T I F FA N Y C H E N – D N P U 7 0 2

PERSONAL HEALTH RECORDS AND MEDICATION MANAGEMENT

THE PROBLEM

THE PROBLEM

• 1.5 million adverse drug events occur each year in the United States • Each preventable adverse drug event added

$8,750 to the cost of a hospital stay• Potential cost: $3.5 billion annually• Cost to treat medication errors: $887 million

• Medication errors from medication reconciliation failures occur:• 22% at Admission• 22% at Transfer• 12% at Discharge

(IOM, 2006; JCAHO, 2008)

COMMON MEDICATION ERRORS

(Mitrzyk, 2009)

Omissions

59%

Dose Discrep-

ancy21%

Frequency Discrepancy

10%

Additional Med-ications

5%

Substitutions5%

SOLUTIONS: PARTNERSHIP

(IOM, 2006; JCAHO, 2008)

TEAMWORK

Healthcare Users

Patient/Family Users

Information Services Department (ISD)

MOBILE SOLUTION

• Track & Manage

• Organize

• Get Healthy

• Apps & Devices

(California Healthcare Foundation, 2010; McGuire, 2007; Microsoft, 2012)

INNOVATIONTHE SIX-STEP PROCESS OF USING EVIDENCE

1.ACCESS

2.TAILOR

3.RETRIEVE

4.ARCHIVE

5.SHARE

6.WRITE

INNOVATION

(Christensen, 2009; Johansson, 2006; Turvey, 2012)

REFERENCES

• Balint, M., Ball, D. H., & Hare, M. L. (1969). Training medical students in patient-centered medicine. Comprehensive Psychiatry, 10(4), 249-258. doi: 10.1016/0010-440x(69)90001-7

• Belmont, C., Akpabio, L., Engles, D., O'Hare, E., Russell, B., Richard, R. C., & Waltrip, L. (2010). Medication Reconciliation. Retrieved from http://www.dell.com/downloads/global/solutions/public/articles/medication-reconciliation-patients-care-givers.pdf

• California HealthCare Foundation. (2010). Consumers and Health Information Technology: A National Survey. Retrieved from http://www.chcf.org/publications/2010/04/consumers-and-health-information-technology-a-national-survey

• Christensen, C. M., Grossman, J. H., & Hwang, J. (2009). The Innovator's Prescription: A Disruptive Solution for Health Care. New York, NY: McGraw-Hill.

• Greenwald, J. L., Halasyamani, L., Greene, J., LaCivita, C., Stucky, E., Benjamin, B., . . . Williams, M. V. (2010). Making Inpatient Medication Reconciliation Patient Centered, Clinically Relevant and Implementable: A Consensus Statement on Key Principles and Necessary First Steps. Journal of Hospital Medicine, 5(8), 477-485.

• Institute of Medicine. (2006). Preventing Medication Errors. Retrieved from http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventing-Medication-Errors-Quality-Chasm-Series/medicationerrorsnew.pdf

• Johansson, F. (2006). Medici effect: What elephants and epidemics can teach us about innovation. Cambridge, MA: Harvard Business School Press

• Joint Commission on Accreditation of Healthcare Organizations. (2006). Using medication reconciliation to prevent errors. Joint Commission Journal on Quality and Patient Safety. 32(4), 230-2.

• McGuire, R. (2007). The power of mobility : how your business can compete and win in the next technology revolution. Hoboken, N.J.: John Wiley & Sons.

• Microsoft. (2012). Microsoft HealthVault. Retrieved from http://www.microsoft.com/global/en-us/healthvault/renderingAssets/hvClickThru/Personal/hv_final_overview_master_02.pdf

• Mitrzyk, B. M., & Ganatra, S. (2009). Conducting Medication Reconciliation. Retrieved from http://www.michiganpharmacists.org/education/online/may09_medrec.pdf

• Turvey, C. L., Zulman, D. M., Nazi, K. M., Wakefield, B. J., Woods, S. S., Hogan, T. P., . . . McInnes, K. (2012). Transfer of Information from Personal Health Records: A Survey of Veterans Using My HealtheVet. Telemedicine and E-Health, 18(2), 109-114.