Cost reduction by establishing a system for proper drug administration

Effective management of “brought-in medications” to our hospital by patients through multidisciplinary collaboration where no drug reconciliation system is incorporated with electronic medical record system

Abstract

In the medical fee revision in FY 2014, the use of “brought-in medications" to treat the disease which led to scheduled hospitalization was prohibited under DPC/PDPS. With the revision in FY 2016, it is requisite to describe names and amount of “brought-in medications” on the DPC EF file after October, 2016.

Since our medication reconciliation system was not linked to the electronic medical record system, it seemed difficult to describe how we used “brought-in medications” on the DPC EF file or to evaluate how we managed “brought-in medications”. However, a multidisciplinary management of “brought-in medications” to our hospital in accordance with DPC/PDPS led to continuous usage of “brought-in medications” even after October 2016.

Few medications were found to be used by mistake to treat the disease which led to hospitalization. Proper use of “brought-in medications” resulted in cost reduction and contributed to hospital management.