Continuity of Medication Management

Establishing Governance

Executive Leadership

Executive leadership has been recognised as one of the key factors for successful implementation of any quality improvement activity. The first step to implementing formal medication reconciliation processes is to secure executive support. This can be done by engaging an executive sponsor directly or through a relevant committee (e.g. Drug and Therapeutic Committee or Patient Safety and Quality Committee).

A Committee Brief Template has been developed to help gain executive support. This template can be adapted by the project coordinator of the quality improvement team to include local data to support the case for change.

Once executive support has been obtained, all stakeholders need to be identified and a reporting process for the initiative established. The identifying of stakeholders will assist with selecting the key people for a multidisciplinary quality improvement project team.

Quality Improvement Project Team

The role of the project team includes:

  • Evaluating current medication reconciliation processes
  • Identifying and enlisting clinical champions
  • Establishing general goals
  • Developing, implementing and evaluating improvement strategies
  • Disseminating results and findings.

To assist services in forming a project team, a guide that provides information on the qualities, roles and how to engage members has been developed.

Pre-Implementation Tools

A number of pre-implementation tools have been developed to help guide the project team. The Readiness Assessment Tool assists teams to explore their current processes in order to determine practical and realistic changes that can be successfully implemented in their services.

The Gap Analysis looks specifically at each process task of medication reconciliation. It assists teams to identify where they would like to be and where they are now. Improvement strategies can then be tailored, commencing with one or two tasks, or targeting the areas of greatest need.

A flowchart for implementing formal medication reconciliation processes has been developed to help guide services.