Medication Reconciliation and obtaining a Best Possible Medication History (BPMH) in Home Care


This online
learning module teaches clinicians how using a systematic process for
medication reconciliation (MedRec) can prevent medication errors and
adverse drug events (ADEs), by identifying and resolving discrepancies between
medications a client is actually taking (Best Possible Medication History – BPMH)
and medications documented or recorded in a client’s health record(s).

In the context of home
care, there are several specific interfaces of care where a home care client
can benefit from MedRec processes.

At the end of this module you will be able to:

1.      Understand the role of MedRec and how
it affects client care

2.      Improve your ability to engage clients
and caregivers in discussions in collecting a comprehensive BPMH

3.      Apply a consistent approach to
identify and resolve medication discrepancies

4.      Demonstrate learning by completing a
case study

Who should take this module?

practitioners working in home health care including: care coordinators, case
managers, prescribers, nurses, community pharmacists, family caregivers, and
others in the client’s circle of care.

What is included in this module?

What is MedRec

Medication issues in home care

MedRec process at admission to home care including
collecting a BPMH

Case study: transitioning from hospital to home care

Program Cost: Single user: CAD $9.95 plus applicable taxes

Organization: CAD
$250 plus applicable taxes.  Note: module can be uploaded to a Learning
Management System (LMS) that supports SCORM 1.2 for organization-wide
access only.

A Best Possible Medication History
is a history
created using 1) a systematic process of interviewing the client/family; and 2)
a review of at least one other reliable source of information to obtain and
verify all of a client’s medication use (prescribed and non-prescribed). 3)
Complete documentation includes medication name, dosage, route and frequency.
The BPMH is more comprehensive than a routine primary medication history which
may not include multiple sources of information.

Medication Reconciliation is a formal process in which
healthcare providers partner with clients to ensure accurate and complete medication
information transfer at interfaces of care. It involves a systematic process
for obtaining a medication history and using that information to compare to
medication orders in order to identify and resolve discrepancies. It is
designed to prevent potential medication errors and adverse drug events.


Safer Healthcare Now! (2015). Medication
Reconciliation in Home Care: Getting Started Kit. Safer Healthcare Now!