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Medication Reconciliation
Thank you for participating in our assessment of your current medication reconciliation processes.
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Email
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Your email
Assessment Survey
Your Name and Title
*
Your answer
Facility Name
*
Your answer
Current electronic health record (check all that apply)
*
AllScripts
Athenahealth
Cerner
CPSI System
eClinicalWorks
Epic
Greenway
McKesson
Meditech
NextGen
Sunrise
Self-developed
No EHR/Pending implementation
Other:
Required
How satisfied are you with your current medication reconciliation process?
*
Not very
1
2
3
4
5
Very much
Do you feel your hospital staff has adequate training in medication reconciliation to properly perform the practice?
Yes
No
Clear selection
Do you feel your hospital has adequate staffing resources to properly perform medication reconciliation processes?
Yes
No
Clear selection
Where are medication reconciliation processes conducted in your facility? (i.e. which outpatient units and/or clinics)
Your answer
When is medication reconciliation conducted at your facility? (check all that apply)
Admission
Transfer of care
Discharge
Who obtains the patient's medication history?
Your answer
What tools are being utilized to obtain a current medication history?
*
Patient/family interview
A prescription database
Medication bottles
Communication with the patient's retail pharmacy
Communication with the patient's primary care physician
Medication Reconciliation module of information system
Other:
Required
How accurate do you believe the patient's medication history is being taken?
*
1 = Very poor 5 = Excellent
1
2
3
4
5
Is the discharge medication reconciliation maintained in your EHR?
Yes
No
Clear selection
On average, how much nursing time per patient is allocated to the ADMISSION medication reconciliation processes from the Emergency Department?
*
Choose
Not involved
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
On average, how much nursing time per patient is allocated to the DISCHARGE medication reconciliation processes?
*
Choose
Not involved
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
On average, how much physician time per patient is allocated to the ADMISSION medication reconciliation processes from the Emergency Department?
*
Choose
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
On average, how much physician time per patient is allocated to the DISCHARGE medication reconciliation processes?
*
Choose
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
On average, how much pharmacist time per patient is allocated to the ADMISSION medication reconciliation processes from the Emergency Department?
*
Choose
Not involved
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
On average, how much pharmacist time per patient is allocated to the DISCHARGE medication reconciliation processes?
*
Choose
Not involved
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
On average, how much technician time per patient is allocated to the ADMISSION medication reconciliation processes from the Emergency Department?
*
Choose
Not involved
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
On average, how much technician time per patient is allocated to the DISCHARGE medication reconciliation processes?
*
Choose
Not involved
<10 minutes
10-15 minutes
15-20 minutes
20-30 minutes
30-45 minutes
>45 minutes
What do you believe is the true cost of conducting medication reconciliation at your facility on an annual basis?
*
Choose
<$50,000
$50,000-$100,000
$100,000-$200,000
$200,000-$350,000
>$350,000
Is the estimated (or documented) frequency of significant medication errors associated with medication histories/medication reconciliation LESS than 5% at your facility?
*
Yes
No
Unsure
From NURSING perspective, did your facility's EHR improve the medication reconciliation process?
Strongly disagree
Somewhat disagree
Neutral
Somewhat agree
Strongly agree
Not applicable
Accuracy and completeness
Efficiency
Strongly disagree
Somewhat disagree
Neutral
Somewhat agree
Strongly agree
Not applicable
Accuracy and completeness
Efficiency
Clear selection
From PHYSICIAN perspective, did your facility's EHR improve the medication reconciliation process?
Strongly disagree
Somewhat disagree
Neutral
Somewhat agree
Strongly agree
Not applicable
Accuracy and completeness
Efficiency
Strongly disagree
Somewhat disagree
Neutral
Somewhat agree
Strongly agree
Not applicable
Accuracy and completeness
Efficiency
Clear selection
From PHARMACY perspective, did your facility's EHR improve the medication reconciliation process?
Strongly disagree
Somewhat disagree
Neutral
Somewhat agree
Strongly agree
Not applicable
Accuracy and completeness
Efficiency
Strongly disagree
Somewhat disagree
Neutral
Somewhat agree
Strongly agree
Not applicable
Accuracy and completeness
Efficiency
Clear selection
Do you believe an accurate medication reconciliation process reduces length of stay and/or prevents hospital readmissions?
*
Yes
No
Maybe
Do you believe medication reconciliation is important for continuity of care?
*
Yes
No
Maybe
Additional comments:
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