Partnering with our patients - Engaging patients, families and caregivers in MedRec to achieve the best and safest care

www.saferhealthcarenow.ca

Partnering with our patients

Engaging patients, families and caregivers in MedRec to

achieve the best and safest care

February 2014


Welcome to our francophone attendees

Bienvenue à nos participants francophones

Hélène RiverinConseillère en sécurité et en améliorationSafety Improvement Advisor


Pour nos participants francophones..

Pour accéder aux diapositives

français:

-Cliquez sur l'onglet "FRENCH"

OU

-Envoyer un courriel à

[email protected]

Suivre la boîte «Chat» pour les

commentaires du conférencière

traduit en français


Where to find our webinars…


Newsletters

http://safemedicationuse.ca/newsletter/index.html


• 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

Sunrise Health Region (SK) “Champion Your Health” Team

Carla Rusnak

Jennifer Krett

Louise Belanger

Teresa Abrahamson

February 11, 2014 Michelle Trowell-Repsch

Team

Working together…for healthy people in healthy communities.


Building on Existing Tools and Resources

Sunrise Health Region

website

Health Info Kits

Billboard Posters

Business cards

‘Knowledge is the Best Medicine’

Community EducatorLouise Belanger, MSc


• “marketing” health

• Improve health literacy

• 4Cs Model

Comprehension,

Connection, Credibility,

and Contagiousness.

Primary Care Paramedic (EMS)Jennifer Krett, PCP

• Personal medication tool

• Improved patient

communication

• Quicker access to

treatment


Clinical Improvement FacilitatorMichelle Trowell-Repsch, RN, BSN


• Supports medication

reconciliation

• Accurate & timely care

Home Care Nurse

• Assists med rec

• Challenges

• Patient ownership


Theresa Abrahamson, RN

Patient RepresentativeCarla and Payton Rusnak

• Improves patient safety

• Easy to share



FLASHDRIVE

Front Back

• personalizes patient medical information

VIDEO

Metrics

93%

Paramedics

80%

Physio

57%

Dentist

92%

Optometrist

90%

Massage Therapy

100%

Home care

83%

Nurse Practitioner

62%

Diabetes Ed

64%

Acute care

100%

Long Term care

% of pts presenting with medication list/ vials for Health Care services


Thank-you


• Kathryn McLenaghan, Manager, Pharmacy Services – North Bay Regional Health Centre

19

My Meds Matter

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

Med Containers/Vials

Interviews

Patient Lists


Alberta Health Services (AHS) Provincial MedRec Team

Dawn Vallet-Macdonald RN, BScN, Msc

33

The Alberta Health Services (AHS) MedRec Public Awareness Campaign

If it’s on the list, it won’t be missed!

35

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

36

Alberta Health Services

# Albertans 3.9 Million

# Employees 96,000

# Volunteers 17,600

# of Physicians 8,400

# of Sites 450

37

• Major Patient Safety Initiative

• An Accreditation Canada

Required Organizational

Practice (ROP)

• Varied Past

• Desired Future

– Coordinated, integrated

approach

History of MedRec in AHS

38

PHASE I:

2011 – 2013

PHASE 2:

2014 (TBC)

PHASE 3:

2015 (TBC)

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

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

IMPLEMENT TRANSFER & DISCHARGE MEDREC

ADMISSION MED REC AMB CARE (select

patients)

WORK WITH EDUCATIONAL INSTITUTIONS

COMPLETE MED REC FOR

AMBULATORY CARE

Implementation across AHS

39

Patient

Engagement

Improving quality outcomes by

effectively engaging with patients at the planning and

evaluation table.

Patient &

Family Centred

Care Improving quality

outcomes by helping care

providers engage effectively with patients at the point of care.

MedRec and Patient/Family Involvement

Communication is key!

40

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

41

What we heard!

Three main strategies emerged:

• Preference for lists

• Universal shared network

• Prompting is useful for improving

MedRec

“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 ….”

“Create an understanding for

the need for a medication list”

42

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

43

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)

44

What we achieved!

Collaborative Development of:

Work Plan

Key messages

Creative materials

Resources

Website

45

Methods to Increase Awareness

Public Awareness

Website

- Banners

- Medlist tools

- Med safety info

TV & Radio ads

Posters & brochures

- Healthcare facilities

- Physician offices

- Pharmacies

Print

- Apple Magazine

- Newspapers

- Newsletters

Health Link Alberta

Social media

Partnering with other campaigns

46

Public Awareness Materials

47

Public Awareness - Seniors

48

Public Awareness -Parents/Caregivers

49

Public Awareness – General Adult

50

Source: http://darkeseniorjournal.blogspot.com

Contact for Provincial AHS MedRec team Email: [email protected]

51

• 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

Acknowledgements


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Upcoming MedRec Webinars

54

March 25th, 2014 Continuing the Circle of Care: MedRec in Community

April 8th, 2014 Making a PDiF-ference – Results of the Pharmacy Discharge Facilitator Initiative for high-risk medical inpatients.

May 6th, 201 4 UBC’s MedRec Inter-professional Event

Health & Medicine

Partnering with our patients - Engaging patients, families and caregivers in MedRec to achieve the best and safest care