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www.saferhealthcarenow.ca
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 RiverinConseillère en sécurité et en améliorationSafety Improvement Advisor
www.saferhealthcarenow.ca
Pour nos participants francophones..
Pour accéder aux diapositives
français:
-Cliquez sur l'onglet "FRENCH"
OU
-Envoyer un courriel à
Suivre la boîte «Chat» pour les
commentaires du conférencière
traduit en français
www.saferhealthcarenow.ca
• 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
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
Working together…for healthy people in healthy communities.
• “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
Working together…for healthy people in healthy communities.
Clinical Improvement FacilitatorMichelle Trowell-Repsch, RN, BSN
Working together…for healthy people in healthy communities.
• Supports medication
reconciliation
• Accurate & timely care
Home Care Nurse
• Assists med rec
• Challenges
• Patient ownership
Working together…for healthy people in healthy communities.
Theresa Abrahamson, RN
Patient RepresentativeCarla and Payton Rusnak
• Improves patient safety
• Easy to share
Working together…for healthy people in healthy communities.
Working together…for healthy people in healthy communities.
FLASHDRIVE
Front Back
• personalizes patient medical information
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
www.saferhealthcarenow.ca
• Kathryn McLenaghan, Manager, Pharmacy Services – North Bay Regional Health Centre
19
My Meds Matter
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
Advertising
• 3-Week Print Ad Campaign
– Cost: $6,000
• 3- Week Radio Ad Campaign
– Cost: $4,500
Total Advertising Costs: $10,500
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
www.saferhealthcarenow.ca
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
- Apple Magazine
- Newspapers
- Newsletters
Health Link Alberta
Social media
Partnering with other campaigns
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
www.saferhealthcarenow.ca
Questions
1. Raise your hand and we may be able to open your phone line
2. Send feedback via
the “chat” box• Select “All participants”
• Type message
• Click “Send”All Participants
www.saferhealthcarenow.ca
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