Goal 1: Increase the extent to which pharmacists help individual hospital inpatients achieve the best use of medications.
(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:
- JCAHO (MM.1.1, MM.2.4, MM.7.1)
- National Patient Safety goals-Medication Reconcilation
- National Quality Forum
- Institute for Healthcare Improvement
- Supporting Literature - References 1-10
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:
- JCAHO ( MM.4.1, MM.6.1, MM.6.2, MM.7.1)
- National Quality Forum
- Supporting Literature - References 11-17
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.
- Various states by Statutory and Regulatory Authority
- Support Literature - References 1, 18-20
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
- Omnibus Budget Reconcilation Act of 1990 (Pub. L. 101-508)
- JCAHO (MM.6.1, MM.6.2, MM.7.1)
- Various states by Statutory and Regulatory Authority
- Institute for Healthcare Improvement (IHI)
- Supporting Literature - References 1, 21, 22
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
- National Council on Patient Information and Education
- Supporting Literature
- Supporting Literture - References 23, 24