Full Text of HJR0139 99th General Assembly
HJ0139eng 99TH GENERAL ASSEMBLY |
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| 1 | | HOUSE JOINT RESOLUTION
| 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
| 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
| 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
| 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
| 2 | | WHEREAS, Each day in Illinois, thousands of medication | 3 | | discontinuations, additions, and modifications occur; and
| 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
| 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
| 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
| 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
| 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
| 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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