continuity of medication management program · med rec lhd/shn activity ‘our med rec working...

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)