3/30/2016 We have no financial relationships or conflicts of interest to disclose. Hana Lim, Amanda Johnson, Josue Zapata, Sasha Morduchowicz, Stephanie Rennke, Sumant Ranji, Andrew Auerbach University of California, San Francisco, San Francisco, CA. Despite increasing reliance on team-based care, few residency programs have incorporated residents into interprofessional QI activities. Our residency embedded residents in an interprofessional QI group applying Lean methodologies. 1
3/30/2016 Pharmacist Improve the rate and quality of admission Ward, ED & Student medication reconciliation RN Administrator Ward & ED Learn principles of Lean thinking Med Rec Encourage team-based models of care Epic Hospitalist Programmers IM Residents Defects Transportation THE WASTE WHEEL THE WASTE WHEEL Inventory Overprocessing Motion Overproduction Waiting 2
3/30/2016 “Ever wish you knew which prescriptions were filled? You can through Surescripts!” 3
3/30/2016 Percent of Patients with Medications Reconciled Prior to Discharge Clarified roles 100% Created standard work 95% Disseminated pocketcards and training video 90% Housestaff Incentive Educational Materials Increased visibility of project goal 85% Program Began Disseminated Revised APEX 80% Lean Kaizen Rapid-Cycle Improvement Event 75% Changed the pharmacy curriculum 70% % of patients with medications reconciled prior to discharge Goal A collaboration of residents and multidisciplinary Limited evaluation of the quality of medication team contributed to increased rate of completed reconciliation medication reconciliation Difficult to measure direct proportion of success Residents found the time spent working with an attributed to this interprofessional QI event interprofessional team invaluable 4
3/30/2016 Medicine Faculty and Housestaff Determine sustainability of results School of Pharmacy & Department of Pharmaceutical Services Assess the quality of medication reconciliation Create a structure that allows for more resident ED, 14-Moffitt/Long Staff involvement in interprofessional QI Partners in Care Develop evaluation tool for residents participating • IT – Clinical Services: Dwight Utzman & Elizabeth Marks in interprofessional projects • Medication Reconciliation Committee: Andy Auerbach, Victoria Valencia • Learning Center: Sean Mcclelland Percent of Patients with Medications Reconciled Prior to Discharge 100% 95% 90% Housestaff Incentive Educational Materials 85% Questions? Program Began Disseminated 80% Lean Kaizen Rapid-Cycle Improvement Event 75% 70% % of patients with medications reconciled prior to discharge Goal 5
3/30/2016 83.1% 85.1% 6
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