Hrsa patient safety and clinical pharmacy services collaborative l.jpg
This presentation is the property of its rightful owner.
Sponsored Links
1 / 34

HRSA PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE PowerPoint PPT Presentation


  • 153 Views
  • Uploaded on
  • Presentation posted in: General

HRSA PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE. OVERVIEW Safere Diawara, MPH Quality Management Coordinator. WHY THE PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE?. Why are we doing this work?. Increase in multiple chronic conditions

Download Presentation

HRSA PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Hrsa patient safety and clinical pharmacy services collaborative l.jpg

HRSA PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE

OVERVIEW

Safere Diawara, MPH

Quality Management Coordinator


Why the patient safety and clinical pharmacy services collaborative l.jpg

WHY THE PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE?


Why are we doing this work l.jpg

Why are we doing this work?

  • Increase in multiple chronic conditions

  • Alignment with HRSA Core Measures

  • ADEs leading cause of death and injury – IOM Report

  • Aging population - polypharmacy

  • Lack of integration of clinical pharmacy services


Why a patient safety clinical pharmacy collaborative l.jpg

Why a Patient Safety & Clinical Pharmacy Collaborative?

“The [Senate Appropriations] Committee further encourages HRSA to establish a pharmacy collaborative to identify and implement best practices, which may improve patient care by establishing the pharmacist as an integral part of a patient-centered, interprofessional health care team.”

2007 & 2008 Senate Appropriations Committee Reports Encourage Pharmacy Collaborative.


Institute of medicine findings on patient safety and errors l.jpg

Institute of Medicine Findings on Patient Safety and Errors

  • Medication Errors are Most Common

  • Injure 1.5 Million People Annually

  • Cost Billions Annually

    “…for every dollar spent on ambulatory medications, another dollar is spent to treat new health problems caused by the medication.”


Goals and aims of the patient safety and clinical pharmacy services collaborative l.jpg

GOALS AND AIMS OF THE PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE?


Slide7 l.jpg

Patient Safety & Clinical Pharmacy Collaborative Goals

  • Improve Health Outcomes by implementing effective patient safety principles and clinical pharmacy services

  • Improve Patient Safety

    • Fewer errors, fewer injuries, less harm

  • Increase High Quality, Cost-Effective Pharmacy Services

    • Maximizing and enhancing medication use management


Emerging aims clinical pharmacy services and patient safety l.jpg

Emerging AimsClinical Pharmacy Services and Patient Safety

  • More clinical pharmacy for complex patients

  • More management of high risk medications

  • Fewer drug-drug interactions

  • Fewer potentially inappropriate medications

  • Medication reconciliation for 100% of patients

  • Healthcare organizations develop and sustain a culture of medication safety


Value proposition l.jpg

Value Proposition

Organizations can achieve better health outcomes for patients through safer, integrated clinical pharmacy services.


What is the patient safety and clinical pharmacy services collaborative l.jpg

WHAT IS THE PATIENT SAFETY AND CLINICAL PHARMACY SERVICES COLLABORATIVE?


What are clinical pharmacy services l.jpg

What are clinical pharmacy services?

  • Patient-centered services that promote the appropriate selection and utilization of medications to optimize individualized therapeutic outcomes

  • Provided by an inter-disciplinary healthcare team through individualized patient assessment and management

  • Services best provided by a pharmacist or by another healthcare professional in collaboration with a pharmacist


What is the patient safety clinical pharmacy collaborative l.jpg

What is the Patient Safety & Clinical Pharmacy Collaborative?

  • 18 month rapid learning model that creates a community of learning, bringing together interdisciplinary teams from multiple types of organizations focused on improving health outcomes by focusing on improved patient safety and clinical pharmacy services.

  • Collaborative learning is accomplished by using learning sessions, action periods, Web training and listservs to measure, report and track improvement. Led by an expert faculty poised to help test and implement successful practices.


Care transitions and handoffs l.jpg

Care Transitions and Handoffs

Hospital Inpatient

Patient

Multiple Conditions

Hospital ED

Primary Care Home(s)

Specialist


Care transitions and handoffs14 l.jpg

Care Transitions and Handoffs

Hospital Inpatient

Patient

Multiple Conditions

Hospital ED

Primary Care Home(s)

Pharmacy

Services

Specialist

Conditions For A Disaster


Care transitions and handoffs15 l.jpg

Care Transitions and Handoffs

Patient

Multiple Conditions

Hospital Inpatient

Patient Self-

Management

Hospital ED

Primary Care Home(s)

Pharmacy

Services

ClinicalPharmacy

Services

Specialist


Slide16 l.jpg

Patient Safety Pharmacy Collaborative

Patient

Optimum Health Outcomes

Integrated Patient Care

Clinical Pharmacy Services

No Adverse Events


Learning collaborative engine l.jpg

Learning Collaborative Engine

Enroll Participants

Select Topic

Prework

Identify Change Concepts

Planning Group

LS 4

LS1

AP1

LS2

AP2

LS3

AP3

LS4

PDSA=Plan, Do, Study, Act

LS= Learning Session

AP=Action Period

Supports

Listserv Site Visits & Filming

Conference Calls Rapid Sharing

Team Reporting Web site

Leadership Coordinating Council

Adapted from IHI Breakthrough Series Collaboratives IHI.org


Patient safety clinical pharmacy collaborative next steps l.jpg

Patient Safety & Clinical Pharmacy Collaborative – Next Steps

  • Share the information with potential partners

  • Engage with community partners

  • Engage senior leaders in the vision

  • Secure support for participation

  • Review participation package on: http://www.hrsa.gov/patientsafety

  • Submit Team Participation Package


Patient safety clinical pharmacy collaborative pspc l.jpg

Patient Safety & Clinical Pharmacy Collaborative (PSPC)

Participation Requirements

19


State based organization partners l.jpg

State Based Organization Partners

  • State Primary Care Associations

  • State Primary Care Offices

  • State Offices of Rural Health

  • State Hospital Associations

  • State Pharmacy Associations

  • State AIDS Directors

  • Quality Improvement Organizations

  • Foundations

  • Institute for Healthcare Improvement (IHI) Campaign Nodes

  • Health Center Network Leaders

  • Area Health Education Centers

  • Others Who Want to Help Enroll and Support Collaborative Teams


Slide21 l.jpg

Who will join?

Teams of providers from multiple caregiver organizations in a community who want to improve the quality and safety of care for a defined patient population they together serve:

  • Health Centers

  • Rural Health Clinics

  • Critical Access Hospitals

  • Disproportionate Share Hospitals

  • HIV AIDS Clinics

  • Others (inclusivity is encouraged)


Key benefits of participation in the pspc l.jpg

Key Benefits of Participation in the PSPC

  • It’s the Right Thing to Do for the Patients We Serve

    • Safer

    • More, Better Pharmacy Services

    • Improved Health Outcomes

  • Reduces/Manages Risk – and Risk is Increasing

  • Builds on and Takes Prior Experience to a New Level

    • Integrated

    • Takes HRSA Collaborative Experiences to the Next Power


Slide23 l.jpg

What will the teams do?

  • Commit to Collaborative aims

  • Commit time and effort

  • Designate consistent members to attend all 4 Learning Sessions and support travel

  • Measure and track progress

  • Share activities and results

  • Align with team around continuity of care

  • Bring their organizations’ senior leader(s) to Learning Sessions


Thanks l.jpg

THANKS


Slide25 l.jpg

EVMS PSPC TEAM

Working together to improve Services, Safety and

Quality of Care for all our consumers!


Basic facts on the evms patient safety clinical pharmacy services collaborative l.jpg

Basic Facts on the EVMS Patient Safety & Clinical Pharmacy Services Collaborative

  • Primary Health Care Home Organization:

    Eastern Virginia Medical School, Norfolk, Virginia

  • Team Name:

    Eastern Virginia Medical School Patient Safety & Clinical Pharmacy Services Collaborative

  • Motto:

    Communication, Collaboration and Commitment

  • Team Leader:

    Judy Wessell, Nurse Practitioner

    The collaborative is composed of staff from EVMS, peer educator consultants, the Gloucester County Health Dept, and an independent PharmD.


Thanks to vdh for the financial and technical assistance to the eastern s evms pspc team l.jpg

Thanks to VDH for the financial and technical assistance to the Eastern’s EVMS PSPC team.


Hrsa five strategies l.jpg

HRSA Five Strategies

  • Leadership Commitment

  • Measurable Improvement

  • Integrated Care Delivery

  • Safe Medication Use System

  • Patient Centered Care


Pdsa worksheet for testing change l.jpg

PDSA-Worksheet for Testing Change

  • Aim: (overall goal you wish to achieve)

    Every goal will require multiple smaller tests of change

  • Plan

  • List the tasks needed to set up this test of change: Person responsible, When to be done, Where to be done

  • Predict what will happen when the test is carried out

  • Measures to determine if prediction succeeds

  • Do

  • Describe what actually happened when you ran the test

  • Study

  • Describe the measured results and how they compared to the predictions

  • Act

  • Describe what modifications to the plan will be made for the next cycle from what you learned


Evms change package l.jpg

EVMS Change Package


Clinical pharmacy services l.jpg

Clinical Pharmacy Services

The following are core elements of CPS which patients are

currently receiving at the Gloucester County care site:

  • Patient counseling

  • Preventive care programs (smoking cessation)

  • Retrospective Drug Utilization Review (ADE/ADR)

  • Medication Therapy Management (Med reconciliation, Triple HAART, hepatic/renal evaluation)

  • Disease State Management (Viral Load/CD4, Lipid/metabolic evaluation)

  • Prospective chart review (co-morbid disease)


Evms pspsc patient flow across providers l.jpg

Patient’s

P.C.P.

or

Specialty

Care

Site

P A T I E N T

EVMS HIV Treatment at Gloucester Health Department

Medical

Case Management

at Gloucester

Health Department

Pharm D

and

RN Educator

Social

Case Mgt. and Ancillary Support

Local Hospitals

for Diagnostics and Treatment

EVMS

Urgent HIV

Care

at Norfolk

Oral

Health

Pharmacy

Access

Sites of Clinical Pharmacy Services

Local Service Providers

ADAP

Local

Mail Order

Non-medical Sites

EVMS PSPSC: Patient Flow Across Providers


An example in improvements in health outcomes l.jpg

An example in improvements in health outcomes

  • Cohort:Entire Population of Focus

  • Safety Measure: Establishment of, or collaborating with, a patient-centered health care home.

    Measure Improvement:

    The process of consultation with a patient’s PCP or other provider in order to do a medicine reconciliation establishes the need for, or number of, changes from baseline.

    Display:

    Electronic medical record medicine list from EVMS.

    Use:

    CPS will verify record at each encounter, thereby,

    • Promoting patient health literacy and self care involvement

    • Developing a protocol communication between participants in the healthcare process

    • Establishing and maintaining responsive linkages between local service providers and the delivery of patient care -- addressing the unique needs of an HIV+ population.


Evms pspsc we re growing and we re diverse l.jpg

EVMS PSPSC: WE’RE GROWING AND WE’RE DIVERSE!!

Cindy Lewis, EVMS

RN Educator

Judy Wessell, EVMS

Nurse Practitioner

Allison Gray, RN

Clinical Quality Coord.

Tanya Kearney, Dir.

AIDS Resource Center

Fred Casey, Project Off.

Ryan White Part B

Dr. Virginia Walker

Contract Pharm D

Janet Hall

Consumer, Ryan White Part B

MOST OF OUR HAPPY FAMILY

Rick Hall , Health Counselor

Three Rivers Health Dept.

Pierre Diaz

Consumer, Ryan White Part A


  • Login