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Online Medication Administration ManagementTechnology to Support Student Safety
Presented by
Vicki Taliaferro RN, BSN, NSNC
Peggy McCarthy MBA
Carol Damm MA
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Welcome
McCarthy Medical Marketing, Inc.
Founded 1987
Integrating health, education, and technology
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Agenda
1. Welcome and Introductions 5 minutes
2. Clinical Study 10 minutes
3. Examining the Data 20 minutes
4. Conclusions & Summary 5 minutes
5. Discussion 20 minutes
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Clinical Study: MedsRightGetting It Right!™
• NICHD funded
• SBIR clinical study in 6 states
• Enrolled 91 schools in 9 districts
• 80 schools completed study
• Data analysis ongoing
Alabama
Arizona
Florida
Michigan
New York
Tennessee
eMedication Administration System for Schools
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Online training• 9 Educational modules• 8 Clinical modules with return demonstration• Remote monitoring
Scheduling and documentation of meds admin• Point-of-care eMR• Remote tracking and monitoring• Customized reports generated• Data hosted in HIPAA-compliant, secure database
eMedication Administration System for Schools
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Examining the Data Collected
• Quality Assurance
• Trend Data
• Staff Development Needs
• Using Data to Market School Nurse Programs
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Examining the Data Collected Quality Assurance
Technical Issues
• Signal problems• Alternative Device provided
• Smart phone not turned on• Lack of proficiency and/or lack of confidence• Tech support resolved problems
• Database not set up to track undefined errors
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Examining the Data Collected Quality Assurance
Return Demonstration• A means to verify capability when giving meds
• Return demo was not consistently performed
• Successful when required by nurse supervisor
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Examining the Data Collected Quality Assurance
General categories of failure to administer meds as scheduled
n=646 events
%
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Examining the Data CollectedQuality Assurance
Success rates for medication administration attempts with smart phone
n=4166 scheduled meds
36.5%
63.5%
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Examining the Data Collected Trend Data
Medication dosage formulations by category as scheduled by School Nurses
n=158 formulations (type of medication and dose)
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Examining the Data Collected Trend Data
n=4166
Medication administrations by School Nurse or non-licensed staff using smart phone
34.6%65.5%
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Examining the Data Collected Trend Data
Job Tit leNo. of
Non-l icensed
Admin. Assistant 3
Asst. Principal 1
Asst. Teacher 1
Clerical Asst. 13
Health Aide 18
Principal 3
Secretary 23
Teacher 6
Other 6
Unknown 37n=111
Study participants by Job Title
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Examining the Data Collected Staff Development Needs
Study participant certification attempts of educational training
n=452
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Examining the Data Collected Staff Development Needs
Study participant certification attempts of clinical training
n=535
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Examining the Data Collected Staff Development Needs
General categories of failure to administer and document medications as scheduled
n=646 events
%
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Examining the Data Collected Using Data to Market School Nurse Programs
• The size of the medication administration program
• Quality of the program
• The significance of the program
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Examining the Data Collected Lessons Learned
• Webinar hands-on training
• Greater publicity of technical support line
• Mandate return demonstration
• User gives reason why medication not given
• Use drop down boxes and other guided selection
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Conclusions and Summary
Training of non-licensed personnel inconsistent
Validated training modules appropriate and on target
Medication administration can be inconsistent
This system reveals issues/concerns in medication administration
Nationwide mandate for electronic medical records (eMR)
GetMedsRight™ for schools complies with standards
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Online System
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Discussion
• Barriers to adopt this program?
• Value of the data?
• What data would help to market School Health?
• How could this benefit you?
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Contact Information
McCarthy Medical Marketing, Inc.
14212 NW 31st Court
Vancouver, WA 02420
phoneemail
companytraining system website
360-699-1994pmccarthy@mmmincorp.commccarthymedicalmarketing.comGetMedsRight.com