Medication Reconciliation: A Fundamental Approach to Reduce Readmissions

Scott Jackson CMP in Education

Hospital readmission rates have been a constant discussion topic among healthcare providers over the past few years and a common determinate in Pay-for-Performance initiatives, Value Based Purchasing (VBP) and inclusion in an Accountable Care Organization (ACO). The challenge to reduce readmissions will continue when CMS adds this quality measure to Nursing Home Compare and the Five-Star Calculation July 1, 2016.

Polypharmacy and poor communication of physician orders creates a perfect storm and should be a primary focus for skilled nursing facilities and medical providers to prevent adverse drug events that can precipitate hospital readmissions. SNFs need a comprehensive admission process that includes medication reconciliation incorporating a thorough review of the hospital discharge medications to identify needed clarifications (i.e., unclear diagnosis or indication, uncertain dose or route of administration, stop dates, hold parameters, laboratory tests needed for monitoring, doses that may be different than before hospitalization), medication duplications and a review of medications prior to hospitalization to ensure they are ordered or resumed when appropriate.


Amy E. Lee, RN, BSN, MSN, CRRN

2.0 CEUs are available for LNHAs and ALAs.

Brochure & Registration Information


Scott Jackson, CMP
Director, Education & Conference Planning
518-462-4800 x27