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Continuity of Care Patients 65 years and older have multiple medical problems, are on multiple medications, and are seen by multiple providers. Having a primary care physician, communicating among all providers, and reconciling medications are all essential for quality patient care.
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Continuity of CarePatients 65 years and older have multiple medical problems, areon multiple medications, and are seen by multiple providers. Having a primary care physician, communicating among all providers, and reconciling medications are all essential for quality patient care. Medication Reconciliation Steps Obtain medication list from patient Obtain medical record medication and problem list Identify discrepancies Call pharmacy or call family Reconcile list Enumerate all meds Consolidate meds Evaluate ongoing need of each med. Optimize the list Incorporate into med list Document updated medication list Give patient a copy of updated medication list Include updated list in clinic note Funding provided by D.W. Reynolds Foundation References: Wenger, N.S. and R.T. Young (2007) “Quality Indicators for Continuity and Coordination of Care in Vulnerable Elders.” JAGS 55:S285-292. Varkey, P. et al (2007) “Improving Medication Reconciliation in the Outpatient Setting.” Jt. Comm J on Quality & Patient Safety 33:5.
