cshp 2015 - can you hit the target? carolyn bornstein bscphm, acpr, fcshp cshp president, vision...
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CSHP 2015 - Can YOU hit the Target?
Carolyn Bornstein BScPhm, ACPR, FCSHP
CSHP President, Vision Liaison
November 17, 2007
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
CSHP MISSION
CSHP is the national voice of pharmacists committed to the advancement of safe, effective medication use and patient care in hospitals and related healthcare settings
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
CSHP VISION 2010
A dynamic Society The Influential Voice for Hospital
Pharmacy Inspiring Practice Excellence Fostering Leadership and
Professional Growth
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
VISION 2010 – Four Pillars
Advocacy CMA, SOP, Global, PR, Blueprint, CPSI
Organizational EffectivenessCommunication, branches, succession
Members and Membership ServicesE-commerce, PSNs, online education, PLI
Practice Excellence through CSHP 2015
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
STRATEGIC OBJECTIVE
CSHP will improve patient medication outcomes and safety by advancing practice excellence through CSHP 2015
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
What is CSHP 2015?
Adaptation of ASHP’s 2015 Initiative Patterned after Healthy People 2010 6 Goals and related objectives (34) Pharmacy practice excellence in hospitals and
related healthcare settings in 2015 A Vision - The Future of Hospital Pharmacy
Practice in Canada A patient-centred tool A Quality Initiative
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
SIX GOALS OF CSHP 2015
1. Making medication use effective in hospitals
2. Making medication use effective in non-hospital settings
3. Making medication use scientific
4. Making medication use safe wrt systems
5. Making medication use safe wrt technology
6. Making meaningful contributions to public health
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
SIX GOALS OF CSHP 2015
“Effective” medication use
1. Increase the extent to which pharmacists help individual hospital inpatients achieve the best use of medications
2. Increase the extent to which pharmacists help individual non-hospitalized patients achieve the best use of medication
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
GOALS Continued
“Scientific” medication use
3. Increase the extent to which hospital and related healthcare setting pharmacists actively apply evidence-based methods to the improvement of medication therapy
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
GOALS Continued
4. Increase the extent to which pharmacy departments in hospitals and related healthcare settings have a significant role in improving the safety of medication use.
5. Increase the extent to which hospitals and related healthcare settings apply technology effectively to improve the safety of medication use
“Safe” medication use
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
GOALS Continued
6. Increase the extent to which pharmacy departments in hospitals and related healthcare settings engage in public health initiatives on behalf of their communities
“Community” health
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
OBJECTIVES – Support Goals
Improve medication outcomes patient safety pharmacy practice excellence
Measurable targets Based on:
What will make the most difference to the patient? What will convey the positive contributions of the
pharmacist? Can change as best practice changes or evolves
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
OBJECTIVES
APPLY TO ALL TYPES OF:
PATIENTS - Inpatients, outpatients, community members
PHARMACISTS - generalists, specialists, and managers
PRACTICE SETTINGS – hospital, clinics, primary care, LTCF, community
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Please REMEMBER….
ALL OBJECTIVES won’t apply to everyone,
But there is … SOMETHING FOR EVERYONE!
They include measurable targets to monitor progress
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
MEASURABLE TARGETS
BASELINES required Where are we now?
TARGETS Aspirations, challenges, NOT standardsWhere we want to be in 2015! May change once baseline determined
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Some Objectives – Goal 1
Objective 1.3In 90% of hospitals, pharmacists will have organizational authority to manage medication therapy in collaboration with other members of the health-care team
Objective 1.475% of hospital inpatients discharged with complex and high-risk medication regimens will receive medication counselling managed by a pharmacist
Objective 1.550% of recently hospitalized patients or their caregivers will recall speaking with a pharmacist while in the hospital
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Some Objectives – Goal 2
Objective 2.2In 95% of ambulatory and specialized care clinics, pharmacists will counsel clinic patients with complex and high-risk medication regimens
Objective 2.3In 85% of home care services, pharmacists will have organizational authority to manage medication therapy in collaboration with other members of the healthcare team
Objective 2.4In 65% of long-term care facilities, pharmacists will have organizational authority to manage medication therapy in collaboration with other members of the healthcare team
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Some Objectives – Goal 3
Objective 3.2In 100% of hospital and related healthcare settings, pharmacists will be actively involved in the development and implementation of all evidence-based therapeutic protocols involving medication use
Objective 3.790% of hospital pharmacies will participate in ensuring that patients hospitalized for an acute myocardial infarction will receive lipid-lowering therapy at discharge
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Some Objectives – Goal 4
Objective 4.190% of hospitals and related healthcare settings will have an organizational program, with appropriate pharmacy involvement, to achieve significant annual, documented improvement in the safety of all steps in medication use
Objective 4.380% of hospitals have at least 95% of routine medication orders reviewed for appropriateness by a pharmacist before administration of the first dose
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Some Objectives – Goal 5
Objective 5.3 For routine medication prescribing for
inpatients, 75% of hospitals will use computerized prescriber order entry systems with clinical decision support
Objective 5.5 In 75% of hospitals and related healthcare
settings, pharmacists will use medication-relevant portions of patients’ electronic medical records for managing patients’ medication therapy
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Some Objectives – Goal 6
Objective 6.2 85% of hospital pharmacies will participate in
ensuring that high risk patients in hospitals and related healthcare settings receive vaccinations for influenza and pneumococcus
Objective 6.3 80% of hospital pharmacies will participate in
ensuring that hospitalized patients who smoke receive smoking-cessation counselling
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
CSHP 2015 vs ASHP 2015
Same GoalsObjectives – from 31 to 34
Split one objective re: MI and CHF patients into 2 separate objectives
HbA1c testing be done “at least” annually NEW: pharmacist reviewing medication orders
in the Emergency Department within 24 hours NEW: computerized pharmacist order entry
system with clinical decision support NEW: unit dose systems Deleted immunization initiatives in
communities by hospital pharmacies Target % patients vs % hospitals
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
CSHP 2015 DEFINITIONS
Hospital (vs health-system)adapted from the Canada Health Act definition
Complex and High Risk Medications ISMP and institutional specific lists/definitions
Managing vs monitoringMedication counsellingRoutine medication ordersCommunity Health Initiatives
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Where’s the EVIDENCE?
ASHP 2015 Crosswalk (on their website)Links to literature supporting role of
pharmacist, best practice guidelines, outcome measures
A Canadian version would link to National and Provincial Health Priorities of other organizations (eg. ISMP, CMA, CPSI, etc.)
CSHP is considering a Canadian crosswalk
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Where do YOU start?
CSHP 2015 on CSHP website (www.cshp.ca) CSHP 2015 self-assessment tool (website) Review 2015 presentations (website) Review the objectives wrt your practice setting Engage colleagues and/or your department Use self-assessment tool to identify priorities Choose one or more objectives! Multiple applications…..
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
How to Incorporate CSHP 2015
Strategic planA new pharmacist serviceA residency projectProgram improvement projectPatient safety initiativeResearch projectUse your imagination……..
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
HOW You can hit the Target
Select your objectiveAction plan – NO roadmaps!Measure Baseline (Don’t forget!!)Monitor progressEvaluateGive yourself time (8 years if necessary!)SHARE YOUR SUCCESS!!!
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
Strategic Plan for CSHP 2015
Official launch at PPC 2008Commitment – individual and institutionProject leader and steering committeeLilly Hospital Pharmacy SurveyShare members’ success storiesOngoing relationship with ASHP for
advice and to share our progress, challenges, successes in Canada
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
TO RECAP, CSHP 2015 is…
1. A vision of pharmacy practice excellence
2. A patient centered tool to improve medication safety and outcomes
3. A living, breathing document4. Susceptible to change/updating as
practice standards are redefined5. Applicable to various areas of
pharmacy practice
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
And Don’t forget when you….
Hit the Target..Share your success story…Succeed we ALL succeed!Improve patient care, everyone
benefitsFinish, choose another objective
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
So get out there and..
Just DO it!Because…
You CAN hit the TARGET!