Enhanced Medication Reconciliation Part of Software Upgrade

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Jennifer VanWinkle By Jennifer VanWinkle 
Clinical Product Manager, Change Healthcare
Medication Reconciliation

Change Healthcare Homecare and Change Healthcare Hospice have been updated with new functionality that helps improve medication management.

Medication reconciliation has been in the news recently, the result of a Kaiser Health News analysis of Medicare inspection records that identified more than 3,000 home health organizations that had either inadequately reviewed or tracked medications for new patients. The inspection reports, covering January 2010 through July 2015, found deficiencies in nearly 25% of organizations that were inspected.

Medicare also is placing a new emphasis on avoiding drug/drug interactions and drug allergies among home care patients.

How It Works

In Homecare and Hospice, all medications are stored in a standard First Databank (FDB) data structure that helps improve interaction screenings and supports an advanced search capability that combines name brand and generic medications in the same search. Our recent updates also provide a new user interface and upgraded technology.

The updated profile helps support easy entry of a singular medication or multiple prescriptions and/or doses. Discontinuation of both multiple and singular medications can be completed with one click. A new clinical screenings wizard provides improved drug-to-drug or drug allergy interaction screenings, improved duplicate therapy screenings and compels users to “resolve” or “acknowledge” these interactions based on a one-to-five scale. The most severe (four and five) must be resolved before continuing.

Safety Is the First Goal

We have three main goals for this project. The first is to improve patient safety. The second goal is to improve workflow efficiency. We help do this by reducing the reconciliation process to three steps, deploying the clinical screenings wizard and by implementing an organized and discrete data capture. The third goal is to meet industry standards in best practice, home care and hospice Conditions of Participation, Medicare documentation requirements, interoperability standards, and accreditation standards – including Joint Commission, Accreditation Commission for Health Care (ACHC), Community Health Accreditation Partner (CHAP) and Institution for Safe Medication Practices (ISMP)

The solution will help support continuous visibility across all levels of care, thus providing continuity of care and streamlining the admission process when a patient transfers from one level of care to another.

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