List Reconciliation

Reconciling the medication and allergy lists – Every Patient, Every Visit.

Have you seen your List Reconciled function?  I hope so!  When a patient is placed in a room by the nurse or medical assistant, part of the standard workflow, for every patient at every visit, is to reconcile both the medication and allergy lists.  The good news is that you’re probably already doing this and have been ever since you started; Allscripts has just made it easier to do this officially in a way so that it can be tracked and proven. 

This is simple to do, and much easier than the old way of annotating on every allergy. 

Begin by doing what you’ve always done, asking the patient if they are still taking each of the medications on their list.  Remember the clinic policy is to D/C any medication the patient is no longer taking EXCEPT medications prescribed by Spine & Pain or Hematology.  Verify any unverified medications with the patient, and add them to either the current or past medication lists.  When you’ve finished with the medication list, click one time on any medication so that it is selected.  Then right click and scroll to the bottom of the menu by hovering over the black arrow at the base of the menu.

Click on List Reconciled.   When you do, a date will appear in the upper corner of the Meds box.  If you cannot see the date, click on the small down arrow on the far right edge of the box.  Whether or not you can see the date depends on your resolution settings (how big the font is on your display). 

For Allergies, confirm with the patient that they are allergic to all items listed and that each item has a reaction associated with the allergy.  If the patient has any additional allergies, add them.  If the patient has no allergies, be sure that you indicate that by listed either No Known Allergies or No Known Drug Allergies.  When you have confirmed all allergies, select any one from the list by clicking it one time.  Right click on the allergy and click List Reconciled.

As with the medication list, the date will appear at the top of the Allergies box indicating that the list has been reconciled.  You only need to do this for one medication or allergy in the list because the list reconciliation applies to all medications or allergies in the list.