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://www.qipa.org/getattachment/59408ca1-2f93-49a1-aa54-d8b8c18c1f0c/ClinicalPharmacyIntervention-and-ADE-pADE-data-c.aspx Medication Therapy Intervention & Safety Documentation Form  http://www.qipa.org/getattachment/d4643156-6583-4e14-a84a-eddef81ca8ec/USCMedicationTherapy-Intervention-and-Documentat.aspx Contains instructions to complete the USC Medication Therapy Intervention & Safety Documentation form Interventions by Particular High-Risk Medication Anticoagulants:     

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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 http://excellence.acforum.org/?page=resource_center

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

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 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  https://www.cdc.gov/drugoverdose/prescribing/guideline.html CDC Guideline for Prescribing Opioids for Chronic Pain Resources for Providers and Patients Development of a care plan to prevent 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://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


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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  https://pcpcc.org/sites/default/files/media/medmanagement.pdf Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation  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 Process in place for monitoring  http://www.ihi.org/resources/Pages/Tools/TriggerToolforMeasuringAdverseDrugEvents.aspx  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  http://www.ntocc.org/Portals/0/PDF/Resources/HITPaper.pdf 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  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


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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 http://www.fda.gov/drugs/developmentapprovalprocess/developmentresources/druginteractionslabeli ng/ucm110632.htm 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

Coordination and integration of comprehensive medication management services  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


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http://www.champ-program.org/page/101/geriatric-medication-management-toolkit 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://interact2.net/tools.html 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 tools.  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  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  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


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  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. 2-4) Tool Kit  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  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  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 5, 7


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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 (pp. 17-26) 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. 22-29)

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) • 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. 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) Health Literacy  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 NIA to assist with making the most of doctor visits for seniors. Also available in Spanish. Model has process that utilizes pharmacy personnel • 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