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Redington-Fairview General Hospital
Remote Access Pharmacy Service (RAPS)
Pharmacy services will be extended from 10 to 24 hours a day. Before a patient receives non-emergency medications, the order is screened for appropriateness of therapy, dose, interaction potential and allergies. After usual pharmacy hours, this will be done by Maine-licensed pharmacists located outside the facility. Medication orders will be faxed to the pharmacist who will enter them into our pharmacy information system through a secure internet connection. The pharmacist will also verify that the correct medication is accessed from the afterhours supply by qualified nursing personnel.
Project Director: Lisa Caswell, Director of Pharmacy
Sebasticook Valley Hospital
Barcode Medication Administration Program (BMAP)
The Barcode Medication Administration Program will improve patient safety by (1) verifying and validating the five rights of medication safety through implementation of an automated system using barcodes for packaging, storing, tracking, and distributing medications; (2) implementing the hospital mednet 'smart pump' technology for parenteral infusion pumps with IV medication prevention software; and (3) initiate the bedside medication verification system (BMVS) to integrate the key elements of this program and interface with other existing systems to support SVH's culture of patient safety.
Project Director: Frank McGrady, Director of Pharmacy
Charles A. Dean Memorial Hospital and Nursing Home
Medication Reconciliation
The Medication Reconciliation project at CA Dean will incorporate additional safety benefits to our patients through the use of shared patient medication data in our provider office electronic medical record (EMR) with implementation of the EMR set for February 2009, the grant will fund training, pre-loading of patient medication data, additional licenses for hospital provider access, community awareness - production of print materials, ‘Brown Bag' events, medication destruction events, and outside provider collaboration initiatives.
Project Director: Troy Brown, Director of Business Services
Houlton Regional Hospital
Mission Possible
Houlton Regional Hospital will implement a computerized physician order entry (CPOE) system in its emergency room. The project will start May of 2009, following the implementation of the ED Module Phase I. The 'go-live-date' for CPOE will be August 2009. Our goal is to succeed in having all physicians who see patients in our Emergency Room order all medications on this CPOE. Over time we will realize a reduction in medication errors while gaining the support by both physicians and staff for the automated system.
Project Director: Barbara Bossie, Director of Regulatory Compliance
Mayo Regional Hospital
Engaging the Healthcare Community in Medication Safety
Mayo Regional Hospital will use this grant to drive compliance with the National Patient Safety Goal of “accurate and complete” reconciliation of medications across the “continuum of care”. Grant funds will be used to establish and facilitate communication between the hospital, physicians, the local pharmacies and the local long-term care facility with the goal of complete medication reconciliation as a dynamic process. As the process is formalized, we will also capture opportunities for patient education about medication safety.
Project Director: Val Philpot, ICU Nurse Manager
Katrina Taggett, Med Surg Unit Nurse Manager
Bridgton Hospital
Medication Reconciliation with emphasis on Patient Education and Community Partners Involvement
Bridgton Hospital’s Medication safety project will involve the work of a multidisciplinary team. A Pharmacist will visit with admitted patients to discuss current medications, and answer questions. Prior to discharge, a current list of prescribed home medications will be provided to our patients, followed by a phone call within 48 hours to answer questions. We will be working closely with providers of patient care in our surrounding communities, such as Physician offices, local Pharmacists, Home Health agencies and Nursing Homes, toward a common goal of accurate, current medication lists available, to provide the safest care for our patients.
Project Director: Bobbi Cribby, Director, Clinical Practice
Millinocket Regional Hospital
MRH Medication Safety Project
As a member of the Maine Critical Access Hospital's Safety Collaborative, Millinocket Regional Hospital's goal is to meet current patient safety standards related to medication administration. We have a plan that requires the clinical staff involved in medication delivery to work as a team to implement technology that will provide automated repetitive checks of medications prior to their administration. There are currently 2 systems planned as part of this project; the use of IV administration pumps that have "Smart Pump" technology and bedside verification of medications using a bar-coding system. In addition to the technology aspects of the project, we will be changing the organization of our electronic medical records that will better support our ability to determine and maintain an accurate record of patient's home medications, hospital medications and then medications upon discharge.
Project Director: Missy Marter, Chief Quality Officer
Penobscot Valley Hospital
Medication Reconciliation
The focus of the PVH medication reconciliation project is to promote communication about medications among healthcare providers and involve the community and patients in the process. The goal is to maintain accurate lists of what medications the patient is currently taking. The action plan will include educating patients and healthcare providers, and it will provide standardized processes to accomplish these goals.
Project Director: Lisa French, Senior Director of Performance Improvement
Down East Community Hospital
Patient Education: Medications
 A comprehensive and reliable discharge plan, along with post discharge support can reduce readmission rates, improve health outcomes, and assure quality transitions. Down East Community Hospital will implement a patient education plan focused on medication teaching. The inpatient aspects of this plan will include standardized discharge instructions in simple language; training adult learning concepts for clinicians and a follow-up program to assure effectiveness. The outpatient portion of the program will include monthly 'brown bag' sessions with pharmacy and nursing to encourage patients to bring in medications from home for assessment and counseling.
Project Director: Diane Raymond, Chief Nursing Officer
Rumford Hospital
Improving the Safety of Medication Usage in the Pediatric Population
 Rumford Hospital's Patient Medication Safety Initiative will focus on medication usage within our pediatric population. A series of educational opportunities will be provided to clinical staff with particular focus on nursing respiratory therapy and family practitioners. All obstetrical RNs will become certified in advanced life support in obstetrics; all med surgical RNs will become certified in pediatric advanced life support; respiratory therapists with receive education specific to pediatric medication administration; and an ED PEDS lecture will be provided to medical staff.
Project Director: Deborah Day-Oliver, Director of Quality
Mount Desert Island Hospital
Medication Safety X 2 (Medication Reconciliation & Elimination of Dangerous Abbreviations)
 MDI Hospital will eliminate the use of dangerous medication abbreviations through education, feedback and process change, information, and technology support. MDI Hospital will also eliminate the confusing presence in standing order sets and policy/procedures through review/revision/electronic posting utilizing committee structure and information technology. In addition, they will improve medication reconciliation by implementing these activities electronically and extending the process value to external partners in patient care in the community.
Project Director: Barbara Hannon, Vice-President, Nursing
Blue Hill Memorial Hospital
Medication Reconciliation & Anticoagulation Management
 The pharmacy will take ownership of the medication reconciliation process at Blue Hill Memorial Hospital. The pharmacy technicians will collect the information that will go into the medication reconciliation forms. In order to fulfill this role, the pharmacy technicians will go through an extensive training program.
Anticoagulant therapy involves medications that are high alert medications that have a narrow therapeutic index. BHMG will develop an inpatient and outpatient pharmacy based service for anticoagulant therapy.
Project Director: Kevin Dempsey, Director of Pharmacy
St. Andrews Hospital & Healthcare Center
St. Andrews Hospital Medication Safety Project
 St. An drews w ill reduc e medication errors, improve medication safety for patients and provide patient education related to med ications. It will implement a 3-part medication safety project to address areas identified as gaps in best sa fe medication practices.
Project Director: Melissa Gallant, Vice-President, Quality
Calais Regional Hospital
Medication Reconciliation
 Calais Regional Hospital will be developing a paper-based medication reconciliation tool to be utilized throughout the patient continuum and upon discharge. The tool will be implemented and then evaluated and monitored through data abstraction. Issues arising with the tool will be addressed by the team. The project's goal is to develop and implement a workable, useable tool that is useful for the staff and providers.
Project Director: Stacey Doten, Quality Management Director
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