A Simple, Accurate and Usable System to Manage Patients Medications: Leveraging Mayos Click to edit Master subtitle style

Unique Position
G. Anton Decker, M.B.B.Ch., M.R.C.P., M.H.A. 2011-2012 LEAD Program

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Background

Medication errors = death and injury > 1 million serious medication errors annually

Joint Commission Opportunities in modern EMR Current MCA workflow chaotic and
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Curr ent Stat e

COMPLEX INACCURAT E

NOT USABLE

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Where is the Truth?

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Primary Project Objective Develop a whitepaper of the workflow and

IT infrastructure required to support a codified single medication repository that allows healthcare providers to verify and time-stamp medication lists, thereby holding the patient and the doctor accountable to a usable, temporal,
4/22/12 retrievable, single source of truth that can

08h45 Medication List on 09/07/2011 at Medication List on 09/07/2011 at 09h00 Lisinopril 10 mg a day Varified by 09h00 Verified by Hydrochlorthiazide 25 mg a day Anton Decker, Anton Decker, Atorvastatin 80 mg a day MD MD Ducosate 100mg twice a day

14h30 Medication List on 06/24/2010 at 10h45 Medication List on 8/31/2011 at

Medication List on 12/28/2005 at 15h12 Medication List on 03/22/2006 at 13h33 Medication List on 05/23/2008 at

All medications are entered in codified fields 4/22/12

08h45 Lisinopril 10 mg a day Medication List on 09/07/2011 at Hydrochlorthiazide 25 mg a day 09h00 Verified by Atorvastatin 80 mg a day Ducosate 100mg twice a dayAnton Decker, MD

14h30 Medication List on 06/24/2010 at 10h45 Medication List on 8/31/2011 at

Medication List on 12/28/2005 at 15h12 Medication List on 03/22/2006 at 13h33 Medication List on 05/23/2008 at

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Medication List on 12/28/2005 at 15h12 Medication List on 03/22/2006 at 13h33 Lisinopril 10 mg aon 05/23/2008 at Medication List day

Hydrochlorthiazide 25 mg a day 14h30 Verified by Atorvastatin 80 mg a day John Smith, Ducosate 100mg twice a day MD Metoprolol XL 50 mg a day

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Medication List on 12/28/2005 at Medication List on 12/28/2005 at 15h12 Medication List on 03/22/2006 at 15h12 13h33 List on 05/23/2008 at Verified by Medication Sarah Doe, 14h30 Lisinopril 10 mg a day CertifiedMD by Hydrochlorthiazide 25 mg a day John Smith, Atorvastatin 80 mg a day MD Ducosate 100mg twice a day Metoprolol 50 mg a day Diltiazem LA 80 mg a day

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08h45 Lisinopril 10 mg a day Medication List on 09/07/2011 at Hydrochlorthiazide 25 mg a day 09h00 Verified by Atorvastatin 80 mg a day Ducosate 100mg twice a dayAnton Decker, MD

14h30 Medication List on 06/24/2010 at 10h45 Medication List on 8/31/2011 at

Medication List on 12/28/2005 at 15h12 Medication List on 03/22/2006 at 13h33 Medication List on 05/23/2008 at

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14h30 Medication List on 06/24/2010 at Problem List on 12/28/2005 at 10h45 Medication List on 8/31/2011 at 15h12 Problem List on 03/22/2006 at 08h45 Lisinopril 10 mg a day Medication List on 09/07/2011 13h33 at Problem List on 05/23/2008 at Hydrochlorthiazide 25 mg a day 09h00 14h30 Atorvastatin 80 mg a day Problem List on 06/24/2010 at 10h45 Ducosate 100mg twiceProblem List on 8/31/2011 at a day 08h45 Hypertension Problem List on 09/07/2011 at Coronary artery disease 09h00 Peptic ulcer Depression Hypercholesterolemia

Medication List on 12/28/2005 at 15h12 Medication List on 03/22/2006 at 13h33 Medication List on 05/23/2008 at

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Primary Objective
Develop a whitepaper of the workflow and IT infrastructure required to support a codified single medication repository that allows healthcare providers to verify and time-stamp medication lists, thereby holding the patient and the doctor accountable to a usable, temporal,
4/22/12 retrievable, single source of truth that can

Project Life Cycle

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Project Feasibility Analysis

Feasible
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Not

Project Feasibility Analysis

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Not

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Not

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Not

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Not

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The greater danger for most of us lies not in setting our aim too high and falling short; but in setting our aim too low, and achieving our mark. Michelangelo

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