Partnering with Veterans and their Medications

1. Partnering with Veterans and their Medications Part Two: Patient Medication Information Rosemary Grealish, RPh & Maureen Layden, MD, MPH

2. Who we are Rosemary Grealish, RPh Maureen Layden, MD, MPH Mark McConnell, MD Eric Spahn, PharmD

3. VA Patient Medication Information & Medication Reconciliation Initiative

4. Objectives

5. What is Medication Information?

6. Why is Medication Information Important?

7. Medication Information and the Patient Protection and Affordable Care Act

8. The Trajectory of Medication Information Kim M. Nazi, PhD, FACHE

9. Patient Medication Reconciliation Medication Information Management

10. Patient Medication Reconciliation Medication Information Management

11. Staff Medication Reconciliation Medication Information Management

12. Staff Medication Reconciliation Medication Information Management

13. Iterative Cycle of Reconciliationwith permission of Dr. Blake Lesselroth Lesselroth et al., Greenwald et al, Markowitz et al, Vermeire et al

14. Case Dr. Mark McConnell from Tomah, Wisconsin

15. Partnering with Patients

16. Minimally Disruptive MedicineWith permission of Dr. Victor Montori

17. Medication Harm

18. Adherence

19. Adherence World Health Organization. Adherence to long-term therapies: evidence for action, 2003.

20. What can you do for the Veteran and Caregiver? With permission of Katharina Echt, PhD

21. Poll Question Non adherence to medications can be due to which factor or factors? • Health Literacy • Unpleasant side effects • Number of medications per day • Unclear medication information • All of the above

22. Sergeant First Class William Fraas, retired and his wife Mrs. Marie Fraas The Same Page OEF/OIF/OND Team VA Pittsburgh Healthcare System

23. Poll Results Non adherence to medications can be due to which factor or factors? • Health Literacy • Unpleasant side effects • Number of medications per day • Unclear medication information • All of the above

24. Poll Results • Health Literacy • Unpleasant side effects • Number of medications per day • Unclear medication information • All of the above

25. Defining the Page: Essential Med Info Standards Directive

26. National Alliance of Patient Medication Information Standardization “NAPMIS”

27. VA Pharmacy Benefits Management Your Guide to Essential Medication Information

28. Medication Information Content Essential Med Info Standardization Directive

29. Drug Name, Strength How the Veteran takes the med Who prescribed it Where they got it What’s important to the Veteran

30. Med Info: VA

31. Med Info: Non VA

34. With permission of Dr. Lesselroth

35. Medication Review: Innovation Used with permission from hi2 – HMP development, Thomas Heller, RPh.

36. VHA Outpatient

37. Medication Information Display Standards Essential Med Info Standardization Directive

38. Used with permission from hi2 – non VA Med App development, Thomas Heller, RPh

39. Medication Information Authoritative Source Standards Essential Med Info Standardization Directive

40. The Authoritative Source of Medication Information: PBM The Pharmacy Files Example: Medication Name “Lisinopril”

41. Poll Question The Essential Med Info Standards Directive defines: • Medication List Content • Sources for Medication Information • Medication Information Display • All of the Above

42. Medication Image Library With permission of Bob Gale, RPh, MBA

43. Medication Image LibraryWith permission of Bob Gale, RPh, MBA

44. Poll Results The Essential Med Info Standards Directive defines: • Medication List Content • Sources for Medication Information • Medication Information Display • All of the Above

45. Poll Results • Medication List Content • Sources for Medication Information • Medication Information Display • All of the Above

46. Reconciliation

47. Exemplars

48. With permission of Kenneth Weingardt, PhD

49. My Medications Functionality Overview With permission of Kenneth Weingardt, PhD

50. With permission of Kenneth Weingarten, PhD