UCSF Center for Healthcare Value - Caring Wisely 2.0

Crowd-sourcing innovative cost savings ideas from the front lines of care delivery systems

Tasking Admissions to collect PMD/preferred pharmacy information and enter into APEX

Idea Status: 

Problem: A significant portion of pts have no listed PMD or preferred pharmacy in APEX.


Issue: Recognizing that providers share the responsibility to know this information, other clinical duties often lead to inconsistent asking/entering of these two basic/vital pieces of information for safe, appropriate discharges.  Many patients who actually have a PMD but don't have this info entered into APEX (or have the incorrect provider listed) won't have their discharge summaries/pertinent clinical info routed to the appropriate outpt provider, leading to suboptimal communication btwn intpt/outpt providers and care continuity and potential for unnecessary risks to care quality/safety (esp with pending tests at discharge or issues requiring close f/u). Similarly, the pt's preferred pharmacy info is sometimes missing/incorrect, potentially leading to electronically misrouted discharge prescriptions, gaps in care, or pt dissatisfaction.

Idea: When a pt is admitted to the hospital, the Admissions staff routinely confirms basic demographic/insurance/etc information w/ the pt/family This seems like the optimal time to standardize collecting/confirming PMD/pharmacy, without unduly adding to their work flow or requiring additional resources.

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