(Revised March 28, 2008)

Objective 1.1

Pharmacists will be involved in managing the acquisition, upon admission, of medication histories for 75% of hospital inpatients with complex and high-risk medication regimens.

Baseline: 9.9% (95% CI, 6.9–14.1%)
Progress:
Crosswalk Resources:

1. JCAHO (MM.1.1, MM.2.4, MM.7.1)
2. National Patient Safety goals-Medication Reconcilation
3. National Quality Forum
4. Institute for Healthcare Improvement
5. Supporting Literature - References 1-10 [PDF]  

Objective 1.2

The medication therapy of 100% of hospital inpatients with complex and high-risk medication regimens will be monitored by a pharmacist.

Baseline: 69.6% (95% CI, 64.5–74.3%)
Progress:
Crosswalk Resources:

1. JCAHO ( MM.4.1, MM.6.1, MM.6.2, MM.7.1)
2. National Quality Forum
3. Supporting Literature - References 11-17  [PDF]

Objective 1.3

In 90% of hospitals, pharmacists will have organizational authority to manage medication therapy* in collaboration with other members of the health-care team. 

Baseline: 60.3% (95% CI, 55.2–65.2%)

* Managing medication therapy may include: initiating, modifying, and monitoring a patient’s medication therapy; ordering and performing laboratory and related tests; assessing patient response to therapy; counseling and educating a patient about medications; and administering medications.

Crosswalk References

1. Various states by Statutory and Regulatory Authority [PDF]
2. Support Literature - References 1, 18-20  [PDF]

Objective 1.4

75% of hospital inpatients discharged with complex and high-risk medication regimens will receive discharge medication counseling managed by a pharmacist.

Baseline:  22.4% (95% CI, 17.0–28.9%)

Crosswalk Resources

1. Omnibus Budget Reconcilation Act of 1990 (Pub. L. 101-508)
2. JCAHO (MM.6.1, MM.6.2, MM.7.1)
3. Various states by Statutory and Regulatory Authority [PDF]
4. Institute for Healthcare Improvement (IHI)
5. Supporting Literature - References 1, 21, 22  [PDF]

Objective 1.5

50% of recently hospitalized patients (or their caregivers*) will recall speaking with a pharmacist while in the hospital.

Baseline:  23%

* Family members, for example.

Crosswalk Resources

1. National Council on Patient Information and Education
2. Supporting Literature
3. Supporting Literture - References 23, 24  [PDF]