Percentage of patient-months for which medication reconciliation* was performed and documented by an eligible professional.**
* “Medication reconciliation” is defined as the process of creating the most accurate list of all home medications that the patient is taking, including name, indication, dosage, frequency, and route, by comparing the most recent medication list in the dialysis medical record to one or more external list(s) of medications obtained from a patient or caregiver (including patient-/caregiver-provided “brown bag” information), pharmacotherapy information network (e.g., Surescripts), hospital, or other provider.
** For the purposes of medication reconciliation, “eligible professional” is defined as: physician, RN, ARNP, PA, pharmacist, or pharmacy technician.
Number of patient-months for which medication reconciliation was performed and documented by an eligible professional during the reporting period.
The medication reconciliation MUST: • Include the name or other unique identifier of the eligible professional;
AND
• Include the date of the reconciliation;
AND
• Address ALL known home medications (prescriptions, over-the-counters, herbals, vitamin/mineral/dietary (nutritional) supplements, and medical marijuana);
AND
• Address for EACH home medication: Medication name(1), indication(2), dosage(2), frequency(2), route of administration(2), start and end date (if applicable)(2), discontinuation date (if applicable)(2), reason medication was stopped or discontinued (if applicable)(2), and identification of individual who authorized stoppage or discontinuation of medication (if applicable)(2);
AND
• List any allergies, intolerances, or adverse drug events experienced by the patient. _________________________________________________________________________________ 1. For patients in a clinical trial, it is acknowledged that it may be unknown as to whether the patient is receiving the therapeutic agent or a placebo.
2. “Unknown” is an acceptable response for this field.
Denominator
1.15 Denominator
Total number of patient-months for all patients permanently assigned to a dialysis facility during the reporting period.
Exclusions
Exclusions
In-center patients who receive <7 hemodialysis treatments in the facility during the reporting month.
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