MedRec

at

Vancouver Coastal Health

& Providence Healthcare (and the 50 first dates phenomenon )

Karin Trapnell

February 2016

MedRec at VCH/PHC

January 2005

• 21 Required Organizational Practices by

Accreditation Canada came into effect

MedRec…… • Seemed pretty straight forward at the time

……….

MedRec at VCH/PHC

• In the beginning……

MedRec at VCH/PHC

VCH/PHC MedRec-

By the Numbers VCHA owned and operated:

9 Acute Care hospitals ≈ 86,000 admissions /yr

– elective ≈33, 409 /yr

– urgent (Emerg) ≈ 52,556/yr

11 Emergency /Urgent Care departments

≈ 366,857 visits /yr

– non admitted patients ≈ 314,301/yr

– non admitted patients ≈ 861/day

VCH/PHC MedRec-

By the Numbers

• 2 free standing Rehab hospitals

• 2 free standing hospices

• 21 Residential Care facilities

• 9 Tertiary/Sub Acute Mental Health facilities

• 42 Ambulatory Care clinics & counting

• 5 Ambulatory Chemotherapy clinics

• 23 Community Home Health sites/programs

• 72 Community Mental Health & Addiction

sites/programs

VCH/PHC MedRec-

By the Numbers

Clinics!!

Peri op /Invasive procedures

• Daycare surgery alone ≈100,000/yr

• ≈ 1,000,000 visits/yr*

*to clinics situated within acute care hospitals

MedRec at VCH/PHC

MedRec at VCH/PHC

MedRec at VCH/PHC

Why 50 first dates phenomenon??

• In our MedRec travels-we’ve been here before

• Pretty sure we’ve worked with this team before

Why 50 first dates???

2% of sales are made on the first contact

3% of sales are made on the second contact

5% of sales are made on the third contact

10% of sales are made on the fourth contact

80% of sales are made on the

fifth to twelfth contact

MedRec at

VCH/PHC

Creating and using a follow up system is a

guaranteed way to grow your business

MedRec at

VCH/PHC

Are we making a difference??

• Baseline and pilot studies within the VCH

acute care, demonstrated a reduction of

unintended medication discrepancies at

admission by 69-75% in targeted areas.

MedRec at

VCH/PHC

• MedRec is a journey

A very long journey

Are we there yet? Not quite but getting

closer…..