Innovation in Self-Care
|
|
- Geoffrey Atkinson
- 5 years ago
- Views:
Transcription
1 Innovation in Self-Care
2 S-OPAT Intro
3 Speakers Kavita Bhavan, MD, MHS Associate Professor of Infectious Diseases at the UTSW, Service Chief Infectious Diseases at Parkland, and Medical Director of Outpatient Parenteral Antimicrobial Therapy Clinic and Infectious Diseases Ambulatory Clinics at Parkland About me Dr. Bhavan s research focus is on Self-Care, Patient Engagement, Health Disparities, Hospital Epidemiology, and Bone and Joint Infections She obtained her Masters of Health Science degree from Johns Hopkins School of Public Health and MD from Penn State University
4 Speakers Norman S. Mang, PharmD, BCPS, LSS-GB Clinical Pharmacy Specialist, Infectious Diseases About me Joined Parkland in 2015 as dedicated ID-OPAT pharmacist Lean Six Sigma Green Belt and Board Certified in Pharmacotherapy 2 years of post-graduate residency specializing in infectious diseases Doctorate of Pharmacy degree from Belmont University in Nashville, TN
5 The Pieces of S-OPAT Value Based Care Quality Improvement Population Health Patient Centered Care Patient Safety Patient Engagement Patient Empowerment Transition of Care Stewardship IT Innovation Multidisciplinary Team Continuum of Care
6 Definition S-OPAT refers to the provision of IV antibiotic therapy on at least 2 consecutive days without intervening hospitalization Goals Allow patients to complete treatment safely and effectively in the comfort of home Avoid the inconveniences, complications, and expense of hospitalization
7 Models Patient presents with infection that requires IV antimicrobial therapy Medically stable Medically unstable OPAT indicated OPAT contraindicated Hospitalize Select appropriate setting based on availability and patient needs OPAT indicated (patient stabilized)
8 $$ Models of OPAT in the U.S.
9 Parkland Patient 46 year old African American male Motor vehicle accident Post-operative infection of prosthesis Required 6 weeks of IV antibiotics No illicit drug use history Currently uninsured
10 Project Need Patients with infections requiring long term antibiotics typically receive concentrated diagnosis and prescription services in the first several daysthen remain in the hospital with low intensity needs/antimicrobial infusions While insured patients may be discharged early to home with nursing assistance or to a lower cost nursing facility to complete treatment, unfunded patients usually remain in hospital This causes a burden on safety-net hospitals and decreases availability of acute beds for patients presenting with more severe needs
11 Options What if patients cannot afford these options? Intensity of services Burden on safety-net hospitals Burden on patients 3 Hospital days 42
12 The S-OPAT Program
13 Intervention Developed program in 2009 as an alternative for uninsured patients to complete long-term antibiotic therapy at home comparable to services received in traditional settings Patients undergo bedside teaching and competency assessment prior to discharge from hospital Transitioned from the hospital into a dedicated post-discharge OPAT clinic, and followed weekly by nurses for PICC line care and at fixed intervals by physicians to assess clinical response to therapy
14 Methodology Dedicated multidisciplinary OPAT team: Physician, Pharmacist, Nursing, Care Management Effective multilingual patient education material at the 4 th grade health literacy level and employ the teach back method for bedside teaching Standardized core competency tools to test and record patient s ability to selfadminister IV antibiotics safely at home 2016 Gage Award Reception
15 Patient Safety
16 Multidisciplinary Team
17 OPAT Consult Order Set Case Manager ID Pharmacist Case Manager OPAT Vascular Access Team Vascular Access Team Nurse Dispensing Pharmacy Dispensing Pharmacy OPAT Clinic
18 Pharmacist: Clinical Assessment Tool
19 Case Management: Eligibility Screening Tool
20 Bedside Teaching
21 Infusion by Gravity
22 Manual Documentation of Patient Teaching
23 Inefficient Documentation Process
24 Electronic Teaching Tool
25 Printed Education Materials
26 OPAT Demonstration Video
27 On-demand Educational Videos
28 Consumerization of Healthcare Information
29 OPAT Discharge Order Set
30 Required Competency Items
31 Consult Details
32 Auto-calculating DME Requirements
33 Value-driven Stewardship in Transitions of Care $100,000 Daptomycin Monthly Expenditures $90,000 $80,000 $70,000 $60,000 $50,000 $40,000 $85,905 Pre-Intervention Post-Intervention $30,000 $60,900 $20,000 $10,000 $0
34 Follow-Up in the S-OPAT Clinic
35 Clinic Follow-up Decision Support Tool Priority Time Critical: 4 7 days Next Available: 7 10 days Home Services S-OPAT: 4 10 days H-OPAT: days Antibiotic Selection Determines laboratory monitoring ID Consult ID attending assignment
36 Continuity of Care Safeguards
37 Determine whether indigent, often poorly educated and mostly non- English-speaking patients S-OPAT program can administer IV antibiotics at home as safely and effectively as traditionally accepted models of outpatient care available to patients with funding (H-OPAT) Measuring Performance
38 Publications 30-day readmission rate 47% lower for S-OPAT patients compared to H-OPAT standard of care 27,666 inpatient days avoided $40,000,000 saved for hospital Improved resource utilization by freeing beds for acutely ill
39 Publications Achieving the Triple Aim Through Disruptive Innovations In Self-Care Bhavan KP, Agrawal D, Cerise F.JAMA Nov 22;316(20): Self- Administered Outpatient Antimicrobial Infusion by Uninsured Patients Discharged from a Safety Net Hospital: A Propensity Score Balanced Retrospective Cohort Study Bhavan KP, Brown LS, Haley RW. PLoS Med Dec 15;12(12):e
40 Patient Perspective Ability to return to work earlier Ability to care for dependents at home Avoid high cost of hospitalization Ability to complete therapy safely in the comfort of home Minimal interruption of daily life
41 Patient Empowerment Patient #1 Wanted independence to give myself antibiotics without having to follow the home health nurse schedule Patient #2 Wanted to regain control in my life
42
43 Future Areas of Research Collateral benefits of effective patient engagement through S-OPAT model Patient activation, e.g. PAM scores Medication adherence, e.g. PDC scores Disease markers, e.g. diabetes & HgbA1c; hypertension & BPs Collaborate with Institute for Healthcare Improvement Center for Innovations to advance self-care initiatives nationally
44 Lessons Learned S-OPAT model delivers safe and effective care outside of the hospital Multi-disciplinary team approach with effective use of order set in EMR has been critical to successful implementation of this transition of care model Physician Perception vs. Patients Ability to self administer IV therapy IDSA Clinical Practice Innovation Award (2017) TSHP Innovative Collaborative Practice Award (2016) Gage Award for Outstanding Achievements in Quality (2016) Leveraging HIT empowers patients to be engaged in their own care
Transition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI
Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI Objectives Pharmacist 1. Describe transition of care opportunities 2. Explain ways to use pharmacist extenders
More informationTransition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit
Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit Henry Ford Hospital Detroit Transition of Care (TOC) Services Introduction to Pharmacy Services Pharmacy Transition
More informationTransitioning OPAT (Outpatient Antibiotic Therapy) patients from the Acute Care Setting to the Ambulatory Setting
Transitioning OPAT (Outpatient Antibiotic Therapy) patients from the Acute Care Setting to the Ambulatory Setting American College of Medical Practice Executives Case Study Submitted by Chantay Lucas,
More informationPGY1 Course Description
PGY1 Course Description Learning Experience Title: Infectious Disease Preceptor: Name: Sayo Weihs, Pharm.D, MBA, BCPS Antimicrobial Stewardship Pharmacist Truman Medical Center-Hospital Hill Department
More informationPatient Selection and Education. (Allison + Zurlo)
2 Patient Selection and Education (Allison + Zurlo) There are some fundamental medical and non-medical questions to answer in determining whether a patient is a candidate for OPAT: Is the patient clinically
More informationDecreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT)
Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT) Dr. Jose Cadena Dr. Amruta Parekh University of Texas Health Science Center at San Antonio San Antonio,
More informationDecreasing Readmissions in Outpatient Parenteral AntImicrobial Therapy (DROP IT)
*There are no conflicts of interest for the investigators involved and the outcome of this research Decreasing Readmissions in Outpatient Parenteral AntImicrobial Therapy (DROP IT) Beth Stacy, PharmD PGY2
More informationUpdate to OPAT Good Practice Recommendations
Update to OPAT Good Practice Recommendations Dr Ann LN Chapman BM BCh, FRCP, DTM&H, MSc (Med Leadership), PhD Consultant in Infectious Diseases and General Medicine, NHS Lanarkshire Honorary Clinical Associate
More informationAmbulatory OPAT in paediatrics: same but different?
Ambulatory OPAT in paediatrics: same but different? 2017 National OPAT conference 11 th December 2017 Dr Lucy Hinds, Consultant Paediatrician Sheffield Children s Hospital Overview P-OPAT: the story so
More informationPharmacists in Transitions of Care: We Can All Make a Difference
Pharmacists in Transitions of Care: We Can All Make a Difference Disclosure The speakers of this panel have no actual or potential conflict of interest in relation to this program to disclose. Kenda Germain,
More informationThe implementation of a clinical training program for staff pharmacists
The implementation of a clinical training program for staff pharmacists AUDREY LITTLEFIELD, PHARM.D., BCPS CLINICAL PHARMACY MANAGER, CTICU NEW YORK PRESBYTERIAN HOSPITAL WEILL CORNELL MEDICAL CENTER NEW
More informationAntimicrobial Stewardship Program in the Nursing Home
Antimicrobial Stewardship Program in the Nursing Home CAHF San Bernardino/Riverside Chapter May 19 th, 2016 Presented by Robert Jackson, Pharm.D. Pharmaceutical Consultant II, Specialist CDPH Licensing
More informationIMPLEMENTING A NURSE-LED COMMUNITY INTRAVENOUS ANTIBIOTIC SERVICE
Art & science The acute district synthesis care nursing of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON IMPLEMENTING A NURSE-LED COMMUNITY INTRAVENOUS ANTIBIOTIC SERVICE
More informationUnderstanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS
Understanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS Objectives Discuss the need for antimicrobial stewardship programs Explain the components of an effective
More informationLearning Experiences Descriptions
Anticoagulation Management Clinic Learning Experiences Descriptions The Anticoagulation Management rotation is an elective learning experience that focuses on the outpatient management of anticoagulation.
More informationLeadership Engagement in Antimicrobial Stewardship
Leadership Engagement in Antimicrobial Stewardship Joe Dula, Pharm.D., BCPS System Director, Clinical Services jdula@pharmacysystems.com Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation
More informationIMPACT OF RN HYPERTENSION PROTOCOL
1 IMPACT OF RN HYPERTENSION PROTOCOL Joyce Cheung, RN, Marie Kuzmack, RN Orange County Hypertension Team Kaiser Permanente, Orange County Joyce.m.cheung@kp.org and marie-aline.z.kuzmack@kp.org Cell phone:
More informationTom Richardson, PharmD, BCPS AQ-ID May 25 th, 2017
Tom Richardson, PharmD, BCPS AQ-ID May 25 th, 2017 Thank you for spending your valuable time with us today. This webinar will be recorded for your convenience. A copy of today s presentation and the webinar
More informationOn behalf of COMMIT Team
Dr Rashmi Sharma & Dr Achyut Guleri On behalf of COMMIT Team Quality Safety People Delivery Environment Cost Consultant Microbiologist Clinical Director- Laboratory Medicine, Blackpool Teaching Hospitals
More informationImplementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story
Pharmacy Roundtable Implementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story Presenter: Jon C. Francisco, Pharm.D, BCPS Clinical Specialist
More informationDisease State Management Clinics: A Pharmacist Perspective
Disease State Management Clinics: A Pharmacist Perspective Eva Berrios Colon, Pharm.D, MPH, BCPS Associate Professor, Touro College of Pharmacy Email: evb9001@nyp.org 5/12/11 The Brooklyn Hospital Center
More informationOPAT & Paediatric OPAT Standards and Practical Implications for the Hospital and Community. Dr Sanjay Patel & Dr Ann Chapman
OPAT & Paediatric OPAT Standards and Practical Implications for the Hospital and Community Dr Sanjay Patel & Dr Ann Chapman UK OPAT Good Practice Recommendations - Practical considerations and challenges
More informationOutpatient parenteral antimicrobial therapy
The Art and Science of Infusion Nursing Whitney Hernandez, NP-C Connie Price, MD Bryan Knepper, MPH, MSc Margaret McLees, MD Heather Young, MD Oral Parenteral Antimicrobial Therapy Administration in a
More informationA Game Plan to Surviving a Joint Commission Survey. May Adra, BS Pharm, PharmD, BCPS
A Game Plan to Surviving a Joint Commission Survey May Adra, BS Pharm, PharmD, BCPS Objectives Describe key components of a Joint Commission accreditation visit Identify changes to medication management
More informationID-FOCUSED HOSPITAL EFFICIENCY IMPROVEMENT PROGRAM
ID-FOCUSED HOSPITAL EFFICIENCY IMPROVEMENT PROGRAM A guide to implementing services aimed at mitigating healthcare associated infections and other infectious diseases-related issues, under the leadership
More informationThe Drive Towards Value Based Care
The Drive Towards Value Based Care Thursday, March 3, 2016 Michael Aratow, MD, FACEP Chief Medical Information Officer, San Mateo Medical Center Gaurav Nagrath, MBA, Sr. Strategist, Population Health Research
More informationMercy Virtual. Transforming Medicine and Value Through Virtual Care. Randall S Moore, MD, MBA. Orlando, FL. September, 2017
Mercy Virtual Transforming Medicine and Value Through Virtual Care Randall S Moore, MD, MBA Orlando, FL September, 2017 The opinions expressed are those of the presenter and do not necessarily state or
More informationProject Title: Inter-professional Clinical Assessment Rounding & Evaluation (I-CARE) Rosiland Harris, DNP, RN, RNC, ACNS-BC, APRN
Project Title: Inter-professional Clinical Assessment Rounding & Evaluation (I-CARE) Rosiland Harris, DNP, RN, RNC, ACNS-BC, APRN Grady Health System Level I Trauma Center Burn Center Comprehensive Stroke
More informationHendrick Center for Extended Care. Community Health Needs Assessment Implementation Plan
Hendrick Center for Extended Care Community Health Needs Assessment Implementation Plan - 2014-2016 Overview: Hendrick Center for Extended Care ( HCEC ) is a Long Term Acute Care Hospital, within Hendrick
More informationTransition from Hospital to Home: Importance of Medication Education and Reconciliation
Transition from Hospital to Home: Importance of Medication Education and Reconciliation Julie Baron, PharmD, CGP, BCACP/Clinical Pharmacy Specialist/Kaiser Permanente Lindsay Salsburg, PharmD, BCACP/Clinical
More informationPharmacy Cost Reduction Strategies. Presenters: James Jorgenson, RPH, MS, FASHP CEO, Visante Inc. & Visante Ltd.
Pharmacy Cost Reduction Strategies Presenters: James Jorgenson, RPH, MS, FASHP CEO, Visante Inc. & Visante Ltd. FACULTY DISCLOSURE The faculty reported the following financial relationships or relationships
More informationTransforming Care for Older Adults AGE DIFFERENT. Jann Dorman, Alen Vartan, Faye Sahai, and Estee Neuwirth, Phd
Transforming Care for Older Adults AGE DIFFERENT Jann Dorman, Alen Vartan, Faye Sahai, and Estee Neuwirth, Phd Minicourse 16 Annual IHI National Forum on Quality Improvement in Health Care Dec. 8, 2014
More informationQUALIS HEALTH HONORS WASHINGTON HEALTHCARE PROVIDERS
LEADERSHIP IN IMPROVING HEALTHCARE Harborview Medical Center Code Sepsis: Improving Survival in Sepsis with Early Identification and Activation of a Critical Care Team Sepsis, one of the highest causes
More informationDevelopment of the Nottingham NUH OPAT service a Study analyzing the Figures behind the Funding
Development of the Nottingham NUH OPAT service a Study analyzing the Figures behind the Funding Dr Susan Snape Consultant in Infectious Diseases and Microbiology The Quest for the Holy Grail A recurrently
More informationValue Based Care An ACO Perspective
Value Based Care An ACO Perspective NCIOM Task Force on Accountable Care Communities January 24, 2018 Steve Neorr Chief Administrative Officer 2 3 4 5 Source: Banthin, Jessica. Healthcare Spending Today
More informationToday s webinar will begin in a few minutes.
Today s webinar will begin in a few minutes. Please press *6 to mute your line or use the mute button on your phone. If you have questions for the presenter or need to contact TCPS staff, type your comments
More informationImproving Access in Infusion Therapy
Improving Access in Infusion Therapy Timmi Anne Boesken, MHA, CPhT Medication Access Services Coordinator Kathryn Clark McKinney, PharmD, MS, BCPS, FACHE Director of Pharmacy Services Michelle Dusing Wiest,
More information2014 ANCC National Magnet Conference. Safeguarding Valuable Resources through Partnership, Technology, and Education
2014 ANCC National Magnet Conference Safeguarding Valuable Resources through Partnership, Technology, and Education Session # C707, 8:00AM 9:00AM Friday, October 10, 2014 Michelle L. Kopp, RN, MSN, AOCNS,
More informationDisclosures. Objectives. Leveraging and Developing Your Team for Optimal Outcomes. None
Leveraging and Developing Your Team for Optimal Outcomes Michelle W. McCarthy, PharmD, FASHP Coordinator, Pharmacy Education and Graduate Programs Charlottesville, VA November 6, 2017 Disclosures None
More informationDalbavancin The Glasgow Experience. Dr Neil Ritchie Consultant Physician, Infectious Diseases Queen Elizabeth University Hospital, Glasgow
Dalbavancin The Glasgow Experience Dr Neil Ritchie Consultant Physician, Infectious Diseases Queen Elizabeth University Hospital, Glasgow Financial Disclosures I have previously received an honorarium
More informationSENTARA HEALTHCARE. Norfolk, VA
SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding
More informationLessons for Community Pharmacy from the USC / AltaMed CMMI Healthcare Innovation Award (Round 1)
Lessons for Community Pharmacy from the USC / AltaMed CMMI Healthcare Innovation Award (Round 1) Steven W. Chen PharmD, FASHP, FCSHP, FNAP Associate Professor and Chair Titus Family Department of Clinical
More informationHendrick Medical Center. Community Health Needs Assessment Implementation Plan
Hendrick Medical Center Community Health Needs Assessment Implementation Plan - 2014-2016 Hendrick Medical Center Community Health Needs Assessment Implementation Plan - 2014-2016 Overview: Hendrick Medical
More informationObjectives. Medication Therapy Management: The Important Role of the Pharmacy Technician. Medication Therapy Management (MTM)
Medication Therapy Management: The Important Role of the Pharmacy Technician Nancy Myers, PharmD, MBA, BCPS, CDE Katrina Harper, PharmD, MBA Objectives Define Medication Therapy Management () and its Core
More informationBridging the Gap: A Managed Care Payor Perspective. Chris Chan, PharmD Sr Director, Pharmaceutical Services Inland Empire Health Plan June 28, 2014
Bridging the Gap: A Managed Care Payor Perspective Chris Chan, PharmD Sr Director, Pharmaceutical Services Inland Empire Health Plan June 28, 2014 Overview Pharmacy Industry: past, present, future Gaps
More informationThinking Outside the Box: Pharmacists Role in Ambulatory Care
Thinking Outside the Box: Pharmacists Role in Ambulatory Care Tim R. Brown, PharmD, BCACP, FASHP Director, Clinical Pharmacotherapy in Family Medicine Cleveland Clinic Akron General Center for Family Medicine
More informationSystem-wide Approach to Improve Outpatient Antibiotic Use
System-wide Approach to Improve Outpatient Antibiotic Use Jessica Holt, PharmD, BCPS-AQ ID Infectious Diseases Pharmacy Coordinator Abbott Northwestern Hospital, Minneapolis, MN Background on Allina Health
More informationThe Increasing Role of ND Pharmacy Technicians in Prescription Counseling. Tyler Rogers, PharmD, RPh
The Increasing Role of ND Pharmacy Technicians in Prescription Counseling Tyler Rogers, PharmD, RPh Objectives 1. Examine the new North Dakota counseling laws and regulations. 2. Differentiate between
More informationPHARMACY PRACTICE. Residency Program
PHARMACY PRACTICE Residency Program PGY-1 Pharmacy Practice RESIDENCY OVERVIEW The Pharmacy Practice Residency Program is a comprehensive post-graduate training program that provides unique learning opportunities
More informationThe Core Elements of Antibiotic Stewardship with CMS and QAPI Updates
The Core Elements of Antibiotic Stewardship with CMS and QAPI Updates Emily Lutterloh, MD, MPH Director, Bureau of Healthcare Associated Infections New York State Department of Health February 8, 2017
More informationMEDS TO BEDS AND CARE MANAGEMENT MEDICATION ASSESSMENT TOOLKIT: FOR HOSPITAL TEAM AND PHARMACISTS
MEDS TO BEDS AND CARE MANAGEMENT MEDICATION ASSESSMENT TOOLKIT: FOR HOSPITAL TEAM AND PHARMACISTS Implementation Toolkit Last Updated: 02/2018 OneCity Health Services 199 Water Street, 31st Floor, New
More informationABOUT THE CONE HEALTH NETWORK OF SERVICES
THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive
More informationProfessional Student Outcomes (PSOs) - the academic knowledge, skills, and attitudes that a pharmacy graduate should possess.
Professional Student Outcomes (PSOs) - the academic knowledge, skills, and attitudes that a pharmacy graduate should possess. Number Outcome SBA SBA-1 SBA-1.1 SBA-1.2 SBA-1.3 SBA-1.4 SBA-1.5 SBA-1.6 SBA-1.7
More informationWPS Integrated Care Management Improving health, one member at a time
WPS Integrated Care Management Improving health, one member at a time Integrated Care Management supports and promotes member health Looking for more from your group health insurance for your employees?
More informationPenn Specialty Pharmacy Program mypennpharmacy bringing the Pharmacy to Patients
Penn Specialty Pharmacy Program mypennpharmacy bringing the Pharmacy to Patients Richard F Demers, MS, RPh, FASHP Chief Administrative Officer Ambulatory Pharmacy Services University of Pennsylvania Health
More informationTHE BEST OF TIMES: PHARMACY IN AN ERA OF
OBJECTIVES THE BEST OF TIMES: PHARMACY IN AN ERA OF ACCOUNTABLE CARE Toni Fera, BS, PharmD October 17, 2014 1. Describe the role of pharmacists in accountable care organizations (ACO). 2. List four key
More informationTransitions of Care. Objectives 1/6/2016. Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital. The author has nothing to disclose.
Transitions of Care Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital 1 The author has nothing to disclose. 2 Objectives Discuss current healthcare trends and the need for pharmacists in
More informationAdministrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Morgan Pendleton, PharmD, BCOP Hematology/Oncology Clinical Pharmacist Wake Forest Baptist Health Objectives Evaluate the need
More informationAntimicrobial Stewardship at Swedish Medical Center. John Pauk MD, MPH Medical Director Infection Control and Epidemiology Antimicrobial Stewardship
Antimicrobial Stewardship at Swedish Medical Center John Pauk MD, MPH Medical Director Infection Control and Epidemiology Antimicrobial Stewardship John Zarek, RPH Director of Clinical Pharmacy Swedish
More informationBethesda Hospital PGY1 Residency Program Learning Experiences
Bethesda Hospital PGY1 Residency Program Learning Experiences Required rotations Orientation This rotation will orient the resident to hospital pharmacy and the responsibilities of a staff pharmacist.
More informationSession 74X Leveraging Your Hospital's Hidden Assets to Drive Meaningful Change
Prepared for the Foundation of the American College of Healthcare Executives Session 74X Leveraging Your Hospital's Hidden Assets to Drive Meaningful Change Presented by: James Vieira, PharmD EIleen Dohmann
More informationTHE 2017 QUALIS HEALTH AWARDS OF EXCELLENCE IN HEALTHCARE QUALITY IN WASHINGTON
THE 2017 QUALIS HEALTH AWARDS OF EXCELLENCE IN HEALTHCARE QUALITY IN WASHINGTON Since 2002, Qualis Health has presented the annual Awards of Excellence in Healthcare Quality to outstanding organizations
More informationH2H Mind Your Meds "Challenge. Webinar #3- Lessons Learned Wednesday, April 18, :00 pm 3:00 pm ET. Welcome
H2H Mind Your Meds "Challenge Webinar #3- Lessons Learned Wednesday, April 18, 2012 2:00 pm 3:00 pm ET 1 Welcome Take Home Messages Understand how to implement the Mind Your Meds strategies and tools in
More informationCHF Readmission Initiative. Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana
CHF Readmission Initiative Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana St. Vincent 86 th Street Campus Heart Failure Program History
More informationRevenue Optimization In Hospital Pharmacy Services. Presenters: Kyle Skiermont, PharmD, COO, Fairview Pharmacy Services
Revenue Optimization In Hospital Pharmacy Services Presenters: Kyle Skiermont, PharmD, COO, Fairview Pharmacy Services FACULTY DISCLOSURE The faculty reported the following financial relationships or relationships
More informationComplex Care Coordination A new line of business
Ho okele Health Navigators Complex Care Coordination A new line of business 2013 NAHC Annual Meeting and Exposition 10/31/13 "Medicine used to be simple, ineffective, and relatively safe. It is now complex,
More informationJake Olson, PharmD 9/28/2016. Improving Patient Care Through Improved Pharmacist-Prescriber Relationships. President/CEO, Skywalk Pharmacy
Improving Patient Care Through Improved Pharmacist-Prescriber Relationships Sponsored by Merck Jake Olson, PharmD Hamid Abbaspour, RPh, MBA Amanda Faber, PharmD, MBA Briana P. Murray, PharmD Jake Olson,
More information10/2/2017. Bozeman Health Deaconess Hospital Transition of Care Pharmacist Initiative. Problem. Problem
Bozeman Health Deaconess Hospital Transition of Care Pharmacist Initiative KRISTAL BARKER, PHARMD EMILY STEED, PHARMD Problem Medical Error is the 3 rd leading cause of death in the United States http://www.bmj.com/content/353/bmj.i2139
More informationDisclosures. Platforms for Performance: Clinical Dashboards to Improve Quality and Safety. Learning Objectives
Platforms for Performance: Clinical Dashboards to Improve Quality and Safety Disclosures The program chair and presenters for this continuing pharmacy education activity report no relevant financial relationships.
More informationFirstHealth Moore Regional Hospital. Implementation Plan
FirstHealth Moore Regional Hospital Implementation Plan FirstHealth Moore Regional Hospital Implementation Plan For 2016 Community Health Needs Assessment Summary of Community Health Needs Assessment Results
More informationSpecialty Pharmacy: What You Need To Know. William Pong, Pharm.D., MBA
Specialty Pharmacy: What You Need To Know William Pong, Pharm.D., MBA DISCLOSURE I have no actual or potential conflict of interest in relation to this program/ presentation OBJECTIVEs Navigating the landscape
More informationPRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication
More informationEVOLENT HEALTH, LLC. Heart Failure Program Description 2017
EVOLENT HEALTH, LLC Heart Failure Program Description 2017 1 Evolent Health Heart Failure Program Description 2017 Table of Contents Section Page Number I. Introduction. 3 II. Program Scope. 3 III. Program
More informationTools & Resources for QI Success
Tools & Resources for QI Success Pediatric Hospital Medicine National Conference Kiran Kulkarni, MD Cynthia Castiglioni, MD, MS (HQPS) Sangeeta Schroeder, MD, MS (HQPS) Anu Subramony, MD MBA July 22, 2017
More informationPPMI in a Community Teaching Hospital
Presentation Objectives PPMI in a Community Teaching Targeting VBP and ACO metrics Pharmacist Objective: List ACO metrics that pharmacists can share accountability to achieve targets Technician Objective:
More informationBilling Code: P DEPARTMENT OF HEALTH AND HUMAN SERVICES. Centers for Disease Control and Prevention. [30Day ]
This document is scheduled to be published in the Federal Register on 09/20/2017 and available online at https://federalregister.gov/d/2017-20009, and on FDsys.gov Billing Code: 4163-18-P DEPARTMENT OF
More informationPractice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey
Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey Jodie Elder, PharmD, BCPS September 14, 2017 Objectives List the key components of the Practice Advancement
More informationMaryland Patient Safety Center s Annual MEDSAFE Conference: Taking Charge of Your Medication Safety Challenges November 3, 2011 The Conference Center
Maryland Patient Safety Center s Annual MEDSAFE Conference: Taking Charge of Your Medication Safety Challenges November 3, 2011 The Conference Center at the Maritime Institute Reducing Hospital Readmissions
More informationMHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative
MHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative Place picture here March 14, 2017 Reminders For best sound quality, dial in at 1-800-791-2345 and enter code 11076 Mute your phone during the presentation
More informationOrange County s Health Care Coverage Initiative Network Structure: Interim Findings
Orange County s Health Care Coverage Initiative Network Structure: Interim Findings Introduction The HCCI Demonstration Program in Orange County provides health care to low-income uninsured adults and
More informationPerformance Measurement of a Pharmacist-Directed Anticoagulation Management Service
Hospital Pharmacy Volume 36, Number 11, pp 1164 1169 2001 Facts and Comparisons PEER-REVIEWED ARTICLE Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service Jon C. Schommer,
More informationPGY-1 Pharmacy Practice
Lutheran Health Network PGY-1 Pharmacy Practice Residency Program LHN Pharmacy Residency Program Mission Statement The mission of the LHN Pharmacy Residency Program is to empower pharmacy residents to
More informationSeven day hospital services: case study. South Warwickshire NHS Foundation Trust
Seven day hospital services: case study South Warwickshire NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that
More informationCommissioning a Community IV service
East & outh East England pecialist Pharmacy ervices East of England, London, outh Central & outh East Coast Medicines Use and afety Commissioning a Community IV service East and outh East of England pecialist
More informationUtilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures. Learning Objectives
Utilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures Rupal Mansukhani declares grant support from the Foundation for. Rupal Mansukhani, Pharm.D.
More informationAdverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN
Adverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN Fairview Health Services 6 hospitals, ranging from rural
More informationROTATION DESCRIPTION FORM PGY1
ROTATION DESCRIPTION FORM PGY1 Rotation Title Medicine Intensive Care Unit (MICU) Level of Learner PY4 PGY1 PGY2 Preceptor(s) Stacy Campbell-Bright, Brian Murray Preceptor Contact Stacy.Campbell-Bright@unchealth.unc.edu;
More informationHow to Add an Annual Facility Survey
Add an Annual Facility Survey https://nhsn.cdc.gov/nhsndemo/help/patient_safety_component/how_to/add_an_annual... Page 1 of 1 10/9/2017 Show Patient Safety Component > How To > Facility > Add an Annual
More informationPatient Engagement in the Population Health Management Era
Patient Engagement in the Population Health Management Era Creagh Milford, DO, MPH President, Population Health Services A Catholic healthcare ministry serving Ohio and Kentucky Agenda Agenda I. Overview
More informationSolution Title: Meeting the Challenge of Health Care Change
Organization: Western Maryland Health System Solution Title: Meeting the Challenge of Health Care Change Program/Project Description, including Goals: What was the problem to be solved? How was it identified?
More information2018 Optional Special Interest Groups
2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve
More informationPharmacists Improve Care Through Team Collaboration
Pharmacists Improve Care Through Team Collaboration Trista Pfeiffenberger, PharmD, MS Director, Network Pharmacy Programs Community Care of North Carolina Disclosure and Conflict of Interest I am an employee
More informationHealth organizations integrate variety of clinical information and administrative types of information systems. These systems collect, process, and
Health organizations integrate variety of clinical information and administrative types of information systems. These systems collect, process, and distribute patient centered data to aid in managing and
More informationNHS operational productivity: unwarranted variations Mental health services Community health services Lord Carter 24 May 2018
NHS operational productivity: unwarranted variations Mental health services Community health services Lord Carter 24 May 2018 Ann Jacklin Professional Pharmacy Advisor Mental health & Community services
More informationLeveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
More informationdiabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
More informationASCO s Quality Training Program
ASCO s Quality Training Program Project Title: Reduction of Time from Admission to Initiation of Chemotherapy on Inpatient Hematology and Bone Marrow Transplant Services Presenter s Name: Ryan J. Mattison,
More informationPHARMACY (PHAR) PHAR 534. Foundations III. 1.5 Hour.
Pharmacy (PHAR) 1 PHARMACY (PHAR) PHAR 201. Introduction to Pharmacy. 1 Hour. Semester course; 1 lecture hour. 1 credit. Open to undergraduate students with an interest in pursuing pharmacy as a career.
More informationPhysician communication skills training and patient coaching by community health workers
Physician communication skills training and patient coaching by community health workers Category Title of intervention Objectives Physician communication skills training and patient coaching by community
More informationExpansion of Pharmacy Services within Patient Centered Medical Homes. Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice
Expansion of Pharmacy Services within Patient Centered Medical Homes Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice What is a Patient Centered Medical Home (PCMH)? "an approach
More information