Published on February 20, 2014
Partnering with our patients Engaging patients, families and caregivers in MedRec to achieve the best and safest care February 2014 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
Pour nos participants francophones.. Pour accéder aux diapositives français: -Cliquez sur l'onglet "FRENCH" OU -Envoyer un courriel à firstname.lastname@example.org Suivre la boîte «Chat» pour les commentaires du conférencière traduit en français www.saferhealthcarenow.ca
Where to find our webinars… www.saferhealthcarenow.ca
Newsletters http://safemedicationuse.ca/newsletter/index.html www.saferhealthcarenow.ca
Sunrise Health Region (SK) “Champion Your Health” Team • Theresa Abrahamson – Registered Nurse • Carla Rusnak – Patient Representative for MedRec • Louise Belanger – Health Promotion • Jennifer Krett – Primary Care Paramedic • Michelle Trowell-Repsch – MedRec lead at Sunrise Health region 6 www.saferhealthcarenow.ca
February 11, 2014 Carla Rusnak Jennifer Krett Louise Belanger Teresa Abrahamson Michelle Trowell-Repsch
Team Working together…for healthy people in healthy communities.
Building on Existing Tools and Resources Billboard Health Info Kits Posters Sunrise Health Region website ‘Knowledge is the Best Medicine’ Working together…for healthy people in healthy communities. Business cards
Community Educator Louise Belanger, MSc • “marketing” health • Improve health literacy • 4Cs Model Comprehension, Connection, Credibility, and Contagiousness. Working together…for healthy people in healthy communities.
Primary Care Paramedic (EMS) Jennifer Krett, PCP • Personal medication tool • Improved patient communication • Quicker access to treatment Working together…for healthy people in healthy communities.
Clinical Improvement Facilitator Michelle Trowell-Repsch, RN, BSN • Supports medication reconciliation • Accurate & timely care Working together…for healthy people in healthy communities.
Home Care Nurse Theresa Abrahamson, RN • Assists med rec • Challenges • Patient ownership Working together…for healthy people in healthy communities.
Patient Representative Carla and Payton Rusnak • Improves patient safety • Easy to share Working together…for healthy people in healthy communities.
FLASHDRIVE • personalizes patient medical information Front Back Working together…for healthy people in healthy communities.
Metrics % of pts presenting with medication list/ vials for Health Care services 64% Acute care 100% Long Term care 93% Paramedics 80% Physio 62% Diabetes Ed 57% Dentist 83% Nurse Practitioner 100% Home care 92% Optometrist 90% Massage Therapy
Thank-you Working together…for healthy people in healthy communities.
My Meds Matter • Kathryn McLenaghan, Manager, Pharmacy Services – North Bay Regional Health Centre 19 www.saferhealthcarenow.ca
Presented by: Kathryn McLenaghan, Manager, Pharmacy Services
Objectives • Learn how one hospital implemented, measured and evaluated a medication reconciliation initiative. • Learn innovative approaches to have patients become advocates for themselves and others regarding safe medication management and communication with healthcare providers. • Learn how to implement a community awareness campaign to effectively educate the community, providers and organization on the benefits of having an accurate medication list.
North Bay Regional Health Centre • 424 beds: 275 acute; 149 tertiary, specialized mental health • Emergency Department: 58,200 patient visits annually • Ambulatory Care Services: 48,000 patient visits annually • 2300 Employees • 200 physicians • 400 volunteers • Affiliated with the Northern Ontario School of Medicine (NOSM) and over 65 health education institutions
Graphic of tent card & poster & Banner
Advertising • 3-Week Print Ad Campaign – Cost: $6,000 • 3- Week Radio Ad Campaign – Cost: $4,500 Total Advertising Costs: $10,500
Knowledge is the best medicine
My Meds Matter Med Bags
Bags and Print Collateral • Tent Cards, Banners, and Poster – Campaign Design - $1,000 – In-house Printing - $900.00 • Knowledge Is The Best Medicine Booklet: FREE • Bags – Local North Bay, Ontario Supplier – Carte Blanche Products www.carteblancheproducts.com • Cost per bag: Approx.$2.00/bag
Total Campaign Cost • • • • Advertising: $10,500 Campaign Design: $1,000 Bags: $14,000 Printing: $900.00 GRAND TOTAL: $26,400
• Graph to show sources used from time period Dec. 12 through Sept/Oct. 13
Alberta Health Services (AHS) Provincial MedRec Team Dawn Vallet-Macdonald RN, BScN, Msc 33 www.saferhealthcarenow.ca
The Alberta Health Services (AHS) MedRec Public Awareness Campaign If it’s on the list, it won’t be missed!
Objectives • Learn AHS’s approach to a province wide MedRec implementation • Review the collaborative steps taken to develop the provincial public awareness campaign • Highlight AHS’s planned methods and media for public awareness 35
Alberta Health Services # Albertans 3.9 Million # Employees 96,000 # Volunteers 17,600 # of Physicians 8,400 # of Sites 450 36
History of MedRec in AHS • Major Patient Safety Initiative • An Accreditation Canada Required Organizational Practice (ROP) • Varied Past • Desired Future – Coordinated, integrated approach 37
Implementation across AHS PHASE I: 2011 – 2013 WORKING GROUP • POLICY • DEFINE HIGH RISK • TOOLKIT • APPROACH • ZONE TEAMS • MEASURES • PRACTITIONER ENGAGEMENT • INITIATE PATIENT/PUBLIC ENGAGEMENT ZONE TEAMS (UNIT/ SERVICE OR PROGRAM TEAMS) • DEFINE ROLES • PLACEMENT ON CHART • LOCAL PLAN EDUCATION ROLL OUT STAFF & PHYSICIANS PUBLIC EDUCATION CAMPAIGN/ TOOLS FOR PUBLIC PHASE 2: 2014 (TBC) IMPLEMENT ADMISSION MED REC • ACUTE CARE • ACH SUPPORTIVE LIVING/HOSPICE & PALLIATIVE CARE • AHS LONG TERM CARE • AHS HOME CARE (select patients) • URGENT CARE (select patients) • EMERGENCY DEPARTMENT (select patients) • PreADMISSION CLINICS • Meet ACCRED ROP'S for Admission, Transfer and Referral/Discharge within defined timelines PHASE 3: 2015 (TBC) IMPLEMENT TRANSFER & DISCHARGE MEDREC COMPLETE MED REC FOR ADMISSION MED REC AMB CARE (select AMBULATORY CARE patients) WORK WITH EDUCATIONAL INSTITUTIONS 38
MedRec and Patient/Family Involvement Patient Engagement Improving quality outcomes by effectively engaging with patients at the planning and evaluation table. Patient & Family Centred Care Communication is key! Improving quality outcomes by helping care providers engage effectively with patients at the point of care. 39
Collaborative Steps Public Consultation: • AHS Patient & Family Advisory Group • AHS Health Advisory Councils • Health Quality Council of Alberta (HQCA) Patient & Family Safety Advisory Panel • Public focus groups 40
What we heard! Three main strategies emerged: • Preference for lists • Universal shared network • Prompting is useful for improving MedRec “Create an understanding for the need for a medication list” “I don’t know my medications but my doctor does” “…it is the responsibility of the medical professional…to ask the right questions and, the responsibility of the patient … to have the information at hand ….” 41
What we heard! Recommended strategies to inform the public include: • Reinforce the benefits for the patients • Use of consistent, repeated messaging • Use of multiple methods of exposure • Availability of information and tools • Consideration of various cultural contexts 42
Collaborative Steps Other Stakeholder consultation: • Provincial and Zone MedRec content experts • Patient Engagement experts • Communications expert • MedRec Working groups and committees • Health Quality Council of Alberta (HQCA) 43
What we achieved! Collaborative Development of: Work Plan Key messages Creative materials Resources Website 44
Methods to Increase Awareness Posters & brochures - Healthcare facilities - Physician offices - Pharmacies Print - Apple Magazine - Newspapers - Newsletters TV & Radio ads Health Link Alberta Website - Banners - Medlist tools - Med safety info Partnering with other campaigns Public Awareness Social media 45
Public Awareness Materials 46
Public Awareness - Seniors 47
Public Awareness -Parents/Caregivers 48
Public Awareness – General Adult 49
Source: http://darkeseniorjournal.blogspot.com Contact for Provincial AHS MedRec team Email: email@example.com 50
Acknowledgements • • • • • • • • • • • • • AHS Patient & Family Advisory Group (PFAG) AHS Health Advisory Councils HQCA Patient & Family Safety Advisory Panel Alberta public focus groups AHS Knowledge Management consultants AHS Survey & Evaluation Services Provincial MedRec Support Working Group Provincial MedRec Working Group Provincial MedRec Implementation Coordinating Committee Zone MedRec project teams and AHS frontline staff and physicians Zone MedRec sponsors Safer Healthcare Now! (ISMP Canada/CPSI) Provincial MedRec Public Engagement Working Group • Public Advisor/PFAG Member • HQCA • AHS Communications • AHS Patient Engagement • AHS Provincial MedRec team 51
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Upcoming MedRec Webinars March 25th, 2014 Continuing the Circle of Care: MedRec in Community April 8th, 2014 May 6th, 201 4 54 Making a PDiF-ference – Results of the Pharmacy Discharge Facilitator Initiative for high-risk medical inpatients. UBC’s MedRec Inter-professional Event www.saferhealthcarenow.ca
www.saferhealthcarenow.ca Partnering with our patients Engaging patients, families and caregivers in MedRec to achieve the best and safest care February 2014
... Engaging patients, families and caregivers in MedRec to achieve the best and safest care ... Partnering with patients and families in making care safer;
Abstract. Patient and family engagement is an active involvement in health care between patients, families, and their caregivers. Perioperative nurses ...
... Engaging patients, families and caregivers in MedRec to achieve the best and safest care. ... to understand medication reconciliation (MedRec) ...
... Partnering with Patients and Families for the Safest Care . ... Partnering with Patients and Families ... patients and their caregivers or care ...
Partnering with Patients and Families for the Safest Care The National Patient ... 1 Partnering with Patients and Families for the Safest Care The ...
The Voices of Quality: Perspectives on Patient Safety ... Person- and Family-Centered Care; Effective Communication and Care Coordination; Patient Safety;