Presentation Outline ICHP Annual Meeting September 13-15

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Prescription Drug Abuse SAMHSA image Substance Abuse and Mental Health Services Administration [SAMHSA Reported Non‐Medical Prescription Drugs of Abuse (2005) Sedatives Tranquilizers Stimulants Painkillers 4,700,000 1,800,000 1,100,000 272,000 Which is the most frequent way drugs are diverted for non‐medical use? 1. Theft 2. Drug Dealers 3. Family members or friends 4. Physicians 5. Internet 8/29/2012 8
Internet Drug Abuse Study conducted in January 2004 identified <strong>15</strong>7 internet sites that sold RXs � 90% did not require prescription � 41% “you do not need a Rx” � 49% offered online “consultation” � 4% required faxed Rx � 2% required mailed Rx � 4% no mention of Rx National Center on Addiction and Substance Abuse at Columbia University 2004 <strong>15</strong>7 Internet sites • None of the sites had safeguards blocking purchases by children • 144 offered schedule ll –V controlled drugs • 103 offered fentanyl, oxycontin, and hydrocodone • 47 % were outside the U.S. The web sites spring up and disappear quicklyNational Center on Addiction and Substance Abuse at Columbia University 2004 Post lecture questions 1. What are the odds one of you will suffer from an addiction at some point in your life? a. One in eight b. One in twenty c. Probably no one will d. One in fifty 2. What is the most common drug of choice for pharmacists? a. Alcohol b. Hydrocodone c. Cocaine d. Marijuana 3. What is the best referral you can make to a health professional in trouble? a. A treatment center b. Alcoholics Anonymous c. Illinois Professionals Health Program d. Department of Financial and Professional Regulation 8/29/2012 9
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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
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Which patient might be a candidate
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Azithromycin and CV Death • Endpo
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Azithromycin and CV Death Azithromy
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Hormonal Contraception and VTE •
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• Age • Calendar year • Educa
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ARR=2.20, 2.28 for stroke, MI when
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Which of the following combinations
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3 Months of Treatment for Latent TB
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3 Months of Treatment for Latent TB
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T/F: Rifapentine in combination wit
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2. Which of the following statement
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Fitting the Counseling Piece into M
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Current Evidence: Implementing Bund
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Teach Back Process • Step 1 Expla
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Questions for Consideration and Dis
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Why do we care about ADE? • Adver
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True or False • Medication errors
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Check Point Which of the following
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Proactive Screening Process Patient
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MTI Pilot at NAH PharmD Students tr
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ASHP PPMI Case Study Adding Value:
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Interdisciplinary Teamwork: How Phy
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Highly Effective Healthcare • Wha
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Inter‐Professional Teams ‐ Chan
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Meeting the PPMI Goals for Technolo
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Drug‐Bug Mismatch Example Con’t
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Drug‐Bug Mismatch Build Rules •
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Patient Scanning Compliance Sample
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Global Immunizations 3 • Jan 2012
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Mobile Devices: Beyond Angry Birds
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Google Play • Google Play - Inter
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Other Useful Productivity Apps •
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Mobile Devices: Beyond Angry Birds
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Net Activations by Industry Source:
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News Readers/Aggregators Features S
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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
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
Page 181 and 182: Salvage Therapy Partial List Regime
Page 183 and 184: Bortezomib-Thalidomide-Dexamethason
Page 185 and 186: Case 2 ST is a 76 y/o African Ameri
Page 187 and 188: Thalidomide and Lenalidomide • Ad
Page 189 and 190: Fixed Low-Dose Warfarin Study Thera
Page 191 and 192: New Drugs 2012 Anna Nowobilski‐Va
Page 193 and 194: Pulmonology » Cystic Fibrosis •
Page 195 and 196: Oncology » MTX Toxicity • MTX 1o
Page 197 and 198: NEW DRUGS AND BIOLOGICALS 2012 RESO
Page 199 and 200: Disease State Reviews for Pharmacy
Page 201 and 202: Chronic Obstructive Pulmonary Disea
Page 205 and 206: Green Zone • Patient is not havin
Page 209 and 210: • A hormone produced by the pancr
Page 211 and 212: Unraveling Unraveling The The Puzzl
Page 213 and 214: The Reward Center In time, serious
Page 215 and 216: So what makes addicted pharmacists
Page 217: How to find a treatment center Onli
Page 221 and 222: NIAAA = best resource for alcohol d
Page 223 and 224: Impact of Postoperative Pain • Pi
Page 225 and 226: Safety Profile • Amar et al confi
Page 227 and 228: References 1. Rømsing J, Møiniche
Page 229 and 230: Society of Regional Anesthesia Meet
Page 231 and 232: A New Approach IV Acetaminophen •
Page 233 and 234: References • Schechter, Leslie N.
Page 235 and 236: Bupivacaine liposome injectable sus
Page 237 and 238: Error Potential • Inadvertent IV
Page 239 and 240: Decolonization Methods • Anti-sep
Page 241 and 242: Evidence: Inpatient ICU MRSA Coloni
Page 243 and 244: Residency Project Pearls Adherence
Page 245 and 246: 650 subjects id identified tifi d R
Page 247 and 248: Overtreatment versus Appropriate Tr
Page 249 and 250: Adherence to and Outcomes Associate
Page 251 and 252: Background • Lack of comprehensiv
Page 253 and 254: Results Results‐User User Audits
Page 255 and 256: Special thanks to: • Carol Heunis
Page 257 and 258: Antibiotic Prophylaxis American Hea
Page 259 and 260: Study Limitations • Dependent on
Page 261 and 262: Study Background • Observation of
Page 263 and 264: A patient has a CrCl of 25 mL/min.
Page 265 and 266: • Cysteine hydrochloride: antioxi
Page 267 and 268: 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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