Comments on Life as a Healthcare CIO: Auditing Medication Reconciliation

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John - Also, thanks for the open posting - Just cu...

2009-02-01T21:44:00.000-08:00

John - Also, thanks for the open posting - Just curious - I see you built your own medicine reconciliation that links to SureScripts etc. - Why did you build your own? Did you not find any products that were satisfactory to you?

Along the lines of the last 2 comments, if the rep...

2009-01-17T14:26:00.000-08:00

Along the lines of the last 2 comments, if the report to the next Provider is via a CCD, the Medication section would show filled and intended medications. If the provider doesn't look into the Plan of Care, the provider won't know whether the intended meds were prescribed, sent to the Pharmacy, or whether the prescription is pending, denied, or modified - e.g., another med is substituted. C32 doesn't require the Plan of Care, so it might not be sent. Seems like there is potential for the next provider to see medications in the list that were never received by the patient.

I would like to know the answer to Andy's question...

2009-01-08T15:53:00.000-08:00

I would like to know the answer to Andy's question as well. Also, you measure number with medications added, but what about any changes (medications d/c'd, dose or sig changes)?

Interesting data. How do you define "Sent to Next...

2009-01-07T19:15:00.000-08:00

Interesting data. How do you define "Sent to Next Provider %", which is a great metric? If all automated, any reason you do not do 100% auditing from your data systems?

Yes, our medication reconciliation process is enti...

2009-01-07T18:20:00.000-08:00

Yes, our medication reconciliation process is entirely automated in the inpatient, outpatient and ED settings using applications we built ourselves interfaced to RxHub and Surescripts.

John...I just found your Blog.. it's very informat...

2009-01-07T10:17:00.000-08:00

John...

I just found your Blog.. it's very informative...I appreciate your willingness to share..I work in the industry and find that what you're blogging about dovetails very closely with the issues my clients are dealing with..

I do have one question regaring Meds Rec:

Are you using an automated process for Medication reconciliation?

Bill Bush

We do a mixture of announced and unannounced audit...

2009-01-06T20:41:00.000-08:00

We do a mixture of announced and unannounced audits. In my blog, I failed to mention that (and purposely did not post the surprise audit dates!)

Hi John,Great post as usual. However, why do you a...

2009-01-06T06:12:00.000-08:00

Hi John,

Great post as usual. However, why do you announce the dates of the upcoming audits (or are these the dates of the publications of the audits).
To external skeptics, it may appear as if you are playing the quality game but are giving an incentive for your staff to focus their efforts around audit times.
I appreciate your efforts at BIDMC, and know that this is not the intent, but could you please comment on this?