50:50
Welcome to
Who Wants to
be a Millionaire
15
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1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
Another
Presentation
© 2000 - All rights Reserved
[email protected]
© Mark E. Damon - All Rights Reserved
© Mark E. Damon - All Rights Reserved
seamstress : cloth :: shoemaker :
1.
2.
3.
4.
leather
wood
steel
paper
20
© Mark E. Damon - All Rights Reserved
S_F_T_
1.
2.
3.
4.
EYA
ZAU
OIR
ILE
20
© Mark E. Damon - All Rights Reserved
15
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3
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1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
In Acute Care, what
is the Medication
Reconciliation
process?
50:50
A: Obtaining a complete and accurate list of
current home medications
C: All of the above (A, B & D)
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: Using a BPMH when writing admission,
transfer and discharge medication orders
D: Comparing the BPMH with orders to
identify and fix any discrepancies
© Mark E. Damon - All Rights Reserved
In Acute Care, what is the
Medication Reconciliation process?
A: Obtaining a complete and
accurate list of current
home medications
B: Using a BPMH when
writing admission, transfer
and discharge medication
orders
C: All of the above (A, B & D)
D: Comparing the BPMH with
orders to identify and fix
any discrepancies
60
© Mark E. Damon - All Rights Reserved
In Acute Care, what
is the Medication
Reconciliation
process?
50:50
A: Obtaining a complete and accurate list of
current home medications
C: All of the above (A, B & D)
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: Using a BPMH when writing admission,
transfer and discharge medication orders
D: Comparing the BPMH with orders to
identify and fix any discrepancies
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
Complete this
sentence:
MedRec is a process
which involves …
50:50
15
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10
9
8
7
6
5
4
3
2
1
A: a multidisciplinary team
B: Pharmacists
C: Physicians
D: Nurses
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
MedRec is a process which involves
…
A. A multidisciplinary
team
B. Pharmacists
C. Physicians
D. Nurses
10
© Mark E. Damon - All Rights Reserved
Complete this
sentence:
MedRec is a process
which involves …
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
A: a multidisciplinary team
B: Pharmacists
C: Physicians
D: Nurses
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
A patient on a maintenance dose of atenolol for
hypertension was admitted for surgery. The surgeon did
not order atenolol on admission, due to concerns about
perioperative hypotension. There was no written reason for
not ordering atenolol.
How would you code this discrepancy?
50:50
A: Intentional Discrepancy
C: Undocumented
Intentional Discrepancy
15
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10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: Unintentional discrepancy
D: Medication error
© Mark E. Damon - All Rights Reserved
How would you code this
discrepancy?
A. Intentional Discrepancy
B. Unintentional
discrepancy
C. Undocumented
Intentional Discrepancy
D. Medication error
60
© Mark E. Damon - All Rights Reserved
A patient on a maintenance dose of atenolol for
hypertension was admitted for surgery. The surgeon did
not order atenolol on admission, due to concerns about
perioperative hypotension. There was no written reason for
not ordering atenolol.
How would you code this discrepancy?
50:50
A: Intentional Discrepancy
C: Undocumented
Intentional Discrepancy
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B:Unintentional discrepancy
D: Medication error
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
In Home Care what do
you compare the BPMH
from the client interview
to?
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: labels on pill bottles
B: all available sources
C: community pharmacy lists
D: discharge prescriptions
© Mark E. Damon - All Rights Reserved
In Home Care what do you compare the
BPMH from the client interview to?
A. Labels on pill bottles
B. All available sources
C. Community
pharmacy lists
D. Discharge
prescriptions
60
© Mark E. Damon - All Rights Reserved
In Home Care what do
you compare the BPMH
from the client interview
to?
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: labels on pill bottles
B: all available sources
C: community pharmacy lists
D: discharge prescriptions
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
In Home Care where
there are often no order
forms to compare to, how
do you describe a
discrepancy?
50:50
A:
Undocumented intentional
discrepancy
C: Unintentional discrepancy
B:
15
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9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
Any discrepancy which
requires clarification
D: Intentional discrepancy
© Mark E. Damon - All Rights Reserved
In Home Care where there are often no order forms to
compare to, how do you describe a discrepancy?
A. Undocumented
intentional discrepancy
B. Any discrepancy which
requires clarification
C. Unintentional
discrepancy
D. Intentional discrepancy
60
© Mark E. Damon - All Rights Reserved
In Home Care where
there are often no order
forms to compare to, how
do you describe a
discrepancy?
50:50
A:
Undocumented intentional
discrepancy
C: Unintentional discrepancy
B:
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
Any discrepancy which
requires clarification
D: Intentional discrepancy
© Mark E. Damon - All Rights Reserved
the $1,000
Milestone!
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
How many SHN
Medication Reconciliation
teams are there in
Canada?
50:50
A: 100
C: 447
B: 332
D: 800
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
How many SHN Medication
Reconciliation teams are there in
Canada?
A.
B.
C.
D.
100
332
447
800
60
© Mark E. Damon - All Rights Reserved
How many SHN
Medication Reconciliation
teams are there in
Canada?
50:50
A: 100
C: 447
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
B: 332
D: 800
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
Which is the correct
way (model) for
measuring medication
discrepancies?
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: All of the below
B: Proactively
C: Retroactively
D: a hybrid of proactive
and retroactive
© Mark E. Damon - All Rights Reserved
Which is the correct way (model) for
measuring medication discrepancies?
1.
2.
3.
4.
All of the below
Proactively
Retroactively
A hybrid of proactive
and retroactive
60
© Mark E. Damon - All Rights Reserved
Which is the correct
way (model) for
measuring medication
discrepancies?
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: All of the below
B: Proactively
C: Retroactively
D: a hybrid of proactive
and retroactive
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
At which stage in the
process do you measure
in a retroactive model of
measuring discrepancies?
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: After you get the BPMH
B: Before the AMO are written
C: After you have reconciled
D: You don’t need to measure
© Mark E. Damon - All Rights Reserved
At which stage in the process do you measure
in a retroactive model of measuring
discrepancies?
A. After you get the BPMH
B. Before the AMO are
written
C. After you have
reconciled
D. You don’t need to
measure
60
© Mark E. Damon - All Rights Reserved
At which stage in the
process do you measure
in a retroactive model of
measuring discrepancies?
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: after you get the BPMH
B: Before the AMO are written
C: after you have reconciled
D: You don’t need to measure
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
Which are the critical
components for
creating a learning
package for Medication
Reconciliation?
50:50
A: BPMH training
C: A, B, & D
B:
D:
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
measurement/coding training
Rationale for doing MedRec
© Mark E. Damon - All Rights Reserved
Which are the critical components for creating
a learning package for Medication
Reconciliation?
A. BPMH training
B. measurement/ coding
training
C. A, B, & D
D. Rationale for doing
MedRec
60
© Mark E. Damon - All Rights Reserved
Which are the critical
components for
creating a learning
package for Medication
Reconciliation?
50:50
A: BPMH training
C: A, B, & D
B:
D:
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
measurement/coding training
Rationale for doing Med Rec
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
Compliance for the
Current Accreditation
ROP for MedRec at
admission must include:
50:50
A: getting a complete list
of home medications
C: timely reconciliation
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B:
a formal process with shared
client/organization responsibility
D:
All the above plus a
documented spread plan
© Mark E. Damon - All Rights Reserved
Compliance for the Current Accreditation ROP
for MedRec at admission must include:
A.
Getting a complete list of
home medications
B.
A formal process with
shared client/organization
responsibility
C.
Timely reconciliation
D.
All the above plus a
documented spread plan
60
© Mark E. Damon - All Rights Reserved
Compliance for the
Current Accreditation
ROP for MedRec at
admission must
include:
50:50
A: getting a complete list
of home medications
C: timely reconciliation
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B:
a formal process with shared
client/organization responsibility
D:
All the above plus a
documented spread plan
© Mark E. Damon - All Rights Reserved
the $32,000
Milestone!
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
Which item is NOT
Currently included, to test
Compliant without flags
for MedRec at transfer?
50:50
A:
All transferred/referred
patient’s/clients have documented
evidence of MedRec
C: Timely reconciliation
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: a formal process with shared
client/organization responsibility
D:
requires documentation that 2
lists have been compared
© Mark E. Damon - All Rights Reserved
Which item is NOT Currently included, to test
Compliant without flags for MedRec at
transfer?
A.
B.
C.
D.
All transferred/referred
patient’s/clients have
documented evidence of
MedRec
A formal process with
shared client/organization
responsibility
Timely reconciliation
Requires documentation that
2 lists have been compared
60
© Mark E. Damon - All Rights Reserved
Which item is NOT
Currently included, to test
Compliant without flags
for MedRec at transfer?
50:50
A:
All transferred/referred
patient’s/clients have documented
evidence of MedRec
C: Timely reconciliation
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: a formal process with
shared client/organization
responsibility
D:
requires documentation that 2
lists have been compared
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
Choose the BEST
answer to complete
this sentence:
Collecting data over
time ….
50:50
A: Is impossible
C: is called a run
chart
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: Connects change
with results
D: Needs additional
resources
© Mark E. Damon - All Rights Reserved
Choose the BEST answer to complete this
sentence: Collecting data over time ….
A. Is impossible
B. Connects change
with results
C. Is called a run
chart
D. Needs additional
resources
60
© Mark E. Damon - All Rights Reserved
Choose the BEST
answer to complete
this sentence:
Collecting data over
time ….
50:50
A: Is impossible
C: is called a run
chart
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: Connects change
with results
D: Needs additional
resources
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
The highest
subscribed Manitoba
SHN intervention
is……
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
A: MedRec
B: VTE
C: SSI
D: AMI
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
The highest subscribed Manitoba
SHN intervention is……
1.
2.
3.
4.
MedRec
VTE
SSI
AMI
60
© Mark E. Damon - All Rights Reserved
The highest
subscribed Manitoba
SHN intervention
is……
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
A: MedRec
B: VTE
C: SSI
D: AMI
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
In Ambulatory Care,
Accreditation Canada requires
Medication reconciliation to be
demonstrated for those clients
who...
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: are over 65 years of
age
B: have medication
C: attend the clinic
D: Have more than 4
medications
adjustments
© Mark E. Damon - All Rights Reserved
In Ambulatory Care, Accreditation Canada requires
Medication reconciliation to be demonstrated for those
clients who...
A.
Are over 65 years of age
B.
Have medication
adjustments
C.
Attend the clinic
D.
Have more than 4
medications
60
© Mark E. Damon - All Rights Reserved
In Ambulatory Care,
Accreditation Canada requires
Medication reconciliation to be
demonstrated for those clients
who...
50:50
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
A: are over 65 years of
age
B: have medication
C: attend the clinic
D: Have more than 4
medications
adjustments
© Mark E. Damon - All Rights Reserved
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
© Mark E. Damon - All Rights Reserved
The Sponsor of our
Million Dollar gift is….
50:50
A: Safer Healthcare Now!
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
B: Manitoba Institute for
Patient Safety
C: Canadian Patient
Safety Institute
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
D: ISMP Canada
© Mark E. Damon - All Rights Reserved
The Sponsor of our Million Dollar gift
is….
A. Safer Healthcare Now!
B. Manitoba Institute for
Patient Safety
C. Canadian Patient
Safety Institute
D. ISMP Canada
60
© Mark E. Damon - All Rights Reserved
The Sponsor of our
Million Dollar gift is….
50:50
A: Safer Healthcare Now!
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
$1 Million
$500,000
$250,000
$125,000
$64,000
$32,000
$16,000
$8,000
$4,000
$2,000
$1,000
$500
$300
$200
$100
B: Manitoba Institute for
Patient Safety
C: Canadian Patient
Safety Institute
D: ISMP Canada
© Mark E. Damon - All Rights Reserved
YOU WIN $1
MILLION DOLLARS!