Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation

Appendix: The MATCH Work Plan

Assembling a Medication Reconciliation Team

Identify key stakeholders that need to be aware of your efforts to improve the medication reconciliation process. Examples might include your chief executive officer, department chairs, trustees, etc. From these stakeholders, identify a leadership team and design team. Define a reporting structure.

Medication Reconciliation Leadership Team

Executive Sponsor(s):

Project Sponsor(s):

Improvement Leader(s):

Medication Reconciliation Design Team (from this group, select a process owner)

Physician(s):

Pharmacist(s):

Nurse(s):

Discharge Planner(s):

Information Systems:

Emergency Department Representative(s):

Patient Safety and Quality Staff:

Patient Representative (if possible):

Managers/Directors of Frontline Staff:

Department Chiefs/Chairs:

Medical Record Leader(s):

Quality, Licensure, and Accreditation Representative:

Frontline Staff:

Quality Committee Representative(s):

Other:

Reporting Mechanism (especially to whom/where the team will report)

Reporting structure:

Frequency:

Medication Reconciliation Team Roster

Executive Sponsor(s):	Name	Email
(Member of leadership)	Phone	Pager

Project Sponsor(s):	Name	Email
	Phone	Pager

Improvement Leader(s):	Name	Email
	Phone	Pager

Physician(s):	Name	Email
	Phone	Pager

Pharmacist(s):	Name	Email
	Phone	Pager

Nurse(s):	Name	Email
	Phone	Pager

Discharge Planner(s):	Name	Email
	Phone	Pager

Information Systems:	Name	Email
	Phone	Pager

Emergency Department Representative(s):	Name	Email
	Phone	Pager

Patient Safety and Quality Staff:	Name	Email
	Phone	Pager

Managers/Directors of Frontline Staff:	Name	Email
	Phone	Pager

Department Chiefs/ Chairs:	Name	Email
	Phone	Pager

Medical Record Leader(s):	Name	Email
	Phone	Pager

Quality, Licensure, and Accreditation:	Name	Email
	Phone	Pager

Frontline Staff:	Name	Email
	Phone	Pager

Quality Committee Representative(s):	Name	Email
	Phone	Pager

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Current as of December 2012

Internet Citation: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation: Appendix: The MATCH Work Plan. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/match/matchap2.html