessment alerts. The project involved focused metric review, providing performance feedback to physicians, identifying documentation issues, promoting awareness, and enlisting physician champions. Physician report cards and unit competition were used to encourage quality improvement.
League Health Plan - Reclaiming Healthcare
WEA Trust is reclaiming healthcare by focusing on providing high quality, affordable, and appropriate care for its members. This includes carefully selecting physicians and systems that provide good value, denying unnecessary or inappropriate care, working with providers to standardize care, and being smarter about healthcare spending through data analytics. The Trust also seeks to empower patients and anticipate their future needs. It aims to steward resources well by changing how hospitals are paid and reducing waste. The pharmacy department further delivers value through ensuring low net drug costs, formulary management, and specialty drug strategies that balance costs with safety.
Electronic Medication Reconciliation - Improving patient safety through e-med...
Electronic Medication Reconciliation - Improving patient safety through e-med...Health Informatics New Zealand
This document discusses implementing electronic medication reconciliation (eMR) to improve patient safety during transitions of care. eMR embeds the medication reconciliation process within electronic systems used at admission, transfer, and discharge. Pilot programs at two District Health Boards saw improvements like fewer medication errors and increased accuracy and completeness of medication information. Challenges included engaging doctors and changes to workflows. Ongoing efforts are needed for regional clinical information sharing and electronic prescribing across care settings.Fronzi (Ghc)
The document discusses initiatives at Group Health Centre to improve patient care through health information technology innovations. It describes the implementation of an electronic medical record system (EMR XTRA) that allows pharmacists to access patient information, increasing collaboration between pharmacists and physicians. An evaluation found the program improved quality of care by identifying more drug-related problems and increasing medication management recommendations. The document also discusses preparing for electronic prescribing (ePrescribing) to further enhance coordination and safety of patient care.
Nursing process and documentation
The document discusses the nursing process and documentation. It describes the 5 steps of the nursing process as assessment, diagnosis, planning, implementation, and evaluation. It then explains each step in detail including types of assessments, sources of data, nursing diagnoses, care planning, interventions, and evaluation. The document also discusses principles of documentation, various documentation systems, and specific documentation tools like progress notes and discharge summaries.
Using Patient Registries and Automated Patient Outreach to Qualify for NCQA L...
The document discusses using patient registries and automated patient outreach to help medical practices qualify for level 3 recognition as a patient-centered medical home according to NCQA standards. It describes how the Phytel system can mine practice data to identify patients for recommended care, contact patients via automated outreach scripts, and generate reports on quality measures and financial results to document improved performance. Using these tools helped one practice profiled achieve the highest level of NCQA medical home qualification.
Critical Success Factors For Physician Adoption Of Emr & Ehr August 2010
Critical Success Factors For Physician Adoption Of Emr & Ehr August 2010Joseph Mack & Associates
The document discusses critical success factors for physician adoption of electronic medical records (EMRs) and electronic health records (EHRs). It argues that EMR/EHR initiatives often focus too much on external compliance demands rather than empowering physicians with meaningful internal information. For physicians to fully embrace EMR/EHRs, the technology needs to provide data that helps improve clinical outcomes, mitigate malpractice risks, and enhance the revenue cycle, rather than just meeting regulatory requirements. Successful adoption depends on using information to continuously improve operations from within the practice.More Related Content
What's hot
Electronic health record
Electronic health records (EHR), also known as electronic computer charting (ECC), allows multiple healthcare providers to view and contribute to a patient's record simultaneously. EHR streamlines documentation by standardizing assessments and includes nursing notes, care plans, and reports from other departments. While EHR eliminates lost records and facilitates data analysis, drawbacks include a lack of full integration between the EHR system and doctors, labs, pharmacies and other providers. The document recommends expanding EHR adoption across specialties and providing 24/7 support to address issues.
2FINAL LHCO Sheet
The document provides examples of career paths and positions that graduates of the Leadership of Healthcare Organizations program may pursue. It lists various administrative, management, and clinical roles at different levels from mid-level management to executive management. It also notes local companies where graduates have been employed, including hospitals, clinics, and healthcare organizations. Finally, it shows data on the timespan within which graduates changed careers after receiving their degree, with most changes occurring within 2 years.
League Health Plan - Amwell Telehealth
A look at how WEA Trust's partnership with Amwell provides a convenient and cost-effective way to see a doctor from anywhere. 24 hours a day, 7 days a week.
Cpoe Clinical Case
1) The document discusses strategies for increasing physician adoption of computerized physician order entry (CPOE) at hospitals, including establishing leadership support and messaging the clinical benefits to patients.
2) It recommends emphasizing how CPOE can reduce medication errors and improve adherence to evidence-based guidelines to improve patient care.
3) Studies show CPOE can reduce medication errors by an average of 66% and significantly reduce venous thromboembolism rates through improved guideline adherence for prevention.
power point informatics
This document discusses computerized provider order entry (CPOE), which allows healthcare providers to electronically enter orders for admissions, medications, labs, and other services. CPOE aims to replace verbal and written orders and reduce errors. The document outlines the types of orders that can be entered in CPOE and who is authorized to enter them. It also discusses advantages like improved legibility and safety, and disadvantages such as increased costs and workflow changes. Overall, the document provides an overview of CPOE systems, their uses, and impact on healthcare.
How do your medication management processes weigh up?
The document discusses the benefits of electronic medication management (EMM) systems in care homes. It notes that medication errors occur in 8.4% of administration events in care homes. EMM systems can reduce errors by enforcing the six rights of administration and providing alerts. EMM also increases efficiency by eliminating paperwork, enhances governance through data analytics, and streamlines communication between care homes and pharmacies. Overall, EMM improves safety, reduces pressure on staff, and leads to better resident outcomes and experiences.
Uk benefits of medication management 160407
Electronic medication management (EMM) systems can help reduce errors, streamline processes, and improve safety and compliance in care homes. Specifically:
1. EMM reduces medication administration errors from 8.4% to near zero by automating documentation and enforcing safety checks.
2. It increases efficiency by centralizing records and alerting staff to only medications due in a given time period.
3. EMM reduces pressure on nursing staff by providing a shared electronic record for all staff to access.
4. Management gains real-time data and oversight to improve decision making and compliance. Streamlined communication between care homes and pharmacies also occurs.
5. Staff experience improved workflows with more time
Medicines Reconciliation Needs You!
This session will introduce delegates to medicines reconciliation and its role in reducing the opportunity for error and harm to patients by making sure they are given the right medicines at every stage of their care.
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient...
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient...Health IT Conference – iHT2
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient Care Innovation, Banner Health Benefits Of EHR/CPOE
Evaluation of the Benefits of Electonic Health Record Through the Dimensons of Cost, Access, and Quality
Info
Nurse managers play a key role in healthcare reform efforts by guiding the implementation and use of new technologies like electronic health records to increase efficiency and reduce costs. As healthcare organizations collect more patient data every day, nurse managers must develop knowledge worker skills to properly analyze the large amounts of information and apply the findings to improve patient care delivery and outcomes on their units. Nurse managers work with informatics nurses and their own staff to determine what specific data should be prioritized and how technology can best support the unique needs of each patient care area.
Part 1
The document discusses problems with the current healthcare system including long wait times, lack of access to patient information, and poor communication between providers. It identifies that patients often lack health information and there is no standardized IT system to share data. A proposed solution is a national patient database that would give authorized healthcare providers up-to-date patient information to improve coordination and allow for more informed care decisions. The expected benefits include increased efficiency, reduced wait times, and improved health outcomes.
Improving efficiencies in medication reconciliation: The McGill Story
Improving efficiencies in medication reconciliation: The McGill StoryCanadian Patient Safety Institute
The document discusses challenges in medication reconciliation and potential benefits of using IT-enabled solutions. It describes research from McGill University that developed an electronic medication reconciliation application called RightRx, which integrated with the Quebec health insurance database to retrieve patient medication histories and automate communication of changes to community providers. The research found that automated retrieval of community medication lists and integration with computerized provider order entry can reduce medication discrepancies and potential adverse drug events.Measure the Improvement
This document discusses measurement for quality improvement in healthcare. It defines measurement as the systematic collection of quantifiable data over time or at a single point in time about processes and outcomes. The purpose of measurement is to identify areas for improvement, track performance changes, and focus efforts on strategic priorities. The document recommends measuring effectiveness, efficiency, and factors that support strategic goals using simple metrics developed with employee input. Examples provided include measures for length of stay, patient satisfaction, and infection rates. Cause-and-effect diagrams and a framework for cascading measures across different system levels are also presented.
Sr infographic automating ed followup - sept2014
This document discusses the challenges facing emergency departments, including increasing patient volumes, pressure to improve satisfaction scores, and changes to reimbursement policies. It proposes automating patient follow-up after discharge as a solution to check on patients' progress, engage with them about care, and manage high-utilizing patients more efficiently. Hospitals that have implemented automated follow-up saw improved satisfaction scores, better patient care, and increased organizational efficiency.
SCIP HF Results
This document summarizes the results of a SCIP/HF Project at Primaris. It discusses measures related to heart failure, infections, blood clots, and best practices implemented around continuing medications, flagging patients in medical records, automatic stop alerts for antibiotics, and VTE risk assessment alerts. The project involved focused metric review, providing performance feedback to physicians, identifying documentation issues, promoting awareness, and enlisting physician champions. Physician report cards and unit competition were used to encourage quality improvement.
League Health Plan - Reclaiming Healthcare
WEA Trust is reclaiming healthcare by focusing on providing high quality, affordable, and appropriate care for its members. This includes carefully selecting physicians and systems that provide good value, denying unnecessary or inappropriate care, working with providers to standardize care, and being smarter about healthcare spending through data analytics. The Trust also seeks to empower patients and anticipate their future needs. It aims to steward resources well by changing how hospitals are paid and reducing waste. The pharmacy department further delivers value through ensuring low net drug costs, formulary management, and specialty drug strategies that balance costs with safety.
Electronic Medication Reconciliation - Improving patient safety through e-med...
Electronic Medication Reconciliation - Improving patient safety through e-med...Health Informatics New Zealand
This document discusses implementing electronic medication reconciliation (eMR) to improve patient safety during transitions of care. eMR embeds the medication reconciliation process within electronic systems used at admission, transfer, and discharge. Pilot programs at two District Health Boards saw improvements like fewer medication errors and increased accuracy and completeness of medication information. Challenges included engaging doctors and changes to workflows. Ongoing efforts are needed for regional clinical information sharing and electronic prescribing across care settings.What's hot (18)
How do your medication management processes weigh up?
How do your medication management processes weigh up?
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient...
iHT² Health IT Summit Beverly Hills – Deborah Dahl, Vice President of Patient...
Improving efficiencies in medication reconciliation: The McGill Story
Improving efficiencies in medication reconciliation: The McGill Story
Electronic Medication Reconciliation - Improving patient safety through e-med...
Electronic Medication Reconciliation - Improving patient safety through e-med...
Similar to CMH Medication Reconciliation Journey 2011
Fronzi (Ghc)
The document discusses initiatives at Group Health Centre to improve patient care through health information technology innovations. It describes the implementation of an electronic medical record system (EMR XTRA) that allows pharmacists to access patient information, increasing collaboration between pharmacists and physicians. An evaluation found the program improved quality of care by identifying more drug-related problems and increasing medication management recommendations. The document also discusses preparing for electronic prescribing (ePrescribing) to further enhance coordination and safety of patient care.
Nursing process and documentation
The document discusses the nursing process and documentation. It describes the 5 steps of the nursing process as assessment, diagnosis, planning, implementation, and evaluation. It then explains each step in detail including types of assessments, sources of data, nursing diagnoses, care planning, interventions, and evaluation. The document also discusses principles of documentation, various documentation systems, and specific documentation tools like progress notes and discharge summaries.
Using Patient Registries and Automated Patient Outreach to Qualify for NCQA L...
The document discusses using patient registries and automated patient outreach to help medical practices qualify for level 3 recognition as a patient-centered medical home according to NCQA standards. It describes how the Phytel system can mine practice data to identify patients for recommended care, contact patients via automated outreach scripts, and generate reports on quality measures and financial results to document improved performance. Using these tools helped one practice profiled achieve the highest level of NCQA medical home qualification.
Critical Success Factors For Physician Adoption Of Emr & Ehr August 2010
Critical Success Factors For Physician Adoption Of Emr & Ehr August 2010Joseph Mack & Associates
The document discusses critical success factors for physician adoption of electronic medical records (EMRs) and electronic health records (EHRs). It argues that EMR/EHR initiatives often focus too much on external compliance demands rather than empowering physicians with meaningful internal information. For physicians to fully embrace EMR/EHRs, the technology needs to provide data that helps improve clinical outcomes, mitigate malpractice risks, and enhance the revenue cycle, rather than just meeting regulatory requirements. Successful adoption depends on using information to continuously improve operations from within the practice.Systems to Support Medicines Reconciliation at TDHB
The document discusses implementing an electronic medication reconciliation system at Taranaki District Health Board (TDHB) in New Zealand. The goals are to record and verify patient medications within 24 hours of admission, clearly communicate medication changes during and after admission, and provide medication information to patients. The system will integrate with other systems to automatically update medication records and generate discharge summaries and patient instructions. Expected benefits include reducing adverse drug events, lowering hospital costs from shorter stays, and improving communication between hospitals and primary care providers.
Innovation in Care Delivery: The Patient Journey
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
Care Plan Concept Map Workshop.ppt
The document discusses the nursing process and how it is used to create nursing care plans and concept maps. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting comprehensive patient data. Diagnosis identifies the patient's problems or nursing diagnoses. Planning determines goals and interventions. Implementation puts the plan into action. Evaluation assesses outcomes and the effectiveness of the plan. Concept maps provide an innovative way to organize patient data using diagrams of problems and interventions.
Cluster C Personality Disorders.pptx
This document provides an outline for a nursing course on critical care nursing. It begins with intended learning outcomes which are to obtain knowledge on critical care nursing, identify the goals and scope of critical care nursing, and utilize the structure-process-outcome model for nursing care.
It then discusses key topics in critical care nursing including an introduction, the goals and scope of critical care nursing practice, standards of critical care nursing, and the ADPIE model for nursing care. Sample nursing diagnoses are also provided.
Three activities are assigned which include analyzing a documentary on emergency room patients, a short quiz, and creating a scrapbook on emergency drugs required in hospitals.
Panel: Transitions of Care and ADT (without Rachel Sherman)
This document discusses using automated data feeds from hospitals to promote care coordination between primary care practices and hospitals. It describes a pilot program that implemented automated data feeds from local hospitals to notify primary care physicians and care coordinators of patient admissions and discharges. The pilot aimed to improve care coordination through increased communication and awareness of hospital utilization. Initial lessons showed the potential for improved workflows but also challenges in integrating new data and processes into clinical practice. Next steps focused on refining processes and expanding the pilot program.
Transforming the Office Management of Heart Failure Using the Chronic Disease...
Transforming the Office Management of Heart Failure Using the Chronic Disease...MedicineAndHealthUSA
This document describes a project to transform the management of heart failure patients using a chronic disease model in a family medicine residency program. It discusses shortcomings in current chronic disease management and introduces the chronic care model. The project aims to improve guideline adherence, patient education and self-management, care coordination, and use of an electronic registry to track patients and monitor outcomes. Initial lessons learned include challenges with governance approvals and achieving buy-in from part-time providers during a cultural change.2 nursing process
This document discusses the implementation phase of the nursing process. It describes implementing skills like cognitive, interpersonal, and technical skills. The process of implementing includes reassessing the client, determining if assistance is needed, implementing interventions, supervising delegated care, and documenting activities. Guidelines for implementing interventions include basing care on evidence, adapting to individual clients, ensuring safety, and encouraging client participation. The document also discusses different documentation systems like source-oriented records, problem-oriented records, and SOAP/APIE notes.
Employer Sponsored Medical Clinics white paper
Employer-sponsored medical clinics have evolved from providing only basic convenience care to playing a larger role in actively managing chronic conditions to help control employers' health care costs. Successful clinics are integrated into the employer's data-driven health strategy and hold the clinic accountable for meeting cost and productivity goals. Different clinic models provide varying levels of services from basic care to full primary care management. For an on-site clinic to be effective, employers need to analyze their claims data to identify conditions driving costs and those amenable to improved management. The Affordable Care Act has prompted some employers to reconsider clinics to help manage costs and improve access to care.
NRS110Lecture1CarePlanWorkshop.ppt
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
NRS110Lecture1CarePlanWorkshop.ppt
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
nursing process
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
powerpoint of nursing planning & intervention.ppt
The document discusses the nursing process and how it is used to create individualized care plans for patients. It outlines the 5 steps of the nursing process - assessment, diagnosis, planning, implementation, and evaluation. For each step, it provides details on how to perform that step, such as collecting comprehensive assessment data, identifying nursing diagnoses, setting goals and interventions, and evaluating outcomes. It also discusses concept maps as an alternative approach to traditional nursing care plans.
IBM Patient-Centered Medical Home Pre Launch Briefing
The document discusses the patient-centered medical home (PCMH) model for healthcare delivery. It defines key principles of the PCMH model, including having a personal primary care physician, care coordination by an interdisciplinary team, and a focus on comprehensive, high-quality care. The document argues that the PCMH model should be adopted now because the current healthcare system is broken and unsustainable due to rising costs and quality issues. It also outlines how various stakeholders could benefit from the PCMH model through things like improved health outcomes, reduced costs, and enhanced care coordination.
Care Coordination - Northwest Medical Partners
This document discusses care coordination in the medical home. It defines care coordination as organizing patient care activities between multiple participants to facilitate appropriate healthcare delivery. Effective care coordination involves numerous participants exchanging information and integrating care activities. The care coordination model aims to deliver the right services, in the right order and setting. Key elements of the model include assuming accountability for coordination, providing patient support, developing relationships and agreements with other providers, and improving connectivity through information sharing.
Medical Home Model: Patient Centered Care
The document discusses the medical home model of patient-centered primary care. It outlines the challenges currently facing primary care and describes the design principles of the medical home model, which aims to improve care coordination, access, and patient engagement. Pilot outcomes data from Group Health showed improved quality measures, patient/staff satisfaction, and reduced costs with the medical home model over 2 years.
Pleasing Patients through Coordination of Services
This document provides an agenda and overview for a presentation on coordinating patient services to improve satisfaction. The presentation discusses WellSpan Health's efforts to coordinate scheduling across different departments and systems. It outlines challenges in coordinating imaging, registration, and other services across 11 different scheduling systems. WellSpan implemented a new coordinated scheduling system to integrate these systems and resolve conflicts. This improved patient satisfaction by reducing wait times and allowing physicians to schedule from their offices. The presentation discusses expanding this coordinated approach to other areas and creating complete patient itineraries.
Similar to CMH Medication Reconciliation Journey 2011 (20)
Using Patient Registries and Automated Patient Outreach to Qualify for NCQA L...
Using Patient Registries and Automated Patient Outreach to Qualify for NCQA L...
Critical Success Factors For Physician Adoption Of Emr & Ehr August 2010
Critical Success Factors For Physician Adoption Of Emr & Ehr August 2010
Systems to Support Medicines Reconciliation at TDHB
Systems to Support Medicines Reconciliation at TDHB
Panel: Transitions of Care and ADT (without Rachel Sherman)
Panel: Transitions of Care and ADT (without Rachel Sherman)
Transforming the Office Management of Heart Failure Using the Chronic Disease...
Transforming the Office Management of Heart Failure Using the Chronic Disease...
IBM Patient-Centered Medical Home Pre Launch Briefing
IBM Patient-Centered Medical Home Pre Launch Briefing
Pleasing Patients through Coordination of Services
Pleasing Patients through Coordination of Services
More from learfield
Ctf presentation 5 8-13
This document outlines the Missouri Foundation for Child Abuse Prevention's 2013-2014 media activity plan. It details four prevention campaigns focused on never leaving children unattended in vehicles, shaken baby syndrome, parenting with patience, and strengthening families. It also outlines three donor campaigns. The foundation's media mix includes radio, print, online, and cable TV advertising statewide and in targeted areas to promote these campaigns and increase donations.
Education training 2012
This document announces an annual education law and policy training event for advocates working with students and families in South Carolina. The training will provide information on legal tools and programmatic supports available to help students achieve academic success. Specific sessions will cover school finance, special education law, bullying, charter schools, and other educational resources. The event is on March 9, 2012 from 9:00 am to 4:15 pm at Mashburn Construction Company in Columbia, South Carolina.
The Basics of Security and Risk Analysis
Quarterly scans by internal IT staff
External: Annual scans by external vendor
Patches/Updates: Patches and updates applied within 30 days
Penetration Testing: Annual external penetration testing
Monitoring: Network and systems monitored 24/7 by IT staff
Incident Response: Formal incident response plan and team
Logging/Auditing: Critical systems and firewalls centrally logged
Change Management: Formal change control process for systems
Business Continuity: Documented business continuity and disaster recovery plans tested annually
Allabout interaction
Learfield Communications provides marketing, communications, and media services for organizations through online and traditional methods. They offer long-term strategies and daily support such as social media implementation, videos, podcasts, and content production. Hiring Learfield saves expenses compared to managing an in-house team and provides expertise tailored to each organization's objectives and budget.
1 proposal mohealthybirths
Learfield InterAction will establish an online brand and identity for MO Healthy Births through social media platforms like Facebook and YouTube. They will launch a YouTube video series called "MomTalk" consisting of 9 videos total across 3 series to educate females ages 18-34 on healthy lifestyles and caring for their bodies. Additionally, they will develop a Facebook advertising campaign and keep social media content fresh with regular weekly updates focused on health news, questions from fans, discussions, tips, and facts. The goal is to attract more social media followers and build an online community around the MO Healthy Births brand.
ABCs of Million Hearts in Missouri by Dr. Janet Wright
This webinar covers details of the Million Hearts campaign, intended to prevent a million heart attacks and strokes in five years.
Missouri Sustainability Toolkit
This document provides guidance to help chronic condition self-management education programs achieve long-term sustainability. It discusses 10 key planning areas that programs should consider when developing a Growth Action Plan: revenue, marketing, referral networks, competition, service operations, evaluation, organizational support, community support, advocacy, and resource linkages. The goal is to help programs strategize to create the necessary infrastructure and community support needed for sustainable operations over the long run.
InterAction Portfolio
This document discusses services provided by Learfield InterAction related to social networking, website development, multimedia production, and mobile marketing. For social networking, they offer strategy development, content management, and customization of Facebook pages. For multimedia production, they create online experiences like videos and podcasts. For website development, they assist with setup, content production, and management. For mobile marketing, they offer apps, QR codes, and location-based services. Examples of past projects include Facebook ad campaigns and videos showcasing soybean farmers.
RN-BSN Rural Nurse Initiative for Missouri
The document discusses challenges facing rural health and strategies of the UMKC Rural Nurse Initiative to address them. Rural areas have worse health outcomes due to lower access to care and resources. The initiative aims to increase the number of rural nurses through an online RN-BSN program that incorporates rural health concepts, provides technology support, and uses virtual practicums with rural and urban student collaboration on community health projects. Graduates gain skills to improve rural health outcomes through expanded nursing roles, teamwork, and application of technology and evidence-based practice.
MBQIP 2011 Missouri
The Flex Program provides cost-based reimbursement for critical access hospitals (CAHs) through two components: state rural health plans and CAH certification. Originally, the program aimed to develop rural health networks and improve quality of care. Over time, more hospitals were certified as CAHs. Currently, CAHs make up 26% of community hospitals and 66% of rural hospitals. Quality reporting through measures like pneumonia and heart failure processes of care is increasing for CAHs.
Welcome to Grant Writing Basics
This document provides guidance on writing grants for rural programs. It discusses why organizations should pursue grant funding and covers key aspects of developing a successful grant application such as conducting needs assessments, organizing teams, developing budgets and timelines, evaluating proposed projects, and finding potential funding sources. The document emphasizes clearly articulating the problem, proposed solution, and impact of funded projects and engaging stakeholders throughout the process. Overall, it aims to equip rural organizations with best practices for securing needed grant money to support their work.
Those Who Lead for RHC
The document discusses leadership and vision. It defines two types of leaders - those with power and authority defined by their title, and those who inspire others through their vision and beliefs. True leadership requires having a vision and inspiring others to believe in that vision. The document outlines five competencies of leadership - modeling the way, inspiring a shared vision, challenging the process, enabling others to act, and encouraging the heart. It emphasizes that leaders must live according to the values and principles they espouse, enlist others to support their vision, take risks and learn from failures, empower others, and recognize contributions. Hiring and attracting people based on shared beliefs and values is key to effective leadership.
Biographical Sketches
The document provides biographical notes on several speakers at the Rural Hospital Conference at the Inn at Grand Glaize on June 2, 2011. It summarizes the professional backgrounds and experiences of Rae Lee, Nancie McAnaugh, Jeff Tindle, Paul David Moore, Clark Conover, Dorothy Andrae, Nancy Fredrich, Aileen Kelley, Michelle Cahow, Pam Karr, Karen Clover, Lisa Twidwell, Missy Sutton, Bob Copeland, Teryl Eisinger, and Stephanie Hansen.
Electronic Medication Reconciliation
This document discusses electronic medication reconciliation at Phelps County Regional Medical Center. It provides screenshots of the electronic medication reconciliation process when a patient presents to the emergency department, is admitted to the hospital floor, is transferred within the hospital, and at discharge. It notes the challenges of medication reconciliation including a patient's ability to recall their medications, language barriers, stress of transitions of care, and ensuring accurate and complete medication histories. It also discusses a new challenge of transitioning to an electronic health record for medication reconciliation and the complexity and compliance needed to use the electronic system efficiently.
Implementing Electronic Medical Records
CCMH implemented an electronic medical record (EMR) system from Cerner in September 2010 to improve patient care, comply with government incentives, and modernize their outdated system. They chose Cerner due to its experience, certification for meaningful use incentives, and software as a service model which reduced IT costs and responsibilities. While implementation challenges included changing staff workflows and technology skills, benefits included improved quality of care, operational efficiencies from reduced paperwork and faster access to records, and participation in meaningful use attestation programs.
HIT Network Readiness Assessment
The document is a self-assessment tool created by the National Rural Health Resource Center for health information technology (HIT) networks to evaluate their organizational strengths and weaknesses. The tool consists of 25 statements across 7 sections that represent key components for a successful HIT network, including leadership, strategic planning, network members, evaluation, workforce and technology, processes, and impact. Network leaders can use the tool to identify areas for improvement by indicating on a scale of 1 to 5 how well each statement reflects their current position. The tool is intended to help HIT networks target their technical assistance needs to move faster in building their network capabilities.
MO HIT Assistance Center Rural Hospital presentation
The document summarizes the services provided by a Regional Extension Center (REC) in Missouri to assist healthcare providers with adopting and using electronic health records (EHRs). The REC provides technical assistance, training, and guidance to help providers select and implement EHR systems, redesign workflows to optimize EHR use, and achieve meaningful use incentives. It has helped over 1,100 primary care providers and 55 rural hospitals to date. Key services include vendor selection, implementation support, workflow redesign, user training, and helping providers meet meaningful use criteria.
CMH Medication Reconciliation Journey 2011
Citizens Memorial Healthcare developed a medication reconciliation process across multiple departments and business units from 2008-2010. Key steps included establishing multidisciplinary teams to map out current medication reconciliation workflows, identify weaknesses, and design improvements. The initial process focused on education of clinical staff and a standardized approach to medication reconciliation at admission, discharge, and transfer. Over time the process was expanded and refined, including rolling out new electronic tools, ongoing education, and participation in a national collaboration to further enhance the medication reconciliation process system-wide. Lessons learned highlighted the importance of an accurate and accessible "source of truth" for medications, as well as ensuring all parts of the process are completed to avoid potential errors.
NHSC 101
The National Health Service Corps (NHSC) provides financial support like loan repayment and scholarships to health care providers in exchange for working in underserved areas. It supports over 8,000 providers across 10,000 sites. The NHSC falls under HRSA and aims to build healthy communities with limited access to care. It offers loan repayment up to $170,000 for 5 years of service as well as scholarships for students pursuing primary care careers.
SHIP Overview
The document provides an overview of the Small Rural Hospital Improvement Program (SHIP) for fiscal year 2011. It discusses the program purpose and use of funds, hospital eligibility requirements, available funding amounts, and the revised application and funding process. New funding categories for FY2011 include value-based purchasing, accountable care organizations, payment bundling, and ICD-10 training. The document also outlines reporting requirements and a vendor request for payment form hospitals can use to invoice for funds.
More from learfield (20)
ABCs of Million Hearts in Missouri by Dr. Janet Wright
ABCs of Million Hearts in Missouri by Dr. Janet Wright
MO HIT Assistance Center Rural Hospital presentation
MO HIT Assistance Center Rural Hospital presentation
Recently uploaded
biomechanics of running. Dr.dhwani.pptx
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Know the difference between Endodontics and Orthodontics.
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Foundation of Yoga, YCB Level-3, Unit-1
Unit -1 of Yoga certification board, level 3, all topics covered. An exam conducted by ministry of Ayush for yoga enthusiastic students.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Nano-gold for Cancer Therapy chemistry investigatory project
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
This document outlines policies and procedures for handling narcotic and controlled drugs in NABH accredited hospitals.
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Fallopian tube blockage may cause female infertility. For treatment, herbal medicine Fuyan Pill can be a solution.
What is Obesity? How to overcome Obesity?
Obesity is a chronic complex disease defined by excessive fat deposits that can impair health.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montrealArtificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Top Travel Vaccinations in Manchester
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Recently uploaded (20)
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
CMH Medication Reconciliation Journey 2011
- 1. CITIZENS MEMORIAL HEALTHCARE MEDICATION RECONCILIATION JOURNEY 1
- 3. MIB (make it better) initiated
- 4. Team established by action plan owner, to include clinical leaders from all disciplines
- 5. Acute Care
- 7. Clinics
- 9. Pharmacy
- 10. Physicians2
- 12. Clinical staff
- 13. Information Specialists or Technicians
- 15. A process flow diagram was drawn for each discipline
- 16. Informal FMEA (failure modes effects analysis) was applied to each process, to identify weak steps or steps lending to failure3
- 18. The first step included buy in by nurses and physicians to stop using and accepting: “resume all meds”.
- 19. IS focused on designing improvements in the listing of medications, and methods for electronic med rec for transfers within the system.4
- 21. To Acute care and physicians
- 22. An admission/discharge nurse was hired, med.rec. was part of this role’s responsibility
- 23. Clinics with each visit
- 24. Home Care – learning to work with a new software program
- 25. LTC is in initial process of rolling out for admission from home 5
- 28. Annual one/one competency for nurses
- 29. Interactive Healthstream courses for nurses
- 30. One/one education with physicians
- 31. Monthly news letters with bits of med rec education 7
- 33. Printable med list on website
- 34. Articles in CMH quarterly magazine
- 35. Brief articles in newspaper or on radio
- 36. Access to med list from electronic portals
- 37. possibly from Patient Friendly registration card8
- 38. ED view accessing Reconcile Meds
- 39. ED and Inpatient Nursing view of Reconcile Meds
- 40. “Reconcile Meds” with Patient
- 41. View of Reconciled Medications
- 42. Inpatient side of Accessing Reconcile Meds
- 43. Nurses View of being in the process of Med Reconciliation
- 45. Medication Reconciliation Required Questions
- 47. Transferable or Non Transferable Meds
- 48. Physician View of Discharge Med Reconciliation
- 50. List is printed and faxed to Physician
- 51. Nurse enters the orders for the Resident
- 53. Medication List
- 55. Automatically Reconciles the Patients Medication List
- 59. We can measure completion of med rec but it is very difficult to find the resources to track accuracy
- 60. Staff becomes dependent on the system to guide the process
- 61. 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.29
- 62. For More Information or Clarification Aileen Kelley RN,BC CMH Quality Coordinator akelle@citizensmemorial.com Michelle Cahow CMH IS Specialist michelle.cahow@citizensmemorial.com 30
Editor's Notes
- 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