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MEDISSIMO and Medication Reconciliation Secure the management of your high-risk patients

Medissimo reference document. It contains all patient medication information, including circle of care, therapeutic profile and treatment follow-up.

It is produced by Medissimo's ecosystem of applications: Pharmacist , Patient, Nurse, QR Code for compliance with Medipac pill dispensers.

The aim of this document is to ensure the safe management of patient medication, by sharing this information between the various players in the circle of care involved in the patient's care. It can be consulted in the DMP.

How to read the Medication Report

At a glance, you can identify the circle of care you need to coordinate your activities.

You analyze potential risks using the therapeutic profile and reference scores

You refine the analysis by recording side effects and those that worsen

You intervene in a secure manner following a detailed analysis of compliance.

Score definition

  1. Data completeness

Refers to the fact that compliance data is collected, recorded and available at the time of taking. This includes taking, not taking, modifications or adjustments, side effects, etc.

  1. Trivalle ADR score

Score published by Dr Christophe Trivalle and his partners assesses the risk of adverse drug events (ADEs) in elderly patients. It takes into account three risk factors: number of medications, use of neuroleptics and recent anticoagulant treatment.

  1. EvalObs compliance score

Visual scale (EvalObs) designed to assess patients' compliance with their treatment, graduated from 0 to 15, where the patient indicates the number of days, out of the last 15 days, that they have taken their treatment. This assessment offers a simple, rapid approach to evaluating patients' adherence to their treatment.

  1. Medissimo compliance score

For each drug, calculate the percentage, over a given period of time, of doses actually taken and in compliance with the prescription, as compared to no-takes and changes in dosage.

  1. Morisky membership score

Measures patient adherence by means of a 4- or 8-question questionnaire exploring patients' behaviors and attitudes towards their treatment.

How the balance sheet works

  1. What is medication review and why is it useful?

It's a structured tool for centralizing, analyzing and sharing information on treatments, in order to secure and optimize patient care.

  1. How is the balance sheet collected and updated?

The data comes from treatments recorded by the pharmacist or nurse, and feedback from patients, caregivers or nurses, updated automatically via Medissimo's digital tools.

  1. What tools are used to create and share this report?

The report is generated using Medipac observance QR codes and Medissimo applications. The assessment is shared in the Dossier Médical Partagé (DMP).

  1. How can I, as a healthcare professional, access the information contained in the assessment?

Professionals can access it via the DMP or their secure application for nurses and pharmacists.

Interprofessional collaboration

  1. How does the assessment facilitate communication between the doctor, pharmacist and other professionals?

It provides a centralized view of treatments and facilitates exchanges during interviews or consultations.

  1. Can the doctor view the assessment directly in the Dossier Médical Partagé (DMP)?

Yes, the assessment can be consulted in the DMP.

  1. Can all the professionals involved consult the report in real time?

Yes, subject to updates, the assessment is updated and shared with the professionals involved.

Clinical benefits

  1. How does medication reconciliation help prevent errors or risks?

It identifies duplicates, errors or patient difficulties, enabling treatments to be adjusted according to real patient needs. .

  1. How can it help improve patient adherence to treatment?

It provides structured follow-up, reinforced support and spontaneous dialogue for each healthcare professional involved in the patient's care.

  1. What type of information does the balance sheet highlight?

The assessment documents the patient's circle of care, therapeutic profile, risk scores, side effects and compliance.

Practical details

  1. How do I integrate medication review into my daily practice?
  • Add to prescription : DMN Kimed (Medissimo) or Medissimo Nurse Application (Medissimo) with medication review 
  • Visit a pharmacy for activation
  • Collecting drug information
  • Communication with the pharmacist via messaging system
  • Consulting the balance sheet in applications or the DMP
  • Think about simplifying the patient's medication intake by using Medipac pillboxes prepared in the pharmacy. The QR code collects medication intake information.
  1. Which patients are most concerned by medication review?

Polymedicated, chronic or at-risk patients are the main beneficiaries.

  1. How does Medissimo simplify the assessment process?

It centralizes patient data, automates reminders and facilitates exchanges between professionals thanks to its secure medication management platform.

  1. Can patients themselves contribute to the assessment, and how?

Yes, by collecting data on doses, absences/additions of doses or side effects via the Kimed mobile application.

  1. Who initiates the assessment: the doctor, pharmacist, nurse or patient?

The doctor can add follow-up with assessment to the prescription (NR), while the pharmacist or nurse generally initiates the assessment, in liaison with the patient or caregiver.

  1. How long does it take to draw up or consult a medication report?

It only takes a few minutes, thanks to digital tools that automate data collection and analysis.

Security and confidentiality

  1. How is the confidentiality of patient data guaranteed during the assessment?

All data is encrypted and shared only between authorized professionals, in compliance with RGPD and HDS.

  1. Is the information shared via the balance sheet secure and RGPD-compliant?

Yes, Medissimo complies strictly with medical data security and confidentiality standards. Medissimo is an ISO 13485-certified company.

Overall impact

  1. How does medication reconciliation reduce hospitalizations due to medication errors?

It secures and optimizes treatments through interprofessional cooperation.

  1. How can we assess its effectiveness in improving treatment and patient follow-up?

By its increasing use by the entire circle of care around the patient.

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standard

Standard carts for MONO28 pillboxes®MEDIPAC® and MEDIPAC® PLUS

Recommended when organizing shared medication baskets (sachets, liquids, etc.)

Patients Mono28 Medipac Medipac plus
M2 25 64 24
M3 45 96 48
M4 65 128 72
Book #26780

Tray carts for MONOPLUS pillboxes® or MULTIPLUS®

Recommended for organizations with no drug storage area (all drugs in the cart for 7 days)

For 14 patients
For 28 patients

Rack carts for MONOPLUS pill dispensers®

Recommended for use with nominative lockers (dose and non-dose drugs together)

Patients Monoplus for 1 or 2 days Dose sachet for 7 days
M2 36 48
M3 48 72
M4 60 96

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medipac

The Medipac solution to simplify medication administration

The Medipac solution offers you the safety and convenience of a pharmacy-prepared, ready-to-use treatment. This solution helps you take your medication properly, which in turn helps your doctor adjust your treatment for better long-term health results. With this solution, you'll improve your compliance to protect your health.

The Medipac solution includes a secure pill dispenser connected to the pharmacy application by a QR code. The solution can integrate an application for caregivers. The data is fed into a compliance report for discussion with the pharmacist and review of treatment with the doctor. Use is free of charge.

semi-autonomous patient

The Kimed solution to protect yourself from forgetting to take your medication

The Kimed solution helps you to take your medication properly, which in turn enables your doctor to adjust your treatment for better long-term health results. With this solution, you'll improve your compliance to protect your quality of life.

The Kimed solution connects a patient application to a pharmacy application. The patient receives notifications to prevent forgetfulness and provide information on compliance, side effects and additional medication taken. The data is fed into a compliance report, which can be discussed with the pharmacist and the treatment reviewed with the doctor. Use is free of charge.

autonomous patient

Monoplus

This detachable pill dispenser allows you to repackage medications by dose, but separately, for one week. Ideal for storage in nominative compartments.

Documentation

MULTIPLUS®. 7 days treatment per dose

MULTIPLUS® packs all your medications in a single dose for one week. The MULTIPLUS® pill dispenser is useful for institutional use when the original blister pack needs to be preserved, and the individual drugs do not need to be isolated from each other.

Mono28

This non-detachable pill dispenser allows you to repackage medications by time of use, for one month. Ideal for frequent medication changes.

Documentation

MEDIPAC PLUS® The largest

MEDIPAC PLUS® is a pill dispenser with deep compartments. It enables the preparation of medicines while retaining the pharmaceutical laboratory's unit packaging. The MEDIPAC®PLUS plus pill dispenser is ideal for patients taking bagged medication.
Documentation

MEDIPAC® Simple as a paperback

Acid blue, MEDIPAC® can be seen from afar and slipped in anywhere to keep your patients' medicines tidy.
Documentation

MEDIPAC BOX® Its strength lies in its unobtrusiveness

The box contains a week's worth of pre-detached and non-pill doses, plus the prescription.
Documentation

Compliance assessment

The compliance report is a summary table of medication taken, enabling treatments to be re-evaluated from the Pharmacist App and the Establishment App.

The assessment is available for each patient on the nursing and pharmacy applications.

The assessment provides a global and detailed view of compliance, and helps to better understand the reasons for non-administration at any given time. The physician's analysis of the assessment enables him/her to take action to encourage proper use of the medication.

Assessment of proper use

The "bilan de bon usage" is a set of summary tables used to identify at-risk patients and drugs from the Medissimo Pharmacien app.

The balance sheet is available to the establishment on the pharmacy application.

The assessment provides an overall view of the risks associated with medication at any given time. The physician's analysis of the assessment enables him/her to take action to promote the proper use of medication.

The MEDISSIMO platform offers a secure, traceable treatment service for patients at home and in residential care, including pillboxing of medicines in the pharmacy and treatment monitoring in cooperation with healthcare professionals and their families.

The platform brings together the pharmacist, who delivers the treatment with full traceability, and the patient or his or her homecare assistant, who fills in the dosages from the MEDIPAC® pillbox prepared by a healthcare professional, and the nurse, who monitors the treatment in liaison with the pharmacist and the family, and informs the doctor in the event of a medication risk.

In line with the public health priority defined in the national health strategy, the pharmacist - nurse - attending physician triad is at the heart of the platform designed by MEDISSIMO, with the aim of promoting the proper use of medicines.

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