Canadian MedRec Quality Audit National Call
-
Upload
canadian-patient-safety-institute -
Category
Health & Medicine
-
view
1.671 -
download
0
description
Transcript of Canadian MedRec Quality Audit National Call
www.saferhealthcarenow.ca
Canadian MedRec Quality Audit National Call
October 1st, 2013
www.saferhealthcarenow.ca
Welcome to our francophone attendees
Bienvenue à nos participants
francophones
Hélène Riverin Conseillère en sécurité et en amélioration
Safety Improvement Advisor
www.saferhealthcarenow.ca
Overview
• Brief review of the MedRec quality audit tool
• Share the experience of two organizations who have used the audit tool
• Describe the Canadian MedRec Quality Audit Month
• Respond to Questions
www.saferhealthcarenow.ca
Please complete our poll
www.saferhealthcarenow.ca
Highlights of the MedRec Quality Audit Tool
Jennifer Turple
www.saferhealthcarenow.ca
MedRec Quality Assessment DCF
6
www.saferhealthcarenow.ca
June 2013 Webinar/National Call
Jennifer Turple
ISMP Canada
Alex Titeu
Safer Healthcare Now! Central Measurement
(Patient Safety Metrics)
http://www.saferhealthcarenow.ca/EN/events/NationalCalls/2013/Pages/A-Novel-Tool-to-Assess-the-Quality-of-Admission-MedRec-Processes.aspx
A Novel Tool to Assess the Quality of Admission MedRec Processes
www.saferhealthcarenow.ca
Why focus on Admission?
www.saferhealthcarenow.ca
Presence of an Admission MedRec /BPMH
form on chart
Are the processes “behind the form” of good quality?
www.saferhealthcarenow.ca
How often are we doing everything as intended?
www.saferhealthcarenow.ca
Selected Audit Tool Questions
• Was MedRec performed?
• Was the BPMH collected using more than 1 medication information source?
• Was there a patient or caregiver interview to verify actual medication use?
• Has every medication, as listed in the BPMH, been accounted for in the admission documentation? (i.e. are there any outstanding differences/discrepancies despite the MedRec process?)
• Where differences between the admission documentation and the BPMH exist, were these differences resolved?
www.saferhealthcarenow.ca
MedRec Audit Experiences “from the field”
13
Béatrice Patton
Patient Safety Pharmacist
WRHA Quality and Patient Safety
Winnipeg Regional Health Authority
My Experience with
the MedRec Quality Audit Tool
October 1, 2013
Winnipeg Health Region Churchill Health Centre
Current WRHA MedRec audit tools
Form #2
Overall quality
of completeness
Form #1
Compliance
Collating results
manually
Future WRHA MedRec audit tool
What is not to like?
ONE reporting form
Easy to use/complete
Simple to submit
Focuses on the QUALITY of
admission MedRec processes
Collated results available within
minutes in system!
Automated reports accessible to
sites/organization
The Raw Data
The Quality Measures
The Score
Expected results Actual results
60-80% compliance with MedRec admission form
100% of patients audited had a completed form in chart
All pre-admission patients interviewed for medication use
7/10 patients had a medication history taken with patient
At least 1 info source used (most commonly DPIN)
6/7 who had a pt interview, also had one other info source
Missing components in in medication information
Each medication was complete!
Not all meds reconciled (ie. decision box not checked off)
All meds were assessed/ reconciled!
>75 % rationale for holding 2/10 patients had a rationale provided
100% “reconciled”/completed at admission
only 1/10 met perfect QA score - deficiencies in process!
The Next Steps Plan for improvement: Pre-admission clinic:
Use one information source along with patient interview Indicate “unable to perform” on form when patients
unreliable/unable (need section on form)
Surgeons/HMOs Communicate importance of indicating rationale for
holding/discontinuing
Share and celebrate results with the orthopedic team: Great job in completing the MedRec admission form
(completeness of medication information, capturing information source, reconciliation)
Interior Health
Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia.
Interior Health Quality Audit
Med Rec
Geoff Schierbeck
Quality Consultant
Interior Health
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Is the BPMH based on greater than
1 source?
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
Interior Health Authority
Our Vision: To set new standards of excellence in the delivery of health services in the Province of British Columbia
www.saferhealthcarenow.ca
MedRec Quality Audit Month
• During the month of October, we are challenging all acute and long-term care organizations to audit their established processes for MedRec at admission.
• Auditing the process will help to identify areas of excellence and areas for improvements. Measurement is critical in the journey to improve the delivery of safe and effective care for patients.
• The purpose of the Canadian MedRec Audit Month is to
encourage acute care and long term care organizations to: • Qualify and quantify how they are performing the basics
tenets of the admission MedRec process, • Use the Canadian MedRec Audit data collection/audit tool
to inform admission MedRec process improvements, • Use Patient Safety Metrics System* to view and analyze
collated results.
www.saferhealthcarenow.ca
October is MedRec Quality Audit Month!
Want to participate?
HERE’s HOW….
www.saferhealthcarenow.ca
STEP
Determine your eligibility
to use this audit tool.
You should:
1- Have an implemented ADMISSION MedRec
process and
2- Have a MedRec process follows an Acute
Care OR Long Term Care model.
www.saferhealthcarenow.ca
STEP
Consider which care areas you would like to audit and how you might wish to group/analyze the audit results.
For example, would you like to collect and analyze audit data from multiple units?, across multiple sites?, across a region?
www.saferhealthcarenow.ca
MedRec Quality Assessment DCF
36
www.saferhealthcarenow.ca
STEP
Register/Enroll to participate in Canadian MedRec Quality Audit Month.
Free to participate, by registering you are committing auditing your admission MedRec process during the
month of October.
https://secure.e-registernow.com/cgi-bin/mkpayment.cgi?MID=1527&state=step2direct&e
vent=500000274139982
www.saferhealthcarenow.ca
Registration
The information
entered here allows the
Patient Safety Metrics team to help build
your area specific data
collection forms/audit
tool
www.saferhealthcarenow.ca
STEP
Access your audit tool
Either you can:
• Receive your audit tool from the Patient Safety Metrics team via email
OR
• Generate your tool yourself, via the Patient Safety Metrics System
www.saferhealthcarenow.ca
Generating Audit Tool/Data Collection Form
1. Login into Patient Safety Metrics site: https://shn.med.utoronto.ca/metrics/Login.aspx
2. Select the Data tab 3. Select the Intervention for which you wish to add Either by selecting the intervention from the list or selecting the
intervention from the intervention tab 4. Click the Add new Data Collection Form button 5. Select the Survey from the drop-down menu, along with any
applicable attributes such as In/Out, Adult/Paediatrics, Age Group, Program, Service, Unit/Site, Procedure, or Patient Sample.
Please fill-out all as much information as possible. This will allow for better data roll-up and drill-down for reporting.
6. Click the Save button to add the new data collection form.
www.saferhealthcarenow.ca
STEP
Choose a sampling approach
The number of charts you audit and the method you choose to select patients for auditing is
up to the end user.
We would suggest a minimum of 10-20 charts be audited, and that these charts be randomly selected.
www.saferhealthcarenow.ca
STEP
Complete the audit
Follow the guidance for completion of the tool as provided on the June 18th, 2013 webinar:
http://www.saferhealthcarenow.ca/EN/events/NationalCalls/2013/Pages/A-Novel-Tool-to-Assess-the-
Quality-of-Admission-MedRec-Processes.aspx
www.saferhealthcarenow.ca
STEP
Submit your results (via fax) to the patient safety metrics system
Using a high resolution setting, fax your audit tool to the number found on bottom of the
audit tool
www.saferhealthcarenow.ca
Questions?
44
www.saferhealthcarenow.ca
3 ways to ask a question via Webex
45
All Participants
Under participants panel, raise your hand by clicking on the hand icon. If you have a phone icon beside your name we can unmute your line enabling you to ask your question “live”
Type your question in the chat box, select “all participants” from the drop down and click “send”
Type your question in the “Q & A” box
www.saferhealthcarenow.ca
Key Contacts:
ISMP Canada MedRec Team
www.ismp-canada.org/medrec
CPSI Central Measurement Team
Virginia Flintoft - 416-946-8350
Alexandru Titeu - 416-946-3103
Key Links:
We are here to help!
Patient Safety Metrics System: https://shn.med.utoronto.ca/metrics/Login.aspx June 18th Audit Tool Call Slides/Recording: http://tinyurl.com/puxq8cj Registration Page for MedRec Audit Month: http://tinyurl.com/pox49bf
www.saferhealthcarenow.ca
Please complete our poll
www.saferhealthcarenow.ca
October 28th -November 1st, 2013.
October 30th Theme: Medication Safety: Across the Continuum Program Includes: •Implementing Med Rec Successfully. The New Paper to Electronic Toolkit 12:15 pm MT / 2:15 pm ET Dr. Andre Kushnirik, Professor, School of Health Information Science, University of Victoria; Adjunct Associate Professor, University of Toronto Faculty of Medicine and the Mt. Sinai School of Medicine, New York
•Engaging Consumers in Medication Safety: Results of three years of consumer error reporting program and planned plain language labeling project 11:00 am MT / 1:00 pm ET Lynn Riley, Medication Safety Specialist and Educator, Institute for Safe Medication Practices Canada (ISMP Canada)
•The Canadian MedRec Admission Quality Audit Results 12:40 pm MT / 2:40 pm ET Hugh McLeod, CEO, Canadian Patient Safety Institute
Full details available at: http://www.patientsafetyinstitute.ca/english/news/canadasforumpatientsafety/pages/default.aspx