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Informatics Research Seminar: Medication Reconciliation– Two Halves of the Story
September 20, 2017 @ 4:00 pm - 5:00 pm UTC+0
Speaker: David Michael, MD
Presented from ECU
Broadcast Link: Seminar
The Informatics Research Seminar Series is sponsored by Duke University and a collaboration with UNC-Chapel Hill, NCCU, UNC-Charlotte, and ECU. This series explores key areas in Health Informatics and include research results, overview of programs of research, basic, applied, and evaluative projects, as well as research from varied epistemological stances.
Medication reconciliation is defined by the Institute for Health as the process of creating the most accurate list possible of a patient’s medications. Even though this sounds simple, up to 67% of patients admitted to the hospital have unintended medication discrepancies. These discrepancies often persist at discharge and can lead to patient harm. Medication reconciliation is too often used to describe both halves, the medication history and the clinical decisions of what medications the patient should take. Upon analysis, we discovered disparate processes for each from hospital to hospital. Standardization of the process with ongoing feedback through clinical decision support through our EHR has led to significant improvements, decreasing the number of patients at risk by as much as 80% on some services. What we learned and what strategies we’re putting into place will be discussed.
David Michael, MD is a general internist with over 20 years as a primary care physician. As a primary care physician, he became interested in informatics when using a predictive analytics tool to change behavior and modifiable risk. Dr. Michael became the first Chief Medical Informatics Officer at Vidant Health in 2011 and board certified in the new specialty of Clinical Informatics in 2014. The new Vidant Health Clinical Informatics Team has continued to grow under his leadership. The team continues to impact the optimization and usability of the Epic EHR, Population Health initiatives and analytics. Dr. Michael completed medical school at The Ohio State University and his residency in internal medicine at The Brody School of Medicine at ECU. He is board certified in internal medicine and clinical informatics. He is a member of ACP, AMIA, AAPL, and AMDIS. He serves on the national physician committee for HIMSS.