Presentation Outline ICHP Annual Meeting September 13-15

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Drug‐Bug Mismatch Build Best Practice Alerts •BPA •Triggered when culture resulted • Multiple settings allow for further customization of criteria • Restrict to inpatient anti-infective orders • Restrict to certain hospitals • Link to rules •Sends In Basket message if all criteria are met • Customize In Basket message • Assigns In Basket pool Drug‐Bug Mismatch Build Best Practice Alerts •BPA base In Basket setup Assigns In Basket pool Drug‐Bug Mismatch Build Best Practice Alerts •BPA criteria example Link to Rule Drug‐Bug Mismatch Build Best Practice Alerts •BPA base example Additional Restrictions Triggering Action Drug‐Bug Mismatch Build Best Practice Alerts •BPA criteria example Both Criteria need to be true for BPA to send in-basket message Drug‐Bug Mismatch Build Rules •Rules • Processes each line of the culture • e.g. CEFTAZIDIME RESISTANT • Compares general table VCG (CEFTAZIDIME) to patient’s active medications. • Custom logic allows flexibility in rules 8/29/2012 4
Drug‐Bug Mismatch Build Rules •Rules Example • Rule is true if patient is on an active antibiotic order that is resistant or intermediate. Custom logic allows for further flexibility Drug‐Bug Mismatch Build In Basket •In Basket Setup – A <strong>Presentation</strong> in Itself! • Recipients of message are assigned to a message pool • Message type defines In Basket build Drug‐Bug Mismatch Build In Basket Report •Report • Consolidate information in one location • Customized print groups • Patient demographics • Pharmacist pass off note • Active antibiotics • Discontinued antibiotics • Culture results Drug‐Bug Mismatch Build Rules •Rules Example con’t • Line #2 Maps Culture Antibiotic to Patient’s Active Antibiotics PATIENT.Active Medication Orders.Medications.Groupers = PATIENT.Culture Results.Sensitivities.Antibiotic Grouper Drug‐Bug Mismatch Build In Basket •In Basket Buttons • Command Buttons Drug‐Bug Mismatch Build In basket Report • Custom print groups • Active antibiotics • Print Group # 46100 • Must create LPP filter to only list antibiotics • Pharmacist pass off note “Sticky Note” • Print Group #46541 • Must assign a key to sticky note (e.g. RXDRUGBUG) • Note is per patient encounter 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
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Readings The 21 Irrefutable Laws of
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What is a “Practice Model”? •
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Completing the Self Assessment •
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Residency trained (B23p) Illinois N
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Solving the PPMI Puzzle ‐ Here Ar
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Overview of Value Based Purchasing
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Implementation of Medication‐ rel
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Question #1 Within which programs a
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Solving the PPMI Puzzle‐ Here are
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Discharge Education/Med Rec • New
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Media‐Worthy Trials? Making Sense
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Prevention of Recurrent VTE • Unp
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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 and 104: Current Evidence: Implementing Bund
Page 105 and 106: Teach Back Process • Step 1 Expla
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: Drug‐Bug Mismatch Example Con’t
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: -
Page 155 and 156: Early‐Onset Sepsis • Sign and s
Page 157 and 158: • BR is on day 2 of cefotaxime wi
Page 159 and 160: Immunizations: The Superheroes to P
Page 161 and 162: Current ACIP Recommendations Influe
Page 163 and 164: Herpes Zoster Vaccine Recommendatio
Page 165 and 166: Assessment Questions 1. What are th
Page 167 and 168: HIV Linkage and Retention in Care T
Page 169 and 170: DHHS Guidelines, March 2012: When t
Page 171 and 172: Protease Inhibitors • Require “
Page 173 and 174: Mean Change (mg/ /dL) STARTMRK: Lip
Page 175 and 176: RAL Drug Interactions • Does not
Page 177 and 178: Instructions for Credit In order to
Page 179 and 180: 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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