Exploring a Pharmacist s Role in a Super Utilizer Clinic
|
|
- Baldric Wright
- 5 years ago
- Views:
Transcription
1 Exploring a Pharmacist s Role in a Super Utilizer Clinic Natalia Tarasiuk, PharmD, BCACP ntarasiuk2@lghealth.org Pennsylvania Society of Health System Pharmacists Annual Assembly October 13, 2017
2 Objectives Discuss the nature of a super utilizer clinic Discover ways to involve pharmacists in a patient centered medical home caring for a vulnerable population Review the importance of a pharmacist on a multi-disciplinary team providing transition of care services
3 Super Utilizers Beneficiaries with complex, unaddressed health issues and a history of frequent encounters with health care providers A small section of the population that accounts for a large portion of emergency room visits and puts a heavy burden on hospital services and public health budgets Patients with complex health and social needs Healthcare Hot Spotters The Problem: Super-utilizers account for 3% of all hospital admissions, but 10% ($1.25 billion) in total hospital costs er-costs-and/article_844956f4-6e26-11e7-a06e-0fdc29b0702d.html Atul Gaw ande. The Hot Spotters -- Can w e low er medical costs by giving the neediest patients better care? The New Yorker. January 24, 2011
4 Care Connections A community care team providing an innovative, intensive, and temporary primary care medical home for high-risk patients. Mission: To transform the quality of care for patients with complex needs, by utilizing innovative delivery models and empowering each patient with sustainable skills and resources to self-manage care in his/her primary care setting. Engagement Advocacy Values Quality Care Sustainability Empowerment
5 The Care Connections Team Clinical Support Specialist (front staff), 3.2 FTE Patient Care Navigators, 3.0 FTE Physician, 2.1 FTE RN Case manager, 2.0 FTE Promotion Specialist, 1.0 FTE Program Supervisor, 1.0 FTE Program Manager, 1.0 FTE Advanced Practice Provider (NP), 2.0 FTE Social worker/ Behavioral Health, 1.0 FTE Chaplain, 1.0 FTE Additional Services: Population Health Fellow Geriatric Assessment Homeless Coalition Financial counseling Hershey Med Students NP students FP residents ACCT training Admin support Medical Legal Attorney, 0.8 FTE Clinical pharmacist, 0.5 FTE Clinical Psychologist, 0.1 FTE
6 The Care Connections Patient Complex Medical Issues/ 5+ Meds Utilization Psychosocial Barrier Care Connections Patient
7 Timeline and Success October 2010 FMEC Call to Action July 2011 First Care Navigator hired Pilot Kicks off Proof of Concept Patients Enrolled in the Program 42% ED Visits Spring 2011 Visit to Camden LG Foundation grant $75,000 August 2013 Care Connections is born 53% Hospital Visits
8 A Care Connections Patient 68 year old white male Past medical history: HFpEF, CKD stage III, atrial fibrillation, history of PE/DVT, CAD, DM2, HTN, HLD, hypothyroidism, developmental delay, history of CVA, GERD Hospitalizations mostly involving CHF exacerbations Lives in an apartment on his own but recently discharged from a skilled living facility Relies on his brother in law for medication management
9 Medication Sig Patient Adherence acetaminophen 650 MG CRtab Take 650 mg by mouth every 4 hours as needed for Pain. Patient has several bottles and a blister pack available as needed - does not use often amlodipine 5 MG tablet Take 1 tablet by mouth daily. Patient had two bottles with two different generic brands in them - pill box partially filled with this medication in the AM - appears to be taking apixaban 2.5 MG tablet Take 1 tablet by mouth 2 times daily. Present in blister pack bisacodyl 10 MG SUPP Insert 10 mg per rectum daily as needed. Not present; may not be taking Dextromethorphan-Guaifenesin Take by mouth every 4 hours as needed. Not present; may not be taking ergocalciferol (VITAMIN D) UNIT cap Take 50,000 Units by mouth every 30 days Takes on the 26th - missed last month's dose famotidine 20 MG tablet Take 20 mg by mouth daily. Taking once daily - potentially twice daily folic acid 1 MG tablet Take 1 mg by mouth daily. Taking once daily gabapentin 100 MG capsule Take 1 capsule by mouth 3 times daily. Has both 300 mg and 100 mg strength Glucagon, rdna1 MG KIT by Injection route. insulin glargine 100 UNIT/ML injector pen Inject 50 Units subcutaneously at bedtime. Taking 50 units once daily Insulin Lispro 100 UNIT/ML SOPN Inject 10 Units subcutaneously 2 times daily Taking 10 units with breakfast and lunch Other medications present in the home: Furosemide 40 mg once daily - not taking Quetiapine 25 mg once daily - taking Insulin Lispro 100 UNIT/ML SOPN Inject 8 Units subcutaneously daily (with dinner). Taking 8 units with dinner iron polysaccharides 150 MG CAPS Take 150 mg by mouth 2 times daily. Patient has multiple blister packs, bottles or niferex. Taking Hydralazine 10 mg once daily - 3 bottles -twice sporadically daily levothyroxine 100 MCG tablet Take taking 100 mcg by mouth every morning on empty Taking 30 minutes before meals - patient prefers this with all stomach, Rivaroxaban at least minutes mg once before daily food. taking his meds in a med box loratadine 10 MG capsule Take 10 mg by mouth daily. Not present; not taking Magnesium 200 MG TABS Take 200 mg by mouth 2 times daily. Has both 200 mg and 250 mg tablets present Does not keep this med in his med box metoprolol 25 MG 24 hrtab Take 1 tablet by mouth daily - Do not crush tablet -. Appears to have been taking 100 mg and 25 mg dose together omega-3 acid ethyl esters 1 GM capsule Take 1 g by mouth daily Takes in AM - multiple bottles polyethylene glycol PACK Take 17 g by mouth daily. Needs a refill potassium chloride SA 20 MEQ tablet Take 20 meq by mouth daily. Takes once daily pravastatin 80 MG tablet Take 80 mg by mouth at bedtime Several bottles with two different generic manufacturers present Sennosides 17.2 MG TABS Take 1 tablet by mouth daily. Takes two 8.6 mg tablets torsemide 20 MG tablet Take 2 tablets by mouth daily. One blister pack contained this dose. In addition, patient had 10 mg tablets present - may have been taking both
10 Home Visit Recommendations for Provider Medication Reconciliation Patient taking both apixaban and rivaroxaban - no overt bleeding, consider repeating Hgb Discarded rivaroxaban - consider apixaban 5 mg BID Patient taking up to metoprolol succinate 125 mg once daily - asymptomatic Removed 100 mg dose from home; monitor HR and BP Patient may be taking up to 50 mg torsemide daily (40 mg from blister pack + 10 mg filled in mediset) Repeat BMP and monitor fluid status; recent 2 lb weight loss Patient is taking hydralazine 10 mg once daily sporadically Removed from mediset - re-evaluate BP Patient taking quetiapine 25 mg once daily Unclear indication- documented potentially as cognitive impairment and dementia; added to med list as a historical med Patient may be taking gabapentin 100 mg TID + gabapentin 300 mg at random times Removed gabapentin 300 mg dose Consider twice daily dosing of gabapentin based on last checked renal function Patient currently has 100 mg capsules at home Patient may have been taking pravastatin 80 mg x2 daily Filled med box with once daily dosing Consider high intensity statin Patient not taking loratadine, robitussin dm, bisacodyl suppository Removed from med list
11 Pharmacist Role Comprehensive Medication Management Joint office visits with provider and team Anticoagulation Management Transition of Care medication review Home visits Chronic Disease State Collaborative Education and Management Pain Management and Addiction Medication Management Antimicrobial Stewardship Drug Information Resource Team Education Collaboration with specialty practices Medication adherence monitoring and assistance
12 Transitions of Care 67% of patients have unintended medication discrepancies upon hospitalization 11-59% of discrepancies may be clinically significant Best Possible Medication History Various levels of transitions: Home Hospital/Health Systems Facilities personal care homes, skilled nursing facilities Specialty Practices dialysis centers, transplant, cardiology practices
13 The Care Connections Transition Comprehensive Medication Management In office/home medication review Graduation summary Communication with primary care provider regarding medication related changes and adherence
14 Transitions of Care within Hospital Identification of patients in hospital/facility in daily clinical huddle Utilize electronic medical record for medication review at admission and discharge for patients at Lancaster General Health Patients at outside hospitals: clinical support staff communicate with hospitals to acquire medication lists, progress notes, discharge summaries Pharmacy note in medical record for every patient transitioning Medication reconciliation: Medications started, stopped, dosage modifications Recommendations for provider regarding medication management based on renal function, reason for admission, laboratory monitoring
15 Transitions with Facilities and Specialty Practice Sites Facilities Nurse case managers review facilities list once weekly Clinical support staff obtain documents Specialty Practice Sites Communication with nursing staff and patient care navigator
16 Summary and Future Directions Pharmacist is a valuable member of a super utilizer clinic Patients transitioning at various levels are vulnerable and involving a pharmacist in this process is critical There is an opportunity at Care Connections for more support rounding inpatient, more office time, and increased number of transition of care home visits
Medication Reconciliation
Medication Reconciliation Define the term medication. Define medication reconciliation. Describe the potential barriers to obtaining an accurate medication list and resolution strategies to overcome these
More informationProcedure on Filling and Checking a Compliance Aid
SH CP 170 Procedure on Filling and Checking a Compliance Aid (not for use at Lymington Hospital or Fordingbridge Hospital) Version 3 Summary: Filing and checking a Compliance Aid Procedure Keywords (minimum
More informationUniversity of Wisconsin Hospital and Clinics Medication Reconciliation Education Packet
Medication Reconciliation Education Objectives Purpose: The following learning objectives will be presented and evaluated with regard to the process of medication reconciliation. The goal is to provide
More informationImportance of Clinical Leadership in Pharmacy
Importance of Clinical Leadership in Pharmacy Rita Shane, Pharm.D., FASHP, FCSHP Chief Pharmacy Officer Cedars-Sinai Medical Center, Los Angeles Assistant Dean, Clinical Pharmacy UCSF School of Pharmacy
More informationUpdate on Pharmacy Issues in Long Term Care Lisa Nichols RPh, CGP
Update on Pharmacy Issues in Long Term Care Lisa Nichols RPh, CGP 1.Review What a Consultant Pharmacist Does and the Role of Pharmacy for Long Term Care Facilities 2.Identify Key Components of a Medication
More informationSection 1: Introduction to Medication Assistance
MEDICATION ASSISTANCE IN ASSISTED LIVING Section 1: Introduction to Medication Assistance Introduction Promoting medication safety Definition of medications Level of assistance Assistance vs. administration
More informationThe Role of the Pharmacy Technician in Obtaining a Medication History
Pharmacy Technician Education for Association Members By: Kate Perica Pharm.D., BCPS Medication Reconciliation Coordinator, University of Colorado Hospital Dr. Perica completed a PGY-1 Pharmacy Practice
More informationRole of Clinical Pharmacist in Primary Care Clinic HYOJIN SUNG, PHARM.D SALEM HEALTH MEDICAL GROUP OSMA ANNUAL CONFERENCE APRIL 14, 2018
Role of Clinical Pharmacist in Primary Care Clinic HYOJIN SUNG, PHARM.D SALEM HEALTH MEDICAL GROUP OSMA ANNUAL CONFERENCE APRIL 14, 2018 Objectives Understand the scope of practice for pharmacist and role
More informationPlease adjust your computer volume to a comfortable listening level. This is lesson 5 How to take medication properly.
Welcome to the Pennsylvania Department of Public Welfare (DPW), Office of Developmental Programs (ODP) Medication Administration Course for life sharers. This course was developed by the ODP Office of
More informationMedication Module Tutorial
Medication Module Tutorial An Introduction to the Medication module Whether completing a clinic patient evaluation, a hospital admission history and physical, a discharge summary, a hospital order set,
More informationMedication Reconciliation. Peggy Choye, Pharm.D., BCPS
Medication Reconciliation Peggy Choye, Pharm.D., BCPS What is it? Medication reconciliation The process of identifying the most accurate list of all medications that a patient is taking including name,
More informationANTICOAGULATION MANAGEMENT SERVICE PATIENT AND FAMILY EDUCATION
Dabigatran ANTICOAGULATION MANAGEMENT SERVICE PATIENT AND FAMILY EDUCATION 1 WHAT DOES DABIGATRAN (PRADAXA ) DO? blood thinner Prevents or treats blood clots This is how a blood clot might look inside
More informationDrug Distribution Services for Long Term Care Facilities. Susan L. Lakey, PharmD 1/11/06
Drug Distribution Services for Long Term Care Facilities Susan L. Lakey, PharmD 1/11/06 Drug distribution The process: Receipt / transcription of order Interpretation / evaluation of order Filling and
More informationREDUCING READMISSIONS through TRANSITIONS IN CARE
REDUCING READMISSIONS through TRANSITIONS IN CARE Christina R. Whitehouse, PhD, CRNP, CDE Postdoctoral Research Fellow NewCourtland Center for Transitions and Health University of Pennsylvania School of
More information2. Short term prescription medication and drugs (administered for less than two weeks):
Medication Administration Procedure This is a companion document with Policy # 516 Student Medication To access the policy: click on Policies (under the District Information heading) The Licensed School
More informationLesson 9: Medication Errors
Lesson 9: Medication Errors Transcript Title Slide (no narration) Welcome Hello. My name is Jill Morrow, Medical Director for the Office of Developmental Programs. I will be your narrator for this webcast.
More informationInterprofessional Grand Rounds: Student Hotspotting Team
Thomas Jefferson University Jefferson Digital Commons Department of Occupational Therapy, Presentations Department of Occupational Therapy 8-24-2017 Interprofessional Grand Rounds: Student Hotspotting
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 informationGENERAL MEDICATION PROCEDURES
GENERAL MEDICATION PROCEDURES In situations where services will be provided in the person s own home or with their family, guardian / responsible party, medication storage, ordering and receiving medications
More informationMEDICATION ASSISTANCE GUIDELINES: TEACHING PLAN
MEDICATION ASSISTANCE GUIDELINES: TEACHING PLAN Lesson Overview Time: One Hour This lesson covers basic guidelines for assisting residents with their medications. Learning Goals At the end of this session,
More informationThe Science of Medication Adherence P R E S E N T E D T O L E A D I N G A G E W A S H I N G T O N J U N E 6 TH,
The Science of Medication Adherence P R E S E N T E D T O L E A D I N G A G E W A S H I N G T O N J U N E 6 TH, 2 0 1 2 Why are we talking about adherence? Nonadherence Waste $258.3 Billion 62% Adherence
More informationMonitoring Medication Storage & Administration
Monitoring Medication Storage & Administration Objectives Review F-Tags pertaining to medication management Discuss proper medication storage and administration Understand medication cart and medication
More informationModule 16. Assisting with Self-Administered Medications
Home Health Aide Training Module 16. Assisting with Self-Administered Medications Goal The goal of this module is to prepare participants to assist clients with self-administered medications. Time 1 hour
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 informationMedication Adherence:
By: Sarah Kelling PharmD, MPH, BCACP Clinical Assistant Professor University of Michigan College of Pharmacy Sarah Kelling is currently a Clinical Assistant Professor at the University of Michigan College
More informationObjectives. Agenda. Case 1 History of Present Illness. Introduction: Why Medication Reconciliation and the Medication History are Important
Objectives Implementing a Proven Program to Take the Best Possible Medication History: How to Run Medication Reconciliation Practitioner (MRP) University at Your Institution Part 1 Jeffrey L. Schnipper,
More informationPHASE Preventing Heart Attacks & Strokes Everyday
PHASE Preventing Heart Attacks & Strokes Everyday Welcome to the PHASE Learning Community! Webinar Housekeeping 1. Lines are muted. 2. Chat in questions or unmute your line by pressing *7 to ask a question
More informationC HAPTER 5 D RUG ORDERS
C HAPTER 5 D RUG ORDERS Learning Outcomes 5-1 Summarize the Rights of Medication Administration. 5-2 Interpret a written drug order. 5-3 Identify on physicians orders and prescriptions the information
More informationStrategies to Improve Medication Adherence It Can Be SIMPLE
Strategies to Improve Medication Adherence It Can Be SIMPLE Shane Greene, Pharm.D. Director of Pharmacy Services Care N Care Insurance Company, Inc. Objectives Pharmacists: Identify predictors of medication
More informationSaint Agnes Hospital. Pharmacist utilization of the LACE tool to prevent hospital readmissions. Program/Project Description, including Goals:
Saint Agnes Hospital Pharmacist utilization of the LACE tool to prevent hospital readmissions Program/Project Description, including Goals: Safe transitions of care have always been a frontline patient
More informationADMINISTRATION OF ORAL MEDICATIONS IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS
Title Purpose ADMINISTRATION OF ORAL MEDICATIONS IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS This guideline is to assist: Attendant care service providers (organisations and individuals), participants,
More informationConsulted With Post/Committee/Group Date Senior Pharmacy Management Team May 2016 Professionally Approved By Jane Giles, Chief Pharmacist June 2016
PMAR (PRESCRIPTION MEDICINE ADMINISTRATION RECORD) ENDORSEMENT BY PHARMACY STAFF CLINICAL GUIDELINE Register no: 10092 Status - Public Developed in response to: Local need Contributes to CQC 12 Consulted
More informationMEDICATION ADMINISTRATION TRAINING FOR SCHOOL PERSONNEL SCHOOL HEALTH SERVICES
MEDICATION ADMINISTRATION TRAINING FOR SCHOOL PERSONNEL SCHOOL HEALTH SERVICES OVERVIEW This training is intended for non-nursing staff in the school setting who have been assigned to give medication at
More informationDetailed Guide for Completing the Nursing Facility LTC Medicaid Information. Item by Item
Detailed Guide for Completing the Nursing Facility LTC Medicaid Information Item by Item Nursing Facility LTCMI Detailed Guide Last Updated: 04.30.10 Page 1 Table of Contents OVERVIEW...3 CODING CONVENTIONS...3
More informationWisconsin Department of Health Services C 12/13/2016
(X1) PROVER/SUPPLIER/LIA ENTIFIATION NUMBER: (X3) SURVEY D NAME OF PROVER OR SUPPLIER PRAIRIE RGE ASSISTED LIVING (X4) REGULATORY OR LS ENTIFYING INFORMATION) PROVER'S PLAN OF ORRETION N 000 Initial omments
More informationPhysician Referral for Pharmacist MTM Services Toolkit of Forms and Documents from Project
Project Background/Overview Physician Referral for Pharmacist MTM Services Toolkit of Forms and Documents from Project With physician input about patient needs, medication management services were identified
More informationMedication Calculation Practice Problems LEVEL II, III and IV 1. The order reads for digoxin mg IM daily. Available to the nurse is digoxin
Medication Calculation Practice Problems LEVEL II, III and IV 1. The order reads for digoxin 0.125 mg IM daily. Available to the nurse is digoxin 0.25 mg/ml. The nurse would administer how many ml s? 2.
More informationObjectives. Institutional Pharmacy Practice. Medicare, Medicaid, What s the difference? Medicare Modernization Act
Objectives Institutional Pharmacy Practice Donald H. Williams, RPh, FASHP Affiliate Professor University of Washington To discuss the regulation of institutional pharmacy practice in Washington To differentiate
More informationMAHP Annual Conference. October 18 th -19th
MAHP Annual Conference October 18 th -19th Learning Objectives Highlight UMMC s National Business strategy Provide MAHP members a UMMC Center for Telehealth update Understand the need for Telehealth services
More informationOptimizing pharmaceutical care via Health Information Technology:
Optimizing pharmaceutical care via Health Information Technology: The Epic Challenge Rilwan Badamas, PharmD, CAHIMS Pharmacy Grand Rounds 01/03/2017 2011 MFMER slide-1 The medication management team requests
More informationRita Shane, Pharm.D., FASHP, FCSHP Chief Pharmacy Officer Cedars-Sinai Medical Center Asst. Dean, Clinical Pharmacy, UCSF School of Pharmacy
Rita Shane, Pharm.D., FASHP, FCSHP Chief Pharmacy Officer Cedars-Sinai Medical Center Asst. Dean, Clinical Pharmacy, UCSF School of Pharmacy Describe the transformation of health-systems in response to
More informationCOMPASS Phase II Incident Analysis Report Prepared by ISMP CANADA February 2016
COMPASS Phase II Incident Analysis Report Prepared by ISMP CANADA February 2016 INTRODUCTION Incidents as part of COMPASS (Community Pharmacists Advancing Safety in Saskatchewan) Phase II reported by 87
More informationThe Pharmaceutical Agent Order
The Pharmaceutical Agent Order Course Practicum in Health Science - Pharmacology Unit II Communication Essential Question What are the essential components to a prescription written by a physician? TEKS
More informationPHARMACIST AMENDMENT OF PRESCRIBING REGIMENS AND COMPILING LISTS OF TAKE HOME MEDICATION POLICY AND PROCEDURE
Wirral University Teaching Hospital NHS Foundation Trust Policy / Procedure Reference: 045j PHARMACIST AMENDMENT OF PRESCRIBING REGIMENS AND COMPILING LISTS OF TAKE HOME MEDICATION POLICY AND PROCEDURE
More informationEnsuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING
Ensuring our safeguarding arrangements act to help and protect adults PRACTICE GUIDANCE FOR REPORTING MEDICATION INCIDENTS INTO SAFEGUARDING Contents Page 1.0 Purpose 2 2.0 Definition of medication error
More informationEffective Date: September, 2007 Revision Date: May 9, FASA Handbook - Chapter 4 MEDICATION
FASA Handbook - Chapter 4 MEDICATION Purpose: To create a uniform policy to promote continuity in the Clark County School District (CCSD) Health Services department regarding Medication Administration
More informationMedication Management Policy and Procedures
POLICY STATEMENT This policy establishes guidelines for ensuring safe and correct management of client medications in accordance with legislative and regulatory requirements and professional practice competency
More informationHigh Alert Medications: Reducing Patient Harm
High Alert Medications: Reducing Patient Harm Building a Bridge to Better Health Coalition Brian D. Esters, PharmD, CPPS Assistant Professor of Pharmacy Practice Tennessee Pharmacist Coalition Vision Reduce
More informationBest Practices in Managing Patients with Heart Failure Collaborative
Best Practices in Managing Patients with Heart Failure Collaborative Improving Care for HF Patients in a Primary Care Setting University of Utah Community Physicians Group September 1, 2016 Re-cap of Original
More informationHouse Staff Orientation Department of Pharmacy
House Staff Orientation Department of Pharmacy Paul Nowierski, Senior Director of Pharmacy Nicholas Zerilli, Clinical Pharmacist Advanced Practice, BCPS Lenox Hill Hospital Department of Pharmacy June
More informationCOLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE
COLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE KPhA Annual Meeting September 7, 2014 Tiffany R. Shin, PharmD, BCACP Lyndsey N. Hogg, PharmD, BCACP Objectives Describe basic concepts of collaborative
More informationPharmacy Technicians and Interns: Charting New Territory
Pharmacy Technicians and Interns: Charting New Territory Peter Dippel Pharm.D, BCPS Clinical Pharmacist II Baptist Health Medical Center NLR Objectives Understand what Pharmacist Extenders are and why
More informationElectronic Documentation/BMV Training For Nursing Students and Instructors. Tammy Galindo MSN/ed, RN Education Coordinator
Electronic Documentation/BMV Training For Nursing Students and Instructors Tammy Galindo MSN/ed, RN Education Coordinator 1 Mission Statement Madera Community Hospital is a not-for-profit community health
More informationLESSON THREE. Administering oral, topical and inhaled medications
LESSON THREE Administering oral, topical and inhaled medications Introduction The most common route of medication administration is oral, although perhaps an easier one to prepare it still warrants careful
More informationANTICOAGULATION MANAGEMENT SERVICE PATIENT AND FAMILY EDUCATION
Apixaban ANTICOAGULATION MANAGEMENT SERVICE PATIENT AND FAMILY EDUCATION 1 WHAT DOES APIXABAN (ELIQUIS ) DO? blood thinner Prevents or treats blood clots This is how a blood clot might look inside a blood
More informationSupporting self-administration of medication in the care home setting
B143. November 2016 2.0 Community Interest Company Supporting self-administration of medication in the care home setting Care home residents should have the opportunity to make informed decisions about
More informationImproving Primary Care Medication Patient Safety: System-level Medication Adherence Issues
Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues Marie Smith, PharmD Professor and Asst. Dean, Practice and Public Policy Partnerships Meg Mello Moniz, PharmD
More informationAchieving Efficiency and Scalability Through QIN/QIO Partnership in ADE. East Coast ADE Collaborative-Six States, Three QIN-QIOs, One Team
Achieving Efficiency and Scalability Through QIN/QIO Partnership in ADE East Coast ADE Collaborative-Six States, Three QIN-QIOs, One Team QIN/QIO Panel Presenters Karen Southard, RN, MHA, State Director,
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 informationMedication Therapy Management
Medication Therapy Management Presented by Sylvia Saade, PharmD Ghada Khoury, Pharm D, BCACP Objectives Describe the components of medication therapy management (MTM) programs Discuss the needs of MTM
More informationClinical Check of Prescriptions in Ward Areas
Pharmacy Department Standard Operating Procedures SOP Title Clinical Check of Prescriptions in Ward Areas Author name and Gareth Price designation: Deputy Director of Pharmacy Clinical Services Pharmacy
More informationFocus Group results RN Perspective
Focus Group results RN Perspective Category Themes Communication Patient Condition Communicate Expectations and plan of care Early 1. Communicate to patient at beginning of shift and throughout shift (pain
More informationDISPENSING BY REGISTERED NURSES (RNs) EMPLOYED WITHIN REGIONAL HEALTH AUTHORITIES (RHAs)
2017 DISPENSING BY REGISTERED NURSES (RNs) EMPLOYED WITHIN REGIONAL HEALTH AUTHORITIES (RHAs) This Interpretive Document was approved by ARNNL Council in 2017 and replaces Dispensing by Registered Nurses
More informationAdult Family Homes. Susan L. Lakey, PharmD Pharmacy 492 January 24, 2005
Adult Family Homes Susan L. Lakey, PharmD Pharmacy 492 January 24, 2005 Background 1995 HB 1908 Required a reduction in NH medicaid beds by 1600 over 2 years The number of older adults in nursing homes
More informationAdmission Medication History and Reconciliation Documentation. Froedtert Hospital, Milwaukee WI
Overview of Medication History and Reconciliation Process 2 Overview of Icons Used in the Medication History 2 and Reconciliation Process The Admission Navigator 3 SureScripts Medication Reconciliation
More informationTransition 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 informationComplex Care Management Protocols and Procedures
Complex Care Management Protocols and Procedures December 2014 Version 3.0 1 Table of Contents I. Complex Care Management Program Staff Roles and Responsibilities... 4 II. Complex Care Management Program
More informationPHCY 471 Community IPPE. Student Name. Supervising Preceptor Name(s)
PRECEPTOR CHECKLIST /SIGN-OFF PHCY 471 Community IPPE Student Name Supervising Name(s) INSTRUCTIONS The following table outlines the primary learning goals and activities for the Community IPPE. Each student
More informationFive Rights of Medication
Five Rights of Medication Lack of knowledge has been implicated in many medication errors; therefore, education about broadly stated goals and practices to safely administer medications is essential. Medication
More informationTitle Administration of Oral Medication in the Community by Support Workers Purpose Background dignity of risk Scope Disclaimer Copyright ACIA 2017
Title Purpose Background Administration of Oral Medication in the Community by Support Workers This guideline is to assist service providers (organisations and individuals), Participants, stakeholders,
More informationMedication Adherence: Strategies for Improving Outcomes
Medication Adherence: Strategies for Improving Outcomes Thursday, June 16, 2016, 12:00 p.m. to 1:00 p.m. Andrea H. Williams, RPh, MBA President, RX CONSULTANTS LLC, Wilmington, DE EDUCATIONAL OBJECTIVES
More informationPharmacy Technicians: Improving pharmacy workflow through Technician Check Technician (TCT)
Pharmacy Technicians: Improving pharmacy workflow through Technician Check Technician (TCT) Michelle Potter, CPhT October 9, 2015 Disclosure I, Michelle Potter, have no financial relationship(s) to disclose
More information4/2/2018. Objectives. Victoria Stanislovaitis, PharmD. Medication Reconciliation (Med Rec) Victoria M. Stanislovaitis, PharmD. RockMED LTC Pharmacy
Medication Reconciliation (Med Rec) Victoria M. Stanislovaitis, PharmD RockMED LTC Pharmacy Objectives Definitions Explain the importance of medication reconciliation Learn the duties and responsibilities
More informationPOLICY AND PROCEDURE: MEDICATION
POLICY AND PROCEDURE: MEDICATION Cheshire does not administer medication. However, front line staff provide physical assistance with medication at the consumer/client s direction. (Exception: Cheshire
More informationInstrument Author: Ferrell, B. R., Eberts, M. T., McCaffery, M., Grant, M. Ferrell, B. R., Eberts, M. T., McCaffery, M., Grant, M..
Instrument Title: The Clinical Decision Making Survey (CDMS) Instrument Author: Ferrell, B. R., Eberts, M. T., McCaffery, M., Grant, M. Cite instrument as: Ferrell, B. R., Eberts, M. T., McCaffery, M.,
More informationSnohomish County Case Management Nursing Services
Snohomish County Case Management Nursing Services Carolyn Hundley, RN /Supervisor Denice Ulowetz, RN Kirstie Clinko, RN Sue Lee, RN Joy Maine, RN Amy Robertson, RN Overview New Changes in Nursing Services
More informationSTUDENT PERSONNEL MEDICATION POLICY ADMINISTRATIVE PROCEDURES
STUDENT PERSONNEL MEDICATION POLICY ADMINISTRATIVE PROCEDURES Procedures for Implementation of Medication Administration A. All administration of medication must be under the general supervision of a Licensed
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 informationDrug Therapy Management
4/17 Welcome to the Centers of Excellence Assessment Becoming an Anticoagulation Center of Excellence gives your service the chance to work as a multidisciplinary team to evaluate your current safety practices
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 informationCHAPTER 13 RULES AND REGULATIONS REGARDING THE DELEGATION OF NURSING TASKS
CHAPTER 13 RULES AND REGULATIONS REGARDING THE DELEGATION OF NURSING TASKS 1. STATEMENT AND BASIS OF PURPOSE The rules contained in this Chapter are adopted pursuant to authority granted the Board by section
More informationPHARMACEUTICALS AND MEDICATIONS
DESCHUTES COUNTY ADULT JAIL CD-10-17 L. Shane Nelson, Sheriff Jail Operations Approved by: December 6, 2017 POLICY. PHARMACEUTICALS AND MEDICATIONS It is the policy of Deschutes County Sheriff s Office
More informationCoordinated Care: Key to Successful Outcomes
Coordinated Care: Key to Successful Outcomes Best practices in care coordination improve health, lower costs and increase patient satisfaction 402 Lippincott Drive Marlton, NJ 08053 856.782.3300 www.continuumhealth.net
More informationPromotion of Consumer Health and Safety. A. Safe Medication Assistance and Administration Policy
3. Promotion of Consumer Health and Safety A. Safe Medication Assistance and Administration Policy 1. Policy: a. It is the policy of this DHS license provider Meridian Services, Incorporated s to provide
More informationANTICOAGULATION MANAGEMENT SERVICE PATIENT AND FAMILY EDUCATION
Rivaroxaban ANTICOAGULATION MANAGEMENT SERVICE PATIENT AND FAMILY EDUCATION 1 WHAT DOES RIVAROXABAN (XARELTO ) DO? blood thinner Prevents or treats blood clots This is how a blood clot might look inside
More informationRed Carpet Care: Intensive Case Management Program for Super-Utilizers
Red Carpet Care: Intensive Case Management Program for Super-Utilizers Alice Stollenwerk Petrulis, MD Linda C. Stokes, PhD The MetroHealth System Picture of MH MetroHealth 750 bed facility includes Rehab,
More informationMMPR034 MEDICINES RECONCILIATION ON ADMISSION TO HOSPITAL PROTOCOL
MMPR034 MEDICINES RECONCILIATION ON ADMISSION TO HOSPITAL PROTOCOL 1 Table of Contents Why we need this Protocol...3 What the Protocol is trying to do...3 Which stakeholders have been involved in the creation
More informationProvider Information Guide Complex Care and Condition Care Overview
Complex and Overview Introduction Complex and are essential components of Passport Health Plan s (Passport) Coordination services, which are used to support the practitioner-patient relationship and plan
More informationNursing Role in Renal Supportive Care.
Nursing Role in Renal Supportive Care. How far have we come and where to from here? Renal Supportive Care Symposium 2015 Elizabeth Josland Renal Supportive Care CNC St George Hospital Content Definition
More informationPolicies Approved by the 2017 ASHP House of Delegates
House of Delegates Policies Approved by the 2017 ASHP House of Delegates 1701 Ensuring Patient Safety and Data Integrity During Cyber-attacks Source: Council on Pharmacy Management To advocate that healthcare
More informationPACKAGING, STORAGE, INFECTION CONTROL AND ACCOUNTABILITY (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO:
LESSON PLAN: 7 COURSE TITLE: UNIT: II MEDICATION TECHNICIAN GENERAL PRINCIPLES SCOPE OF UNIT: This unit includes medication terminology, dosage, measurements, drug forms, transcribing physician s orders,
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 informationSubmitted electronically via: May 20, 2015
Submitted electronically via: http://www.regulations.gov May 20, 2015 Jane Axelrad, JD Associate Director for Policy, CDER Division of Dockets Management (HFA-305) Food and Drug Administration 5630 Fishers
More informationNorth West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES
North West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES Number: Effective From: Replaces: Review: NWRSS
More informationWorkbook Describe pre-packaged medication and the process for its use in a health or disability context
Workbook Describe pre-packaged medication and the process for its use in a health or disability context US 23685 Level 2 Credits 2 Name Contents Before you start... 4 What is medication?... 7 Pre-packaged
More informationBreaking Down Barriers to Care Pamela Crider, MSN, CNP Christine Karpen, MSW, LSW. MetroHealth Medical Center
Breaking Down Barriers to Care Pamela Crider, MSN, CNP Christine Karpen, MSW, LSW MetroHealth Medical Center Goals: Improved Outcomes Better patient experience Improved Communication Ease of access Lower
More informationGo! Guide: Medication Administration
Go! Guide: Medication Administration Introduction Medication administration is one of the most important aspects of safe patient care. The EHR assists health care professionals with safety by providing
More informationBe comfortable with comfort Meds
DIAMOND PHARMACY SERVICES Be comfortable with comfort Meds Understanding Hospice medications Presented By: Daniel Barnes, RN Infusion RN Annual Educational Conference Thursday, April 16, 2015 1 Diamond
More informationPediatric Math. Review of formulas: On hand: vehicle:: desired dose : x CONVERTING POUNDS TO KILOGRAMS: 2.2 pounds (lb) = 1kilogram (kg)
Pediatric Math Children are more susceptible to medications than adults due to immature systems, metabolism and physical composition that can alter the pharmacokinetics of drugs. Therefore it is essential
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