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Improving Medication Reconciliation at National Jewish Health

A Collaborative, Multidisciplinary Quality Improvement Initiative

Medication reconciliation (MR) is the process of comparing and reconciling patients' medication lists at transitions of care, including outpatient clinic visits.

An interdisciplinary team convened at National Jewish Health (NJH) in 2013 to improve the MR process in a multispecialty clinic. Interventions were aimed at changing MR practices of physicians, nurses, and medical assistants. Interventions included changing how MR is documented in the electronic health record (EHR). New metrics designed to measure MR performance, and to validate the performance metrics, were derived from EHR data.

The project was funded by an educational grant from GlaxoSmithKline.

This video roundtable explains how the quality improvement process was carried out and provides practical ideas that other health care organizations may find useful.