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| 1 | HOUSE JOINT RESOLUTION
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| 2 | WHEREAS, A gap exists in Illinois in communication between | ||||||
| 3 | all healthcare providers with regards to a patient's transition | ||||||
| 4 | in care within and between healthcare practice settings, | ||||||
| 5 | including but not limited to community, health-system, and | ||||||
| 6 | long-term care; and
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| 7 | WHEREAS, When medications are discontinued, added, | ||||||
| 8 | changed, or replaced by a prescriber, the notification of the | ||||||
| 9 | change is inconsistently communicated to the next healthcare | ||||||
| 10 | provider responsible for that patient's care, including but not | ||||||
| 11 | limited to the primary care physician, pharmacist, nurse | ||||||
| 12 | practitioner, or physician's assistant; and
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| 13 | WHEREAS, This inconsistency in communication, as the | ||||||
| 14 | patient transitions in the healthcare continuum, may cause | ||||||
| 15 | medication duplications, adverse reactions, and subtherapeutic | ||||||
| 16 | or supratherapeutic dosing of medications for the treatment of | ||||||
| 17 | the patient's disease and healthcare conditions; these | ||||||
| 18 | situations may expose the patient to increased risks and costs; | ||||||
| 19 | and
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| 20 | WHEREAS, The State of Illinois maintains very little data | ||||||
| 21 | on this issue; the only available studies are extremely limited | ||||||
| 22 | in scope and pertain only to high-risk medications within a | ||||||
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| 1 | connected healthcare system; and
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| 2 | WHEREAS, Each day in Illinois, thousands of medication | ||||||
| 3 | discontinuations, additions, and modifications occur; and
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| 4 | WHEREAS, When a prescriber makes any medication change, the | ||||||
| 5 | medication change should be communicated to all other | ||||||
| 6 | healthcare providers and practitioners involved in other | ||||||
| 7 | healthcare settings who use different electronic health | ||||||
| 8 | records; and
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| 9 | WHEREAS, Medication reconciliation and effective | ||||||
| 10 | communication between healthcare providers improves patient | ||||||
| 11 | outcomes and allows pharmacists to assure that patients only | ||||||
| 12 | receive current medications for the treatment of their disease | ||||||
| 13 | and health conditions; and
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| 14 | WHEREAS, Many patients have limited knowledge of the exact | ||||||
| 15 | names or doses of all of their medications and depend on the | ||||||
| 16 | medication education they receive from their pharmacist; and
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| 17 | WHEREAS, Mechanisms to enable the transmission of | ||||||
| 18 | "discontinue", "cancel", or "stop" orders through | ||||||
| 19 | interoperability of healthcare systems are being developed by | ||||||
| 20 | the relevant stakeholders; and
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| 1 | WHEREAS, Patients with chronic diseases often have | ||||||
| 2 | frequent changes to their medication regimens, which are not | ||||||
| 3 | consistently communicated to pharmacies and each has the | ||||||
| 4 | potential to cause misutilization of medications; therefore, | ||||||
| 5 | be it
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| 6 | RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE | ||||||
| 7 | NINETY-NINTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, THE | ||||||
| 8 | SENATE CONCURRING HEREIN, that we urge the Department of Public | ||||||
| 9 | Health to undertake a study coordinating with the University of | ||||||
| 10 | Illinois at Chicago College of Pharmacy (Chicago and Rockford | ||||||
| 11 | campuses), the Southern Illinois University Edwardsville | ||||||
| 12 | School of Pharmacy, and the Chicago State University College of | ||||||
| 13 | Pharmacy to determine the appropriateness of promoting and | ||||||
| 14 | encouraging interprofessional communication between healthcare | ||||||
| 15 | providers, be they physicians, nurse practitioners, | ||||||
| 16 | physician's assistants, or pharmacists to facilitate more | ||||||
| 17 | effective methods for transitioning care of a patient between | ||||||
| 18 | the various healthcare settings or managing their medication | ||||||
| 19 | regimens; and be it further
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| 20 | RESOLVED, That we urge the Department of Public Health to | ||||||
| 21 | examine and recommend solutions for a mechanism or process for | ||||||
| 22 | electronically-prescribed prescription orders to | ||||||
| 23 | electronically transmit "discontinuation", "cancel", or "stop" | ||||||
| 24 | notifications to the pharmacy upon discontinuation or | ||||||
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| 1 | cancellation of the order; and be it further | ||||||
| 2 | RESOLVED, That we urge the Department of Public Health to | ||||||
| 3 | examine the overall benefits of mandated pharmacist-led | ||||||
| 4 | medication reconciliation upon patient entrance into a new | ||||||
| 5 | healthcare setting and patient discharge education upon | ||||||
| 6 | transition to a new healthcare setting, follow-up | ||||||
| 7 | communication with patients by healthcare providers after a | ||||||
| 8 | specified period of time after transitioning, electronic | ||||||
| 9 | communication to pharmacies whenever a change in medication | ||||||
| 10 | occurs, and use of the primary care provider as a nexus for | ||||||
| 11 | communication between healthcare providers, including | ||||||
| 12 | pharmacists, to assure a centralized medication list is | ||||||
| 13 | maintained for each patient; and be it further | ||||||
| 14 | RESOLVED, That we urge the Department of Public Health to | ||||||
| 15 | complete its study and submit its findings to the General | ||||||
| 16 | Assembly, the Governor, and the Secretary of Public Health by | ||||||
| 17 | January 1, 2017.
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