Iowa Healthcare Collaborative

Background

Medication reconciliation and assessment is a complex process that affects all patients as they move through the healthcare continuum.  It is important that the medication list becomes the “One Source of Truth” that follows the patient through each care transition.  Transforming the organizational culture away from looking at medication reconciliation as a ‘check box’ activity to a multidisciplinary team effort that includes the patients and their family/caregivers is crucial to attaining consistent, successful care transitions.  Assessing medications and medication adherence at every visit to assure that each medication is appropriate, effective, and safe is essential for creating a workable, patient centered care plan.

Compass PTN Goal

Through the use of best practices and performance improvement, the Compass PTN seeks to increase the percentage of documented current medications on the date of encounter for patients served by Compass-enrolled clinicians by 3% by 2019. 

Best Practice Guide

Medications at Transitions and Medical Handoffs (MATCH) Toolkit for Medical Reconciliation (PDF) - Agency for Healthcare Research and Quality
The AHRQ has produced a comprehensive toolkit focusing on medication reconciliation during clinical transitions.  While this resource was prepared for use in the hospital setting, the resources, tools, and core processes can also be adapted to the outpatient setting.  Follow this link to the table of contents to help you more quickly select the information in the document most applicable to your needs.  

 

Postdischarge Pharmacist Medication Reconciliation: Impact on Readmission Rates and Financial Savings (PDF) - Pharmacist Medication Reconciliation
Kilcup, M., Schultz, D., Carlson, J., Wilson, B. (2013) 

 

AMA STEPSforward Interactive Module on Medication Adherence (Link)
The American Medical Association provides an interactive module on Medication Adherence as  part of the STEPSforward initiative. 

 

 

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