Open Forum

Hello friends,

My organization's quality committee has recognized that we have opportunities to do a better job ensuring medication review and reconciliation is completed in a meaningful way.  I serve on the committee tasked to make a proposal for a better process and would appreciate hearing your organization's success stories.

1. What is your organization's process to ensure that medication review and reconciliation are done? 
2. Do you have different processes for primary care and specialty care? 
3. Do your providers reconcile medications they have not prescribed?  For example, at my organization we have primary care providers who are not comfortable removing a medication that was prescribed by a specialist on the patient's word and specialist that are reluctant to remove medications that do not pertain their expertise. 
4. What were the pain points recognized by clinical staff and providers?
5. If you have instituted a change, what were your lessons learned?

Thank you in advance!

Dedria

------------------------------
Dedria Tuck, MSNed, RN, AMB-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
------------------------------

Original Message:
Sent: 7/19/2022 5:35:00 PM
From: Dedria Tuck
Subject: Medication Review/Reconciliation

Hello friends,

My organization's quality committee has recognized that we have opportunities to do a better job ensuring medication review and reconciliation is completed in a meaningful way.  I serve on the committee tasked to make a proposal for a better process and would appreciate hearing your organization's success stories.

1. What is your organization's process to ensure that medication review and reconciliation are done? 
2. Do you have different processes for primary care and specialty care? 
3. Do your providers reconcile medications they have not prescribed?  For example, at my organization we have primary care providers who are not comfortable removing a medication that was prescribed by a specialist on the patient's word and specialist that are reluctant to remove medications that do not pertain their expertise. 
4. What were the pain points recognized by clinical staff and providers?
5. If you have instituted a change, what were your lessons learned?

Thank you in advance!

Dedria

------------------------------
Dedria Tuck, MSNed, RN, AMB-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
------------------------------

I look forward to following this as it is something we struggle with in my ASC also

Sent from my iPhone


Original Message:
Sent: 7/19/2022 5:35:00 PM
From: Dedria Tuck
Subject: Medication Review/Reconciliation

Hello friends,

My organization's quality committee has recognized that we have opportunities to do a better job ensuring medication review and reconciliation is completed in a meaningful way.  I serve on the committee tasked to make a proposal for a better process and would appreciate hearing your organization's success stories.

1. What is your organization's process to ensure that medication review and reconciliation are done? 
2. Do you have different processes for primary care and specialty care? 
3. Do your providers reconcile medications they have not prescribed?  For example, at my organization we have primary care providers who are not comfortable removing a medication that was prescribed by a specialist on the patient's word and specialist that are reluctant to remove medications that do not pertain their expertise. 
4. What were the pain points recognized by clinical staff and providers?
5. If you have instituted a change, what were your lessons learned?

Thank you in advance!

Dedria

------------------------------
Dedria Tuck, MSNed, RN, AMB-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
------------------------------

I am interested to follow this topic, as well. We have the same struggle with providers who prefer not to confirm or deny medications that they did not order or are not related to their specialty.

------------------------------
Melissa Quaid BSN RN NE-BC
Ambulatory Nursing Practice Manager
Kootenai Health
Coeur d'Alene ID
------------------------------

Original Message:
Sent: 07-19-2022 17:34
From: Dedria Tuck
Subject: Medication Review/Reconciliation

Hello friends,

My organization's quality committee has recognized that we have opportunities to do a better job ensuring medication review and reconciliation is completed in a meaningful way.  I serve on the committee tasked to make a proposal for a better process and would appreciate hearing your organization's success stories.

1. What is your organization's process to ensure that medication review and reconciliation are done? 
2. Do you have different processes for primary care and specialty care? 
3. Do your providers reconcile medications they have not prescribed?  For example, at my organization we have primary care providers who are not comfortable removing a medication that was prescribed by a specialist on the patient's word and specialist that are reluctant to remove medications that do not pertain their expertise. 
4. What were the pain points recognized by clinical staff and providers?
5. If you have instituted a change, what were your lessons learned?

Thank you in advance!

Dedria

------------------------------
Dedria Tuck, MSNed, RN, AMB-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
------------------------------

we have had a lot of pushback from providers on medications they did not order.  Especially if its a specialist office not wanting to reconcile the entire med list.  We have made it part of the standard rooming process and its the expectation that each med is reconciled at each visit regardless of who ordered it.  What we have told them is they are only verifying what the patient is taking.  If something is ordered by another provider and they are not taking it because they don't like it or can't afford it, etc. We tell them to follow up with their ordering provider and leave it on the medication list.

------------------------------
Ryan Taylor MSN, RN, CPN, NE-BC
Director of Medical Practice Management
Memorial Hospital and Health Care Center
Jasper, Indiana
812-996-8489
------------------------------

Original Message:
Sent: 07-19-2022 17:34
From: Dedria Tuck
Subject: Medication Review/Reconciliation

Hello friends,

My organization's quality committee has recognized that we have opportunities to do a better job ensuring medication review and reconciliation is completed in a meaningful way.  I serve on the committee tasked to make a proposal for a better process and would appreciate hearing your organization's success stories.

1. What is your organization's process to ensure that medication review and reconciliation are done? 
2. Do you have different processes for primary care and specialty care? 
3. Do your providers reconcile medications they have not prescribed?  For example, at my organization we have primary care providers who are not comfortable removing a medication that was prescribed by a specialist on the patient's word and specialist that are reluctant to remove medications that do not pertain their expertise. 
4. What were the pain points recognized by clinical staff and providers?
5. If you have instituted a change, what were your lessons learned?

Thank you in advance!

Dedria

------------------------------
Dedria Tuck, MSNed, RN, AMB-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
------------------------------

Thank you all for your interest and input. 
Dedria

------------------------------
Dedria Tuck, MSNed, RN, AMB-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
------------------------------

Original Message:
Sent: 07-27-2022 13:04
From: James Taylor
Subject: Medication Review/Reconciliation

we have had a lot of pushback from providers on medications they did not order.  Especially if its a specialist office not wanting to reconcile the entire med list.  We have made it part of the standard rooming process and its the expectation that each med is reconciled at each visit regardless of who ordered it.  What we have told them is they are only verifying what the patient is taking.  If something is ordered by another provider and they are not taking it because they don't like it or can't afford it, etc. We tell them to follow up with their ordering provider and leave it on the medication list.

------------------------------
Ryan Taylor MSN, RN, CPN, NE-BC
Director of Medical Practice Management
Memorial Hospital and Health Care Center
Jasper, Indiana
812-996-8489

Original Message:
Sent: 07-19-2022 17:34
From: Dedria Tuck
Subject: Medication Review/Reconciliation

Hello friends,

My organization's quality committee has recognized that we have opportunities to do a better job ensuring medication review and reconciliation is completed in a meaningful way.  I serve on the committee tasked to make a proposal for a better process and would appreciate hearing your organization's success stories.

1. What is your organization's process to ensure that medication review and reconciliation are done? 
2. Do you have different processes for primary care and specialty care? 
3. Do your providers reconcile medications they have not prescribed?  For example, at my organization we have primary care providers who are not comfortable removing a medication that was prescribed by a specialist on the patient's word and specialist that are reluctant to remove medications that do not pertain their expertise. 
4. What were the pain points recognized by clinical staff and providers?
5. If you have instituted a change, what were your lessons learned?

Thank you in advance!

Dedria

------------------------------
Dedria Tuck, MSNed, RN, AMB-BC, CPN
Leadership SIG Past Chair
Clinical Educator, Carilion Clinic
Roanoke Virginia
540-314-3028
------------------------------