Structured Medication Management Visits BACKGROUND Transitions in care are especially vulnerable periods for elderly patients, particularly regarding medication management.1,2 Structured protocols and comprehensive support for healthcare providers and family members are paramount to ensuring medication safety. 2 Improved communication, education, and coordination minimize risk and enhance caregiver satisfaction.3 • Medicare pays for 5 medication management visits4 • Nurses are critical in managing medications during care transitions2 • Continuity of care and structured methods improve outcomes5 • Engaging family members enhances medication understanding and adherence1 A Tool for Home Health Nurses Kristin C. Allen BSN, RN, MSN Student JoAnn Tolman DNP-L, MSN-Ed, RN, CNE Katie Haskell MSN, RN INTERVENTIONS • Develop an evidence-based structured medication management visit tool for home health nursing visits. • Obtain key stakeholder buy-in. • Pre-survey of home health nurse confidence and satisfaction in conducting medication management visits. • Educate nurses in using the structured tool. • For 2 months, nurses will use the medication management tool to guide medication management visits. • Post-survey of home health nurses' confidence in conducting and effectiveness of medication management visits. IMPACTS • Provides an evidenced-based tool for nurses to guide and standardize medication management visits. • It improves patient medication literacy and reduces rehospitalizations due to medication errors. • Support collaboration and communication surrounding patients' medication profiles. METHODS • Johns Hopkins Nursing Model framework used • Home health nurses are the participants in this project • Pre-survey • Education PowerPoint • Standardized Medication Management Visit Tool • Post-survey REFERENCES • Aligns with broader healthcare guidelines on medication safety.4 CONCLUSIONS Visit 1: Medication Reconciliation Visit 3: Caregiver Teaching and InHome Contact Person Assignment 1 Alqenae, F. A., Steinke, D., & Keers, R. N. (2020). Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: A systematic review. Drug Safety, 43(6), 517–537. https://doi-org./10.1007/s40264-020-00918-3 2 Mardani, A., Griffiths, P., & Vaismoradi, M. (2020). The role of the nurse in the management of medicines during transitional care: A systematic review. Journal of Multidisciplinary Healthcare, 13, 1347–1361. https://doi.org/10.2147/JMDH.S276061 3 Manias, E., Bucknall, T., Hughes, C., Jorm, C., & Woodward-Kron, R. (2019). Family involvement in managing medications of older patients across transitions of care: a systematic review. BMC Geriatrics, 19(1), 1–21. https://doi-org./10.1186/s12877-019-1102-6 4 Centers for Medicare & Medicaid Services. (2023). Medicare benefit policy manual chapter 7: Home health services. https://www.cms.gov/Regulationsand-Guidance/Guidance/Manuals/Downloads/bp102c07.pdf 5 Norlyk, A., Deleuran, C. L., & Woythal, B. M. (2020). Struggles with infrastructures of information concerning hospital-to-home transitions. British Journal of Community Nursing, 25(1), 10–15. https://doi-org.hal.weber.edu/10.12968/bjcn.2020.25.1.10 Visit 5: Wrap-Up and Sustainability Check Visit 2: Education About Side Effects Visit 4: Teaching Reinforcement and Medication Organization This project addresses the need for structured interventions surrounding medication management during care transitions. Providing and implementing a standardized medication management tool will achieve a meaningful advancement in home health nursing. This tool will help by improving nurse confidence and satisfaction in conducting medication management visits while also improving patient safety and healthcare outcomes in the home health setting.