My Medicine List What, Why and How

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My Medicine List What, Why and How?
Jill Strykowski, Director of Pharmacy Mercy
Hospital and Unity Hospital
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Drugs that increase INR
The Complexities of Coumadin
Adrenal cortical steroid inhibitorsAdrenergic
stimulants, centralAlcohol abuse reduction
preparationsAnalgesicsAnesthetics,
inhalationAntiarrhythmicsAntibioticsAnticonvu
lsantsAntidepressantsAntimalarial
agentsAntineoplasticsAntiparasitic/antimicrobia
lsAntiplatelet drugs/effectsAntithyroid
drugsBeta-adrenergic blockersBromelainsCholeli
tholytic agentsDiabetes agents
oralDiureticsFungal medications,
systemicGastric acidity and peptic ulcer
agentsGastrointestinal, ulcerative colitis
agentsGout treatment agentsHemorrheologic
agentsHepatotoxic drugsHyperglycemic
agentsHypertensive emergency agentsHypnoticsHy
polipidemicsMonoamine oxidase
inhibitorsNarcotics, prolongedNonsteroidal
anti-inflammatory agentsPsychostimulantsPyrazolo
nesSalicylatesSelective serotonin reuptake
inhibitorsSteroids, adrenocorticalSteroids,
anabolic (17-alkyl testosterone
derivatives)ThrombolyticsThyroid
drugsTuberculosis agentsUricosuric
agentsVaccinesVitamins
Drugs that decrease INR
Adrenal cortical steroid inhibitorsAntacidsAnti
anxiety agentsAntiarrhythmicsAntibioticsAntic
onvulsantsAntidepressantsAntihistaminesAntine
oplasticsAntipsychotic medicationsAntithyroid
drugsBarbituratesDiureticsEnteral
nutritional supplementsFungal medications,
systemicGastric acidity and peptic ulcer
agentsHypnoticsHypolipidemicsImmunosuppressi
vesOral contraceptives, estrogen
containingSteroids, adrenocorticalTuberculosis
agentsVitamins
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Medication Reconciliation
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Minnesotas My Medicine List
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• What is the list and concept?
• Consumer/patient list of medications - concept,
  not content
• On the MAPS website www.mnpatientsafety.org
• Provided by pharmacies, clinics and hospitals
• Universal (MN!) recognition
• Success driver for Medication Reconciliation
• Other states have experience
• MAPS card based on South Carolina Hospital
  Association work and
• Massachusetts Coalition for the Prevention of
  Medical Errors

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Connecticut Hospital Association Medication Card
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Ohio Medication Card from the Ohio Patient Safety
Institute
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Detail of My Medicine List
www.mnpatientsafety.org

• Available in full size can add organizational
  logo (for a small fee)
• Available in ½-page wallet-size
• Brochure is available
• Vinyl sleeves can be ordered for both ½-size
  card (0.75/ea)
• Vinyl sleeves can be ordered for full-size
  (0.75/ea)
• Translation in process 5 different languages
• Patient can update own print and update
• Brochure Tips for Medicine Safety

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Why do we want to do this?

• Patient centered care responsibility for
  self-care and monitoring with patient
• Medication Safety
• Statewide improve med rec home lists,
  reduce adverse events
• Improve communication between providers
• ____________________________
  _______
• May be cost implications for the patient as meds
  are reviewed each and every medical visit.

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How will we accomplish this in Minnesota?

• MAPS website for tools
• Seed money for a public relations campaign
  MAPS, Fairview, Allina, ParkNic
• Sign on as a partner what does that entail?
• Public Relations KARE 11 Health Fair 11 Qrtr 1
  2007. News stories, phone banks, CUB Pharmacy
  involvement
• Target as a partner?
• Support from stakeholders MSHP, MPHA, continue
  with MAPS work

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Public Relations Partner

• Build asks into current processes
• a. Clinics
• b. Pharmacies
• c. Patient Help lines all have the My
  Medicine List
• Build the tactics into your organization - On the
  MAPS website
• a. Staff/physician tactics
• b. Patient/consumer tactics
• 3. Contact the campaign coordinator for
  assistance LZespy_at_mnhospitals.org

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Staff and Physician Tactics

• Publish articles in employee newsletters about
  the resources available to
• discuss My Medicine List

• Provide talking points to staff

• Promote My Medicine List via the website

• After the campaign is underway, profile nurses,
  pharmacists, physicians
• that are working on the campaign.

 

• Identify a physician champion to profile
  campaign at Grand Rounds

• Celebrate milestones in the campaign

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Patient and Consumer Tactics

• Newsletter in consumer publications
• Pitch stories to the media about
  patients/consumers who are using the
• My Medicine List and the importance of
  medication reconciliation
• Direct mail to consumers about My Medicine List
• Call high-risk patients to tell them about My
  Medicine List
• Promote My Medicine List on organization
  website
• Hang posters in patient rooms, waiting areas,
  etc.

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Fairview, Allina, Gillette Experience

• Fairview MAPS card in all admission packets,
  in all clinic pharmacies
• Allina Templated into EPIC discharge writer
• Gillette Used at discharge

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Ideal State

• Minnesota-wide recognition in clinics,
  pharmacies and hospitals

• Integrated into electronic medical records

• Fields populated in electronic medical records

• Patients ask for it and use it like an
  insurance card

• Payors distribute with open enrollment cards

• Outcomes tracked - are adverse events
  decreasing?

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Minnesota-Wide Acceptance is Key to Success
Pharmacies must accept and buy into process
Must be part of clinic visit and rooming process
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You can help ...
Commit your organization at some level get
communication out, use the MAPS tools to gain
interest from your organization and community you
serve.
Never doubt that a small group of thoughtful,
committed citizens can change the world.
Indeed, it is the only thing that ever
has. -Margaret Mead