Transcript Winnipeg Regional Health Authority

Western Node Collaborative
Winnipeg Regional Health Authority
Medication Reconciliation Project
Background
• Six acute care sites (two tertiary care
hospitals and four community hospitals),
two primary care clinics and two home
care sites
• October 2005 – December 2006
• Two seconded pharmacists (1.6FTE),
twelve nurses (0.4FTE each), one
project evaluator
Aim
• To develop and implement a regional Medication Reconciliation
Process throughout the continuum of care including: admission to
an acute care unit, referral to home care and within primary care by
December 2006
1. Decrease the mean # of undocumented intentional discrepancies by
75% by December 31, 2006
2. Decrease the mean # of unintentional discrepancies by 50% by
December 31, 2006
3. Increase the MedRec Success Index by 50% by December 31, 2006
4. Spread the MedRec admission process to 100% of Medicine/Family
medicine acute care units by December 31, 2006
5. The MedRec Process is completed within 24 hours in 90% of
patients upon admission to acute care units by December 31, 2006
Team Members
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Jan Currie (Executive Sponsor)
Rob Robson (Project Sponsor)
Nick Honcharik (Project Co-Lead)
Marilyn Kilpatrick (Project Co-Lead)
Lorraine Ogilvie (Project Manager)
Beatrice de Rocquigny (Pharmacist)
Lora Jaye Gray (Pharmacist)
• Gail Roberts (Primary Care
Nurse)
• Ruth Byquist (Primary Care
Nurse)
• Joan Ernst Drosdoski (Home
Care Nurse)
• Lori Chartrand (Home Care
Nurse)
• Dianne Fillion (Acute Care
Nurse)
• Shelley Ripley (Acute Care
Nurse)
• Brenda Gowryluk (Acute Care
Nurse)
• Angela Roy (Acute Care
Nurse)
• Leilani Clarete (Acute Care
Nurse)
• Mary Ann Driver (Acute Care
Nurse)
• Tracey Mastromonoco (Acute
Care Nurse)
• Natalie Nordin (Acute Care
Nurse)
• Keir Johnson (Project
Evaluator)
Changes Tested
• Physician order form to document home meds and
initiate inpatient med orders
• Screening physicians complete MedRec form in ER
• Service physicians complete MedRec form on
admission to pilot unit
• Nurse/physician complete MedRec form in
collaboration
• Use of home med form as a document for reference
• (NEW not tested) Modification of MedRec form to
include “new” medication orders
Keys to Success and
Lessons Learned
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Communication is vital
Physician buy-in is a must
Direction from senior management is required
Front-line staff must see the value
Important team characteristics:
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Commitment
Regular meetings and communication
Continuing education
Role clarity
Next Steps
• Reassess where we are and where we are
going
• Evaluate the need for standardization
amongst all regional sites
• Continue team building based on interim
evaluation
• Continue Med Rec education to all staff
Contact Information
Marilyn Kilpatrick, RN, MN, Co-lead
[email protected]
Rob Robson, MD, Project Sponsor
[email protected]
Nick Honcharik, Pharm D, FCSHP, Colead
[email protected]
Keir Johnson. Program
Evaluator
[email protected]
Lora Jaye Gray, Pharmacist
[email protected]
Beatrice de Rocquigny, Pharmacist
[email protected]
Lorraine Ogilvie RN, BN CQM, Project
Manager
[email protected]