Q: On Oct. 1, the MDS starts collecting information regarding provision of the current reconciled medication list to subsequent providers or the resident. How should we prepare?
A: Providing a reconciled medication list to subsequent providers or the resident/caregiver improves care coordination and decreases adverse events. Beginning with fiscal year 2024 (Oct. 1, 2023), the MDS-collected current reconciled medication list will inform the SNF QRP Transfer of Health Information quality measures.
When preparing for this change, first consider who will provide the list at the time of discharge. Educate these individuals on how to deliver and document this information. The MDS offers several options for route of delivery, including electronic health record, health information exchange, paper-based, text or email.
It can be verbal, in writing, or both, but the person providing the reconciled medication list must know how to deliver it. If the information is going to the subsequent provider, clarify the provider’s preferences for receipt. If the information is going to residents or caregivers, consider how they learn best. Health literacy may affect routes of transmission. When communicating, use language that the resident or caregiver understands.
Some residents may not be on any medications, prescribed or over-the-counter. If so, document this in the medical record and code the MDS as yes, the current medication list was provided. If the facility does not give a current reconciled medication list, the discharging nurse should document the reason.
In summary, it is critical that you review your current process, revise policies, educate on new processes, and document delivery of current reconciled medications upon discharge.
Please send your nursing-related questions to Amy Stewart at [email protected].
From the September 2023 Issue of McKnight's Long-Term Care News
