Introducing the Medication Recording System Schedule

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Introducing the Medication Recording System
Schedule

• Ed Castagna
• Mom Pops Small Business Services

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Doctors Prescribe and Patients Administer
Doctor Prescribes Medication to improve patient
during illness Patient administers medication
until some time Patient and Doctor reevaluate
continued need for medications
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Current Doctor and Patient Problems

• Patient may not recall all their current
  medications
• Patient may not be able to understand drug
  information given
• Patient may not be able to administer medications
  well
• Patient may be unwilling to take additional
  medications

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Current Doctor and Patient Problems
Patient may not understand drug paper
documentation Patient may not know how to add
medication to schedule Patient may be overwhelmed
with the practitioner coordination needs Patient
may not be physically able to administer drug
(for instance, standard Insulin Injection for
arthritic patients)
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Patient Issues
Improving Outcomes Understanding
Medications Improving Continuity of Care Improved
Ability to Control Medications Administration
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Doctor Issues
Improving Outcomes Continuity of Care Training
Patient re Medications Improving Patient
Compliance Improving Patient Feedback
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Pharmacist Issues
Improving Outcomes Improving Continuity of
Care Training Patient re Medications Improving
Pharmaceuticals Dispensing, Renewals, Scheduling,
and Delivery Minimizing Costs
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Insurers Issues
Improving Outcomes Continuity of Care Training
Patient re Medications Improving Patient
Compliance Improving Patient Feedback Improving
Pharmaceuticals Dispensing, Renewals, Scheduling,
and Delivery
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Insurers Issues
Minimizing Cost Minimizing Costly Emergency Room
Visits due to wrong medicine, missed doses,
double doses, inappropriate diagnosis, treatment
options.
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Sample Medication Recording System Schedule
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Sample Medication Recording System Schedule
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A Team Approach to Medication Recording System
Patient arrives at Doctor for checkup Doctor
suggests additional medication is needed Patient
hands doctor Medication Recording System
Schedule All current medications appear on
schedule
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A Team Approach to Medication Recording System
Doctor notes existing medications Doctor
prescribes medication , dosage, number of pills,
number of administrations/day Doctor suggests
potential timing of dosage administration Patient
updates Medication Recording System Schedule with
new medication
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A Team Approach to Medication Recording System
Patient shows Medication Recording System
Schedule to Pharmacist Pharmacist checks for drug
interactions Pharmacist updates his view of
patient with additional medication Pharmacist
delivers medication and blessing Patient
administers medications regularly based on
schedule
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Old Hospital Discharge Scenario
Patient is in Hospital for something Patient is
medicated regularly in Hospital with Nursing
Support Patient is Discharged with pending
medications needs Hospital may give patients a
days worth of drugs
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Old Hospital Discharge Scenario
Patient is at home with a Discharge Summary they
do not know how to read Patient needs to verify
information found on Discharge Summary to turn it
into timely drug administration needs in outside
world Patient solicits Hospital Nursing Staff
after discharge for help with unknown state
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Old Hospital Discharge Scenario
Patient solicits Primary Care Physician to help
with unknown state Patient Solicits Pharmacist to
help with unknown state Discharge orders may be
continued, follow-up with Primary Care Physician
should be recommended
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Old Hospital Discharge Scenario
Primary Care Physician prescribes those
medications from Hospital to be continued for
patient Pharmacist delivers newly prescribed
medications Patient is satisfied that the Primary
Care Physician has evaluated Hospital medications
handoff to home
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Hospital Discharge with Medication Recording
System
Patient is in Hospital for something Patient is
medicated regularly in Hospital with Nursing
Support Patient is Discharged with pending
medications needs Medication Recording System
Schedule is created for patient Hospital may give
patient sufficient dosing till Primary Physician
visit
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Hospital Discharge with Medication Recording
System
Patient is at home with a Discharge Summary and a
Medication Recording System Schedule they find
easy to understand Patient fills prescriptions
based on Medication Recording System
Schedule. Patient Solicits Primary Care Physician
to understand issues relating to Discharge
Summary at a lower priority than immediate
medication needs.
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Hospital Discharge with Medication Recording
System
Primary Care Physician coordinates with Hospital
Staff to understand Discharge Summary. Patient
consults Primary Care Physician to help with
unknown state Pharmacist coordinates with
Hospital Staff to understand Discharge Summary.
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Hospital Discharge with Medication Recording
System
Primary Care Physician prescribes those
medications from Hospital to be continued for
patient Pharmacist delivers newly prescribed
medications Patient is satisfied that the Primary
Care Physician has evaluated Hospital medications
handoff to home
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Old Doctors Office Visit
Patient visits Primary Care Physician noting
symptoms Doctor evaluates symptoms and prescribes
medication Patient gets prescription from local
drug store Medication Information shows side
effects which patient decides not to bear the
risk of
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Old Doctors Office Visit
Next Patient visit Doctor notes no further
improvement Patient confides in Doctor that the
side effects were not acceptable. Is there
another way of treating Patient may have put
himself at risk
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Doctors Office Visit with Medication Recording
System
Patient visits Primary Care Physician noting
symptoms Doctor evaluates symptoms and prescribes
medication Doctor reviews medications and side
effects and gains patients approval for intended
treatment plan. Doctor revises Medication
Recording System Schedule with new medications
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Doctors Office Visit with Medication Recording
System
Patient gets prescription from local drug
store Doctor Tickles Patient in timely fashion to
evaluate if the medications are being taken. If
Patient is not fulfilling treatment plan, Doctor
offers another visit with alternate treatment
plan.
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Problems Addressed by Medication Recording System
Doctor rely on Patients ability to followup with
medications Patients have a hard time
understanding specifics of Doctors medications
requests, interactions between medications,
foods Lets attempt to make it easier for
patients to administer medication prescribed by
Doctors
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Medication Recording System Schedule
Patients carry schedule to Doctors office for
visit Doctors have list of medicines readily
available to make optimal decisions Patients have
best chance of following Doctors
orders. Internet Solution allows access if
Patient does not have schedule on hand.
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Patient Benefit
Patients are more able to understand medicine
administration needs. These functions are
currently only offered in Hospital Settings, with
Nursing Delivery. Easier to comply than reading
the bottles for frequency of medications
delivery Responsibility is appropriately on
caregivers to assist with scheduling the
medication administration
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Doctor Benefit
Doctors have a list which can be used for
allergies, current medication information rather
than patients memory. Doctors have agreement of
the patient that they can handle the new schedule
before the patient leaves the office. Patient has
a greater ability to implement doctors intended
medication schedule.
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Pharmacist Benefit
Pharmacists have a schedule which can be used
for allergies, current medication information
rather than relying on a patients
memory Pharmacists can facilitate drug
interaction checks more successfully against a
full medication schedule. Pharmacists can
coordinate monthly renewal needs for renewable
prescriptions
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Insurer Benefit
Patients who are able to follow the schedule will
be less prone to costly Emergency Room Visits
based on medication administration
failures. Improved continuity of care among
caregivers aware of a patients medication needs
should improve patient outcomes, wellness, and
minimize costs Empowering Claimants and their
family frees up scarce resources
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Medication Recording System Schedule
Thank You
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Medication Recording System Schedule
Q A Other Scenarios (Doctors Office,
Discharge from Hospital) needing to be
addressed Are you comfortable with the program