BOOMR® – A Medication Reconciliation Quality Improvement Initiative
There is evidence that patients are vulnerable to harmful medication errors during transitions from hospital to long-term-care (LTC). Common lapses in communication, documentation and transcription have led to poor coordination of care. BOOMR® (Better Coordinated Cross-Sectoral Medication Reconciliation) is an integrated practice change that drives improvement in medication safety during patient transitions through the health system. This collaborative process coordinates four sectors of healthcare: CCACs, hospitals, home(s) and community pharmacy with the patient at the center to reduce hospital visits, costs and unnecessary medications. Focused on the patient–centered approach, our redesign of the medication reconciliation (MedRec) process demonstrates improved patient engagement using “the patient’s story”, increased quality of their information on admission and discharge, collaborative inter-professional workflow efficiency during the transfer of care using progressive initiatives, and metrics showcasing cost savings to the system proving value for quality. BOOMR re-engineered key steps within an established process to position integration of care at the center of the practice design which has proven sustainable results since January 2015. BOOMR supports transformational change across the continuum through a holistic clinical intervention for seniors with complex co-morbidities. Discussions to date have identified future benefit across broader patient population groups.
Aim Statement: To improve the medication reconciliation quality score by at least 30% by September 30, 2015.