Transition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI
|
|
- Jonah Shields
- 6 years ago
- Views:
Transcription
1 Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI
2 Objectives Pharmacist 1. Describe transition of care opportunities 2. Explain ways to use pharmacist extenders in transition of care 3. Describe novel pharmacy practices in transition of care hand-off Technician 1. Describe transition of care opportunities 2. Describe novel pharmacy practices in transition of care hand-off
3 Transition of Care
4 Transition of Care The movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory specialty care practice, long-term care, home health, rehabilitation facility) to another. Accessed April 10, 2018
5 Transition of Care: Admission to Hospital Admission Home Med List Created/Verified Inpatient Home Meds Continued or Held & New Meds Added Discharge New Med List Created (inpatient meds + home meds)
6 Transition of Care: Ambulatory Care Arrival Home Med List Created/Verified Provider Evaluation Home Meds Continued or Held & New Meds Added Discharge New Med List Created (inpatient meds + home meds)
7 The Many TOC Components Med History Caregiver Lack of Follow Up Non-adherence Access to Med Education Others
8 2014 National Survey 393 respondents (31.5% response rate) Results Admission med history 27% pharmacists 5% indicated technicians Most respondents pharmacists do not routinely or consistently provide patients with tools to facilitate medication adherence before hospital discharge pharmacists do not routinely or consistently follow up with patients after discharge Kern K, Kalus J, Bush C, et al. AJHP 2014; 71:648-56
9 2014 National Survey Most respondents either agreed or strongly agreed that it is important for pharmacists to be involved in TOC activities for hospitalized patients. Few respondents indicated that student pharmacists are involved with TOC activities Kern K, Kalus J, Bush C, et al. AJHP 2014; 71:648-56
10 ASHP Forecast Recommendations Increase pharmacist involvement on services that facilitate patient empowerment and where medication adherence is clearly linked to outcomes ASHP Pharmacy Forecast
11 Henry Ford Hospital Pharmacy Transitions of Care Services
12 Henry Ford Hospital (HFH) 1 of 5 Henry Ford Health System (HFHS) hospitals 802 bed tertiary care, teaching hospital Level 1 trauma center, Detroit Inpatient Pharmacy Services Ambulatory Care Pharmacy Services Bone Marrow Transplant Hem Onc HIV Pulmonary Solid Organ Transplant
13 HFH Pharmacy Training Programs Training Program Number of Participants Longitudinal Advanced Pharmacy Practice (LAPP) Students PGY1 Residents 10 Pharmacotherapy 1 PGY2 Residents 12 2 Hem Onc 1 Critical Care 1 Pharmacotherapy 1 Infectious Disease
14 HFH Transition of Care (TOC) Services General Practice Unit Introduction to Pharmacy Services TOC Consults Intensive Care Unit Access to Therapy Consults Diabetes Medications Pulmonary Hypertension Medications All Units Electronic Referral for Am Care Pharmacist Follow-Up Outpatient Parenteral Antimicrobial Therapy Consults
15 Introduction to HFH Pharmacy Services Inpatient Pharmacy Services Introduce Pharmacy services Provide HFHS medication safety brochure Update preferred discharge pharmacy May identify need for targeted pharmacy services or education
16 Introduction to Pharmacy Services 842
17 Henry Ford Hospital Pharmacy Transitions of Care Consults
18 Types of Inpatient Pharmacy TOC Consults General Practice Unit (GPU) TOC Consults Medication History & Adherence Disease Specific Acute Exacerbation of COPD Acute Exacerbation of Heart Failure ICU TOC Planning Consults Diabetes Mellitus (DM) Transition of Care Planning Pulmonary Arterial Hypertension TOC planning
19 GPU TOC Consult Goals Provide adherence counseling Provide avenue to document pharmacy services Build ambulatory care pharmacy services
20 GPU TOC Consults Medication History & Adherence Verify & update med history Discuss discrepancies Identify non-adherence Provide tools & strategies to improve adherence Educate If possible, refer to am care pharmacist Disease Specific Consults Additional components Optimize disease specific meds
21 Target Patients & Populations High Risk Readmissions Program of All-Inclusive Care for the Elderly (PACE) patients Integrated Michigan Patient-Centered Alliance in Care Transitions (I-MPACT) Those with non-adherence or med access barriers Plan to be discharged on new medicine
22 Resident TOC Requirements Goal R1.2: Ensure continuity of care during patient transitions between care settings HFH Residents Implemented minimal TOC consults for PGY1s HFH Residents Increased total TOC consult requirements Added quarterly targets Progress discussed monthly Added consult requirements for PGY2 hem/onc
23 GPU TOC Consults
24 ICU TOC Consults DM Ensure Access to DM Meds for Discharge DKA or A1C >9% in the last 6 months on an insulin drip PAH Ensure Access to PAH and CTEPH Meds for Discharge PAH or CTEPH therapy
25 ICU Encounters with a PAH TOC Consult
26 Henry Ford Hospital Using Pharmacy Technicians as Pharmacist Extenders
27 HFH Bedside Transition of Care Pilot program October 2017 Cardiac general practice unit Leverages relationships & skills Outpatient pharmacy technician Access to electronic medical record Access to outpatient prescription records Attends progressive rounds
28 Bedside TOC Technician Obtain an accurate medication history Update the EMR medication history & preferred pharmacy Identify medication access barriers, including the need for discharge medication prior authorization Begin resolution of medication access barriers medication test claims prior authorization Document Standard note template Med history, prior auth status, test claim results Co-signed by unit-based pharmacist Enroll patients in Pharmacy Advantage
29 HFH Bedside Transition of Care 160 Number of Patients Oct-17 Nov-17 Dec-17 Jan-18 Month-Year
30 Outpatient Parenteral Antimicrobial Therapy (OPAT)
31 OPAT Used to treat invasive infections or to contain inpatient hospital costs Requires a thorough assessment patient s medical condition, especially infection medical needs inpatient antimicrobial regimen clinical parameters insurance coverage access to follow-up monitoring
32 HFH Detroit OPAT Process Implemented May 2015 Pharmacy OPAT Consult Case Management ID - Approves OPAT - Line placement, if required - Optimizes OPAT regimen - Educates patient/caregiver - Documents discharge safety labs - Places information in the patient s EMR - Determines eligibility - Sets up home infusion or placement -Uses pharmacy consult to obtain medication prior auth OPAT Discharge
33 Pharmacist Checklist for OPAT Consult Checklist Comments Is the patient likely to require outpatient IV therapy? Has infectious diseases consult evaluated the patient? Is the case manager aware? Has the regimen and monitoring plan been optimized and simplified for the infection? Has the patient been educated on their discharge antimicrobial regimen? Has the OPAT referral for the ID am care clinical pharmacist been placed? Was Pharmacy OPAT note placed in the patient s record? -Disease state that requires long term IV (e.g. osteomyelitis, endocarditis, MRSA bacteremia) -No oral switch options (PO switch preferred for CAP and pyelonephritis) -ID approval required before PICC insertion or discharge for OPAT -Yes, ID approval required for dialysis patients -Case manager will evaluate insurance eligibility, capability to perform home infusion -Minimize the number of doses per day where possible -Document if steady state has been achieved for PK drugs/ when steady state anticipated -Provide written and verbal instructions about the antimicrobial therapy (use Clin Pharm Pt Education) -Place discharge order if they are going to K10 for an in-clinic infusion - Regimen and monitoring parameters
34 OPAT Practice Models Pharmacist OPAT Consult (HFH) n=50 Standard of Care (HFWB) n=44 OPAT Team HFH ID Physician Unit-based Pharmacist (Non-ID trained) Case Management Nursing Home Infusion Service OPAT Team HFH ID Physician Case Management Nursing Home Infusion Service Pharmacy OPAT Consult Service began May 1, 2015 No Pharmacy OPAT Consult
35 Patient Education P < P < P < P < 0.001
36 Discharge Safety Labs 91% Percent
37 Pharmacist Interventions
38 Henry Ford Hospital Transition of Care Hand-Off
39 TOC Consult Hand-off EMR note Standard note template Alert for next pharmacist Follow up on prior authorizations More targeted review or education Enrollment in home med delivery Referral to am care pharmacist
40 Electronic Referrals Hand-off to clinician after discharge Referral order placed in EMR By pharmacist or technician Goes to designated In-Basket Two Types Referral to Ambulatory Care Pharmacist Follow up on adherence Optimize disease therapy Work through access barriers Referral for Pharmacy Advantage Enrollment in home delivery of meds
41 Bedside TOC Program
42 Summary There are many opportunities to improve TOC for patients prior to discharge Pharmacist extenders can increase documentation in the EMR The EMR can serve as a means for hand-off to another pharmacist for follow up after discharge
43 Questions?
44 Self Assessment Question #1 Which of the following can lead to poor outcomes upon transition from the hospital? a) Medication non-adherence b) Affordable prescription co-payments c) An accurate medication history d) Good follow up after discharge
45 Self-Assessment Question #2 Which of the following is TRUE about pharmacist extenders: a) Technicians can document patient education in the medical record b) Technicians cannot identify patients who want home delivery of medications c) Technicians can document pharmacy services in the medical record d) Residents should not provide transition of care pharmacy services as part of training
46 Self Assessment Question #3 A novel way to provide TOC hand-off includes: a) Pharmacy documented notes in the EMR b) Having pharmacy technicians call the patient s provider after discharge c) Working in two different electronic medical records d) Having each pharmacist develop a unique note template
Transition 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 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 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 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 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 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 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 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 informationVanita K. Pindolia, PharmD Vice President, Ambulatory Clinical Pharmacy Program. Detroit, Michigan
PCMH Best Practices Vanita K. Pindolia, PharmD Vice President, Ambulatory Clinical Pharmacy Program Henry Ford dhealth lthsystem Detroit, Michigan Faculty Disclosure The faculty reported the following
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 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 informationEvaluation of a Pharmacist-Led Bedside Medication Delivery Service for Cardiology Patients at Hospital Discharge
Evaluation of a Pharmacist-Led Bedside Medication Delivery Service for Cardiology Patients at Hospital Discharge Julianna Burton, Pharm.D., BCPS, BCACP, FCSHP Assistant Chief, Ambulatory Clinical Services
More informationROTATION DESCRIPTION
ROTATION DESCRIPTION ROTATION TITLE: PGY1 - Outpatient Transplant Ambulatory Care PURPOSE The Medical Center performed over 200 abdominal organ transplants annually. This clinical practice site will provide
More informationPostgraduate Year One (PGY1) Pharmacy Residency Program
Postgraduate Year One (PGY1) Pharmacy Residency Program Information and Application Materials 2018-2019 University of Wisconsin Hospitals and Clinics (UWHC) PGY-1 Pharmacy Residency UNIVERSITY OF WISCONSIN
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 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 informationEvolving Roles of Pharmacists: Integrating Medication Management Services
Evolving Roles of Pharmacists: Integrating Management Services Marie Smith, PharmD, FNAP Palmer Professor and Assistant Dean, Practice and Policy Partnerships UCONN School of Pharmacy (marie.smith@uconn.edu)
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 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 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 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 informationMedication Reconciliation
Medication Reconciliation Where are we now? Angie Powell, PharmD Director of Pharmacy Baxter Regional Medical Center Disclosures I, Angie Powell, have no relevant financial relationships to disclose. Learning
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 informationResidency Completion Record
Residency Completion Record The following is a list of minimum requirements each resident must successfully complete in order to be considered for graduation from their residency program. If a resident
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 informationBackground and Methodology
Study Sites and Investigators Emergency Department Pharmacists Improve Patient Safety: Results of a Multicenter Study Supported by the ASHP Foundation Jeffrey Rothschild, MD, MPH-Principal Investigator
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 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 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 informationChristi Quarles Smith, Pharm.D.
CURRICULUM VITAE Christi Quarles Smith, Pharm.D. Personal Information Business Licensure: 4301 West Markham Street, Slot 571 Arkansas Pharmacist License #PD11445 72205 (issued 2010) Phone: (501) 686-6694
More informationImplementation of Clinical Services at Various Institutions
Implementation of Clinical Services at Various Institutions Niki Carver, Pharm.D., UAMS Medical Center Shannon Hays, Pharm.D., White Co Medical Melanie Claborn, Pharm.D., Veterans Healthcare System of
More informationCreation and Development of Staff Competencies for the Acute Care Setting
Creation and Development of Staff Competencies for the Acute Care Setting Adele Myszenski, MPT Kristina Stein, MPT Jennifer Trimpe, MPT Henry Ford Hospital, Detroit, MI APTA CSM * Wednesday, February 5,
More informationFHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018
FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge July 24, 2018 Welcome & Overview How are we doing on Reducing Readmissions? Peer Sharing Presentation:
More informationRequired Experiences. Academia/Teaching Experience
The following is a list of the experiences inclusive of all programs that can be combined into a quarterly rotations. It is important to note that the RLS goals and objectives differ between the two pharmacy
More informationPGY 1 Pharmacy Residency Cardiology Experience Description Truman Medical Center Hospital Hill
Experience Title: Cardiology (PGY1) PGY 1 Pharmacy Residency Cardiology Experience Description Truman Medical Center Hospital Hill Preceptor: Andrew Smith, Pharm.D., BCPS (AQ Cardiology) Cardiology Clinical
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 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 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 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 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 informationConflict of Interest. Objectives. The Solution. The Need. Reaching for the Stars Advanced Roles for Pharmacy Technicians.
8/14/2014 Reaching for the Stars Advanced Roles for Pharmacy Conflict of Interest No conflicts of interest to disclose Informatics Bryan Shaw, Pharm.D. PGY-1 Non-Traditional Resident Northwestern Memorial
More informationPractice Advancement Initiative (PAI): Pharmacist Roles in Public Health
Practice Advancement Initiative (PAI): Pharmacist Roles in Public Health Eric M. Maroyka Pharm.D., BCPS Director, Center on Pharmacy Practice Advancement WMSHP Meeting January 2017 Disclosure The presenter
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 informationHome Infusion (elective)
Home Infusion (elective) PGY2 - Health-System Pharmacy Administration (87405) Faculty: Slade, Jamie; Tyler, Linda S. Site: University of Utah Hospitals Clinics Status: Active Not Required Description:
More information3/16/2017. A Tale of Two Specialty Pharmacies: Novel Models for Technician Incorporation. Objectives. What is Specialty Pharmacy?
A Tale of Two Specialty Pharmacies: Novel Models for Technician Incorporation Disclosures The speakers have no actual or potential conflict of interest to the content of this presentation. Renee Advincula,
More informationNew pharmacy practice opportunity: Enhancement of the transitions of care process
New pharmacy practice opportunity: Enhancement of the transitions of care process EMMA GORMAN, PHARMD CLINICAL ASSISTANT PROFESSOR DEPARTMENT OF PHARMACY PRACTICE D YOUVILLE SCHOOL OF PHARMACY BUFFALO,
More informationPostgraduate Year One (PGY1) Pharmacy Residency Program
Postgraduate Year One (PGY1) Pharmacy Residency Program Pharmaceutical Care Division King Faisal Specialist Hospital & Research Centre (KFSH&RC)-Riyadh 2017 1 Table of Contents Page Introduction - About
More informationAntithrombotic Traineeship
ASHP Foundation Antithrombotic Traineeship Application Policies and Guidelines The distance education and experiential program components of the traineeship offers continuing pharmacy education hours for
More informationMedication Adherence
Medication Adherence Robert DiGregorio, PharmD, FNAP, BCACP Professor (Long Island University) Sr. Director, Pharmacy & Pharmacotherapy Services (TBHC) Chief, Pharmacotherapy Department of Internal Medicine
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 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 informationClinical Webinar: Integrated Pharmacy
Clinical Webinar: Integrated Pharmacy Benjamin Gross, Pharm D, MBA, BCPS, BCACP, CDE, BC ADM, ASH CHC Associate Professor Director of Residency Programs Lipscomb University College of Pharmacy Objectives
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 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 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 informationPGY-2 PEDIATRIC PHARMACY RESIDENCY MEDICAL UNIVERSITY OF SOUTH CAROLINA
PGY-2 PEDIATRIC PHARMACY RESIDENCY 2013-2014 MEDICAL UNIVERSITY OF SOUTH CAROLINA 1. Intended Outcomes of PGY-2 Pediatric Pharmacy Residency Training A resident successfully completing the 1-year PGY-2
More informationMission: To extend the presence and healing ministry of Christ in all we do.
Residency Manual 2018-2019 UPDATED 7/18 Mission: To extend the presence and healing ministry of Christ in all we do. https://www.saintfrancis.com/careers/pages/careers%20in%20healthcare/pharmacy-careers.aspx
More informationASHP Guidelines on Evaluating and Using Home or Alternate-Site Infusion Service Providers
Practice Settings Guidelines 515 ASHP Guidelines on Evaluating and Using Home or Alternate-Site Infusion Service Providers These guidelines describe the roles of home or alternatesite infusion service
More informationLiver EUH Learning Activities:
Liver Transplant @ EUH Learning Activities: Preceptor: Sarah Saxer, PharmD Office: EUH E923 Hours: ~ 7:00-4:00 Desk: 404-712-5325 Pager: 14385 Personal cell phone: 678-427-5627 General Description The
More informationImpact of a Pharmacist-managed, Studentsupported Inpatient Warfarin Education Program on HCAHPS Scores in a Community Teaching Hospital
Impact of a Pharmacist-managed, Studentsupported Inpatient Warfarin Education Program on HCAHPS Scores in a Community Teaching Hospital Submitted by: Daniel T. Abazia, Pharm.D., BCPS, Clinical Pharmacist
More informationOptimizing Patient Outcomes at the Transition of Care: From Inpatient to Skilled Nursing Facility
Optimizing Patient Outcomes at the Transition of Care: From Inpatient to Skilled Nursing Facility Cynthia Williams, B.S.Pharm, FASHP Vice President/Chief Pharmacy Officer Riverside Health System, Newport
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 informationNeurology Clinic - Ambulatory Care I & II
Neurology Clinic - Ambulatory Care I & II Preceptors: Sarah Dehoney, PharmD, BCPS Erica Marini, PharmD, MS, BCPS Duration: 4 weeks Description of Practice Site This site is in the University s two ambulatory
More informationCommunity Health Excellence (CHE) Grant Program Application Guide
Community Health Excellence (CHE) Grant Program 2018 2019 Application Guide CHE Mission and Goals The PacificSource Community Health Excellence (CHE) initiative was created to align with and support the
More informationMedical Intensive Care Unit Rotation EUHM
PGY 2 Residency Training Program Medical Intensive Care Unit Rotation EUHM Preceptor: Derek M. Polly, PharmD Office: EUHM, 2 nd Floor, Room 2182 Hours: ~ 7:30 4:00 Desk: 404 686 5674 Pager: 404 686 5500
More informationPGY-1 Pediatric Pharmacy Residency Program PhORCAS Program Code
PGY-1 Pediatric Pharmacy Residency Program PhORCAS Program Code 190313 Valley Children s Hospital, located in Madera, California, is a not-for-profit, state-of-the-art children s hospital on a 50-acre
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 informationTRANSITIONS of CARE. Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine
TRANSITIONS of CARE Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine 5-15-15 Objectives At the conclusion of the presentation, the participant will be able to: 1. Improve
More informationLSU First & WebTPA: Working Together
LSU First & WebTPA: Working Together 2016 LSU First Health Plan Changes 2016 LSU First Health Plan Changes New ID Card Specialty drug copay $150 90 day timely filing period (medical and pharmacy) Home
More informationPharmacy s Role in Decreasing Hospital Readmissions
Pharmacy s Role in Decreasing Hospital Readmissions ACPE UAN 107-000-11-004-L04-P & 107-000-11-004-L04-T Activity Type: Knowledge-Based 0.15 CEU/1.5 Hr Program Objectives for Pharmacists: Upon completion
More informationAmbulatory Care Practice Trends and Opportunities in Pharmacy
Ambulatory Care Practice Trends and Opportunities in Pharmacy David Chen, R.Ph., M.B.A. Senior Director Section of Pharmacy Practice Managers ASHP Objectives Describe trends in health system pharmacy reported
More informationAgenda. Learning Objectives 1) Describe health care imperative changes and impact on pharmacy practice
Agenda 1) Review trends in healthcare landscape 2) Review the Pharmacy Forecast Report 3) Case study activities 4) Leadership pearls Developed by the ASHP Section of Pharmacy Practice Managers in collaboration
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 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 informationObservation Unit. Romil Chadha
Observation Unit Romil Chadha Observation vs Inpatient Whenever in doubt please call 3-3070 to get assistance from Utilization Review (UR) Randy A. Rosen, MD, reviews cases and usually emails about patients
More informationPGY2 AMBULATORY CARE PHARMACY RESIDENCY MEDICAL UNIVERSITY OF SOUTH CAROLINA
PGY2 AMBULATORY CARE PHARMACY RESIDENCY MEDICAL UNIVERSITY OF SOUTH CAROLINA The MUSC Medical Center is a 800-bed tertiary care academic medical center providing care for patients of Charleston and throughout
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 informationUsing Facets of Midas+ Hospital Case Management to Support Transitions of Care. Barbara Craig, Midas+ SaaS Advisor
Using Facets of Midas+ Hospital Case Management to Support Transitions of Care Barbara Craig, Midas+ SaaS Advisor What does Transitional Care Include? Transitional Care is the smooth conversion of a patient
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 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 informationPark Nicollet Medication Management
Park Nicollet Medication Management PGY1 Residency affiliated with the University of Minnesota, College of Pharmacy Ambulatory Care Residency Program Resident Learning System 2012-2013 Table of Contents:
More informationPartnering with Pharmacists to Enhance Medication Management
Partnering with Pharmacists to Enhance Medication Management Tamara Ravn PharmD BCACP Staff Pharmacist Clinical Cancer Pharmacy Froedtert & The Medical College of Wisconsin April 6, 2016 Objectives Describe
More informationStellar Hospital PGY-1 Pharmacy Residency
(Required Rotation) Learning Experience Description Xxxx xxxx, Pharm.D., BCPS xxxx.xxxx@xxxx.org xxxxx xxxxx, Pharm.D., BCPS xxxxx.xxxxxxxx@xxxxx.org xxxx xxxxx, PharmD, BCPS xxxx.xxxxx@xxxx.org I. General
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 information2/13/14. Learning Objectives. Audience Response Question #1
Best Practices Measuring and Demonstrating Clinical Pharmacist Impact in Hematopoietic Stem Cell Transplantation Kelley Carlstrom, PharmD, BCOP Megan McKee, PharmD, BCPS, BCOP Kamakshi Rao, PharmD, BCOP,
More informationPGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health
PGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health Preceptors Kristen Nichols, PharmD, BCPS (AQ-ID) Office: 948-4239/Pager: 312-4298/Cell: 8120457-3960 General Description
More informationToday s Presenters: Amanda Schroepfer, PharmD, BCACP
Optimizing Medications to Support Patients Through Care Transitions Amanda Schroepfer, PharmD, BCACP Goodrich Pharmacy Calloway Van Epern, PharmD Froedtert Hospital June 22, 2016 Today s Presenters: Amanda
More informationChapter 1. Scope of Clinical Pharmacy. M.G.Rajanandh, Department of Pharmacy Practice, SRM College of Pharmacy, SRM University.
Chapter 1 Scope of Clinical Pharmacy M.G.Rajanandh, Department of Pharmacy Practice, SRM College of Pharmacy, SRM University. Objectives Describe how pharmacists can assist in your disease management programs
More informationSupply Chain Management
Supply Chain Management PGY2 - Health-System Pharmacy Administration (87405) Faculty: Bamford, Sara; Findlay, Russell Site: University of Utah Hospitals Clinics Status: Active Not Required Description:
More informationMedication Management: Is It in Your Toolbox?
Medication Management: Is It in Your Toolbox? Brian K. Esterly, MBA, SVP, Corporate Development, excellerx, Inc. O: 215.282.1676, besterly@excellerx.com What has been your Medication Management experience?
More informationMEDICAL POLICY No R1 TELEMEDICINE
Summary of Changes MEDICAL POLICY TELEMEDICINE Effective Date: March 1, 2016 Review Dates: 12/12, 12/13, 11/14, 11/15 Date Of Origin: December 12, 2012 Status: Current Clarifications: Deletions: Pg. 4,
More informationImproving Clinical Outcomes
Improving clinical outcomes and reducing health care costs under the Affordable Care Act - are enhanced medication management strategies part of the solution? Sandra L. Baldinger, Pharm.D., M.S. Kenneth
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 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 informationDepartment of Pharmacy Services PGY1 Residency Program. Residency Manual
Department of Pharmacy Services PGY1 Residency Program Residency Manual 1 TABLE OF CONTENTS I. Introduction II. General Program Goals III. Residency Program Purpose Statement IV. Program s Goals V. Residency
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 informationPatient Centered Medical Home. History of PCMH concept. What does a PCMH look like? 10/1/2013. What is a Patient Centered Medical Home (PCMH)?
What is a Patient Centered Medical Home (PCMH)? Patient Centered Medical Home Jeremy Thomas, PharmD, CDE UAMS Department of Pharmacy "an approach to providing comprehensive primary care that facilitates
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 informationInfectious EUH Learning Activities:
June 2010 Infectious Diseases @ EUH Learning Activities: Preceptor: Jan Pack Office: EUH Pharmaceutical Services Hours: ~ 8:00 5:00 Desk: 404 712 5212 Pager: 14278 General Description Infectious Diseases
More informationMedication Reconciliation: Using Pharmacy Technicians to Improve Care. Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh
Medication Reconciliation: Using Pharmacy Technicians to Improve Care Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh Objectives Evaluate the medication reconciliation process and evidence for
More information