continuity of medication management program · med rec lhd/shn activity ‘our med rec working...
TRANSCRIPT
Kate Roper
Medication Safety & Quality Officer
CLINICAL EXCELLENCE COMMISSION
Continuity of Medication Management Program
UPDATE
Program Timeline
2012 2013 2014 2015 2016 2017
Launch
• Gap in the NSW health system
• National Safety & Quality Health Service
Standards
• CMM Expert Advisory Group formed
Ground Work & Tools
• Baseline auditing across NSW
• Development of tools to assist
implementation of formal Med Rec
processes
Support & Specific Resources
• Regular Med Rec LHD lead teleconferences
• Site visits to support implementation
• Development of Med Rec Nursing & Midwifery
Education Package
• Continued work with eHealth NSW
Establishment
• Focus on Med Rec
• Program planning
• Needs assessment
Connecting & Raising Profile
• Med Rec Toolkit released
• Discussions with key stakeholders
• Collaboration with eHealth NSW
• Med Rec LHD leads established
Support & Piloting
• Education Package piloting,
evaluation and release
• Site visits with a focus on QI
• Continued work with eHealth
• HETI CMM module rebuild
Program Aims
• Raise awareness of medication reconciliation (Med Rec) as a patient safety priority
• See standardised Med Rec processes in place across all NSW health services
• Develop tools & resources to assist health services
• Actively support clinicians, leads & LHD/SHNs in their efforts
SINCE LAST YEAR…
Med Rec LHD/SHN Activity
‘Our Med Rec Working Party is meeting regularly’
‘Focussing on a district patient friendly medication list’
‘Working on consistency in Med Rec data collection
across the district’
‘We have been using eMR referrals to prioritise Med Rec’
‘Use of electronic patient journey boards to flag patients for Med Rec’
‘Our next steps will be to
prioritise our solutions and test using PDSA cycles’
‘Still a great need to increase clinician buy-in to complete Med
Rec in eMeds’
‘Exploring analytics within eMeds’
‘Agreeing on an executive sponsor and outlining the
vision to other LHD Executives’
‘We now have a Med Rec Lead in each facility’
‘(Med Rec) remains a priority in our district and is a standing
item on the Medication Safety Committee Agenda’
‘To encourage the attitude - this is how we do things around here
(Med Rec for all patients)’
Comments from 2016 – 2017 Med Rec LHD/SHN Lead Teleconference Meetings
Med Rec Nursing Education Package
• Development
• Piloting
• Evaluation
• Release Oct 2017
0%
10%
20%
30%
40%
50%
60%
70%
Novice Intermediate Expert
What level would you describe your knowledge regarding medication reconciliation
processes?
Pre-workshop Post-workshop
It got nurses talking about their current
processes and what is and isn’t happening
Site Visits
• Western NSW, Southern NSW, Mid North Coast, Justice Health & Forensic Mental Health Network, South Eastern Sydney, Western Sydney, Illawarra Shoalhaven
• Support local quality improvement, working party/executive meetings, observation and feedback & general advice
Collaboration with eHealth NSW
• eMeds Patient Friendly Medication List (PFML) Design Standard
• eMeds Cerner PFML design guidance
• eMeds Cerner Med Rec compliance reports:
- Completion rates
- Workflow based
• Transitions of Care (between ICU & ward)
HETI CMM eLearning Module
• Rebuild of CMM modules
- From three to one module (total 40 mins)
• Released on My Health Learning Sept 2017
Available through HETI My Health Learning - Continuity of Medication Management eLearning module (course code 157075702)
2018…
Consolidating and spreading best practice
Med Rec
Mapping Med Rec in eMeds
Data analytics in eMeds
Incorporating medication review –
Revised NSQHS Standards
Quality improvement
support
Incorporating Medication Review
– New NSQHS Standards
“In the realm of ideas everything depends on enthusiasm…
in the real world all rests on perseverance” (Johann Wolfgang von Goethe)