Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:
- Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;
- Integrate a pharmacist into the care team; and/or
- Conduct periodic, structured medication reviews.
ObjectiveMaximize the efficiency, effectiveness, and safety of care across settings by strengthening medication management.
Evidence of newly implemented medication management practice improvements. Eligible clinicians should include all prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements a patient is currently taking within the purview of the medication management process. Include at least one of the following elements:
1) Documented medication reconciliation – Patient medical records demonstrating periodic structured medication reviews or reconciliation, which includes updating, reviewing, or obtaining each medication’s name, dosage, frequency, and administered route; OR
2) Integrated pharmacist – Evidence of pharmacist integrated into care team; OR
3) Reconciliation across transitions – Patient medical record demonstrating medication reconciliation at the time of the transition. For example, when a patient is being discharged from hospital to home, the reconciliation would be completed at discharge from a hospital by the discharging eligible clinician and at follow-up by the outpatient and/or primary eligible clinician; OR
4) Medication management improvement plan – Report detailing medication management practice improvement plan, and outcomes, if available. For example, the "Agency for Healthcare Research and Quality (AHRQ) Create a Safe Medicine List Together" strategy could be implemented.