central ccac e-health conference 2013 medication management support services (mmss) at central ccac...
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Central CCAC
e-Health Conference 2013Medication Management Support Services
(MMSS) at Central CCAC
May 27, 2013
Mary Burello-CordovadoSenior Manager, Central CCAC
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Outstanding care – every person, every day
Central CCAC
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Meeting the challenge of increasing complexity of care needs
• Growing demand for Central CCAC services• Increasing complexity of care needs - 16% of the total
high needs patients provincially• Almost 60% of our patients are transitioning directly
from hospital (about 35,000 in 2012-2013)• Medication issues remain one of the biggest
challenges and opportunities in community care
Central CCAC
Medication Management Support Services (MMSS)
• Developed by Central CCAC in partnership with hospital and community partners
• Central CCAC qualified in December 2011 under the Medication Reconciliation Category
• Medication Reconciliation - helps providers work with patients, families and other clinicians to ensure accurate and comprehensive medication information is communicated consistently across transitions of care
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Improving patient safety in transitions in care through MMSS
• Reduces falls and improves pain management• Engages patients in their care and is an effective way• Results in safer transitions between care settings• Builds capacity in the community to deliver a wide
range of home care services• Improves quality of care for people with complex
needs, supporting them to live safely and independently
• Enables information sharing - CHRIS to MMSS
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The MMSS Process
Central CCAC
Creating new technology• Central CCAC’s secure web-based solution for MMSS
• Process improvement – exchange secure information• Reduction in workload for CCAC staff and
Pharmacists/Rapid Response Nurses/Contracted Vendors• Better accessibility and transparency of MMSS
information• Broader range of information available to Central CCAC• Improved data quality
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MMSS Technical Infrastructure
MMSS – Medication Management Support ServicesCHRIS – Client Health and Related Information SystemDMZ – Demilitarized ZoneSSL – Secure Socket Layer
Central CCAC – Central Community Care Access CentreOACCAC – Ontario Association of Community Care Access Centres
Central CCAC
Medication Inventory and Schedule
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Benefits: Process and Data• Fewer handoffs = decreased risk of errors• Complete and submit documents online – no faxing,
no printing saves time and resources• Filed document sends automated message to care
coordinators to follow-up• Better access to critical information• Transparency and compliance of process and policies• Improved data quality and reporting• IMPROVED patient OUTCOMES!
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MMSS Indicator List 2012/13
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Indicators Target Q1 Q2 Q3 Q4 TOTAL
Provide MMSS to Eligible patients at risk discharged from hospital or in the community (referrals made)
1760 544 425 412 432 1813
Unique patients served 1760 528 384 392 375 1679
% Discrepancies resolved 70% 79% 90% 90% 93 88%
% Medication related problems resolved 70% 89% 88% 87% 88% 88%
Total # of visits completed by Pharmacist 3067 885 745 698 710 3038
Reduction in medication post MMSS 850 416 219 211 235 1081
Delay from time of referral to time of service 14 days 11 days 8 days 7 days 7 days 8 days
Delay from time of referral to time of service community 14 days 14 days 10 days 8 days 8 days 10 days
Delay from time of referral to time of service hospital 7 days 7 days 6.5 days 5 days 5 days 6 days
% of patients who reported a decrease in ED VISITS post medication management
15% 82% 49% 50% 55% 67%
% of patients who reported a decrease in pain level post medication management
30% 72% 89% 69% 29% 55%
% of patients who do have a reduction in falls 30% 45% 48% 53% 52% 62%
Central CCAC
Building on the success of MMSS• Implemented to support patients returning home from
hospital who were at risk for falls, ED visits and hospital readmits due to medication adverse events• MMSS pharmacists (2009–2013)
• Spread to other high need patients with medication management needs through MMSS database• Rapid Response Nurses (2013)• Palliative Nurse Practitioners (2013)• Contracted Vendors (2013)
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Central CCAC
Discussion and Questions
View our MMSS video on www.youtube.com