Re: Medication list: Hospital-based outpatient practices

[Guest guest]

Bob. I do not have the regs at hand, but Joint Commission requires

medication reconciliation if one is using a medication(phono, ionto for

us). We do get a list of all meds for all pts when evaluated, and we do

a medication reconciliation for pts who would be exposed to a medication

during the course of therapy. Technically, one should be asking if

anything has changed before administering a treatment with a medication

for those pts each time seen. It's just topical med so the likelihood

of an adverse event seems quite limited, and I don't think this whole

process really was intended to apply to us, but it is subject to the

reviewer's interpretation.

For pts receiving ther ex, manual, etc, I fail to see any logic of

rechecking meds each visit without reason to do so-hypotensive etc, and

I have not come across this in my readings or JC national safety goals,

etc.

Pierre H. Rougny, PT, OCS

Director of Rehab Services

Sebasticook Valley Hospital

141 Leighton St

Pittsfield, Me 04967

, 487-4072(direct line)

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of R

Sent: Wednesday, February 09, 2011 11:28 AM

To: PTManager

Subject: Medication list: Hospital-based outpatient

practices

This is a question for those of you who manage hospital practices. First

a bit of background: Several years ago during a Joint Commission survey,

we were directed to obtain a medication list from each outpatient, and

to check the list's validity at each subsequent visit. (With additional

documentation to prove we've done so, of course.) I can find nothing in

the CMS regulations, state practice, professional standards, or other

regulatory bodies that require this in ambulatory settings.

So here's the question: Are any of you doing this, and if so, why? Does

anybody know of a regulation or standard that I might have missed that

does require this in hospital outpatient settings? Conversely, can

anybody state definitively that this is not required?

Bob Perlson

Director, Rehabilitation Services

Rogue Valley Medical Center

Medford, OR

bperlson@... <mailto:bperlson%40asante.org>

http://bpsrehabblog.blogspot.com/

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[Guest guest]

I have always understood it to be a JCAHO requirement... and related to

accreditation from that body.

Sara Ehlert, PT

North Valley Hospital Physical Therapy

Columbia Falls, MT

(fax)

From: PTManager [mailto:PTManager ] On

Behalf Of R

Sent: Wednesday, February 09, 2011 9:28 AM

To: PTManager

Subject: Medication list: Hospital-based outpatient

practices

This is a question for those of you who manage hospital practices. First

a bit of background: Several years ago during a Joint Commission survey,

we were directed to obtain a medication list from each outpatient, and

to check the list's validity at each subsequent visit. (With additional

documentation to prove we've done so, of course.) I can find nothing in

the CMS regulations, state practice, professional standards, or other

regulatory bodies that require this in ambulatory settings.

So here's the question: Are any of you doing this, and if so, why? Does

anybody know of a regulation or standard that I might have missed that

does require this in hospital outpatient settings? Conversely, can

anybody state definitively that this is not required?

Bob Perlson

Director, Rehabilitation Services

Rogue Valley Medical Center

Medford, OR

bperlson@... <mailto:bperlson%40asante.org>

http://bpsrehabblog.blogspot.com/

[Guest guest]

We have a hospital-based outpatient rehab service in Delaware.

During our past JC survey in 2009, we needed to demonstrate that we had a

patient medication list that was obtained upon evaluation and that we had

reviewed/updated the medication list with the patient every 30 days.

Since we already collected the medication list as a routine at evaluation,

all we needed to do was document every 30 days that we reviewed/updated

the medication list with the patient.

This has been standard procedure for us since July 2009

Effie

Effie Elliott, PT

Manager PT/OT KGH

Bayhealth Medical Center

/6820 Office Number

Pager Number

Fax Number

effie_elliott@...

" Next to doing a good job yourself, the greatest joy is in having someone

else do a first-class job under your direction. " Feather,

American author & publisher

From:

" R "

To:

PTManager

Date:

02/09/2011 05:31 PM

Subject:

Medication list: Hospital-based outpatient practices

Sent by:

PTManager

This is a question for those of you who manage hospital practices. First a

bit of background: Several years ago during a Joint Commission survey, we

were directed to obtain a medication list from each outpatient, and to

check the list's validity at each subsequent visit. (With additional

documentation to prove we've done so, of course.) I can find nothing in

the CMS regulations, state practice, professional standards, or other

regulatory bodies that require this in ambulatory settings.

So here's the question: Are any of you doing this, and if so, why? Does

anybody know of a regulation or standard that I might have missed that

does require this in hospital outpatient settings? Conversely, can anybody

state definitively that this is not required?

Bob Perlson

Director, Rehabilitation Services

Rogue Valley Medical Center

Medford, OR

bperlson@...

http://bpsrehabblog.blogspot.com/

[Guest guest]

We have a hospital-based outpatient rehab service in Delaware.

During our past JC survey in 2009, we needed to demonstrate that we had a

patient medication list that was obtained upon evaluation and that we had

reviewed/updated the medication list with the patient every 30 days.

Since we already collected the medication list as a routine at evaluation,

all we needed to do was document every 30 days that we reviewed/updated

the medication list with the patient.

This has been standard procedure for us since July 2009

Effie

Effie Elliott, PT

Manager PT/OT KGH

Bayhealth Medical Center

/6820 Office Number

Pager Number

Fax Number

effie_elliott@...

" Next to doing a good job yourself, the greatest joy is in having someone

else do a first-class job under your direction. " Feather,

American author & publisher

From:

" R "

To:

PTManager

Date:

02/09/2011 05:31 PM

Subject:

Medication list: Hospital-based outpatient practices

Sent by:

PTManager

This is a question for those of you who manage hospital practices. First a

bit of background: Several years ago during a Joint Commission survey, we

were directed to obtain a medication list from each outpatient, and to

check the list's validity at each subsequent visit. (With additional

documentation to prove we've done so, of course.) I can find nothing in

the CMS regulations, state practice, professional standards, or other

regulatory bodies that require this in ambulatory settings.

So here's the question: Are any of you doing this, and if so, why? Does

anybody know of a regulation or standard that I might have missed that

does require this in hospital outpatient settings? Conversely, can anybody

state definitively that this is not required?

Bob Perlson

Director, Rehabilitation Services

Rogue Valley Medical Center

Medford, OR

bperlson@...

http://bpsrehabblog.blogspot.com/

[Guest guest]

We have a hospital-based outpatient rehab service in Delaware.

During our past JC survey in 2009, we needed to demonstrate that we had a

patient medication list that was obtained upon evaluation and that we had

reviewed/updated the medication list with the patient every 30 days.

Since we already collected the medication list as a routine at evaluation,

all we needed to do was document every 30 days that we reviewed/updated

the medication list with the patient.

This has been standard procedure for us since July 2009

Effie

Effie Elliott, PT

Manager PT/OT KGH

Bayhealth Medical Center

/6820 Office Number

Pager Number

Fax Number

effie_elliott@...

" Next to doing a good job yourself, the greatest joy is in having someone

else do a first-class job under your direction. " Feather,

American author & publisher

From:

" R "

To:

PTManager

Date:

02/09/2011 05:31 PM

Subject:

Medication list: Hospital-based outpatient practices

Sent by:

PTManager

This is a question for those of you who manage hospital practices. First a

bit of background: Several years ago during a Joint Commission survey, we

were directed to obtain a medication list from each outpatient, and to

check the list's validity at each subsequent visit. (With additional

documentation to prove we've done so, of course.) I can find nothing in

the CMS regulations, state practice, professional standards, or other

regulatory bodies that require this in ambulatory settings.

So here's the question: Are any of you doing this, and if so, why? Does

anybody know of a regulation or standard that I might have missed that

does require this in hospital outpatient settings? Conversely, can anybody

state definitively that this is not required?

Bob Perlson

Director, Rehabilitation Services

Rogue Valley Medical Center

Medford, OR

bperlson@...

http://bpsrehabblog.blogspot.com/

[Guest guest]

Bob,

We've started systematically reviewing and entering medication lists as part of

our Quality Assurance/Electronic Medical Records initiative (not PQRS) to

qualify as Meaningful Use providers under Stage 2 of the HITECH Act(The Health

Information Technology for Economic and Clinical Health).

I am a physical therapist in private practice but I think hospitals qualify now.

Stage 1 (2011) requires documentation of at least one medication for 80% of

patients. Stage 2 (2012) is unchanged. Stage 3 (2013) requires that medication

lists be up to date as part of medication reconciliation.

All this must be performed electronically to qualify for Meaningful Use for EMR.

Currently, physical therapists in private practice do not qualify as eligible

professionals for reimbursement for investments in EMR precisely because we are

not viewed as professionals that contribute to, check or update the medication

list.

Hopefully, as physical therapists become more comfortable as primary care

providers we will provide more input on patient medications.

Thank you,

Tim , PT

www.PhysicalTherapyDiagnosis.com

>

> This is a question for those of you who manage hospital practices. First a

bit of background: Several years ago during a Joint Commission survey, we were

directed to obtain a medication list from each outpatient, and to check the

list's validity at each subsequent visit. (With additional documentation to

prove we've done so, of course.) I can find nothing in the CMS regulations,

state practice, professional standards, or other regulatory bodies that require

this in ambulatory settings.

>

> So here's the question: Are any of you doing this, and if so, why? Does

anybody know of a regulation or standard that I might have missed that does

require this in hospital outpatient settings? Conversely, can anybody state

definitively that this is not required?

>

> Bob Perlson

> Director, Rehabilitation Services

> Rogue Valley Medical Center

> Medford, OR

> bperlson@...

>

> http://bpsrehabblog.blogspot.com/

>