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$1 Million

50:50. 15. $1 Million. 14. $500,000. Welcome to Who Wants to be a Millionaire. 13. $250,000. 12. $125,000. 11. $64,000. 10. $32,000. 9. $16,000. 8. $8,000. 7. $4,000. 6. $2,000. 5. $1,000. 4. $500. 3. $300. 2. $200. 1. $100. Who wants to be a contestant?. 15.

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$1 Million

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  1. 50:50 15 $1 Million 14 $500,000 Welcome toWho Wants to be a Millionaire 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  2. Who wants to be acontestant?

  3. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  4. 15 $1 Million 14 $500,000 13 $250,000 Using a quality definition, PDSA stands for… 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: Platelet Disorder Support Association A: Please Do Something , Anything D: Professional Diving Schools Association C: Plan- Do- Study- Act

  5. 60 Using a quality definition, PDSA stands for… • Please Do Something, Anything • Platelet Disorder Support Association • Plan- Do- Study- Act • Professional Diving Schools Association

  6. 15 $1 Million 14 $500,000 13 $250,000 Using a quality definition, PDSA stands for… 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: Platelet Disorder Support Association A: Please Do Something, Anything D: Professional Diving Schools Association C: Plan- Do- Study- Act

  7. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  8. 15 $1 Million 14 $500,000 13 $250,000 The ultimate goal of Medication Reconciliation is… 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 $500 4 3 $300 2 $200 50:50 1 $100 A: Prevent adverse drug events at interfaces of care B: Eliminate undocumented discrepancies D: To adhere to professional responsibilities C: To pass accreditation

  9. 60 The ultimate goal of Medication Reconciliation is… • Prevent adverse drug events at interfaces of care • Eliminate undocumented discrepancies • To pass accreditation • To adhere to professional responsibilities

  10. 15 $1 Million 14 $500,000 13 $250,000 The ultimate goal of medication reconciliation is… 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: Prevent adverse drug events at interfaces of care B: Eliminate undocumented discrepancies D: To adhere to professional responsibilities C: To pass Accreditation

  11. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  12. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 Obtaining an up-to-date accurate medication list of all regular medication use using more than one source of information is called…. 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: Reconciling Orders A: Medication Reconciliation C: Getting a BPMH D: Preventing ADEs

  13. 60 Obtaining an up-to-date accurate medication list of all regular medication use using more than one source of information is called…. • Medication Reconciliation • Reconciling Orders • Getting a BPMH • Preventing ADEs

  14. 15 $1 Million 14 $500,000 13 $250,000 Obtaining an up-to-date accurate medication list of all regular medication use using more than one source of information is called…. 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: Reconciling Orders A: Medication Reconciliation C: getting a BPMH D: Preventing ADEs

  15. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  16. 15 $1 Million 14 $500,000 Medication Reconciliation at transfer involves comparing… 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: BPMH & MAR vs. transfer orders A: old orders vs. new orders C: BPMH vs. old orders D: MAR vs. transfer orders

  17. 60 Medication Reconciliation at transfer involves comparing… • Old orders vs. new orders • BPMH & MAR vs. transfer orders • BPMH vs. old orders • MAR vs. transfer orders

  18. 15 $1 Million 14 $500,000 Medication Reconciliation at transfer involves comparing… 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: old orders vs. new orders B: BPMH & MAR vs. transfer orders C: BPMH vs. old orders D: MAR vs. transfer orders

  19. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  20. 15 $1 Million 14 $500,000 13 $250,000 What is the aim for collecting baseline data? 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: Help you build your case for Medrec B: Help get senior management and staff buy-in D: All of the above C: Defines the existing problem

  21. 60 What is the aim for collecting baseline data? • Help you build your case for med rec • Help get senior management and staff buy-in • Defines the existing problem • All of the Above

  22. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 What is the aim for collecting baseline data 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: Help build case for MedRec B: Senior management /staff buy-in C: Defines the existing problem D: All of the above

  23. Congratulations! Congratulations! Congratulations! You’ve Reached the $1,000 Milestone!

  24. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  25. 15 $1 Million 14 $500,000 13 $250,000 Name the acronym for the reconciled document given to the patient at discharge 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: BPMH B: DP D: Rxs C: BPMDP

  26. 60 Name the acronym for the reconciled document given to the patient at discharge • BPMH • DP • BPMDP • Rxs

  27. 15 $1 Million 14 $500,000 13 $250,000 Name the acronym for the reconciled document given to the patient at discharge 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: BPMH B: DP D: Rxs C: BPMDP

  28. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  29. 15 $1 Million 14 $500,000 13 $250,000 What practice model can be used to reconcile medications? 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: All of the below B: Proactive Model D: A hybrid of proactive and retroactive C: Retroactive Model

  30. 60 What practice model can be used to reconcile medications? • All of the below • Proactive Model • Retroactive Model • A hybrid of proactive and retroactive

  31. 15 $1 Million 14 $500,000 13 $250,000 What practice model can be used to reconcile medications? 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: All of the Below B: Proactive Model D: a hybrid of proactive and retroactive C: Retroactive Model

  32. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  33. 15 $1 Million 14 $500,000 13 $250,000 At which stage in the process do you measure discrepancies, in a proactive model? 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: After you get the BPMH B: Before the AMO are written C: After reconciliation is completed D: You don’t need to measure

  34. 60 At which stage in the process do you measure discrepancies, in a proactive model? • After you get the BPMH • Before the AMO are written • After reconciliation is completed • You don’t need to measure

  35. 15 $1 Million 14 $500,000 At which stage in the process do you measure in a proactive model of measuring discrepancies? 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: Before the AMO are written A: after you get the BPMH D: You don’t need to measure C: After reconciliation is completed

  36. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  37. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 The Accreditation Canada test for compliance for MedRec ROP includes: 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: Reconciling time is greater B: Time to getting a complete BPMH is greater D: Use different sources to get History C: Getting a BPMH

  38. 60 What is your opinion? The Accreditation Canada test for compliance for MedRec ROP includes: • Reconciling time is greater • Time to getting a complete BPMH is greater • Getting a BPMH • Use different sources to get History

  39. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 The Accreditation Canada test for compliance for MedRec ROP includes: 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: Reconciling time is greater B: Time to getting a complete BPMH is greater D: Use different sources to get History C: Getting a BPMH

  40. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  41. 15 $1 Million 14 $500,000 13 $250,000 How does Accreditation Canada expect to see the “% patients reconciled at admission” measure collected? 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: Monthly by service B: By provider daily D: By Service quarterly C: By facility annually

  42. 60 How does Accreditation Canada expect to see the “% patients reconciled at admission” measure collected? • Monthly by service • By provider daily • By facility annually • By Service quarterly

  43. 15 $1 Million 14 $500,000 How does Accreditation Canada expect to see the “% patients reconciled at admission” measure collected? 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 A: Monthly by service B: By provider daily D: By Service quarterly C: By facility anually

  44. Congratulations! Congratulations! Congratulations! You’ve Reached the $32,000 Milestone!

  45. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  46. 15 $1 Million 14 $500,000 13 $250,000 Name some key strategies for gaining champions in doing the medication reconciliation process. 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: Explain or present evidence A: B, C & D C: Present organizational discrepancy data D: Personalize data with actual patient stories

  47. 60 Name some key strategies for gaining champions in doing the medication reconciliation process. • B, C & D • Explain or present evidence • Present organizational discrepancy data • Personalize data with actual patient stories

  48. 15 $1 Million Name some key strategies for gaining champions in doing the medication reconciliation process. 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: Explain or present evidence A: B, C & D C: Present organizational discrepancy data D: Personalize data with actual patient stories

  49. 15 $1 Million 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 1 $100

  50. 15 $1 Million Which is not essential for spread beyond the pilot unit? 14 $500,000 13 $250,000 12 $125,000 11 $64,000 10 $32,000 9 $16,000 8 $8,000 7 $4,000 6 $2,000 5 $1,000 4 $500 3 $300 2 $200 50:50 1 $100 B: One person is responsible for Med Rec A: Demonstrated results C: A senior leader is responsible for spread of the changes D: An agreed-upon plan is documented

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