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:Medication Reconciliation at Transitions MATCH Tool Kit