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We do the same for admissions.

We are starting to try to work on other aspects and would like to know
what people are doing for their outpatient visits. For example, ER and
Same Day.  Do you go beyond obtaining the most accurate medication list
possible, whether on paper or electronic?

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Dan Hawrot
Sent: Friday, August 04, 2006 6:35 AM
To: 'Deepe, Sue'; 'Dana Pfingstler'; 'Meditech L'
Subject: RE: [MEDITECH-L] Home medication reconciliation

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  At our facility, nursing does enter the home meds in Meditech, for
inpatients, in the assessment screen. From this list in Meditech, a form
is generated that becomes the physician order that is faxed to pharmacy.

   We also use Meditech to generate a discharge to home/long term care
form. The physician then just checks off what is to continue, and there
is room to write in additional meds.

Dan Hawrot, RPh
Trinity West
Steubenville, Ohio
740-264-8398

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Deepe, Sue
Sent: Thursday, August 03, 2006 4:00 PM
To: Dana Pfingstler; Meditech L
Subject: RE: [MEDITECH-L] Home medication reconciliation

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Our process is almost entirely back on paper.  Originally we were
entering the home medications into Meditech, but since they only give
you one text box to enter all of these medications, it does not flow
like you need it to for the Medication Reconciliation Process.  So, we
stopped entering medications into Meditech for the time being, and we
use a paper form to list the home medications on.  We start when the
patient is admitted to the ED or to the floor.  

Once the patient is admitted, if the medications have to be reconciled
again because the patient has moved from unit to unit, then I do have a
computer generated report that lists the patient's current medications
being used in the hospital.  The nurses like this and would like to do
this on admission...but we have not found that doing it in Meditech to
be helpful.

Once again on discharge, we use a paper form to list all of the
medications that the patient will be taking at home and list all of the
new prescriptions that the patient will be adding to their current list.


I would like to build a more seamless approach to this, but Meditech
needs to build in some more fields to accommodate the Medication
Reconciliation process.

Sue Deepe
Clinical Systems Analyst


We are interested in learning how other facilities are reconciling home
medications.  We currently capture home meds on a nursing CDS but the
reconciliation process is burdensome and not as effective as we would
like
it to be.  Would anyone be interested in sharing their method for
reconciling home medications at discharge?

Thanks

Hap Beckes
Information Systems Director
Sullivan County Community Hospital
2200 N. Section Street
P.O. Box 10
Sullivan, IN 47882-0010
email:  [EMAIL PROTECTED]
phone:  812.268.2641
fax:  812.268.2650


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