Chart(x) E.H.R. 3.0

Menu set 7 Medication Reconciliation

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Stage 1

Medication Reconciliation
The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation.
The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP.
An EP who was not the recipient of any transitions of care during the EHR reporting period.

Definition of Terms

Medication Reconciliation -  The process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider.
Relevant Encounter - An encounter during which the EP performs a medication reconciliation due to new medication or long gaps in time between patient encounters or for other reasons determined appropriate by the EP. Essentially an encounter is relevant if th eEP judges it to be so. (Note: Relevant encounters are not included in the numerator and denominator of the mesure for this objective).
Transition of Care - The movement of a patient from on setting of care to another. 

Attestation Requirements

  • DENOMINATOR: Number of unique patients seen by the EP during the EHR reporting period.
  • NUMERATOR: Number of tranisitions of care in the denominator where medication reconciliation was performed.
  • EXCLUSION: If an EP was not on the receiving end of any transition of care during the EHR reporting period they would be excluded from this requirement. EPs must select NO next to the appropriate exclusion, then click the APPLY button in order to attest to the exclusion.
The resulting percentage must be more than 50 percent in order for an EP to meet this measure.

Addtional Information

  • Only patients whose records are maintained using certified EHR technology should be included in the denominator of transitions of care.
  • In the case of reconciliation following transition of care, the receiving EP should conduct the medication reconciliation.
  • The measure of this objective does not dictate what information must be included in medication reconcliation. Information included in the process of medication reconciliation is appropriately determined by the provider and patient.

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