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Drug Safety

Attention Medicare Providers!

As you know, CFMC is the Medicare Quality Improvement Organization (QIO) in the state of Colorado and contracts with the Centers for Medicare & Medicaid Services (CMS) to provide quality improvement technical assistance to Colorado providers. For specifics on what we have been able to help the Colorado community accomplish during the 2005 – 2008 Scope of Work, please see Partners in Colorado Healthcare Improvement: 8th Scope of Work and CMS Targets Readmission Through Payment Audits; ‘Coaching’ Model Reduces Rates: Care Transitions pages.

In an effort to continue to strengthen patient safety and quality improvement, the CMS National Patient Safety Initiative (NPSI) under the 9th Scope of Work (SOW) (August 1, 2008 – July 31, 2011) is designed to address care systems to prevent patient harm. One area of the Patient Safety Theme is Drug Safety, which will focus on potentially inappropriate medications (PIMs) and drug- drug interactions (DDIs). DDIs and PIMs may result in unintended consequences or adverse events. This can lead to increased costs in a variety of ways including additional physician office visits, emergency department visits, and increased hospitalizations.

CFMC recognizes that there are many individuals in the process of evaluating medications: physicians, nurses, pharmacists, patient, family, Medicare Part D drug plans, and others. In order to have the greatest impact, a variety of stakeholders will be involved in this major initiative in Colorado.

The approach to reducing DDIs and PIMs will be multifaceted, using different tools to be developed based on “best practice” and “evidence based” discussions with the expertise of our stakeholders and national organizations.

Helpful Materials, Links, and Articles

Materials:

Links/Organizations:

Articles:

Teleconferences & WebEx Sessions

Anticholinergic Load in the Elderly, presented by Dr. Lee Anneberg on 05/19/10

Sharing Best Practices for Reducing Potentially Inappropriate Medications (PIMs) and Drug-Drug Interactions (DDIs) in the Nursing Home Setting, presented by a Panel of Experts on 03/24/10

Audio Recording (MP3)

Appropriately Identifying the Inappropriate- Reducing Inappropriate Medication Utilization in your Nursing Home, presented by Dr. Cari Levy on 01/27/10

Influenza 2009, presented by Dr. Greg Gahm on 10/21/09

Drug Safety Resource Toolkit

CFMC has developed this toolkit to help nursing home staff better assess, monitor, and reduce drug-on-drug interactions (DDIs) and potentially inappropriate medications (PIMs).

General Resources

Potentially Inappropriate Medications (PIMs)

Drug-on-Drug Interactions (DDIs)

Questions?

For additional information about CFMC’s drug safety project, please contact Karen McGee, Patient Safety Interventionist, at 303.931.0027 or kmcgee@coqio.sdps.org.  

The Colorado Foundation for Medical Care (CFMC), the Medicare quality improvement organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.