Deprescribing: Importing Innovations from Outside the US A27 and B27
|
|
- Ralf Walker
- 6 years ago
- Views:
Transcription
1 Deprescribing: Importing Innovations from Outside the US A27 and B27
2 Introductions Karen Smethers, BS, PharmD, BCOP, National Clinical Pharmacy Integration Leader, The Resource Group, Ascension L. Hayley Burgess, Pharm.D., BCPP, CPPS, AVP, Clinical Pharmacy and Medication Safety, Clinical Services Group, HCA Maisha Draves, MD, MPH, Medical Director of Pharmacy, The Permanente Medical Group Lynn F. Hilario Deguzman, Pharm.D., Regional Clinical Operations Manager, Northern California, Kaiser Permanente Leslie Pelton, MPA, Senior Director, Innovation, Institute for Healthcare Improvement
3 Workshop Objectives After this presentation, participants will be able to: 1. Understand the barriers and enablers to implementing deprescribing 2. Begin to develop a plan for testing deprescribing in their own health system
4 International Innovations Network Case Study: Evidence Based Medication Deprescribing Innovation Case Study
5 The Innovation from Ottawa, Canada
6 Why Deprescribing?
7 Ascension: Why Deprescribing? Proton Pump Inhibitor Therapy: Improve safety and value for our patients (e.g. reduce side effects including pneumonia, Cdifficile) Opioid/Sedative Agents: Improve safety (e.g. reduce side effects including respiratory depression and falls) and help prevent opioid overdose
8 HCA: Why Deprescribing? Upon review of Skyline Medical Center data, we identified an opportunity to reduce our use of Proton Pump Inhibitors This was encourage by the weight of evidence that PPIs are a critical pharmacotherapy risk factor for: renal disorders, pneumonia, osteoporotic fractures, electrolyte deficiencies, Clostridium difficile infections, and mortality Additionally, use of proton pump inhibitor therapy in hospital settings can lead to inappropriate continuation of therapy during transition in levels of care
9 Kaiser Permanente: Why Deprescribing? Deprescribe diabetes/blood pressure medications in well-controlled elderly: reduce risks of hypoglycemia, hypotension, and related consequences. Less unnecessary medication burden means more independence for patients. Build internal systematic processes to ensure continued safe use of medications as our patients age. Share best practices!
10 Ascension
11 Theory of Change: PPI Driver 1 PPI: Reduce equivalent patient day by 50%; Opioid/Sedation: Reduce mg use by 20% When: by July 2018 Your aim - What - How much - By when Driver 2 Driver 3
12 Theory of Change: Opioid/Sedative Driver 1 PPI: Reduce equivalent patient day by 50%; Opioid/Sedation: Reduce mg use by 20% When: by July 2018 Your aim - What - How much - By when Driver 2 Driver 3
13 HCA
14 Theory of Change- HCA Identification of people (patients) receiving PPIs Our aim is: By June 30, 2018 on the 4th floor unit of Skyline Medical Center, a 233 bed facility, will have a 10% reduction of adjusted PPI days of therapy (PPI DOT/1000 patient days) following the IHI PPI deprescribing initiatives. Clinical Pharmacy And Physician Engagement Evidence based algorithm in development of standard and simplified deprescribing work aids Clinical champions to support deprescribing efforts Process Improvement Dashboards Leadership Directed By Data Clinical Storytelling Data monitoring by: Corporate, Division, and Facility Leaders
15 Change Idea- HCA Comprehensive step wise approach to decrease utilization of PPIs following the antimicrobial stewardship model Our service is primarily rooted in medication management programs PPI DEPRESCRIBING SERVICE PROCESS MEASURES Percent of evidence-based PPI indications Percent of accepted PPI deprescribing recommendations OUTCOMES MEASURE Percent of monthly adjusted PPI DOT BALANCING MEASURE Percent of monthly adjusted H2 Blocker DOT
16 Results: Process Measures- HCA Innovation Months May Jun Jul Aug Sep Oct PDSA Cycle Completion Percent of accepted PPI deprescribing recommendations 60% 78% 100% 100% 100% 100%
17 Kaiser Permanente
18 Theory of Change Focus on multiple partnerships Big picture approach
19 KP: Partnerships Physician Champions Clinical Pharmacy Operations Continuum Care/Geriatrics Division of Research Pharmacy Drug Use Management Clinical Endorsements/Subject Matter Experts High Risk Medication Group Pharmacy Operations Pharmacy Quality Pharmacy Research Physician Outpatient Quality Compliance Health Education Physician Education Oversight Operational input Clinical input Long term research, predictive analytics Operational input Clinical input Clinical input Operational input Operational input Short term, focused research Clinical input Operational input Patient engagement trainings Provider engagement trainings
20 KP Theory of Change
21 KP Change Idea 1: Centralized resource
22 KP Change Idea 2: PDSAs on the front line Support staff outreach (technician, student) Lab reminders Triage follow-ups to pharmacists ~50 patients
23 KP Results: PDSAs on the front line Training support staff was simple, already crosstrained in MTM (leverage existing resource) Reduced administrative workload of pharmacists Developed triage algorithm for referral to pharmacists
24 Lessons Learned
25 Lessons Learned: What we learned Even in 2017, technology implementation moves slowly. Educating and communication to clinicians is key factor for success; do not wait on technology to begin testing Engaging well-established and respected physician champions to support the recommendations was key to our success Involve the caregiver early and often
26 What we learned does work Original Goal Reality Implementing PPI clinical pharmacy workflow rules Accessing for proper indication via clinical decision support screens during order entry Identification of patients receiving PPIs and ensure proper indication Run manual report to identify PPI patients on for the 4th floor Accessing for proper indication first done manually Identification of patients receiving PPIs and ensure proper indication
27 Your Turn and Our Sharing
28 Participant Worksheet
29 Deprescribing: Importing Innovations from Outside the US Ascension HCA Kaiser Permanente
PPI Deprescribing: Ascension
PPI Deprescribing: Ascension Tonya Thomas, PharmD Clinical Pharmacist Saint Thomas West Hospital Nashville, TN, USA #derx2018 Session resources will be available at deprescribing.org/resources Learning
More informationImproving Outcomes for High Risk and Critically Ill Patients
Improving Outcomes for High Risk and Critically Ill Patients KP Woodland Hills Medical Center Presented by: Sharon M. Kent RN BSN, CCRN Lynne M. Agocs-Scott RN MN, CCRN CCNS Introduction of the IHI The
More informationGreetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE
IN THIS ISSUE: Make Sure You Are Solving the Right Problem P. 1 Are Electronic Health Records Contributing to Fraud? P. 1 Stress Ulcer Prophylaxis P. 2 Antibiotic Stewardship P. 3 APeX tips for a safe
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 informationOntario Shores Journey to EMRAM Stage 7. October 21, 2015
Ontario Shores Journey to EMRAM Stage 7 October 21, 2015 ICE BREAKER Agenda System overview & pervasiveness of use Review Clinical Practice Guideline implementation Discuss Patient Portal implementation
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 informationInfection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study
Infection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study Happy Acres Nursing Center is a 99-bed skilled nursing facility (SNF). The facility is divided into
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 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 informationC. difficile INFECTIONS
A REGIONAL APPROACH TO THE PREVENTION OF C. difficile INFECTIONS Ghinwa Dumyati, M.D. FSHEA Center for Community Health, University of Rochester Medical Center Elizabeth Dodds Ashley, PharmD MHS, FCCP,
More informationNational Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions
National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions Michael Kanter, MD, Medical Director Quality and Clinical Analysis Patti Harvey, RN,
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 informationDrilling Down to Defeat Clostridium difficile. Kathy Mathews, RN Infection Preventionist Sonoma Valley Hospital February 24, 2017
Drilling Down to Defeat Clostridium difficile Kathy Mathews, RN Infection Preventionist Sonoma Valley Hospital February 24, 2017 Participation In This Webinar To connect to the audio portion of the webinar,
More informationMedication Trauma Crisis: Primary Care Innovations. Session Code: D25, E25
Medication Trauma Crisis: Primary Care Innovations Session Code: D25, E25 Speakers and Disclosures Speaker James Slater, PharmD Executive Pharmacy Director, CareOregon Kristen Benkstein, PharmD Pharmacy
More informationPresident Kaiser Permanente Southern California. Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience
Benjamin K. Chu, MD, MPH President Kaiser Permanente Southern California Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience The triple aim : A blueprint for a more satisfying
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
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 informationGetting Buy-In for Predictive Analytics in Health Care ARTICLE INFORMATION & TECHNOLOGY
REPRINT H03QJ9 PUBLISHED ON HBR.ORG JUNE 20, 2017 ARTICLE INFORMATION & TECHNOLOGY Getting Buy-In for Predictive Analytics in Health Care by Meetali Kakad, MD, Ronen Rozenblum and David Westfall Bates,
More informationMedication Safety Action Bundle Adverse Drug Events (ADE) All High-Risk Medication Safety
Medication Safety Action Bundle Adverse Drug Events (ADE) All High-Risk Medication Safety Background The Institute of medicine (IOM) estimates that 1.5 million preventable Adverse Drug Events (ADE) occur
More informationDriving the value of health care through integration. Kaiser Permanente All Rights Reserved.
Driving the value of health care through integration February 13, 2012 Kaiser Permanente 2010-2011. All Rights Reserved. 1 Today s agenda How Kaiser Permanente is transforming care How we re updating our
More informationChecklists for Preventing and Controlling
Checklists for Preventing and Controlling Clostridium difficile Infection (CDI) This document has been developed to specifically assist senior management and all ward staff to take appropriate actions,
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 22 FEBRUARY 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS C 22 FEBRUARY 2012 Subject: Supporting : Author: Status (see footnote): Update on the Clostridium difficile (C.diff)
More informationManaging Risk Through Population Health Initiatives
Managing Risk Through Health Initiatives Vicki DeBaca, DNS, RN Vice President, Health & Provider Services Sharp Rees-Stealy Medical Centers 1 Sharp Rees-Stealy Medical Centers San Diego s Multi-Specialty
More informationTo Dip or Not To Dip
To Dip or Not To Dip a patient centred approach to improve the management of UTI in the Care Home environment FIS 30 th November 2017 #ToDipOrNotToDip #FIS17 Elizabeth Beech on behalf of colleagues National
More informationThe Colorado ALTO Project
Using Alternatives to Opioids (ALTOs) in Hospital Emergency Departments PRE-LAUNCH CHECKLIST Based on the 2017 Opioid Prescribing & Treatment Guidelines Colorado ALTO Project Champion Sets the direction
More informationImproving the Health of Our Patients and Our Communities:
Jason Jones, PhD Executive Director Kaiser Permanente, Southern California Patti Harvey, RN, MPH, CPHQ Senior Vice President Kaiser Permanente, Southern California Improving the Health of Our Patients
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 informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 21 MARCH 2012
C SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 21 MARCH 2012 Subject: C.difficile Action Plan 2012/2013 Supporting Director: Professor Hilary Chapman, Chief Nurse/Chief
More informationIHI Open School Chapter. Alisha Fehrenbacher
IHI Open School Chapter Alisha Fehrenbacher IHI Open School Interprofessional Educational Community that teaches healthcare professionals how to become change agents for health care improvement. Why is
More informationPresenter Disclosures
Creating the Future of Health Care Unleashing the Power of Teams and HIT The 25 th Annual National Forum on Quality Improvement in Health Care December 11, 2013 Marilyn Chow, RN, PhD, FAAN Vice President,
More informationDecreasing Nosocomial C. diff
Decreasing Nosocomial C. diff Our journey to decreasing nosocomial C. diff Jennifer Conti BSN, RN, CIC Nicole Rabic MSN, RN, CIC 4.21.2016 Nosocomial C. diff Use of the CDC standardized definition Review
More informationUsing Data for Quality Improvement in a Clinical Setting. Wadia Wade Hanna MD, MPH Technical Assistance Consultant Georgia Health Policy Center
Using Data for Quality Improvement in a Clinical Setting Wadia Wade Hanna MD, MPH Technical Assistance Consultant Georgia Health Policy Center Dr. W. Hanna, PLS, November 2015 Quality An organizational
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 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 informationContinuous Value Improvement in Health Care
webinar summary Continuous Value Improvement in Health Care Featuring Kedar Mate Chief Innovation and Education Officer Institute for Healthcare Improvement October 26, 2017 sponsored by webinar summary
More informationHeart Failure Order Sets. Standardizing Care for the Heart Failure Patient 2012
Heart Failure Order Sets Standardizing Care for the Heart Failure Patient 2012 Objectives: Standardize care for all heart failure patients in Legacy Base Practice on American Heart Association Guidelines
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 informationPersonalized Medication Management A Medicaid Community Service Model
Personalized Medication Management A Medicaid Community Service Model Karen M. Coderre, MS, Pharm.D., BCPP Clinical Consultant Pharmacist Clinical Pharmacy Services Jessica Carpenter, MS, RD, LDN Director
More informationHypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc.
Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc. October 13-15, 15, 2010 Scottsdale, AZ Kaiser Permanente of the Mid-Atlantic States (KPMAS) 1 KPMAS Medical Group Profile
More informationLeveraging your own health plan to build a Specialty Pharmacy
Leveraging your own health plan to build a Specialty Pharmacy Brad Trom, RPH, MBA, CEO Lovelace Pharmacy, Lovelace Health System, Albuquerque, New Mexico Disclosure Brad Trom reports no relevant financial
More informationThank you for spending your valuable time with us today. This webinar will be recorded for your convenience.
Kick Off 4/6/2017 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 recording will be available
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 informationPresenter Disclosure
Improving Transitions from the Hospital to Community Settings IHI National Forum Learning Lab Sunday, December 8, 2013 Presenter Disclosure MaryAnne Elma, MPH Quality Implementation and Innovations Director
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 informationRaising the Bar On Infusion Safety: A Patient Safety Program at Baylor Scott & White Health Improving Infusion Pump Safety: A Systematic Approach
Raising the Bar On Infusion Safety: A Patient Safety Program at Baylor Scott & White Health Improving Infusion Pump Safety: A Systematic Approach July 18, 2016 AAMI Foundation Vision: To drive the safe
More informationReadmission Reduction: Patient Interviews. KHA Quality Conference March, 2018
Readmission Reduction: Patient Interviews KHA Quality Conference March, 2018 Initial Driver Diagram Use Data and Root Cause Analysis to drive Continuous Improvement Analyze data to inform targeting approach
More informationJourney in managing practice variation in Diabetes and Hypertension (Part 2/2)
Journey in managing practice variation in Diabetes and Hypertension (Part 2/2) For Part 1 of this presentation, go to http://rightcare.berkeley.edu/sacramento-university-of-best-practices Parag Agnihotri,
More informationImproving Hospital Performance Through Clinical Integration
white paper Improving Hospital Performance Through Clinical Integration Rohit Uppal, MD President of Acute Hospital Medicine, TeamHealth In the typical hospital, most clinical service lines operate as
More information4/28/17. New Jersey Antimicrobial Stewardship Learning Action Collaborative. Antimicrobial Stewardship Efforts in New Jersey. Update May 10, 2017
New Jersey Antimicrobial Stewardship Learning Action Collaborative Update May 10, 2017 Antimicrobial Stewardship Efforts in New Jersey Acute Care Hospitals Outpatient Settings (ED, physician practices)
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 informationCase Study: Cass Regional Medical Center
Case Study: Cass Regional Medical Center CASS REGIONAL MEDICAL CENTER, A COUNTY HOSPITAL SERVING BOTH SUBURBAN AND RURAL COMMUNITIES, PURCHASED A NEW NURSE CALL PLATFORM TO SUPPORT THEIR GOALS TO IMPROVE
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 informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationElectronic Prescribing and emar. Jonathan Sheldon Consultant Physician and Clinical Lead for Electronic patient records
Electronic Prescribing and emar Jonathan Sheldon Consultant Physician and Clinical Lead for Electronic patient records AIMS To discuss the support needed for the successful conclusion of this project To
More informationFinancial Conflicts of Interest. Learning Objectives. Outline. Facts. LTC ASP Core Elements
THE LONG AND THE SHORT OF IT: DEVELOPMENT OF ANTIMICROBIAL STEWARDSHIP PROGRAMS IN LONG-TERM CARE FACILITIES Michael Tiberg, PharmD, BCPS (AQ ID) Nicholas Torney, PharmD, BCPS Derek Vander Horst, PharmD,
More informationThe Road to Clinical Transformation
The Road to Clinical Transformation Ann O Brien RN MSN CPHIMS Kaiser Permanente Senior Director Clinical Informatics KPIT & National Patient Care Services Learning Objectives 1. Describe strategies to
More informationWinning at Care Coordination Using Data-Driven Partnerships
Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker
More informationHIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017
HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 Nebraska Medicine $1.2 billion academic health system 8,000 employees More than 1,000 affiliated physicians Primary
More informationNursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program
Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1. Start an Antimicrobial Stewardship Program Tool 5. Draft Policies and Procedures for the Antimicrobial Stewardship
More informationEMR Adoption: Benefits Realization
EMR Adoption: Benefits Realization John H. Daniels, CNM, FACHE, FHIMSS, CPHIMS Global Vice President, HIMSS Analytics Pressurring / Overload Automate to optimize clinical decision making Medical Knowledge
More informationIdentifying Errors: A Case for Medication Reconciliation Technicians
Organization: Solution Title: Calvert Memorial Hospital Identifying Errors: A Case for Medication Reconciliation Technicians Program/Project Description and Goals: What was the problem to be solved? To
More informationEnsuring Patient Safety and Quality Measures for RRT in AKI 2. Eileen Lischer MA, BSN, RN, CNN University of California, San Diego
Ensuring Patient Safety and Quality Measures for RRT in AKI 2 Eileen Lischer MA, BSN, RN, CNN University of California, San Diego Today we may be doing what we can, but tomorrow we can improve Hughes,
More informationHealthONE Sepsis Program
HealthONE Sepsis Program Gary Winfield, MD Lindy Garvin, MPA, CPHRM June 12, 2017 0 0 This activity is jointly-provided by SynAptiv and the Colorado Hospital Association 1 1 Conflict of Interest Disclosure
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 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 informationWest Hertfordshire Hospitals NHS Trust Reducing Clostridium difficile infection Action Plan [Updated 19/3/13] Item 37/13
Introduction purpose: West Hertfordshire Hospitals NHS Trust Reducing Clostridium difficile infection Action Plan 2012-2013 [Updated 19/3/13] Item 37/13 This action plan has been developed by West Hertfordshire
More informationTransitions of Care Innovations in the Medical Practice Setting
Transitions of Care Innovations in the Medical Practice Setting Linda Wendt, System Director of Quality- UnityPoint Clinic Sheila Tumilty, Senior Project Manager- UnityPoint Clinic Session Objectives After
More informationTranslating Evidence to Safer Care
Translating Evidence to Safer Care Patient Safety Research Introductory Course Session 7 Albert W Wu, MD, MPH Former Senior Adviser, WHO Professor of Health Policy & Management, Johns Hopkins Bloomberg
More informationTransformational Patient Care Redesign Project
Transformational Patient Care Redesign Project Kaveh Houshmand Azad 1 Summary In 2008 2009, Providence Holy Cross Medical Center, a 340- bed hospital located in Mission Hills, California embarked upon
More informationTHE AMERICAN BOARD OF PATHOLOGY PATIENT SAFETY COURSE APPLICATION
THE AMERICAN BOARD OF PATHOLOGY PATIENT SAFETY COURSE APPLICATION Requirements: Component I Patient Safety Self-Assessment Program Programs must meet the following criteria to be an ABP approved Patient
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 informationBanner Health Friday, February 20, 2015
Banner Health Friday, February 20, 2015 Leveraging the Power of Clinical and Business Intelligence: A Primer Presented by: Dr. Maxine Rand, DNP, RN-BC, CPHIMS, Director, Clinical Education, Practice and
More informationHPV Vaccination Quality Improvement: Physician Perspective
HPV Vaccination Quality Improvement: Physician Perspective Discussion of efforts to raise HPV vaccine coverage using quality improvement from a physician s perspective Alix Casler, M.D., F.A.A.P. Chief
More informationExperiential Education
Experiential Education Experiential Education Page 1 Experiential Education Contents Introduction to Experiential Education... 3 Experiential Education Calendar... 4 Selected ACPE Standards 2007... 5 Standard
More informationMohamad Fakih, MD, MPH
Ensuring Sustainability for CAUTI Prevention Efforts Mohamad Fakih, MD, MPH Professor of Medicine, Wayne State University School of Medicine St John Hospital and Medical Center Detroit, MI So we often
More informationImprovement Activities for ACI Bonus Measures
Improvement Activity Performance Category Subcategory Expanded Practice Activity Name Activity Improvement Activity Performance Category Weight Provide 24/7 access to eligible clinicians or groups, who
More informationShaping the Workforce of Tomorrow: Preparing Technicians for Advanced Roles
Shaping the Workforce of Tomorrow: Preparing Technicians for Advanced Roles ASHLEE MATTINGLY, PHARMD, BCPS & SARAH LAWRENCE, PHARMD, MA, BCGP Speaker Contact Ashlee Mattingly, PharmD, BCPS Lab Pharmacist
More informationA Pharmacist Network for Integrated Medication Management in the Medical Home
A Pharmacist Network for Integrated Medication Management in the Medical Home Marie Smith, PharmD UConn School of Pharmacy Professor/Dept. Head Pharmacy Practice Asst. Dean, Practice and Public Policy
More information2017 QUALITY PLAN WORK PLAN. Kaiser Permanente of Washington 2017 Quality Work Plan
Kaiser Permanente of Washington 2017 Quality Work Plan 1 Achieve 2017 Quality Goals: Improve population health, the quality, safety and satisfaction of the customer experience while improving affordability
More informationCommercialization and Scale At Kaiser Permanente Karen Schartman, CFO and VP Strategy, Kaiser Permanente Washington.
Commercialization and Scale At Kaiser Permanente Karen Schartman, CFO and VP Strategy, Kaiser Permanente Washington November 15, 2017 Kaiser Permanente: An Integrated Healthcare System Mission: To provide
More informationMedication Safety Quality Improvement: Collaboration to Reduce Adverse Drug Events
Medication Safety Quality Improvement: Collaboration to Reduce Adverse Drug Events Jayme Steig, PharmD, RPh Quality Improvement Specialist - Pharmacy Quality Health Associates of North Dakota Disclosure
More informationCode Sepsis: Wake Forest Baptist Medical Center Experience
Code Sepsis: Wake Forest Baptist Medical Center Experience James R. Beardsley, PharmD, BCPS Manager, Graduate and Post-Graduate Education Department of Pharmacy Wake Forest Baptist Health Assistant Professor
More informationProvider Manual Kaiser Permanente National Transplant Program
Provider Manual Kaiser Permanente National Transplant Program Welcome to Kaiser Permanente It is our pleasure to welcome you as a contracting Provider for Kaiser Permanente. We want this relationship to
More informationFast & Furious: erx/epcs Implementation and Optimization
Fast & Furious: erx/epcs Implementation and Optimization Session #273, March 6, 2018 Connie L. Saltsman, Pharm.D., MBA, CPHIMS; AVP, Clinical Pharmacy Informatics Risa C. Rahm, Pharm.D., CPHIMS; Director,
More informationA FREE Certificate Training Program for Pharmacists
A FREE Certificate Training Program for Pharmacists June 17, 2014 8:30 a.m. 4:30 p.m. School of Pharmacy University of Mississippi Thad Cochran Research Center Oxford, Mississippi June 27, 2014 8:30 a.m.
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 informationVariance in Clostridium difficile surveillance reporting: implications for quality improvement outcomes
Variance in Clostridium difficile surveillance reporting: implications for quality improvement outcomes DAVESON KL 1,2, WILSON C 1, MENZIES A 3. 1 DEPARTMENT OF INFECTIOUS DISEASES, CANBERRA HOSPITAL AND
More informationInnovation in Self-Care
Innovation in Self-Care S-OPAT Intro Speakers Kavita Bhavan, MD, MHS Associate Professor of Infectious Diseases at the UTSW, Service Chief Infectious Diseases at Parkland, and Medical Director of Outpatient
More informationExecutive Summary. BHICCI Charter
Charter Behavioral Health Integration Complex Care Initiative Charter Clinical Transformation and Integration Department, Inland Empire Health Plan 1 Executive Summary The health care system serving the
More informationStrategies to Achieve Sustainable Primary Care Access
These presenters have nothing to disclose Strategies to Achieve Sustainable Primary Care Access Andrea Kabcenell December 7, 2015 Agenda WAITING Agenda Access to Primary Care: Key Factors Table Discussions
More informationDELAYED GASTRO EMPTYING
DELAYED GASTRO EMPTYING Quality Improvement in Patient Discharge Dr Victoria Knott CT1 Context Two, thirty bed combined Gastroenterology wards at Northern General Hospital, Sheffield. There are four medical
More informationClinical Pharmacy Practice Models
Disclosure Clinical Pharmacy Practice Models in Oncology Patient Care Rachel Matthews, PharmD, BCOP I have no actual or potential conflict of interest in relation to this program/presentation. Objectives
More informationRenfrew Victoria Hospital
Renfrew Victoria Hospital Implementation of a Functional Abilities Measurement Tool TEAM MEMBER NAMES: Randy Penney, Executive Sponsor Charlene Hanniman, Team Lead Stefanie Coughlin, Team Member Chris
More informationDisclosures. Attendance Code. Development and Support. Accreditation Information. House of Delegates Policy Topic Webinar Point of Care Testing
House of Delegates Policy Topic Webinar Point of Care Testing Development and Support Wednesday, October 21, 2015 1:00 pm 2:00 pm EDT Alex Adams, PharmD, CAE, MPH Executive Director Idaho State Board of
More informationCLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW
Diplomate: CLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW A. INFORMATION MANAGEMENT 1. Does your practice currently use an electronic medical record system? Yes No 2. If Yes, how long has the
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 informationDeprescribing in a family health team: a study of chronic proton pump inhibitor use
Deprescribing in a family health team: a study of chronic proton pump inhibitor use Kate Walsh BSc.H, BScPhm; 1 Debbie Kwan BScPhm, MSc; 2 Patricia Marr BScPhm, PharmD; 2 Christine Papoushek PharmD; 2
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 informationThe CAUTI Can-Can. Hennepin County Medical Center August Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion
Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion Laura Miller, RN MICU Manager The CAUTI Can-Can Hennepin County Medical Center August 2017 Lynelle Scullard, RN SICU Manager Kathleen
More informationInnovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination
Innovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination November 15, 2017 RRHA Healthcare Innovations Conference Agenda Arnot Health Overview
More information