Post-acute Care Cross-setting Assessment of the Medication Reconciliation Process
Year: 2018
Type: conference-abstract
Abstract: To support implementation of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act of 2014), the RAND Corporation developed candidate standardized assessment items to assess medication reconciliation. Development included an environmental scan, which included literature reviews, consensus vetting via input from clinical experts, Technical Expert Panel meetings, pilot feasibility testing and additional stakeholder engagement activities, such as public comment periods. Following Joint Commission guidelines, the initial 12-item set reflected a multi-step process for the reconciliation of medication lists: identifying, comparing, clinical decision-making, and communicating. These items are unique in their attempt to identify whether the steps of medication reconciliation were done in a way that can be applied in the PAC setting. A second round of testing on a reduced item set found decreased time of administration and better clarity, but still low agreement on some items leading to further refinements prior to national Beta testing (results forthcoming).
Source: Innovation in Aging
Authors: S Fischer, R Shih
Institution: RAND Corporation
Language: English
Subfield: Geriatrics and Gerontology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,977
OpenAlex ID: W2900294651