Medication Management in Transitions of Care

EFFECTIVE OCT. 1, 2018   Facilities that are found non-compliant will have their Medicare Payment reduced 2%. Drug Regimen Review Quality Measure – At the Beginning of the Stay the following questions will be asked:  Did a complete drug regimen review identify potentially clinically significant medication issues?  Did the facility contact the physician or designee by midnight of the nest calendar day and complete prescribed/recommended actions in response to the identified potential clinically significant medication issues?  At the End of The stay the following question will be asked:  Did the facility contract and complete the physician or designee prescribed/recommended actions by midnight of the next calendar day each time potential clinically significant medication issues were identified since the Admission?  (This Quality Measure will affect the FY 2020 payment determination and subsequent years) Medication reconciliation is the formal process in which health care professionals partner with patients to ensure accurate and complete medication information transfer with the patient from one care level to another.  Patients admitted to a hospital have a 50% chance that a medication error will occur.  Many adverse drug events (ADE) occur as a result of poor communication between health care professionals and patients or caregivers when they are admitted to the hospital, change rooms within the hospital, are discharged to a skilled nursing facility and discharged home to the



Medication Management Program

On October 1,  2018, data will be collected to ensure that medication reconciliation is also completed at the time of admission.  The new Quality Measure – Drug Regimen Review, will evaluate the percentage of resident stays in which drug regimen review was conducted at time of admission and if facility staff followed up with the physician before midnight the next calendar day.   Facilities that are found non-compliant will have their Medicare Payment reduced 2%. Skilled nursing facilities are required to reconcile patient medications prior to discharge back to the community.  F661 – Discharge Summary states “Facility staff must compare the medications listed in the discharge summary to medications the resident was taking while in the facility.  Any discrepancies must be assessed and resolved, and resolution documented in discharge summary with rationale.” The Advancing Excellence “Medications at Transitions and Clinical Handoffs” (MATCH) toolkit incorporated experiences and lessons learned from staff of facilities that have implemented MATCH.  The toolkit helps facilitate a review and improvement of current practices to strengthen the process and improve patient safety. The World Health Organization has developed a Standard Operating Protocol for Medication Reconciliation and assuring medication accuracy in transitions in care. To write your policy and start your program, click the link below:  

Discharge Medication Program

Partner Care Pharmacy Services Discharge Medication Program Send every patient home with 30-day supply of medication. Ease the transition to home with all prescription drugs delivered to patients before discharge home.  Mandated DRUG RECONCILIATION on discharge is automatic with Partner Care Pharmacy Services’ Discharge Medication Program.  Patients that comply with their medication regime as prescribed by their physicians, have a 66% higher change of success in community and preventing readmissions to hospital. Complies with Quality Measure Drug Reconciliation upon Discharge Reduces readmissions by 66% Time–saving option, no stop to drop off prescriptions or pick up drugs No cost to facility, pharmacy accepts all insurances No missing doses This easy to implement program is just a fax or phone call away.  Start sending your patients home with a 30-day supply of medications, not a handful of confusing prescriptions. Start today by contacting the pharmacy below