A SNF's Guide to Medication Reconciliation and Drug Regimen Review

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A SNF's Guide to Medication Reconciliation and Drug Regimen Review

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A SNF’s Guide to Medication Reconciliation and Drug Regimen Review

Maureen McCarthy, BS, RN, RAC-MT, QCP-MT

Establishing an effective medication reconciliation(MR) process for your drug regimen review (DRR) program is crucial to preventing medication errors in your SNF. Effective October 1, 2018, all SNFs will be required to report on the findings of their DRR process as part of the IMPACT Act.

A SNF’s Guide to Medication Reconciliation and Drug Regimen Review offers a fresh, educated perspective on the nuances of medication management in long-term care and addresses multiple industry challenges, including antibiotic stewardship requirements, eliminating medication discrepancies during care transitions, and antipsychotic use.

This book includes strategies for improving the MR process upon admission, methods for training staff to efficiently manage medications, tools and resources for preventing medication-related adverse events, and regulatory guidance for meeting CMS’ new DRR quality measure under the SNF Quality Reporting Program (Drug Regimen Review Conducted with Follow-Up for Identified Issues).

This guide will:

  • Explain how MR and DRR can increase quality of care in facilities 
  • Help you implement an effective MR and DRR program, or improve an old one 
  • Provide strategies for preventing medication-related adverse events 
  • Break down new CMS regulatory language and offer staff training techniques to prepare facilities for these changes 
  • Include tools, case studies, and policies and procedures to serve as the ultimate toolkit for staff training 


Published: October 2018

Page Count: 128
Dimensions: 7x9
ISBN: 978-1-68308-681-9

Table of Contents

Chapter 1: Introduction to Drug Regimen Review
Chapter 2: Planning for Process Changes in Medication Management
Chapter 3: Medication Management Infrastructure
Chapter 4: Effective Training and Education
Chapter 5: Drug Regimen Review During Care Transitions
Chapter 6: Medication Management Outcomes and Benefits

Downloadable Tools:

  • Adverse Drug Event Trigger Tool
  • Antibiotic Stewardship Program Checklist
  • Antimicrobial Stewardship Program Policy
  • Regulatory language for Drug Regimen Review
  • Regulatory language for Respect and Dignity
  • Regulatory language for Pharmacy Services
  • Sample Policies and Procedures, including:
    • Qualifications of Pharmacists
    • Contract Pharmacy Provider
    • Noncontract Pharmacy Provider
    • Consultant Pharmacist Services

About the Author

Maureen McCarthy, BS, RN, RAC-MT, QCP-MT, is president of Celtic Consulting, LLC, and CEO and founder of Care Transitions, LLP, a care coordination service provider. She is also the creator of the McCarthy Method, a documentation improvement system for ADL coding. She and her associates at Celtic Consulting educate and train on ICD-10 transitioning and coding for skilled nursing facilities (SNF), state affiliates, and provider organizations.