What ADE Tools Are Best for Dealing with What Problems?

What ADE Tools Are Best for Dealing with What Problems? Comprehensive Assessment of Medications 

https://pcpcc.org/sites/default/files/media/medmanagement.pdf Integrating Comprehensive Medication Management to Optimize Patient Outcomes Resource Guide (pp. 6-7)

Identification of Medication Related Problems 

https://pcpcc.org/sites/default/files/media/medmanagement.pdf Integrating Comprehensive Medication Management to Optimize Patient Outcomes Resource Guide (p. 7)  http://pharmweb.usc.edu/MedicationManagement/#Documents Medication Therapy Intervention & Safety Documentation Form  http://www.delmarvafoundation.org/providers/quality-patient-safety/dc/pharmacy-medicationsafety/documents/USC_MT_Intervention_and_Documentation_Manual_040612.pdf Contains instructions to complete the USC Medication Therapy Intervention & Safety Documentation form

Interventions by Particular High-Risk Medication Anticoagulants  http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventAdverseDrugEvents.aspx (pp. 8-9, 17-21, 38-40)  http://www.ihi.org/resources/Pages/Tools/AnticoagulantToolkitReducingADEs.aspx  https://health.gov/hcq/pdfs/ade-action-plan.pdf National Action Plan for Adverse Drug Event Prevention  http://www.macoalition.org/Initiatives/inititatives_anticoagulation.shtml Massachusetts Coalition for the Prevention of Medical Errors – Anticoagulation Safety  http://www.mnhospitals.org/ade Provides Tools for the Development of a Comprehensive Medication Management and Gap Analysis for High Risk Medications

Lake Superior Quality Innovation Network serves Michigan, Minnesota, and Wisconsin, under the Centers for Medicare & Medicaid Services Quality Improvement Organization Program. www.lsqin.org | Follow us on social media @LakeSuperiorQIN

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http://excellence.acforum.org/?page=resource_center Anticoagulation Forum/Anticoagulation Centers of Excellence – Requires sign-up for access. Many professional resources related to anticoagulation  http://www.wsha.org/wp-content/uploads/Medication_SAB_ADE_Anticoagulants_updated.pdf Medication Safety Action Bundle – Adverse Drug Events (ADE). Washington State Hospital Association  http://www.anticoagulationtoolkit.org/sites/default/files/toolkit_pdfs/toolkitfull.pdf This toolkit was developed by the Michigan Quality Improvement Initiative (MAQI). The goal of the toolkit is to provide practitioners with an up-to-date, reliable, and easy to use source of information for anticoagulation

Diabetic Agents  http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventAdverseDrugEvents.aspx (pp. 12, 24-25, 38-40)  https://health.gov/hcq/pdfs/ade-action-plan.pdf National Action Plan for Adverse Drug Event Prevention  http://www.mnhospitals.org/ade Minnesota Hospital Association – Adverse Drug Events  https://professional.diabetes.org/sites/professional.diabetes.org/files/media/dc_40_s1_final.pdf The American Diabetes Association’s (ADA’s) “Standards of Medical Care in Diabetes,” referred to as the “Standards of Care,” is intended to provide clinicians, patients, researchers, payers, and other interested individuals with the components of diabetes care, general treatment goals, and tools to evaluate the quality of care  http://qioprogram.org/sites/default/files/editors/141/Resources_AnnualDiabeticFootExam_20170710 _508.pdf Many diabetic preventive resources for providers and patients  https://www.niddk.nih.gov/health-information/health-communication-programs/ndep/health-careprofessionals/practice-transformation/Pages/resourcedetail.aspx Practice transformation diabetic resources for physicians and health care teams  http://www.qioprogram.org/sites/default/files/editors/141/B2_Foot_Flyer_20170322_FNL.pdf A comprehensive foot exam in three minutes Opioids  http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventAdverseDrugEvents.aspx (pp. 10-11, 22-23, 38-40)  https://health.gov/hcq/pdfs/ade-action-plan.pdf National Action Plan for Adverse Drug Event Prevention


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https://www.cdc.gov/drugoverdose/prescribing/guideline.html CDC Guideline for Prescribing Opioids for Chronic Pain Resources for Providers and Patients  https://health.gov/hcq/training-pathways.asp An immersive, interactive training tool designed using the opioid-related recommendations outlined in the National Action Plan for Adverse Drug Events. This web-based training allows you to assume the role of 4 playable characters who make decisions – controlled by you – about preventing opioidrelated adverse drug events (ADEs)

Development of a Care Plan to Prevent Medication Related Problems 

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https://pcpcc.org/sites/default/files/media/medmanagement.pdf Integrating Comprehensive Medication Management to Optimize Patient Outcomes Resource Guide (pp. 7) http://www.ihi.org/resources/Pages/Tools/AnticoagulantToolkitReducingADEs.aspx Includes information/tools related to self-assessment, improving anticoagulant processes, measuring and sustaining performance http://www.ihi.org/resources/Pages/Changes/ReduceAdverseDrugEventsInvolvingAnticoagulants.as px http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventAdverseDrugEvents.aspx http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyresources/resources/match/index.html Guides providers to develop a process for medication management and reconciliation that standardizes processes for doctors, nurses, and pharmacists to document and confirm a patient's home medication list on admission http://www.pharmacy.umaryland.edu/practice/medmanagement/assisted_living/Tools-to-AssessSelfAdministration-of-Medication/ Tools to Evaluate a Patient’s Ability to Safely Administer Medications

Follow-up Evaluation 

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http://www.ahrq.gov/professionals/quality-patient-safety/patient-safetyresources/resources/match/index.html Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation https://www.ahrq.gov/professionals/systems/hospital/red/toolkit/index.html The Re-Engineered Discharge (RED) Toolkit, funded by the Agency for Healthcare Research and Quality, can help hospitals reduce readmission rates by replicating the discharge process that resulted in 30 percent fewer hospital readmissions and emergency room visits


Process in Place for Monitoring  

http://www.ihi.org/resources/Pages/Tools/TriggerToolforMeasuringAdverseDrugEvents.aspx Tool for measuring ADEs http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyresources/resources/match/index.html Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation

Documenting the Care Delivered 

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http://www.ntocc.org/Portals/0/PDF/Resources/HITPaper.pdf National Transitions of Care Coalition (NTOCC) White Paper - Discuss the role of the EMR in enhancing medication safety http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyresources/resources/match/match3.html Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation https://pcpcc.org/sites/default/files/media/medmanagement.pdf Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation

Provides Education Designed to Enhance Understanding and Appropriate Use of Medications  

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http://www.ismp.org/tools/highalertMedications/default.asp Institute for Safe Medication Practices – Consumer Safety Tips http://www.ntocc.org/Portals/0/PDF/Resources/Taking_Care_Of_My_Health_Care.pdf National Transitions of Care Coalition - A guide for patients/caregivers to be active in their own health care http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyresources/resources/match/matchap12.html Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (patient resources) http://www.mustforseniors.org/ Compilation of evidence-based best practices for improving patient safety through patient, family, and caregiver engagement http://www.ihi.org/resources/Pages/Tools/PreventingADEsPatientandFamilyFactSheet.aspx ADE resource for patients and family members http://www.fda.gov/drugs/developmentapprovalprocess/developmentresources/druginteractionslabeli ng/ucm110632.htm Resource for preventable drug reactions and information on drug interactions .


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http://www.ismp.org/tools/rca/RCA-Complete.pdf Root Cause Structure for Community Pharmacies https://www.jointcommission.org/multimedia/speak-up--take-medication-safely/ “Speak Up” videos on medication safety http://www.homehealthquality.org/Education/Best-Practices/Files/FocusedMedicationManagement.aspx Focused Best Practices for Home Care. Need to sign up to receive access. https://www.cdc.gov/drugoverdose/prescribing/patients.html Guidelines for Patients with additional resources http://qioprogram.org/campaign-meds-management Great tools for patients – includes interaction checker, guide for safe medication mgt., and other useful resources https://health.gov/hcq/training-pathways.asp Interactive training that uses the principles of health literacy and a multimodal, team-based approach to promote the appropriate, safe, and effective use of opioids to manage chronic pain

Coordination and Integration of Comprehensive Medication Management Services 

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http://www.ntocc.org/Portals/0/PDF/Resources/ImplementationPlan.pdf Provides an implementation and evaluation outline for transitions of care tools and resource guide to the development, implementation and evaluation in remote patient monitoring, medication optimization, care transitions, and mobile health http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyresources/resources/match/match8.html Comprehensive toolkit designed to assist in the development of a structured medication reconciliation process http://www.stratishealth.org/documents/Stratis-Health-medication-reconciliation-white-paper2014.pdf Medication reconciliation process between acute care and long-term care https://www.uth.edu/dotAsset/3ceae8db-6f1b-424c-999f-41216f156ffc.pdf Geriatric Medication Toolkit - Collaboration for Homecare Advances in Management and Practice http://www.phi.org/uploads/application/files/fl8xyd4ltpebyr3t1xoc17z7bootras2mpwrec0j1rsv54us5 a.pdf Guide to the development, implementation and evaluation in remote patient monitoring, medication optimization, care transitions, and mobile health


Communication Between Pharmacists and Healthcare Providers 

http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx Situation, Background, Assessment, Reconciliation – Offers an effective standardized method of communication  https://psnet.ahrq.gov/search?topic=SBAR&f_topicIDs=680,102 This site provides an opportunity for additional literature on the utilization of SBAR in multiple settings  http://www.pathway-interact.com/interact-tools/ INTERACT II has multiple tools available for nursing homes, assisted living and home health agencies to decrease transfers to the acute care setting, including quality improvement, communication and decision making tool  http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestP racticesReport2_2013.pdf Best Practices from the ASHP-APhA Medication Management in Care Transitions Initiative

Communication Between Inpatient and Outpatient Pharmacists 

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http://www.health.state.mn.us/divs/healthimprovement/content/documents/PrescriptionHealthyCom munity.pdf Prescription for Healthy Communities: Carrying Out Successful Medication Management Services in Community Pharmacies http://www.macoalition.org/reducing_medication_errors.shtml Resources to prevent medication errors and improve communication http://www.ismp.org/tools/highalertMedications/default.asp Institute for Safe Medication Practices – consumer safety tips

Process for Transition Referral  

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http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventAdverseDrugEvents.aspx (pp. 21, 25, 30) http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestP racticesReport2_2013.pdf Care transitions - Entire report https://www.ahrq.gov/professionals/systems/hospital/red/toolkit/index.html The Re-Engineered Discharge (RED) Toolkit, funded by the Agency for Healthcare Research and Quality, can help hospitals reduce readmission rates by replicating the discharge process that resulted in 30 percent fewer hospital readmissions and emergency room visits


Obtaining Institutional Support, Establishing and Working with a Team 

http://tools.hospitalmedicine.org/Implementation/Workbook_for_Improvement.pdf BOOST – Better Outcomes for Older Adults Through Safe Transitions (pp. 1-10) Document available for download

Assessment of Current Care and OFI’s https://www.ahrq.gov/professionals/systems/hospital/medicaidreadmitguide/index.html Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions Tool Kit (pp. 2-4)  http://tools.hospitalmedicine.org/Implementation/Workbook_for_Improvement.pdf Better Outcomes for Older Adults through Safe Transitions – Society of Hospital Medicine (pp. 11-16)  http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmit gui de/medicaidreadmissions.pdf Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions (pp. 16-20)

Data Analysis 

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http://www.ahrq.gov/professionals/systems/hospital/Medicaidreadmitguide/index.html Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions Tool 1 http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitgui de/medicaidreadmissions.pdf Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions (pp. 27-32) http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitgui de/medicaidreadmissions.pdf Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions (pp. 6-15)

Strategies for Improvement 

https://www.ahrq.gov/professionals/systems/hospital/medicaidreadmitguide/index.html Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions (pp. 6-29). Includes a toolkit that can be used in the day-to-day working environment of hospital-based teams and cross-setting partnerships


Implementation 

http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitgu i de/medicaidreadmissions.pdf Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions (pp. 30-48)  http://www.ahrq.gov/professionals/systems/hospital/Medicaidreadmitguide/index.html Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions (Tools 6, 9, and 10)

Cross-provider Collaboration 

http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitgu i de/medicaidreadmissions.pdf Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions (pp. 49-62)  http://www.ahrq.gov/professionals/systems/hospital/Medicaidreadmitguide/index.html Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions (Tool 12 )

Evaluation 

http://www.ahrq.gov/professionals/systems/hospital/Medicaidreadmitguide/index.html Designing and Delivering Whole-Person Transitional Care - The Hospital Guide to Reducing Medicaid Readmissions (pp. 27-32)

Sustainment and Spread 

http://tools.hospitalmedicine.org/Implementation/Workbook_for_Improvement.pdf Better Outcomes for Older Adults Through Safe Transitions Implementation Guide (pp 33-36)


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https://www.aucd.org/docs/councils/ncedc/Smog_Flesch-Kincaid.pdf The SMOG Readability formula for assessing the level of readability in health care materials https://nnlm.gov/professional-development/topics/health-literacy National Network of Libraries of Medicine https://nihseniorhealth.gov/ A senior-friendly website tailored especially for older adults to help them locate health and wellness information. A trainer toolkit is provided to assist those interested in helping older adults locate reliable health information online https://medlineplus.gov/ A comprehensive, authoritative and reliable resource for patients, families and the public. Information regarding health conditions, safety, drugs, and more can be found all in one location and all freely available through the National Library of Medicine https://www.nia.nih.gov/health/publication/talking-your-doctor/how-should-i-prepare-getting-readyappointment A downloadable and printable guide freely available from National Institute of Aging (NIA) to assist with making the most of doctor visits for seniors. Also available in Spanish

Teach-Back  http://www.teachbacktraining.org/ The purpose of this comprehensive toolkit is to help all health care providers learn to use teach-back effectively to support patients and families throughout the care continuum, especially during transitions between health care settings. Includes an interactive teach-back learning module

Model has process that Utilizes Pharmacy Personnel 

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http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyresources/resources/match/match4.html Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyresources/resources/advances-in-patient-safety/index.html Advances in Patient Safety – Volumes 1-4 http://www.pharmacist.com/sites/default/files/files/core_elements_of_an_mtm_practice.pdf Medication Therapy Management in Pharmacy Practice: Core Elements of an MTM Service Model

Lake Superior Quality Innovation Network serves Michigan, Minnesota, and Wisconsin, under the Centers for Medicare & Medicaid Services Quality Improvement Organization Program. www.lsqin.org | Follow us on social media @LakeSuperiorQIN This material was prepared by Lake Superior Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-MI/MN/WI-C3-17-98 051017