3/30/2016 We have no financial relationships or conflicts of - - PowerPoint PPT Presentation

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Hana Lim, Amanda Johnson, Josue Zapata, Sasha Morduchowicz, Stephanie Rennke, Sumant Ranji, Andrew Auerbach University of California, San Francisco, San Francisco, CA.

We have no financial relationships or conflicts of interest to disclose.

Despite increasing reliance on team-based care, few residency programs have incorporated residents into interprofessional QI activities. Our residency embedded residents in an interprofessional QI group applying Lean methodologies.

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Improve the rate and quality of admission medication reconciliation Learn principles of Lean thinking Encourage team-based models of care

Med Rec

Pharmacist

Ward, ED & Student

RN

Ward & ED

Epic Programmers IM Residents Hospitalist Administrator THE WASTE WHEEL THE WASTE WHEEL

Overprocessing Defects Transportation Inventory Motion Waiting Overproduction

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“Ever wish you knew which prescriptions were filled? You can through Surescripts!”

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Clarified roles Created standard work Disseminated pocketcards and training video Increased visibility of project goal Revised APEX Changed the pharmacy curriculum

70% 75% 80% 85% 90% 95% 100%

Percent of Patients with Medications Reconciled Prior to Discharge

% of patients with medications reconciled prior to discharge Goal Lean Kaizen Rapid-Cycle Improvement Event Housestaff Incentive Program Began Educational Materials Disseminated

Limited evaluation of the quality of medication reconciliation Difficult to measure direct proportion of success attributed to this interprofessional QI event A collaboration of residents and multidisciplinary team contributed to increased rate of completed medication reconciliation Residents found the time spent working with an interprofessional team invaluable

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Determine sustainability of results Assess the quality of medication reconciliation Create a structure that allows for more resident involvement in interprofessional QI Develop evaluation tool for residents participating in interprofessional projects

Medicine Faculty and Housestaff School of Pharmacy & Department of Pharmaceutical Services ED, 14-Moffitt/Long Staff Partners in Care

• IT – Clinical Services: Dwight Utzman & Elizabeth Marks
• Medication Reconciliation Committee: Andy Auerbach, Victoria

Valencia

• Learning Center: Sean Mcclelland

Questions?

70% 75% 80% 85% 90% 95% 100%

Percent of Patients with Medications Reconciled Prior to Discharge

% of patients with medications reconciled prior to discharge Goal Lean Kaizen Rapid-Cycle Improvement Event Housestaff Incentive Program Began Educational Materials Disseminated

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83.1% 85.1%