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17. Medical Product Safety

Goal: Ensure the safe and effective use of medical products.
ORIGINAL OBJECTIVE
17-1. (Developmental) Increase the proportion of health care organizations that are linked in an integrated system that monitors and reports adverse events.
17-1a. Health care organizations that are linked in an integrated system that monitors and reports adverse events associated with medical therapies.

17-1b. Health care organizations that are linked in an integrated system that monitors and reports adverse events associated with medical devices.

Potential data sources: Office of Postmarketing Drug Risk Assessment (OPDRA), MEDWATCH, and Manufacturer and User Device Experience (MAUDE) Database, FDA.
OBJECTIVE WITH REVISIONS (Including Subobjectives Proposed for Deletion)
17-1. (Developmental) Increase the proportion of health care organizations that are linked in an integrated system that monitors and reports adverse events are monitoring and analyzing adverse events associated with medical therapies within their systems. 
17-1a. (Subobjective is being combined with Objective 17-1) Health care organizations that are linked in an integrated system that monitors and reports adverse events associated with medical therapies. 

17-1b. (Subobjective proposed for deletion due to lack of data source) Health care organizations that are linked in an integrated system that monitors and reports adverse events associated with medical devices. 

Read information regarding the deletion of an objective due to lack of data source.
Target: 90 percent. 
Baseline: 82 percent of health care organizations were monitoring and analyzing within their systems adverse events associated with medical therapies in 1998. 
Target setting method: 10 percent improvement. 
Potential dData source s: National Survey of Pharmacy Practice in Acute Care Settings, Office of Postmarketing Drug Risk Assessment (OPDRA), MedWatch, and Manufacturer and User Device Experience (MAUDE) Database, FDAAmerican Society of Health System Pharmacists (ASHP). 
REVISED OBJECTIVE
17-1. Increase the proportion of health care organizations that are monitoring and analyzing adverse events associated with medical therapies within their systems.
Target: 90 percent.
Baseline: 82 percent of health care organizations were monitoring and analyzing within their systems adverse events associated with medical therapies in 1998.
Target setting method: 10 percent improvement.
Data source : National Survey of Pharmacy Practice in Acute Care Settings, American Society of Health System Pharmacists (ASHP).


ORIGINAL OBJECTIVE
17-2. (Developmental) Increase the use of linked, automated systems to share information.
17-2a. By health care professionals in hospitals and comprehensive, integrated health care systems.

17-2b. By pharmacists and other dispensers.

Potential data sources: National Survey of Pharmacy Practice in Acute Care Settings and Survey of Managed Care and Ambulatory Care Pharmacy Practice in Integrated Health Systems, American Society of Hospital Pharmacists (ASHP).
OBJECTIVE WITH REVISIONS
17-2. (Developmental) Increase the proportion of health care providers and organizations that are usinguse of linked, automated systems to share information technology. 
17-2a. By health care professionals in hospitals and comprehensive, integrated health care systems. 

17-2b. By pharmacists and other dispensers.  

Target and baseline:
Objective Increase in Health Care Providers and Organizations Using Information Technology 2000
Baseline
(unless noted) 		2010
Target
Percent
17-2a. Health care providers in health care organizations using electronic medical records  12  13 
17-2b. Pharmacists in managed care and integrated health systems using electronic medical records  31 (1999)  34 
17-2c. General and children's hospitals using computerized prescriber order entry  4.3 (2001)  4.7 
17-2d. Urban acute care facilities using computerized prescriber order entry  4.7 (2003)  5.2 
Target setting method: 10 percent improvement. 
Potential dData source s: Healthcare Information and Management Systems Society (HIMSS); American Society of Health System Pharmacists (ASHP); The Leapfrog Group.National Survey of Pharmacy Practice in Acute Care Settings and Survey of Managed Care and Ambulatory Care Pharmacy Practice in Integrated Health Systems, American Society of Hospital Pharmacists (ASHP). 
REVISED OBJECTIVE
17-2. Increase the proportion of health care providers and organizations that are using information technology.
Target and baseline:
Objective Increase in Health Care Providers and Organizations Using Information Technology 2000
Baseline
(unless noted) 		2010
Target
Percent
17-2a. Health care providers in health care organizations using electronic medical records 12 13
17-2b. Pharmacists in managed care and integrated health systems using electronic medical records 31 (1999) 34
17-2c. General and children's hospitals using computerized prescriber order entry 4.3 (2001) 4.7
17-2d. Urban acute care facilities using computerized prescriber order entry 4.7 (2003) 5.2
Target setting method: 10 percent improvement.
Data source s: Healthcare Information and Management Systems Society (HIMSS); American Society of Health System Pharmacists (ASHP); The Leapfrog Group.


OBJECTIVE PROPOSED FOR DELETION
17-3. (Objective proposed for deletion due to lack of data source) (Developmental) Increase the proportion of primary care providers, pharmacists, and other health care professionals who routinely review with their patients aged 65 years and older and patients with chronic illnesses or disabilities all new prescribed and over-the-counter medicines.

Read information regarding the deletion of an objective due to lack of data source.


ORIGINAL OBJECTIVE
17-4. (Developmental) Increase the proportion of patients receiving information that meets guidelines for usefulness when their new prescriptions are dispensed.
Potential data source: Patient/Consumer Medication Information Survey, FDA.
OBJECTIVE WITH REVISIONS
17-4. (Developmental) Increase the proportion of patients receiving information that meets guidelines for usefulness when their new prescriptions are dispensed. 
Target: 95 percent. 
Baseline: 74 percent of patients reported receiving useful information about prescriptions from pharmacies in 2001. 
Target setting method: Consistent with Public Law 104-180. 
Potential dData source : Evaluation of Written Prescription Information Provided in Community PharmaciesPatient/Consumer Medication Information Survey, 2001, FDA. 
REVISED OBJECTIVE
17-4. Increase the proportion of patients receiving information that meets guidelines for usefulness when their new prescriptions are dispensed.
Target: 95 percent.
Baseline: 74 percent of patients reported receiving useful information about prescriptions from pharmacies in 2001.
Target setting method: Consistent with Public Law 104-180.
Data source : Evaluation of Written Prescription Information Provided in Community Pharmacies, 2001, FDA.


NO CHANGE IN OBJECTIVE
17-5. Increase the proportion of patients who receive verbal counseling from prescribers and pharmacists on the appropriate use and potential risks of medications.
Target and baseline:
Objective Increase in Patients Receiving Oral Counseling From: 1998
Baseline 		2010
Target
Percent
17-5a. Prescribers 24 95
17-5b. Pharmacists 14 95
Target setting method: 296 percent improvement for prescribers and 579 percent improvement for pharmacists. (Better than the best will be used when data are available.)
Data source : National Survey of Prescription Drug Information Received by Consumers, FDA.


NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
17-6. Increase the proportion of persons who donate blood, and in so doing ensure an adequate supply of safe blood.
Target: 8 percent.
Baseline: 61 percent of the total population aged 18 years and older donated blood in 1998.1
Target setting method: Better than the best.2
Data source : National Health Interview Survey (NHIS), CDC, NCHS.
1 (Baseline and baseline year revised from 5 and 1994 after November 2000 publication)
2 (Target setting method revised from 60 percent improvement after population-level data became available in 1998)

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