Medication Management Workgroup
6/14/07 Meeting Notes
Jaslin Yu, Marianne Mannia and Katie Flynn were in attendance;
Cristina Ugaitafa, Virginia Okabayashi and Denise Altomare were unable to attend.
We met from 9:30-10:30 am to review workgroup purpose, review 5/17/06 meeting notes, and
continue discussion on objectives.
Workgroup Purpose:
The Medication Management Workgroup objective, as copied from the Fiscal Year 2008 Work
Plan, is to: "Explore best practices for management of medications related to fall prevention and
make recommendations to the Task Force on appropriate activities to undertake related to
medication management and fall prevention."
The measurable outcome is: "Proposal of activities related to medication management for Task
Force consideration."
5/17/07 Meeting notes reviewed:
1. Target audience for best practices relating to medications and fall—hospital MDs, community
MDs, and community dwelling adults.
2. Scope of medications—to include Rx, OTC, herbals and alcohol.
3. We discussed several best practice documents as highlighted by SIPP conference and/or
Virginia’s email—Beers list, HEDIS 2006 report, Consumer Report on Health 2006
Medication Simplification Tool, Medication Management Model Toolkit, Title 22.
4. We divided up action items for next meeting:
Cristina is following up on: cards, alcohol abuse “road maps” and other resources that San Mateo
County Health Department has developed.
Virginia is following up on 2 best practices: HEDIS 2006 and the Medication Management
Model Toolkit.
Katie is following up on Medicare Part D reimbursement for medication evaluation and a HIPAA
form permitting caregivers/family members/friends to discuss medications with the
patient’s MD.
Not assigned—verify that large print labels are available upon request at local and mail order
pharmacies.
6/14/07 Meeting notes:
Old Business:
Katie followed up with HICAP Diana Gray re: Medicare Part D reimbursement for medication
evaluation. Part D reimburses only for medication. Part B does reimburse for office visit for
medication review.
* Diana also recommends expanding MDs to include any prescribing person—NP, PA, etc.
* Ron Robinson Sr. Center @ SM General Hospital may provide medication review.
* HIPAA form referred to at SIPP conference—still needs to be followed up.
New Business/Discussion:
Denise emailed .pdf Best Practices for Oral Medications. [see attached file].
Jaslin brought “Roadmap for Alcohol, Tobacco and Other Drug Prevention” booklet. It addresses
policies and approaches to limit poor health outcomes for San Mateo County residents. Its focus
is primarily youth and policy-level/advocacy-level interventions.
Medication Management Workgroup Meeting Notes 6/14/07
She also shared her experiences with Medication Management presentations and brown bag
reviews. Jaslin developed a medication list and advocacy question booklet in 4 languages
(English, Chinese, Tagalog and Spanish).
What she found most effective were ‘right now’ medication reviews in Senior Housing: “Right
now, go get your medications and bring them for review.” What wasn’t effective or efficient were
two stage events—powerpoint presentation with brown-bag follow up one week later. Seniors
forgot to bring medications. [see attached .ppt file]
Marianne brought a clear plexi brochure stand with a pocket of Sequoia Hospital Medication
Cards. Marianne expressed a need for a brochure stand with SMC FP TF branded Medication
Management brochures. These would be placed in Internal Medicine MD offices, Geriatric MD
offices, clinics, Senior Centers, Health Fairs, and DMV. How these would be re-stocked was
discussed. Marianne suggested a pilot project of Senior volunteers from the Redwood City Senior
Center—to distribute and stock.
Katie brought
1. “Safe Use of Medicines—take your medicines the right way, each day!” from
www.nia.hih.gov/healthinformation. [NIH Publication # 04-7348]. It is akin to the CDC Home
Safety Checklist—with dialogue and checkbox format.
2. Brochure from “Life Line” about medication management.
3. Pill box review from Wall Street Journal health column.
4. information on “Prevent Falls Workbook”—written by MDs for MDs.
Seton Health Sciences Library has ordered the education kit.
See web site: http//www.fallprevention.org/pages/clin_instr_mat.htm
Brochures included in the workbook— By MDs for MDs :
"Medication Reduction Strategy for Older Patients with Multiple Health Conditions: Safe and
Effective Medication Decision-Making"
"Medical Reduction Strategy: Summary"
"Assessment of Medication Effects That May Increase Chance of Falling"
For MDs to give to patients:
“What You Can Do to Help Avoid Bad Effects of Medications”
“Medication Record (blank)”
We discussed “taking medications the right way, every day.” Pill boxes were discussed as well as
Blister Pack packaged medications.
Action Items for next meeting:
Virginia is following up on 2 best practices: HEDIS 2006 and the Medication Management
Model Toolkit.
Marianne will contact LifeLine to have them include the booklet in San Mateo County resident’s
bills and follow up on Vial for Life.
Jaslin will bring sample medication list and advocacy question booklet in 4 languages (English,
Chinese, Tagalog and Spanish), magnetic pill box and Blister pack samples to next meeting.
Follow up on 1. funding available to apply to an additional print run, and 2. verify that Ron
Robinson Sr. Center can provide brown bag medication review
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Medication Management Workgroup Meeting Notes 6/14/07
Katie will to bring Falls Prevention Workbook, summarize study about barriers and facilitating
fall risk eval and management into MD practice, and follow up on HIPPA form to allow CGRs to
talk with medical professionals about client medications.
We organized our efforts by objectives:
Explore
Medication Management
Best Practices
to Consumer
Web page Links— to brochures
to adherence aids
.ppt from Jaslin
Medication Cards—medication listing
advocacy prompts
HIPPA release form
LifeLine Brochures—to subscribers
Adherence Aids—pill boxes- types
Blister packs- vendors/cost
Large Type- Pharmacies
Pilot Program—Plexi brochure stand for
med list and advocacy questions
to MD, PA, NP etc.
Connecticut Workbook Handouts—
to MD
from MD to Patient
Dr. talking to San Mateo Medical
Association
Best Practice 10 minute presentation to
Hospital Medical Staff
Additional Medication Management content available:
Jaslin’s .ppt
Denise’s .pdf Best Practices for Oral Medications
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