organizational gap analyses on ISMP guidelines, self assessments, etc.

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Julie Kindsfater
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Joined: 11/04/2011 - 10:15
organizational gap analyses on ISMP guidelines, self assessments, etc.

Every time an ISMP new guideline paper, self assessment, or Quarterly Action Agenda is published, my org does an internal gap analysis. To facilitate this, we transcribe the recs to an Excel spreadsheet with columns where we document objective evidence of our organization's compliance (e.g. policies/actual policy statement, EHR build, formulary, etc.), assessment (compliant, partially compliant, not compliant), action plan and accountability, and then another column for local assessment (we use this to make notes like, "Rx directors - verify segregation of storage" for things where we can say policy is compliant, but local assessment is also needed).

Do other orgs do this and if so, would ISMP consider publishing these documents with recs in some sort of similar Excel format? One of the ISMP TBPs is to use externally published data, and putting it in this format centrally might go a long way in helping everyone do this. I know the QAAs are published in Word format. Just a preference here for Excel - but I guess main point is would ISMP make the guidelines and self assessments available in a non-pdf format for easier documentation as above? Will submit via ISMP website, too.

Thanks for considering!

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