Presentation Outline ICHP Annual Meeting September 13-15

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Better Outcomes for Older adults through Safe Transitions • Guide and tool‐kit that promotes safe and hi high h quality li hospital h i ldi discharge h as they h transition through the hospital setting Project BOOST Team. The Society of Hospital Medicine Care Transitions Implementation Guide: Project BOOST: Better Outcomes for Older adults through Safe Transitions. Society of Hospital Medicine website, Care Transitions Quality Improvement Resource Room http://www.hospitalmedicine.org accessed 8/<strong>13</strong>/12. Better Outcomes for Older adults through Safe Transitions Interventions include: – Using teach back process during discharge education – Identifying readmission risk factors – Scheduling follow up visit or 72 hour phone call for high risk patients Prior hospitalization (6mo) Palliative Care Patient Support Problem Medications Psychological Principal 8Ps 8 s Diagnosis Poor health literacy Polypharmacy Better Outcomes for Older adults through Safe Transitions • Goals – Reduce 30 day readmissions – IImprove patient i satisfaction if i scores – Improve flow of information – Identify high risk patients and develop interventions – Improve discharge preparation BOOST Resources • Risk Assessment Tool: The 8Ps • Plan Risk Specific Interventions Risk Specific Interventions • General Assessment of Preparedness (GAP) • Medications reconciled with preadmission list • Medications use and side effects reviewed using teach back with patients/caregivers • Teach Back used to confirm: – patient/caregiver understanding of diagnosis prognosis – self‐care requirements – symptoms of complications requiring medical attention 8/29/2012 4
Teach Back Process • Step 1 Explain information • Step 2 Patient repeats back in own words • Step 3 Identify and correct misunderstandings or incorrect procedures • Step p 4 Ask ppatient to demonstrate their understanding or procedural ability again to insure misunderstanding is corrected • Step 5 Repeat Steps 4 and 5 until clinician is convinced the pt comprehends the concept or ability Source: Schillinger D, Grumbach K, et al. Closing the Loop: Physician Communication With Diabetic Patients Who Have Low Health Literacy. Arch Intern Med. 2003;163(1):83-90. Thank You Carrie Vogler, Pharm.D., BCPS SIUE School of Pharmacy, y Edwardsville, IL Email: cvogler@siue.edu Kristine Gleason, RPh, MPH Northwestern Memorial Hospital, Chicago, IL Email: kmgleaso@nmh.org Medication Reconciliation/ Patient Counseling Activity 8/29/2012 5
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ACTIVITY DESCRIPTION Target Audienc
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Current Challenges • Expansion of
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Examples of Medication Consideratio
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Etiology (Dana Point, 2008) 1’. P
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PAH Therapy Targets Schulze-Neick I
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Chronic Adjuvant Therapies in PAH D
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Cummulative suurvival Survival in I
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ACCF/AHA Consensus PAH Treatment Al
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Study Name Drug SUPER-1 Oral silden
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IV Epoprostenol in PAH Due to Scler
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70 60 50 40 30 20 10 Inhaled Ilopro
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Conclusions • PAH therapy improve
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ESC/ERS Guidelines Galie N, et al.
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FUTURE DIRECTIONS WHICH MAY IMPACT
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Rationale for “Front-Loaded” Ap
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Addressing gthe Challenges g in PAH
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Considerations • Central vs. peri
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Pulmonary Hypertension • Approxim
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Example Cassette Calculations • V
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Assessment Question 1 Which of the
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Illinois Council of Health‐System
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Patient Activity ‐ 1 Patients in
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Hospitalists National Trends • Ja
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Pharmacy Landscape • PGY‐2: So
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Primary Care Physicians by Field, F
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Health Systems Pharmacy and TATAI
Page 53 and 54: Readings The 21 Irrefutable Laws of
Page 55 and 56: What is a “Practice Model”? •
Page 57 and 58: Completing the Self Assessment •
Page 59 and 60: Residency trained (B23p) Illinois N
Page 61 and 62: Solving the PPMI Puzzle ‐ Here Ar
Page 63 and 64: Overview of Value Based Purchasing
Page 65 and 66: Implementation of Medication‐ rel
Page 67 and 68: Question #1 Within which programs a
Page 69 and 70: Solving the PPMI Puzzle‐ Here are
Page 71 and 72: Discharge Education/Med Rec • New
Page 73 and 74: Media‐Worthy Trials? Making Sense
Page 75 and 76: Prevention of Recurrent VTE • Unp
Page 77 and 78: VTE recurrence during study period
Page 79 and 80: Which patient might be a candidate
Page 81 and 82: Azithromycin and CV Death • Endpo
Page 83 and 84: Azithromycin and CV Death Azithromy
Page 85 and 86: Hormonal Contraception and VTE •
Page 87 and 88: • Age • Calendar year • Educa
Page 89 and 90: ARR=2.20, 2.28 for stroke, MI when
Page 91 and 92: Which of the following combinations
Page 93 and 94: 3 Months of Treatment for Latent TB
Page 95 and 96: 3 Months of Treatment for Latent TB
Page 97 and 98: T/F: Rifapentine in combination wit
Page 99 and 100: 2. Which of the following statement
Page 101 and 102: Fitting the Counseling Piece into M
Page 103: Current Evidence: Implementing Bund
Page 107 and 108: Questions for Consideration and Dis
Page 109 and 110: Why do we care about ADE? • Adver
Page 111 and 112: True or False • Medication errors
Page 113 and 114: Check Point Which of the following
Page 115 and 116: Proactive Screening Process Patient
Page 117 and 118: MTI Pilot at NAH PharmD Students tr
Page 119 and 120: ASHP PPMI Case Study Adding Value:
Page 121 and 122: Interdisciplinary Teamwork: How Phy
Page 123 and 124: Highly Effective Healthcare • Wha
Page 125 and 126: Inter‐Professional Teams ‐ Chan
Page 127 and 128: Meeting the PPMI Goals for Technolo
Page 129 and 130: Drug‐Bug Mismatch Example Con’t
Page 131 and 132: Drug‐Bug Mismatch Build Rules •
Page 135 and 136: Patient Scanning Compliance Sample
Page 139 and 140: Global Immunizations 3 • Jan 2012
Page 141 and 142: Mobile Devices: Beyond Angry Birds
Page 143 and 144: Google Play • Google Play - Inter
Page 145 and 146: Other Useful Productivity Apps •
Page 147 and 148: Mobile Devices: Beyond Angry Birds
Page 149 and 150: Net Activations by Industry Source:
Page 151 and 152: News Readers/Aggregators Features S
Page 153 and 154: Contact Information • E‐mail: -
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Early‐Onset Sepsis • Sign and s
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• BR is on day 2 of cefotaxime wi
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Immunizations: The Superheroes to P
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Current ACIP Recommendations Influe
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Herpes Zoster Vaccine Recommendatio
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Assessment Questions 1. What are th
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HIV Linkage and Retention in Care T
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DHHS Guidelines, March 2012: When t
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Protease Inhibitors • Require “
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Mean Change (mg/ /dL) STARTMRK: Lip
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RAL Drug Interactions • Does not
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Instructions for Credit In order to
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Staging Stage Criteria (Durie‐Sal
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Salvage Therapy Partial List Regime
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Bortezomib-Thalidomide-Dexamethason
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Case 2 ST is a 76 y/o African Ameri
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Thalidomide and Lenalidomide • Ad
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Fixed Low-Dose Warfarin Study Thera
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New Drugs 2012 Anna Nowobilski‐Va
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Pulmonology » Cystic Fibrosis •
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Oncology » MTX Toxicity • MTX 1o
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NEW DRUGS AND BIOLOGICALS 2012 RESO
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Disease State Reviews for Pharmacy
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Chronic Obstructive Pulmonary Disea
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Green Zone • Patient is not havin
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• A hormone produced by the pancr
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Unraveling Unraveling The The Puzzl
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The Reward Center In time, serious
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So what makes addicted pharmacists
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How to find a treatment center Onli
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Internet Drug Abuse Study conducted
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NIAAA = best resource for alcohol d
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Impact of Postoperative Pain • Pi
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Safety Profile • Amar et al confi
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References 1. Rømsing J, Møiniche
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Society of Regional Anesthesia Meet
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A New Approach IV Acetaminophen •
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References • Schechter, Leslie N.
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Bupivacaine liposome injectable sus
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Error Potential • Inadvertent IV
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Decolonization Methods • Anti-sep
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Evidence: Inpatient ICU MRSA Coloni
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Residency Project Pearls Adherence
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650 subjects id identified tifi d R
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Overtreatment versus Appropriate Tr
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Adherence to and Outcomes Associate
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Background • Lack of comprehensiv
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Results Results‐User User Audits
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Special thanks to: • Carol Heunis
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Antibiotic Prophylaxis American Hea
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Study Limitations • Dependent on
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Study Background • Observation of
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A patient has a CrCl of 25 mL/min.
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• Cysteine hydrochloride: antioxi
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Sample Preparation • Intravenous
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Questions? Residency Project Pearls
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The Interview: Your Preparation •
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PGY1 Residency Options Carol Heunis
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RESIDENCY PROGRAM BASICS • Progra
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CV: The key to a top curriculum vit
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Tips for a Top Notch CV • Focus o
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What is PhORCAS? • PhORCAS is the
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Piecing together the new CHEST guid
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Initiating therapy CHEST 2012 2.1.8
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What is “Consistently Stable?”
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Puzzle # 2A: patient has just compl
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What would you do for JJ? • A. Ho
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Considerations for SB • Bleeding
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Presentation Outline ICHP Annual Meeting September 13-15

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