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Description

Abstract: Objective: To aid the implementation of a medication reconciliation process within a hybrid primary-specialty care setting by using qualitative techniques to describe the climate of implementation and provide guidance for future projects.
Methods: Guided by McMullen et al’s Rapid Assessment Process(1), we performed semi-structured interviews prior to and iteratively throughout the implementation. Interviews were coded and analyzed using grounded theory(2) and cross-examined for validity.
Results: We identified five barriers and five facilitators that impacted the implementation. Facilitators identified were process alignment with user values, and motivation and clinical champions fostered by the implementation team rather than the administration. Barriers included a perceived limited capacity for change, diverging priorities, and inconsistencies in process standards and role definitions.
Discussion: A more complete, qualitative understanding of existing barriers and facilitators helps to guide critical decisions on the design and implementation of a successful medication reconciliation process.

Learning Objective 1: Identify facilitators and barriers to Medication Reconciliation technology adoption

Authors:

Theodore Wright (Presenter)
Oregon Health and Sciences University

Kathleen Adams, Veterans Affairs Portland Healthcare System
Victoria Church, Veterans Affairs Portland Healthcare System
Mimi Ferraro, Veterans Affairs Portland Healthcare System
Scott Ragland, Veterans Affairs Portland Healthcare System
Anthony Sayers, Veterans Affairs Portland Healthcare System
Stephanie Tallett, Veterans Affairs Portland Healthcare System
Travis Lovejoy, Veterans Affairs Portland Healthcare System
Joan Ash, Oregon Health and Sciences University
Patricia Holahan, Stevens Institute of Technology
Blake Lesselroth, Veterans Affairs Portland Healthcare System

Presentation Materials:

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