Medication Error. Medication Errors. Transitions in Care: Optimizing Intern Resources

Size: px
Start display at page:

Download "Medication Error. Medication Errors. Transitions in Care: Optimizing Intern Resources"

Transcription

1 Transitions in Care: Optimizing Intern Resources DeeDee Hu PharmD, MBA Clinical Specialist Critical Care and Cardiology PGY1 Program Director Memorial Hermann Memorial City Medical Center Medication Error any preventable event that may cause or lead to inappropriate medication use or patient harm, while the medication is in the control of the healthcare professional, patient, or consumer. Such events may be related to professional practice, healthcare products, procedures, and systems.. National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP), Medication Errors Harms 1.5 million patients per year $3.5 billion per year Severe harm potential 6% Moderate harm potential 33% 61% No harm potential Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165:

2 Adverse Events After Discharge Permanent Disabilities (3%) 30% Nonpermanent disability 64% Several days of symptoms Forster AJ, Harvey JM, Peterson JF, et al. The Incidence and Severity of Adverse Events Affecting Patients after Discharge from the Hospital. Ann IntMed. 2003;138; Regulations National Patient Safety Goal #8: to accurately and completely reconcile medications across the continuum of care requirements Admission reconciliation process Communication to next level of care The Joint Commission. Issue 35: Using medication Reconciliation to Prevent Errors. Jan Pharmacists and Medication Reconciliation 600 interventions Cost savings averaged $700/intervention Total savings = $420,155 Lee AJ, Boro MS, Knapp KK, et al. Clinical and Economic Outcomes of Pharmacist Recommendations in a Veterans Affairs Medical Center. Am J Health-SystPharm; 2002; 59:

3 Memorial Hermann Memorial City Medical Center 443 licensed beds Located at I-10 & Beltway 8 the geographic epicenter of Houston s growth Destination Tertiary Care Hospital Specialties Heart and Vascular Stroke Bariatric Surgery Orthopedic Surgery TRANSITIONS IN CARE PROGRAM (TIC) Pre-TIC Process Implementation Nurses perform medication history upon admission Physicians perform discharge reconciliation Nurses perform medication discharge counseling. Process Review Compared nursing driven medication history versus IPPE history Nursing group had 18 errors/patient 3

4 Program Design Fourth year pharmacy interns Complete a series of 1-2 clinical rotations prior to TIC TIC rotation constitutes Advanced Institutional Medicine Rotation Interns are provided workstations, office supplies and SprectreLink phones Orientation starts the last week of the rotation prior TIC functions Medication Reconciliation Telemetry rounds Discharge Counseling Anticoagulation Heart Failure Discharge Reconciliation Medication Reconciliation Medication history via thorough interview of the patient and/or family members Information could be gained from contacting physician offices and/or outpatient pharmacies Reconciliation included clinical corellation of medication history to inpatient medications Any interventions were presented to clinical specialist for review and changes. 4

5 Telemetry rounds Improvement of HCAHP scores Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand? Never, Sometimes, Usually, Always Communication of new medications started and any relevant side effects Discharge Counseling High risk medications Warfarin Anti-Xa medications Dabigitran Lovenox CHF patients Lifestyle Medications Follow up Discharge Reconciliation Communication with unit discharge nurse Reconcile inpatient medications with discharge prescription list Communicate any interventions or hanges to clinical specialist 5

6 Intervention Documentation Intervention Approach Medication Reconciliation Discharge Counseling Intervention Category Inpatient Therapeutic Outpatient Therapeutic Documentation Counseling Intervention Type Commission Omission Duplicates Adverse Effect Allergy Drug Interaction Therapeutic Duplication Wrong Drug Wrong Dose Wrong frequency Wrong formulation TIC PROGRAM RESULTS 6

7 Intervention Approach Began April 2013 Data collection through October patients excluded OVERVIEW Patients 669 Interventions 1318 Intervention Approach Medication Reconciliation 1129 Discharge Counseling 189 Primary Admission Diagnosis Admission Reason Cardiac 181 Endocrine 28 Gastrointestinal 41 Genitourinary 8 Hematology 37 Hepatic 12 Infection 205 Musculoskeletal 10 Neurologic 42 Oncology 34 Pulmonary 29 Renal 42 Intervention Category Intervention Category Documentation 730 Inpatient Therapeutic 54 Outpatient Therapeutic 183 Counseling 351 7

8 Intervention Type Intervention Type Adverse effect 3 Allergy 15 Commission 68 Counseling 168 DDI 4 Duplicate 59 Counseling 351 Omission 333 Therapeutic Duplication 9 Wrong Dose 105 Wrong Drug 21 Wrong Formulation 6 Wrong Frequency 164 Wrong Route 12 Outcomes Medicine Med/Onc Telemetry LOS CHF Readmissions HCAHPS Pre TIC Post TIC Pre TIC Post TIC Pre TIC Post TIC NC NC NC NC Cost Savings Calculation Cost Savings ($) = harm score X LOS X ICD-9 avg bed cost/day Harm Score 0 = harm is unlikely 0.5 = harm is neither likely nor unlikely 1 = harm is likely Lee AJ, Boro MS, Knapp KK, et al. Clinical and Economic Outcomes of Pharmacist Recommendations in a Veterans Affairs Medical Center. Am J Health-SystPharm; 2002; 59:

9 Cost Savings Score PharmD MD counseling Harm Score 0.58 Length of Stay Actual = 4.83 days Median Model = 2.99 days Cost Savings Intervention Number Total Cost Savings 1318 $ 9

What do ACO s and Hospitals want from SNF s and CCRC s

What do ACO s and Hospitals want from SNF s and CCRC s What do ACO s and Hospitals want from SNF s and CCRC s Presented to the Institute of Senior Living, April 11, 2013 A Division of Kindred Healthcare 1 Assessing the match: What hospitals and ACO s currently

More information

Cedars Sinai Medical Center (CSMC) Learning Objectives. Why Medication Reconciliation?

Cedars Sinai Medical Center (CSMC) Learning Objectives. Why Medication Reconciliation? Management Case Study: Transitions Trifecta Calibrating the Severity of Drug Related Problems, dherence, and Literacy in a High Risk Population Tuesday, December 10, 2013 2:00 p.m. 2:30 p.m. Management

More information

Barriers to Care Coordination. Pitfalls. Ineffective Transitions Lead to Poor Outcomes

Barriers to Care Coordination. Pitfalls. Ineffective Transitions Lead to Poor Outcomes Eliminating the Pitfalls and Barriers to Reducing Rehospitalizations Evelyn Thompson RN,CMC Director of Care Transitions Genesis Healthcare October 2013 Barriers to Care Coordination System level barriers

More information

Transitional Care Pharmacy

Transitional Care Pharmacy Transitional Care Pharmacy Kaiser Permanente San Jose Medical Center Anita Nguyen, Pharm.D. Inpatient Pharmacy Director Johnny Wong, Pharm.D., BCPS Area Pharmacy Director 1 Goals for Today Background of

More information

Reconciling the Differences. Karen Lippett B.Sc.Phm Humber River Regional Hospital Renal Dialysis Unit

Reconciling the Differences. Karen Lippett B.Sc.Phm Humber River Regional Hospital Renal Dialysis Unit Reconciling the Differences Karen Lippett B.Sc.Phm Humber River Regional Hospital Renal Dialysis Unit Objectives 1. Review the medication discharge counselling process in the renal dialysis program 2.

More information

Post Discharge Pharmacy Phone Calls. Don Julian, RPh Pharmacy Director Deon Neal, Pharm D, Pharmacy Safety Specialist

Post Discharge Pharmacy Phone Calls. Don Julian, RPh Pharmacy Director Deon Neal, Pharm D, Pharmacy Safety Specialist Post Discharge Pharmacy Phone Calls Don Julian, RPh Pharmacy Director Deon Neal, Pharm D, Pharmacy Safety Specialist St. Mary s Medical Center Member of Ascension Health Number of Available Beds: 509 Admissions:

More information

Learning Objectives. Introduction to Reconciling Medication Information. Background. Elements of Performance NPSG.03.06.01

Learning Objectives. Introduction to Reconciling Medication Information. Background. Elements of Performance NPSG.03.06.01 Pharmacy Evaluation of Medication Reconciliation Initiated in the Emergency Department Manuel A. Calvin, Pharm.D. PGY1 Pharmacy Resident Saint Francis Hospital, Tulsa, OK OSHP Annual Meeting Residency

More information

Transitions. Rita Shane, Pharm.D., FASHP, FCSHP

Transitions. Rita Shane, Pharm.D., FASHP, FCSHP Ensuring Safe Medication Transitions Rita Shane, Pharm.D., FASHP, FCSHP Chief Pharmacy Officer Cedars-Sinai Medical Center Los Angeles, California Assistant Dean, Clinical Pharmacy UCSF School of Pharmacy

More information

Utilizing Pharmacy Technicians for Medication Reconciliation. Kristy Malacos, MS, CPhT Magruder Hospital Port Clinton, OH Pharmacy Systems, Inc.

Utilizing Pharmacy Technicians for Medication Reconciliation. Kristy Malacos, MS, CPhT Magruder Hospital Port Clinton, OH Pharmacy Systems, Inc. Utilizing Pharmacy Technicians for Medication Reconciliation Kristy Malacos, MS, CPhT Magruder Hospital Port Clinton, OH Pharmacy Systems, Inc. Magruder Hospital Located on the shores of Lake Erie in Port

More information

Pharmacists as a Means of Cost Containment in the Emergency Department

Pharmacists as a Means of Cost Containment in the Emergency Department Pharmacists as a Means of Cost Containment in the Emergency Department Alison M. Jennett, Pharm.D. Clinical Pharmacy Specialist, Emergency Medicine Detroit Receiving Hospital, Detroit, MI Presented at

More information

4/26/2013. Premier Health. Premier Health Pharmacy Services. Expanding Role of CPhT in a Five Hospital System. Objective

4/26/2013. Premier Health. Premier Health Pharmacy Services. Expanding Role of CPhT in a Five Hospital System. Objective Expanding Role of CPhT in a Five Hospital System Nathan Simmons, PharmD, MBA Director of Pharmacy, GSH Pam Fair, CPhT GSH Jessica Brock, CPhT GSH Allyson Ashford, CPhT -UVMC 1 2 Objective All truth passes

More information

Medication error is the most common

Medication error is the most common Medication Reconciliation Transfer of medication information across settings keeping it free from error. By Jane H. Barnsteiner, PhD, RN, FAAN Medication error is the most common type of error affecting

More information

Medicines Management Driver Diagram and Change Package

Medicines Management Driver Diagram and Change Package Medicines Management Driver Diagram and Change Package The Institute for Healthcare Improvement A driver diagram is used to conceptualise an issue and to determine its system components which will then

More information

Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia

Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia Date: October 20, 2015 Presented by Mike Crooks, PharmD., PCMH-CCE Pharmacy Interventions, Technical Lead 11/9/2015 1 Objectives:

More information

Type of Program: AMBULATORY PHARMACY PRACTICE RESIDENCY PROGRAM. Note: Currently, there are no standards for accreditation of this program.

Type of Program: AMBULATORY PHARMACY PRACTICE RESIDENCY PROGRAM. Note: Currently, there are no standards for accreditation of this program. Sunnybrook Health Sciences Centre (SHSC) Type of Program: AMBULATORY PHARMACY PRACTICE RESIDENCY PROGRAM No. of residents: 1 Program Description "Ambulatory care" includes health- related services that

More information

Community Care of North Carolina

Community Care of North Carolina Community Care of North Carolina CCNC Transitional Care Management Jennifer Cockerham, RN, BSN, CDE Director, Chronic Care Programs & Quality Management 1 Chronic Care Population Within the NC Medicaid

More information

Managing Patients with Multiple Chronic Conditions

Managing Patients with Multiple Chronic Conditions Best Practices Managing Patients with Multiple Chronic Conditions Advocate Medical Group Case Study Organization Profile Advocate Medical Group is part of Advocate Health Care, a large, integrated, not-for-profit

More information

Pharmacists Role in Stroke Prevention Management in an Integrated Medical Home Setting

Pharmacists Role in Stroke Prevention Management in an Integrated Medical Home Setting Pharmacists Role in Stroke Prevention Management in an Integrated Medical Home Setting Anthony P. Morreale, PharmD, MBA, BCPS Assistant Chief Consultant for Clinical Pharmacy Services and Healthcare Delivery

More information

PRACTICE BRIEF. Preventing Medication Errors in Home Care. Home Care Patients Are Vulnerable to Medication Errors

PRACTICE BRIEF. Preventing Medication Errors in Home Care. Home Care Patients Are Vulnerable to Medication Errors PRACTICE BRIEF FALL 2002 Preventing Medication Errors in Home Care This practice brief highlights the results of two home health care studies on medication errors. The first study determined how often

More information

RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home

RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home Sergio Petrillo, PharmD Clinical Pharmacist Specialist, Rhode Island Hospital

More information

Policy. Medication Reconciliation UW Hospital and Clinics

Policy. Medication Reconciliation UW Hospital and Clinics Policy Medication Reconciliation UW Hospital and Clinics Policy Number: 7.60 Manual: Hospital Administrative Section: Patient Support (Hospital Administrative) Effective Date: April 3, 2007 Version: Original

More information

a Foundation for Change

a Foundation for Change Continuous Quality Improvement ADEs: Steven Utilizing R. Abel, Measurement PharmD, FASHP as Nital Patel, PharmD. MBA a Foundation for Change Sheri Helms, PharmD Candidate Brian Heckman, PharmD Candidate

More information

Care Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed

Care Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed Care Coordination The Embedded Care Manager Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed Goals of Care Management The goals of care Management are consistent with the Triple Aim: Improve population

More information

The Medication REACH Program. Deborah Hauser, RPh, MHA Mariel Sjeime, PharmD Einstein Medical Center Philadelphia, PA

The Medication REACH Program. Deborah Hauser, RPh, MHA Mariel Sjeime, PharmD Einstein Medical Center Philadelphia, PA 1 The Medication REACH Program Deborah Hauser, RPh, MHA Mariel Sjeime, PharmD Einstein Medical Center Philadelphia, PA Needs Assessment 2 Medication non-adherence: 20-50% of patients do not take prescription

More information

Re-engineering the Discharge Process

Re-engineering the Discharge Process Re-engineering the Discharge Process Angelena McBayne, Pharm.D Jenny Kwong, Pharm.D., BCPS Internal Medicine Clinical Pharmacy Specialists Michael E. DeBakey Veterans Affairs Medical Center Disclosure

More information

University of Louisville Hospital PGY1 Pharmacy Residency Program Summary

University of Louisville Hospital PGY1 Pharmacy Residency Program Summary University of Louisville Hospital PGY1 Pharmacy Residency Program Summary Positions Available: 4 positions, 12 month contract Application Deadline: Early January (see PhORCAS) Requirements: On-site Interview,

More information

Follow-Up Visits after Heart Failure Hospitalizations: Impact of a Medication Reconciliation Clinic

Follow-Up Visits after Heart Failure Hospitalizations: Impact of a Medication Reconciliation Clinic Follow-Up Visits after Heart Failure Hospitalizations: Impact of a Medication Reconciliation Clinic Sherry K. Milfred-LaForest, PharmD, BCPS Clinical Pharmacy Specialist, Cardiology and Organ Transplantation

More information

January 20-22, 2012 Des Moines Marrio, 700 Grand Avenue, Des Moines, IA

January 20-22, 2012 Des Moines Marrio, 700 Grand Avenue, Des Moines, IA January 20-22, 2012 Des Moines Marrio, 700 Grand Avenue, Des Moines, IA Session 1: Clinical Transi ons and Preven on of Hospital Readmissions D: Technician: U lizing Pharmacy Technicians to Support the

More information

Medication Reconciliation

Medication Reconciliation Medication Reconciliation Jackie Rice, RN EMR Team Supervisor Frederick Memorial Hospital Frederick, Maryland Scope of the Project Implement an automated medication reconciliation tool Meet the 2006 JCAHO

More information

(A) Information needed to identify and classify the hospital, include the following: (b) The hospital number assigned by the department;

(A) Information needed to identify and classify the hospital, include the following: (b) The hospital number assigned by the department; 3701-59-05 Hospital registration and reporting requirements. Every hospital, public or private, shall, by the first of March of each year, register with and report to the department of health the following

More information

Disclosure. Meaningful use 2009. Objectives. Meaningful use. Fundamentals of Transitions of Care (TOC)

Disclosure. Meaningful use 2009. Objectives. Meaningful use. Fundamentals of Transitions of Care (TOC) 47 th Annual Meeting August 2-4, 2013 Orlando, FL Fundamentals of Transitions of Care (TOC) Rebecca R. Prevost, B.S., Pharm.D., PSO Medication Safety Officer Florida Hospital Disclosure I do not have a

More information

Insight into the Drug Use Evaluation (DUE) Process: Assessment of Dabigatran use in Adult Inpatients at The John Hopkins Hospital

Insight into the Drug Use Evaluation (DUE) Process: Assessment of Dabigatran use in Adult Inpatients at The John Hopkins Hospital Insight into the Drug Use Evaluation (DUE) Process: Assessment of Dabigatran use in Adult Inpatients at The John Hopkins Hospital Raymond Lamore, PharmD Emily Pherson, PharmD The Johns Hopkins Hospital

More information

Implementing a comprehensive, 24-hour emergency department pharmacy program

Implementing a comprehensive, 24-hour emergency department pharmacy program Implementing a comprehensive, 24-hour emergency department pharmacy program Victoria E. Aldridge, Helen K. Park, Mark Bounthavong, and Anthony P. Morreale Problem The Joint Commission mandates that medical

More information

Medication Reconciliation and Pharmacy Technicians:

Medication Reconciliation and Pharmacy Technicians: Medication Reconciliation and Pharmacy Technicians: Utilizing Pharmacy Technicians to Support the Medication Reconciliation Process Organized by the Section of Pharmacy Practice Managers ASHP Webinar Networking

More information

Recommendations to Improve Medication Safety: Risks Associated with Medication Reconciliation and Transitions of Care

Recommendations to Improve Medication Safety: Risks Associated with Medication Reconciliation and Transitions of Care Recommendations to Improve Medication Safety: Risks Associated with Medication Reconciliation and Transitions of Care Rita Shane, Pharm.D., FASHP, FCSHP Chief Pharmacy Officer Cedars-Sinai Medical Center,

More information

Advanced Pharmacy Technician Practice Model Case Study

Advanced Pharmacy Technician Practice Model Case Study Advanced Pharmacy Technician Practice Model Case Study Froedtert Hospital, Milwaukee, Wisconsin Discharge Pharmacy Technician Lindsey Clark, Pharm.D. PGY2 Health-System Pharmacy Administration Resident

More information

Example Activities for the 2014 Competencies, Goals, and Objectives

Example Activities for the 2014 Competencies, Goals, and Objectives for the 2014 Competencies, Goals, and s The example activities below are intended as a guide to help preceptors generate ideas for activities. Activities for each objective must reflect activities that

More information

White Paper. Reducing Hospital Readmissions: Solutions in Action

White Paper. Reducing Hospital Readmissions: Solutions in Action White Paper Reducing Hospital Readmissions: According to the Dartmouth Atlas report titled After Hospitalization: Readmissions, Among Medicare Beneficiaries, hospital readmissions cost Medicare more than

More information

Pharmacy and Nursing Collaborate to Improve the Patient Experience Communication about Medications

Pharmacy and Nursing Collaborate to Improve the Patient Experience Communication about Medications Learning Points 1. Explain why pharmacists are highly qualified and motivated to improve patient education on newly prescribed medications. 2. Illustrate how to create memorable education through design,

More information

How Can We Get the Best Medication History?

How Can We Get the Best Medication History? How Can We Get the Best Medication History? Stephen Shalansky, Pharm.D., FCSHP Pharmacy Department, St. Paul s Hospital Faculty of Pharmaceutical Sciences, UBC How Are We Doing Now? Completeness of Medication

More information

Inpatient to Outpatient Transitions of Care John M. Moorman, PharmD, BCPS

Inpatient to Outpatient Transitions of Care John M. Moorman, PharmD, BCPS Inpatient to Outpatient Transitions of Care John M. Moorman, PharmD, BCPS Pharmacotherapy Specialist, Endocrinology Akron General Medical Center Associate Professor, Pharmacy Practice Northeast Ohio Medical

More information

NHS FORTH VALLEY. Medicines Reconciliation Policy

NHS FORTH VALLEY. Medicines Reconciliation Policy NHS FORTH VALLEY Medicines Reconciliation Policy Date of First Issue 13/04/2015 Approved 09/04/2015 Current Issue Date 13/04/2015 Review Date 31/03/2017 Version 1.4 EQIA Yes 13/04/2015 Author / Contact

More information

3/11/15. The Race Against Avoidable ACEs: Overview and Objectives. Performance Improvement at Cedars-Sinai

3/11/15. The Race Against Avoidable ACEs: Overview and Objectives. Performance Improvement at Cedars-Sinai The Race Against Avoidable ACEs: Cedars-Sinai s strategy for improving healthcare quality through population care management and coordinated care transition programs CAHQ Spring Conference March 16, 2015

More information

Costing statement: Drug allergy: diagnosis and management of drug allergy in adults, children and young people

Costing statement: Drug allergy: diagnosis and management of drug allergy in adults, children and young people Putting NICE guidance into practice Costing statement: Drug allergy: diagnosis and management of drug allergy in adults, children and young people Implementing the NICE guideline on Drug allergy in adults,

More information

Chapter 4 - Patient Data Evaluation

Chapter 4 - Patient Data Evaluation Chapter 4 - Patient Data Evaluation You ve collected a history Pharmacists have not historically used any systematic method to identify drug therapy problems. We have depended on software and good luck.

More information

Optimizing Medication Administration in a Pediatric ER

Optimizing Medication Administration in a Pediatric ER Optimizing Medication Administration in a Pediatric ER ER Pharmacist Review of First Dose Non-Emergent Medications Penny Williams, RN, MS Clinical Program Manager, Emergency Center Children s Medical Center

More information

Reducing Medication Reconciliation Failure Rates with Six Sigma and Healthcare Intelligence

Reducing Medication Reconciliation Failure Rates with Six Sigma and Healthcare Intelligence Reducing Medication Reconciliation Failure Rates with Six Sigma and Healthcare Intelligence CAMC Presenters Karen Miller, RN, BSN, MBA; Lean Six Sigma Director; Master Black Belt; Charleston Area Medical

More information

Master's Clinical Pharmacy (Thesis Track)

Master's Clinical Pharmacy (Thesis Track) Master's Clinical Pharmacy (Thesis Track) I. GENERAL RULES CONDITIONS: Plan Number 3 \ 12 06 2010 T 1. This plan conforms to the valid regulations of the programs of graduate studies. 2. Areas of specialty

More information

Breakfast symposium: From hospital to home - the focus on the patient

Breakfast symposium: From hospital to home - the focus on the patient Breakfast symposium: From hospital to home - the focus on the patient Nadya Hamedi DARZI Fellow UCLPartners and Barts Health NHS Trust in collaboration with North Central London Local Pharmaceutical Committee

More information

Conflict of Interest Disclosure

Conflict of Interest Disclosure Leveraging Clinical Decision Support for Optimal Medication Management Anne M Bobb, BS Pharm., Director Quality Informatics Children s Memorial Hospital, Chicago IL, February 20, 2012 DISCLAIMER: The views

More information

Improving Revenue Cycle Through Clinical Documentation Excellence

Improving Revenue Cycle Through Clinical Documentation Excellence Improving Revenue Cycle Through Clinical Documentation Excellence John Showalter, MD, MSIS Leigh Williams, MHIIM, RHIA, CPC, CPHIMS Today s Agenda Clinical Documentation Excellence (CDE) Program Program

More information

Reducing Medication-Related Admissions for Psychiatric Disorders

Reducing Medication-Related Admissions for Psychiatric Disorders Reducing Medication-Related Admissions for Psychiatric Disorders Lisa W. Goldstone, MS, PharmD, BCPS, BCPP Assistant Professor The University of Arizona Department of Pharmacy Practice and Science February

More information

Practice Spotlight. Florida Hospital Orlando Orlando, FL www.floridahospital.com IN YOUR VIEW, HOW WOULD YOU DEFINE THE IDEAL PHARMACY PRACTICE MODEL?

Practice Spotlight. Florida Hospital Orlando Orlando, FL www.floridahospital.com IN YOUR VIEW, HOW WOULD YOU DEFINE THE IDEAL PHARMACY PRACTICE MODEL? Practice Spotlight Florida Hospital Orlando Orlando, FL www.floridahospital.com Craig Coumbe, R.Ph., M.B.A. Director of Pharmacy Rania El Lababidi, Pharm.D., BCSP (AQ ID), AAHIVP Assistant Director, Clinical

More information

Safe Management of Adult Inpatient Warfarin Therapy Across the Medication-Use System

Safe Management of Adult Inpatient Warfarin Therapy Across the Medication-Use System Safe Management of Adult Inpatient Warfarin Therapy Across the Medication-Use System Submitted by: Carly C. Feldott, Pharm.D., Medication Safety Program Director, 1211 Medical Center Drive, B-131 VUH,

More information

David Glendenning Presentation Title

David Glendenning Presentation Title David Glendenning Presentation Title Education Coordinator Emergency Medical Services New Hanover Regional Medical Center New Hanover Regional Medical Center Emergency Medical Services Our EMS Reality

More information

Surgical Intensive Care Unit - EUH

Surgical Intensive Care Unit - EUH PGY-1 Residency Training Program Preceptor: Alley Killian, PharmD Office: EUH, E wing, 9 th floor, room E923 Hours: ~ 8:00-4:30 Desk: 404-712-0816 Pager: 14124 Surgical Intensive Care Unit - EUH General

More information

Transitions in Care Models: Case Studies in Pharmacy Practice. A conversation with Michelle Thoma, PharmD and Desi Kotis, PharmD

Transitions in Care Models: Case Studies in Pharmacy Practice. A conversation with Michelle Thoma, PharmD and Desi Kotis, PharmD Biography: Transitions in Care Models: Case Studies in Pharmacy Practice A conversation with Michelle Thoma, PharmD and Desi Kotis, PharmD Michelle Thoma, RPh, PharmD is Pharmacy Manager, Ambulatory and

More information

BAPTIST MEDICAL CENTER JACKSONVILLE

BAPTIST MEDICAL CENTER JACKSONVILLE BAPTIST MEDICAL CENTER JACKSONVILLE Baptist Medical Center Jacksonville, a 444-bed tertiary hospital that is the flagship of Baptist Health in Jacksonville, Florida, is centrally located on the south bank

More information

Antimicrobial Stewardship: The First Year at Holston Valley Medical Center. Brooke Stayer, PharmD Antimicrobial Stewardship Pharmacist

Antimicrobial Stewardship: The First Year at Holston Valley Medical Center. Brooke Stayer, PharmD Antimicrobial Stewardship Pharmacist Antimicrobial Stewardship: The First Year at Holston Valley Medical Center Brooke Stayer, PharmD Antimicrobial Stewardship Pharmacist Antimicrobial Stewardship A system of informatics, data collection,

More information

Safe Prescribing & SCRIPT

Safe Prescribing & SCRIPT Safe Prescribing & SCRIPT Katie Reygate Prescribing Lead, HEKSS Pharmacy Education Safe Prescribing Agenda A quarter of litigation claims in the NHS stem from medication errors. Medical School Council

More information

Clinical pathway concept - a key to seamless care

Clinical pathway concept - a key to seamless care SECTION 5: PATIENT SAFETY AND QUALITY ASSURANCE 1 Clinical pathway concept - a key to seamless care Audrey Janoly-Dumenil, Hôpital Edouard Herriot, CHU Lyon Marie-Camille Chaumais, Hôpital Antoine Béclère,

More information

3/11/15. COPD Disease Management Tackling the Transition. Objectives. Describe the multidisciplinary approach to inpatient care for COPD patients

3/11/15. COPD Disease Management Tackling the Transition. Objectives. Describe the multidisciplinary approach to inpatient care for COPD patients Faculty Disclosures COPD Disease Management Tackling the Transition Dr. Cappelluti has no actual or potential conflicts of interest associated with this presentation. Jane Reardon has no actual or potential

More information

3 Additional HCAHPS Questions The Impact and Implications. Lyn Ketelsen, RN, MBA Studer Group Coach

3 Additional HCAHPS Questions The Impact and Implications. Lyn Ketelsen, RN, MBA Studer Group Coach 3 Additional HCAHPS Questions The Impact and Implications Lyn Ketelsen, RN, MBA Studer Group Coach Nashville, TN May 14-15, 2013 Studer Group Mission and Vision Mission: To make healthcare a better place

More information

Joint Commission s National Patient Safety Goals 2011

Joint Commission s National Patient Safety Goals 2011 Joint Commission s National Patient Safety Goals 2011 National Patient Safety Goals (NPSG) Purpose of the Joint Commission s NPSG program is to promote specific improvements in patient safety. The Goals

More information

South University-Tampa Physician Assistant Program Programs Outcomes Report

South University-Tampa Physician Assistant Program Programs Outcomes Report South University-Tampa Physician Assistant Program Programs Outcomes Report Program Outcome # 1: The program will recruit and retain a dynamic faculty with the appropriate training and experience to support

More information

lsu health system lsu hcsd clinics new orleans, louisiana

lsu health system lsu hcsd clinics new orleans, louisiana lsu hcsd clinics new orleans, louisiana murray henderson Hours: 8:00 AM to 4:30 PM, Monday through Friday. Phone: (504) 361-6300 Staff: a physician, family nurse practitioner, licensed practical nurse,

More information

Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination

Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION:

More information

Maximizing Post-Acute Value by Leveraging the Physician's Role Susan Quirk, MBA, president, Susan Douglass and Associates, Colorado Springs, Colo.

Maximizing Post-Acute Value by Leveraging the Physician's Role Susan Quirk, MBA, president, Susan Douglass and Associates, Colorado Springs, Colo. Maximizing Post-Acute Value by Leveraging the Physician's Role Susan Quirk, MBA, president, Susan Douglass and Associates, Colorado Springs, Colo.; and Mike Soisson, senior vice president, Vibra Healthcare,

More information

Reconciling Medications Safe Practice Recommendations

Reconciling Medications Safe Practice Recommendations Reconciling Medications Safe Practice Recommendations Reconciling medications is a three-step process entailing 1) creating the most complete and accurate list possible of all pre-admission medications

More information

Harrogate and District NHS Foundation Trust Pre-Registration Pharmacist Training

Harrogate and District NHS Foundation Trust Pre-Registration Pharmacist Training Harrogate and District NHS Foundation Trust Pre-Registration Pharmacist Training Kirsty Cavill (kirsty.cavill@hdft.nhs.uk) Pre-Registration Manager Introduction Harrogate & District NHS Foundation Trust

More information

UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2014 October 1 st, 2014

UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2014 October 1 st, 2014 UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2014 October 1 st, 2014 Department Name: Department of Pharmacy Department Director: Steve Rough, MS,

More information

Advancing Pharmacy Practice via Privileging and Credentialing

Advancing Pharmacy Practice via Privileging and Credentialing Advancing Pharmacy Practice via Privileging and Credentialing Ohio Society of Health-System Pharmacists 75 th Annual Meeting April 10, 2014 L Jake Childs, PharmD, BCPS (PGY2 HSPA Resident, Akron General

More information

Medication Safety in Norway

Medication Safety in Norway Medication Safety in Norway In Safe Hands 24-7; Norwegian Patient Safety Program 1 Anne-Grete Skjellanger, Head of Secretariat October 2014 Adverse events in Norway: Approx. 13 % of hospitalized patients

More information

Anticoagulant Therapy: Strategies for Improving Patient Safety. Brought to you by the Washington Patient Safety Coalition September 9 th, 2009

Anticoagulant Therapy: Strategies for Improving Patient Safety. Brought to you by the Washington Patient Safety Coalition September 9 th, 2009 Anticoagulant Therapy: Strategies for Improving Patient Safety Brought to you by the Washington Patient Safety Coalition September 9 th, 2009 Goals of Presentation Raise awareness and understanding regarding

More information

Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital

Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital Shady Botros Lead Clinical Pharmacist for Surgery John Dunn Specialist Pharmacist for Surgery Owain Prys-Jones

More information

Observation Coding and Billing

Observation Coding and Billing How do you get paid? Observation Coding and Billing Michael Ross MD FACEP President, Society of Chest Pain Centers Medical Director, Chest Pain Center and Observation Medicine Associate Professor, Department

More information

Summary of our Sharp activities

Summary of our Sharp activities Summary of our Sharp activities Catherine Plaisant Ben Shneiderman Sureyya Tarkan, Darya Filippova, Sumit Arora University of Maryland December 8 th, 2010 Houston Started in September 3 topics: Medication

More information

Disclosures. Objectives. Polling Questions. What is CDTM? Why CDTM? 3/17/2014

Disclosures. Objectives. Polling Questions. What is CDTM? Why CDTM? 3/17/2014 Disclosures Collaborative Drug Therapy Management in Massachusetts: 2 years of the Clinical Experience at BWH April 1, 2014 Julie K. Atay, PharmD, MBA, BCPS Paul M. Szumita, PharmD, BCPS The authors of

More information

Integrating Care to Reduce Hospital Readmissions. Coming Together for the Greater Good

Integrating Care to Reduce Hospital Readmissions. Coming Together for the Greater Good Integrating Care to Reduce Hospital Readmissions Coming Together for the Greater Good Karen Varcoe-Novobilski RN, BSN Wayne Memorial Hospital Quality Manager Novobilski@wmh.org 570-253-8392 Utilization

More information

A24/B24: A High Quality Safe Medicines Management System for Patients

A24/B24: A High Quality Safe Medicines Management System for Patients A24/B24: A High Quality Safe Medicines Management System for Patients Michael Scott Head of Pharmacy and Medicines Management Northern Health and Social Care Trust Northern Ireland IHI 25 th Annual National

More information

Medication History/Reconciliation: Patient Care Opportunities. Lathe Bigler Sr. Director, Clinical Services September 13, 2012

Medication History/Reconciliation: Patient Care Opportunities. Lathe Bigler Sr. Director, Clinical Services September 13, 2012 Medication History/Reconciliation: Patient Care Opportunities Lathe Bigler Sr. Director, Clinical Services September 13, 2012 1 Rock n Roll Trivia What famous singer was background vocals on the Righteous

More information

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1 Medicines reconciliation on admission and discharge from hospital policy April 2013 WHSCT medicines reconciliation policy 1 Policy Title Policy Reference Number Medicines reconciliation on admission and

More information

Technician Learning Objectives 3/25/2014. Pharmacy Practice Changes in ACA Accountable Care Organizations

Technician Learning Objectives 3/25/2014. Pharmacy Practice Changes in ACA Accountable Care Organizations Pharmacy Practice Changes in ACA Accountable Care Organizations Avani S. Desai, PharmD & Emory S. Martin PharmD Sunday, April 12, 2014 9:05 10:05 am Pharmacist Learning Objectives At the conclusion of

More information

Explanation of care coordination payments as described in Section 223.000 of the PCMH provider manual

Explanation of care coordination payments as described in Section 223.000 of the PCMH provider manual Explanation of care coordination payments as described in Section 223.000 of the PCMH provider manual Determination of beneficiary risk Per beneficiary amounts Per beneficiary amounts 1 For the first year

More information

Z Take this folder with you to your

Z Take this folder with you to your my health care notebook Why? Being an active part of your health care team helps you feel better and helps you get even better care. Starting on Day 1, you can keep track of important information and questions.

More information

POSITION DESCRIPTION

POSITION DESCRIPTION SOUTH WEST HEALTHCARE - PHARMACY DEPARTMENT POSITION DESCRIPTION POSITION TITLE: PHARMACIST GRADE 1 or GRADE 2 STRUCTURE POINT: Medical RESPONSIBLE TO: CLASSIFICATION: SALARY & CONDITIONS: Director of

More information

Getting Medicines Right

Getting Medicines Right South of England Improving Safety in Mental Health Collaborative Getting Medicines Right Driver Diagram and Change Package A driver diagram is used to conceptualize an issue and to determine its system

More information

PGY-2 ONCOLOGY PHARMACY RESIDENCY

PGY-2 ONCOLOGY PHARMACY RESIDENCY PGY-2 ONCOLOGY PHARMACY RESIDENCY Program Description and Requirements Providence Health System (PAMC) in Anchorage consists of 394 acute care beds and is part of an integrated health system including

More information

DRAFT. Select VHA ENTERPRISE STANDARD TITLE:??

DRAFT. Select VHA ENTERPRISE STANDARD TITLE:?? Select VHA ENTERPRISE STANDARD TITLE:?? Choose from: ACUPUNCTURE CONSULT ACUPUNCTURE NOTE ADDENDUM ADDICTION PSYCHIATRY ADDICTION SEVERITY INDEX NOTE ADDICTION PSYCHIATRY ADMINISTRATIVE NOTE ADDICTION

More information

MERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES. How Medicines are Reconciled on Admission to the Trust (Local Services) MM03

MERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES. How Medicines are Reconciled on Admission to the Trust (Local Services) MM03 MERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES Medicines Management Services aim to ensure that (i) Service users receive their medicines at times that they need them and in a safe way. How Medicines are

More information

Stroke Transitions of Care. Hospital Environment to Home

Stroke Transitions of Care. Hospital Environment to Home Stroke Transitions of Care Hospital Environment to Home Disclosures NONE Objectives Understand the importance of effective transitional care from the acute hospital to home in the stroke population Discuss

More information

Understand the importance and impact of. Utilize available resources to develop your

Understand the importance and impact of. Utilize available resources to develop your Anh Nguyen, Pharm.D Clinical Pharmacist, Admission Team Leader Byung Im, Pharm.D Clinlical Pharmacist, Anticoagulation Team Leader Understand the importance and impact of VTE prophylaxis program. Utilize

More information

Telemedicine. a great way to connect

Telemedicine. a great way to connect Telemedicine. a great way to connect Objectives: 1. Identify several telehealth services provided in the state of Minnesota 2. Understand issues of importance in telehealth program development 3. Understand

More information

Steps, Strategies & Challenges of Creating Specialty Pharmacy in a Hospital/Health System Setting*

Steps, Strategies & Challenges of Creating Specialty Pharmacy in a Hospital/Health System Setting* Steps, Strategies & Challenges of Creating Specialty Pharmacy in a Hospital/Health System Setting* *Session co-supported by educational grants from Diplomat Specialty Pharmacy & Monarch Specialty Group

More information

Elective Experiences Roosevelt University Teaching Certificate

Elective Experiences Roosevelt University Teaching Certificate Purpose Develop skills in health-system pharmacy management Develop competence in managerial, financial, and organizational components of health-system pharmacy Develop effective organizational, integrative,

More information

Managing Surgical Services Lines Under Accountable Care and Value-Based Purchasing. Becker s Healthcare Jeffry Peters February 28, 2013

Managing Surgical Services Lines Under Accountable Care and Value-Based Purchasing. Becker s Healthcare Jeffry Peters February 28, 2013 Managing Surgical Services Lines Under Accountable Care and Value-Based Purchasing Becker s Healthcare Jeffry Peters February 28, 2013 Learning Objective How ACA/VBP changes how we measure surgical services

More information

Component 2: The Culture of Health Care

Component 2: The Culture of Health Care Component 2: The Culture of Health Care Unit 9: Sociotechnical Aspects: Clinicians and Technology Lecture 1 This material was developed by Oregon Health & Science University, funded by the Department of

More information

CREATING NEW VALUE IN HEALTH CARE ESSINNOVATIVE FAMILYPERSONALIZED ELLN QUALITY WCENTERED CARE SADDLEBACK

CREATING NEW VALUE IN HEALTH CARE ESSINNOVATIVE FAMILYPERSONALIZED ELLN QUALITY WCENTERED CARE SADDLEBACK WELLNESS INNOVATIVE FAMILYPERSONALIZED CENTERED CARE QUALITY CREATING NEW VALUE IN HEALTH CARE SADDLEBACK MEMORIAL MEDICAL CENTER Recognized for quality, personalized care along with dedication to the

More information

Examination Content Blueprint

Examination Content Blueprint Examination Content Blueprint Overview The material on NCCPA s certification and recertification exams can be organized in two dimensions: (1) organ systems and the diseases, disorders and medical assessments

More information