Part 2 – eMedication Management and the Link to Innovation

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By Tony Schueth, CEO & Managing Partner & Kim Ball, Project Manager

eMedication Management Series. Part 2 of 4.

Last week we introduced eMedication Management as the model capable of delivering more comprehensive medication management within and across sites of care, as well as for transitions of care.

We established that eMedication Management connects the dots between the clinical, administrative and patient sides of the equation by leveraging technology to facilitate accountable, patient-centered and cost-effective care for defined, attributed populations. eMedication Management creates value for all stakeholders through the capture, linkage and exchange of real-world, actionable data concerning clinical care and prescription therapies through transitions of care and within care sites.

The eMedication Management model is not entirely new. It builds upon traditional models for prescribing and dispensing of medications in patient care, such as the model developed by Bell et al for electronic prescribing (ePrescribing) when the technology was in its infancy in 2004.[1] Evidence of the foundational work on medication management developed under the auspices of the Office of the National Coordinator for Health Information Technology (ONC)[2] is also baked in. And, lastly, it takes into account findings from a literature review on the impact of health IT on the medication management processes, which is detailed in a 2011 report from the Agency for health care Research and Quality (AHRQ).[3]

What makes this new iteration, the eMedication Management model, a catalyst for tremendous innovation potential is the power now available by supporting ePrescribing within electronic health records with robust clinical decision support engines and a health information exchange infrastructure (See Figure 1, click to expand the model).

Real-time, electronic access to a patient’s health data information across the continuum of care within the EHR provides the information needed for comprehensive and meaningful clinical decision support for the care team. For example, making medications dispensed at hospital discharge available to the primary care doctor would simplify and improve the accuracy of reconciliation of medications during the patient’s first post-discharge visit. Given that more than 40 percent of medication errors are believed to result from inadequate reconciliation in handoffs during admission, transfer, and discharge of patients,[1] innovations in this area could significantly reduce the most common patient safety error[2] and help put a dent in the $3.5 billion that the U.S. spends annually as a result of medication errors.[3]

Furthermore, evidence-based care that is based on clinical decision support is central to the clinical integration that is core to a successful ACO or PCMH. Health IT will be the facilitator of data analytics, which are essential to guide the care team to balance quality and costs.

How is your organization innovating and implementing eMedication Management?

 

eMedication Management Blog Series

Part 1: What is eMedication Management, and Why is It Important Now?

 


[1] Rozich JD, Howard RJ, Justeson JM, et al. Patient safety standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf. 2004;30(1):5–14. [PubMed: 14738031]

[2] Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. JAMA. 1997;277:307–11. [PubMed: 9002493]

[3] Building a case for medication reconciliation. ISMP Medication Safety Alert, 10 (8), 21 April 2005. Link: http://www.ismp.org/Newsletters/acutecare/articles/20050421.asp.

 

 

eMedication Management Blog Series

Part 1: What is eMedication Management, and Why is It Important Now?

 


 

[1] Bell DS, Cretin S, Marken RS, et al. A conceptual framework for evaluating outpatient electronic prescribing systems based on their functional capabilities. J Am Med Inform Assoc 2004;11(1):60-70.

[3] AHRQ. Enabling Medication Management Through Health Information Technology. Evidence Reports/Technology Assessments, No. 201. April 2011. AHRQ Publication No. 11-E008-EF. Available at http://www.ncbi.nlm.nih.gov/books/NBK56110/

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