Performance Manager
JCAHO Medication Reconciliation Process Monitoring
  Service Line
  Unit Name (11R,12R, F3 etc)
  Date of Encounter/Visit
  Medical Record Number (7 Digits)
  Attending MD (First Initial.,Last Initial. -- e.g. M.A.)
  Reviewer Name (First Initial., Last Name, Credentials -- e.g. S. Smith, RN)
   
  A list (as complete as possible) obtained per Service Line Process Timeframe? Yes No
  Were new medications added or changes made to home list during this visit? Yes No
 
IF YES: New /Changed Meds or Discontinued Meds noted on Patient List?
Yes No
  Updated List communicated to patient at end of encounter per Service Line Process? NOTE: N/A only to be used in situation where there were no meds administered, discontinued, changed or prescribed at end of encounter Yes No N/A
  Updated List communicated to next provider of care per Service Line Process description? NOTE: N/A only to be used in situation where there were no meds administered, discontinued, changed or prescribed at end of encounter Yes No N/A
  Additional Comments (optional):
          



© 2001 CareGroup IS. All rights reserved.