The National Transitions of Care Coalition. Improving Transitions of Care: The Vision of the National Transitions of Care Coalition. http://www.ntocc.org/Portals/0/PDF/Resources/PolicyPaper.pdf. May 2008. Accessed July 24, 2014. This paper outlines the vision of the National Transitions of Care Coalition (NTOCC) to improve transitions of care, increasing quality of care and patient safety while controlling costs.

August 8, 2019

Improving Transitions of Care: The Vision of the National Transitions of Care Coalition

The National Transitions of Care Coalition. Improving Transitions of Care: The Vision of the National Transitions of Care Coalition. http://www.ntocc.org/Portals/0/PDF/Resources/PolicyPaper.pdf. May 2008. Accessed July 24, 2014. This paper outlines the vision of the National Transitions of Care Coalition (NTOCC) to improve transitions of care, increasing quality of care and patient […]
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The National Transitions of Care Coalition. Improving Transitions of Care: The Vision of the National Transitions of Care Coalition. http://www.ntocc.org/Portals/0/PDF/Resources/PolicyPaper.pdf. May 2008. Accessed July 24, 2014. This paper outlines the vision of the National Transitions of Care Coalition (NTOCC) to improve transitions of care, increasing quality of care and patient safety while controlling costs.
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http://www.ntocc.org/Portals/0/PolicyPaper.pdf

August 8, 2019

Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Model. Version 2

American Pharmacists Association and the National Association of Chain Drug Stores Foundation. Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Model. Version 2. http://www.accp.com/docs/positions/misc/CoreElements.pdf. 2008. Accessed April 26, 2013. Eleven national pharmacy organizations achieved consensus on a definition of medication therapy management (MTM) in July […]
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American Pharmacists Association and the National Association of Chain Drug Stores Foundation. Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Model. Version 2. http://www.accp.com/docs/positions/misc/CoreElements.pdf. 2008. Accessed April 26, 2013. Eleven national pharmacy organizations achieved consensus on a definition of medication therapy management (MTM) in July 2004 (Appendix A). Building on the consensus definition, the American Pharmacists Association and the National Association of Chain Drug Stores Foundation developed a model framework for implementing effective MTM services in a community pharmacy setting by publishing Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Version 1.0. The original version 1.0 document described the foundational or core elements of MTM services that could be provided by pharmacists across the spectrum of community pharmacy. Medication Therapy Management in Pharmacy Practice: Core Elements of an MTM Service Model Version 2.0 is an evolutionary document that focuses on the provision of MTM services in settings where patients* or their caregivers can be actively involved in managing their medications. This service model was developed with the input of an advisory panel of pharmacy leaders representing diverse pharmacy practice settings (listed in Addendum). While adoption of this model is voluntary, it is important to note that this model is crafted to maximize both effectiveness and efficiency of MTM service delivery across pharmacy practice settings in an effort to improve continuity of care and patient outcomes. *In this document, the term patient refers to the patient, the caregiver, or other persons involved in the care of the patient.
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http://www.accp.com/docs/positions/misc/CoreElements.pdf

August 8, 2019

Pharmacist-conducted medication reconciliation in an emergency department

Hayes BD, Donovan JL, Smith BS, Hartman CA. Pharmacist-conducted medication reconciliation in an emergency department. Am J Health-Syst Pharm. 2007;64(16):1720-1723.http://www.ajhp.org/content/64/16/1720.abstract. Accessed April 26, 2013. Conclusion. Pharmacist-conducted medication reconciliation in the ED increased compliance to the institution‘s medication reconciliation policy for admitted patients. Pharmacist-acquired medication histories had significantly fewer errors in […]
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Hayes BD, Donovan JL, Smith BS, Hartman CA. Pharmacist-conducted medication reconciliation in an emergency department. Am J Health-Syst Pharm. 2007;64(16):1720-1723.http://www.ajhp.org/content/64/16/1720.abstract. Accessed April 26, 2013. Conclusion. Pharmacist-conducted medication reconciliation in the ED increased compliance to the institution‘s medication reconciliation policy for admitted patients. Pharmacist-acquired medication histories had significantly fewer errors in documentation and had more documentation of patient allergies.
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http://www.ajhp.org/cgi/content/abstract/64/16/1720

August 8, 2019

NTOCC Suggested Common/Essential Data Elements for Medication Reconciliation

NTOCC. Suggested Common/Essential Data Elements for Medication Reconciliation. http://www.ntocc.org/Portals/0/PDF/Resources/Medication_Reconciliation.pdf . Published 4/17/08. Accessed 7/9/14. Contains data elements for medication reconciliation assessment on access to care setting and on transfer of care.
NTOCC. Suggested Common/Essential Data Elements for Medication Reconciliation. http://www.ntocc.org/Portals/0/PDF/Resources/Medication_Reconciliation.pdf . Published 4/17/08. Accessed 7/9/14. Contains data elements for medication reconciliation assessment on access to care setting and on transfer of care.
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http://www.ntocc.org/Portals/0/PDF/Resources/Medication_Reconciliation.pdf

August 8, 2019

Care Transitions Measure (CTM-3 and CTM-15)

Coleman, E. The CTM-3 and CTM-15. The Care Transitions Program. Http://www.caretransitions.org/ctm_main.asp. Accessed 7/9/14. We have created two versions of the CTM®. The CTM-15® is a comprehensive version designed for those programs that focus explicitly on measuring care transitions. Alternatively, the CTM-3® is a more concise measure (and a subset of […]
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Coleman, E. The CTM-3 and CTM-15. The Care Transitions Program. Http://www.caretransitions.org/ctm_main.asp. Accessed 7/9/14. We have created two versions of the CTM®. The CTM-15® is a comprehensive version designed for those programs that focus explicitly on measuring care transitions. Alternatively, the CTM-3® is a more concise measure (and a subset of the CTM-15®) designed for those programs that focus on care transitions either alone or in addition to other aspects of care and can only employ a limited number of items. Both measures have been rigorously developed and have been shown to predict return to the hospital and/or emergency department and discriminate among hospitals known to differ in performance in this area. Three question patient survey.
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http://www.caretransitions.org/ctm_main.asp

August 8, 2019

UMassMemorial Preadmission Medications List verification and Order Form (Medication Reconciliation)

UMass Memorial Medical Center. Preadmission Medication List Verification and Order Form (Medication Reconciliation). Http://www.macoalition.org/Initiatives/RecMeds/UMassReconcilForm.doc. Accessed 7/9/14. This form/process has been introduced to facilitate providers getting patients on the most accurate list of medications at admission, transfer, and discharge—the times when medication errors are most likely to occur. Careful attention to […]
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UMass Memorial Medical Center. Preadmission Medication List Verification and Order Form (Medication Reconciliation). Http://www.macoalition.org/Initiatives/RecMeds/UMassReconcilForm.doc. Accessed 7/9/14. This form/process has been introduced to facilitate providers getting patients on the most accurate list of medications at admission, transfer, and discharge—the times when medication errors are most likely to occur. Careful attention to this process has been shown to result in fewer errors and reduction in harm to patients.
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http://www.macoalition.org/Initiatives/RecMeds/UMassReconcilForm.doc

August 8, 2019

Medication Reconciliation Form: Baptist Hospital

Baptist Memorial Hospital. Medication Reconciliation Form. Http://www.ihi.org/resources/Pages/Tools/BMHMemphisMedicationReconciliationForm.aspx. Published May 2005. Accessed 7/9/14. As a participant in the Institute for Healthcare Improvement’s Reducing High Hazard Adverse Drug Events Breakthrough Series Collaborative, the Baptist Memorial Hospital, Memphis campus has tested this tool on a pilot population to decrease their rate of unreconciled […]
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Baptist Memorial Hospital. Medication Reconciliation Form. Http://www.ihi.org/resources/Pages/Tools/BMHMemphisMedicationReconciliationForm.aspx. Published May 2005. Accessed 7/9/14. As a participant in the Institute for Healthcare Improvement’s Reducing High Hazard Adverse Drug Events Breakthrough Series Collaborative, the Baptist Memorial Hospital, Memphis campus has tested this tool on a pilot population to decrease their rate of unreconciled medications in order to improve patient safety.
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http://www.ihi.org/knowledge/Pages/Tools/BMHMemphisMedicationReconciliationForm.aspx

August 8, 2019

Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting. Aurora Healthcare, Milwaukee Wisconsin

Agency for Healthcare Research and Quality. Aurora Health Care. http://www.innovations.ahrq.gov/content.aspx?id=1766. Accessed 4/16/13. Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting. A community-wide medication reconciliation collaborative, involving health care consumers, providers, pharmacists, and community stakeholders, gave elderly patients and their providers the tools and education […]
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Agency for Healthcare Research and Quality. Aurora Health Care. http://www.innovations.ahrq.gov/content.aspx?id=1766. Accessed 4/16/13. Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting. A community-wide medication reconciliation collaborative, involving health care consumers, providers, pharmacists, and community stakeholders, gave elderly patients and their providers the tools and education needed to assemble and verify accurate medication lists and communicate effectively to prevent medication errors. As a result, the rate of accurate medication lists among targeted patients improved from 55 percent to 72 percent. Evidence Rating Moderate: The evidence consists primarily of before and after comparisons of the accuracy of medication lists and comparison with controls, which included Aurora practices in which there was no intervention and post-implementation surveys eliciting patient and provider views. Although the project provided extensive education and support and employed controls, a direct causal link between the program and the improved accuracy rates cannot be confirmed, as confounding variables may have influenced the results, including recent emphasis and education by professional organizations.
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http://www.innovations.ahrq.gov/content.aspx?id=1766

August 8, 2019

Improving Transitions to Reduce Readmissions

Bisognano M, Boutwell A. Frontiers of Health Services Management. 25(3):3-10.2009. http://www.ihi.org/resources/Pages/Publications/ImprovingTransitionstoReduceReadmissions.aspx. Accessed 8/13/14. Delivering high quality healthcare requires crucial contributions from many parts of the care continuum. However, as healthcare becomes increasingly specialized, corrdination between providers and between settings is to often not conducted as a team effort.
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Bisognano M, Boutwell A. Frontiers of Health Services Management. 25(3):3-10.2009. http://www.ihi.org/resources/Pages/Publications/ImprovingTransitionstoReduceReadmissions.aspx. Accessed 8/13/14. Delivering high quality healthcare requires crucial contributions from many parts of the care continuum. However, as healthcare becomes increasingly specialized, corrdination between providers and between settings is to often not conducted as a team effort.
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http://www.ihi.org/knowledge/Pages/Publications/ImprovingTransitionstoReduceReadmissions.aspx

August 7, 2019

Coordinating Care — A Perilous Journey through the Health Care System (Thomas Bodenheimer, M.D. N Engl J Med 2008; 358:1064-1071March 6, 2008)

In the United States, 125 million people are living with chronic illness, disability, or functional limitation.1 The nature of modern medicine requires that these patients receive assistance from a number of different care provi ders. Between 2000 and 2002, the typical Medicare beneficiary saw a median of two primary care […]
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In the United States, 125 million people are living with chronic illness, disability, or functional limitation.1 The nature of modern medicine requires that these patients receive assistance from a number of different care provi ders. Between 2000 and 2002, the typical Medicare beneficiary saw a median of two primary care physicians and five specialists each year, in addition to accessing diagnostic, pharmacy, and other services. Patients with several chronic conditions may visit up to 16 physicians in a year.2 Care among multiple providers must be coordinated to avoid wasteful duplication of diagnostic testing, perilous polypharmacy, and confusion about conflicting care plans.
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http://www.nejm.org/doi/full/10.1056/NEJMhpr0706165