The Journal of Japan Society for Health Care Management
Online ISSN : 1884-6807
Print ISSN : 1881-2503
ISSN-L : 1881-2503
Case Reports
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
Yuki TakahashiNaoya Inoue
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JOURNAL FREE ACCESS

2019 Volume 20 Issue 3 Pages 114-118

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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.

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