presentation phr medications
DESCRIPTION
TRANSCRIPT
T I F FA N Y C H E N – D N P U 7 0 2
PERSONAL HEALTH RECORDS AND MEDICATION MANAGEMENT
THE PROBLEM
THE PROBLEM
• 1.5 million adverse drug events occur each year in the United States • Each preventable adverse drug event added
$8,750 to the cost of a hospital stay• Potential cost: $3.5 billion annually• Cost to treat medication errors: $887 million
• Medication errors from medication reconciliation failures occur:• 22% at Admission• 22% at Transfer• 12% at Discharge
(IOM, 2006; JCAHO, 2008)
COMMON MEDICATION ERRORS
(Mitrzyk, 2009)
Omissions
59%
Dose Discrep-
ancy21%
Frequency Discrepancy
10%
Additional Med-ications
5%
Substitutions5%
SOLUTIONS: PARTNERSHIP
(IOM, 2006; JCAHO, 2008)
TEAMWORK
Healthcare Users
Patient/Family Users
Information Services Department (ISD)
MOBILE SOLUTION
• Track & Manage
• Organize
• Get Healthy
• Apps & Devices
(California Healthcare Foundation, 2010; McGuire, 2007; Microsoft, 2012)
INNOVATIONTHE SIX-STEP PROCESS OF USING EVIDENCE
1.ACCESS
2.TAILOR
3.RETRIEVE
4.ARCHIVE
5.SHARE
6.WRITE
INNOVATION
(Christensen, 2009; Johansson, 2006; Turvey, 2012)
REFERENCES
• Balint, M., Ball, D. H., & Hare, M. L. (1969). Training medical students in patient-centered medicine. Comprehensive Psychiatry, 10(4), 249-258. doi: 10.1016/0010-440x(69)90001-7
• Belmont, C., Akpabio, L., Engles, D., O'Hare, E., Russell, B., Richard, R. C., & Waltrip, L. (2010). Medication Reconciliation. Retrieved from http://www.dell.com/downloads/global/solutions/public/articles/medication-reconciliation-patients-care-givers.pdf
• California HealthCare Foundation. (2010). Consumers and Health Information Technology: A National Survey. Retrieved from http://www.chcf.org/publications/2010/04/consumers-and-health-information-technology-a-national-survey
• Christensen, C. M., Grossman, J. H., & Hwang, J. (2009). The Innovator's Prescription: A Disruptive Solution for Health Care. New York, NY: McGraw-Hill.
• Greenwald, J. L., Halasyamani, L., Greene, J., LaCivita, C., Stucky, E., Benjamin, B., . . . Williams, M. V. (2010). Making Inpatient Medication Reconciliation Patient Centered, Clinically Relevant and Implementable: A Consensus Statement on Key Principles and Necessary First Steps. Journal of Hospital Medicine, 5(8), 477-485.
• Institute of Medicine. (2006). Preventing Medication Errors. Retrieved from http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventing-Medication-Errors-Quality-Chasm-Series/medicationerrorsnew.pdf
• Johansson, F. (2006). Medici effect: What elephants and epidemics can teach us about innovation. Cambridge, MA: Harvard Business School Press
• Joint Commission on Accreditation of Healthcare Organizations. (2006). Using medication reconciliation to prevent errors. Joint Commission Journal on Quality and Patient Safety. 32(4), 230-2.
• McGuire, R. (2007). The power of mobility : how your business can compete and win in the next technology revolution. Hoboken, N.J.: John Wiley & Sons.
• Microsoft. (2012). Microsoft HealthVault. Retrieved from http://www.microsoft.com/global/en-us/healthvault/renderingAssets/hvClickThru/Personal/hv_final_overview_master_02.pdf
• Mitrzyk, B. M., & Ganatra, S. (2009). Conducting Medication Reconciliation. Retrieved from http://www.michiganpharmacists.org/education/online/may09_medrec.pdf
• Turvey, C. L., Zulman, D. M., Nazi, K. M., Wakefield, B. J., Woods, S. S., Hogan, T. P., . . . McInnes, K. (2012). Transfer of Information from Personal Health Records: A Survey of Veterans Using My HealtheVet. Telemedicine and E-Health, 18(2), 109-114.