rose pavlakos pharmd
TRANSCRIPT
Rose Pavlakos PharmD Rose Pavlakos, PharmD Program Pharmacist,
Department of Clinical Pharmacy Clinical Pharmacist, Division of
Cardiology University of California, San Francisco
Rose Pavlakos is a clinical pharmacist for the Division of Cardiology and serves as volunteer faculty and assistant clinical professor at the School of Pharmacy. Her primary role includes developing pharmacy services and serving as a preceptor to pharmacy students and residents at UCSF Cardiovascular Care and Prevention Center. Her areas of focus for clinical services include comprehensive medication management, transitional care management, chronic disease management, and working collaboratively with the cardiology team to develop an innovative hypertension center.
Rose Pavlakos PharmD, APh, BCACP Clinical Pharmacist/Assistant Clinical Professor
& Marilyn Stebbins PharmD, APh Professor of Clinical Pharmacy/Vice Chair of Clinical Innovation
Pharmacy Telehealth Services
DANIEL BURNHAM CT.
General Cardiology
Preventative Cardiology
Interventional Cardiology
GENETICS
MISSION BAY
PREVENTION
RAD NUC MED CVRI
Pharmacologic Nuclear Stress Testing
CARD MODESTO [9010088]
UCSF CARDIOVASCULAR CARE & PREVENTION CENTER
VISUAL GUIDE FOR DIRECT SCHEDULING
MARIN
Pharmacy Team
Chronic Disease Management (HTN, HLD, Heart Failure, etc…) Polypharmacy Transitional Care Management Anticoagulation Bridging Medication Access Medication Side Effects Drug Information Drug-Drug Interactions Medicare Part D Enrollment Prior Authorizations (Prepared by front desk staff and completed
by Pharmacy technician)
Pre-COVID-19 Pharmacy Schedule
Initial Consult: Medication Management In-Person Visit
Telephone Follow Up Visits
14 changed their plan
Average cost savings $1,725/pt
Provide up-to-date information to our patients
Patient Smart Phrases
Success Depends on Interprofessional Teams and Robust Systems
Post-COVID-19 Pharmacy Schedule
Follow up: Telephone (Doximity)
Zoom Used as supplement to in-person pharmacy visits
Allow for team-based care with multiple people having access to meeting ID and password
Doximity Remote telephone calls and video visits (for pts who do not
have MyChart or email access)
Allow for team-based care with option to 3-way call or add multiple people to video visit through online portal
Doximity
Telehealth Platforms and Tools for Prior Authorizations
CenterXPayor • Available through Epic • Does not work for Medicare Part D
Cover My Meds • All insurance • Auto reminder • Renewal
E-fax: All fax and voicemail messages are forwarded to email pool
Staff assigned to push messages to appropriate party.
All messages are received via secure email
Telephone Cisco ADE extensions
Morning check-in with providers
Telephone Reports Generated Daily
Inbound Non-ACD On Non-IPCC
Total Avg Talk Time
00:00:0 0
16057 Cardiol ogy
00:10:5 9
16058 Cardiol ogy
00:00:2 3
16059 Cardiol ogy
00:04:3 1
16064 Cardiol ogy
00:00:0 0
16065 Cardiol ogy
00:00:1 0
00:00:0 0 0 0 0
Communication Tools for Team Based Care Jabber Allows for instant messaging to all faculty and staff.
Messages saved from previous day and are searchable
Apex Inbasket Communication to and from cardiologists and other
providers/team members
Faculty meetings/Grand Rounds
COVID-19 Lessons Learned
Both patients and providers appear to be satisfied with remote telehealth services
Potential for more accurate patient health data
Efficiency with limited interruptions in workflow
Lifestyle modifications work and should be encouraged
Plan and Goal Moving Forward
Clinic reopens at limited capacity Re-assess pharmacy team workflow to include more remote work Further develop our HTN program (exploring different platform to allow
patient home data as discrete data in Epic) Pharmacy tech refill protocol Group medication classes for Cardiac Rehab Continue to explore pharmacist billing opportunities Expand pharmacy services with goal to get pharmacist/technician at
each clinic site
Slide Number 1
Slide Number 2
UCSF Cardiology Clinics
Pre-COVID-19 Pharmacy Schedule
Pharmacy Outcomes: Hypertension
Success Depends on Interprofessional Teams and Robust Systems
Post-COVID-19 Pharmacy Schedule
Doximity
Communication Tools for Team Based Care
Telephone Reports Generated Daily
COVID-19 Lessons Learned
Rose Pavlakos is a clinical pharmacist for the Division of Cardiology and serves as volunteer faculty and assistant clinical professor at the School of Pharmacy. Her primary role includes developing pharmacy services and serving as a preceptor to pharmacy students and residents at UCSF Cardiovascular Care and Prevention Center. Her areas of focus for clinical services include comprehensive medication management, transitional care management, chronic disease management, and working collaboratively with the cardiology team to develop an innovative hypertension center.
Rose Pavlakos PharmD, APh, BCACP Clinical Pharmacist/Assistant Clinical Professor
& Marilyn Stebbins PharmD, APh Professor of Clinical Pharmacy/Vice Chair of Clinical Innovation
Pharmacy Telehealth Services
DANIEL BURNHAM CT.
General Cardiology
Preventative Cardiology
Interventional Cardiology
GENETICS
MISSION BAY
PREVENTION
RAD NUC MED CVRI
Pharmacologic Nuclear Stress Testing
CARD MODESTO [9010088]
UCSF CARDIOVASCULAR CARE & PREVENTION CENTER
VISUAL GUIDE FOR DIRECT SCHEDULING
MARIN
Pharmacy Team
Chronic Disease Management (HTN, HLD, Heart Failure, etc…) Polypharmacy Transitional Care Management Anticoagulation Bridging Medication Access Medication Side Effects Drug Information Drug-Drug Interactions Medicare Part D Enrollment Prior Authorizations (Prepared by front desk staff and completed
by Pharmacy technician)
Pre-COVID-19 Pharmacy Schedule
Initial Consult: Medication Management In-Person Visit
Telephone Follow Up Visits
14 changed their plan
Average cost savings $1,725/pt
Provide up-to-date information to our patients
Patient Smart Phrases
Success Depends on Interprofessional Teams and Robust Systems
Post-COVID-19 Pharmacy Schedule
Follow up: Telephone (Doximity)
Zoom Used as supplement to in-person pharmacy visits
Allow for team-based care with multiple people having access to meeting ID and password
Doximity Remote telephone calls and video visits (for pts who do not
have MyChart or email access)
Allow for team-based care with option to 3-way call or add multiple people to video visit through online portal
Doximity
Telehealth Platforms and Tools for Prior Authorizations
CenterXPayor • Available through Epic • Does not work for Medicare Part D
Cover My Meds • All insurance • Auto reminder • Renewal
E-fax: All fax and voicemail messages are forwarded to email pool
Staff assigned to push messages to appropriate party.
All messages are received via secure email
Telephone Cisco ADE extensions
Morning check-in with providers
Telephone Reports Generated Daily
Inbound Non-ACD On Non-IPCC
Total Avg Talk Time
00:00:0 0
16057 Cardiol ogy
00:10:5 9
16058 Cardiol ogy
00:00:2 3
16059 Cardiol ogy
00:04:3 1
16064 Cardiol ogy
00:00:0 0
16065 Cardiol ogy
00:00:1 0
00:00:0 0 0 0 0
Communication Tools for Team Based Care Jabber Allows for instant messaging to all faculty and staff.
Messages saved from previous day and are searchable
Apex Inbasket Communication to and from cardiologists and other
providers/team members
Faculty meetings/Grand Rounds
COVID-19 Lessons Learned
Both patients and providers appear to be satisfied with remote telehealth services
Potential for more accurate patient health data
Efficiency with limited interruptions in workflow
Lifestyle modifications work and should be encouraged
Plan and Goal Moving Forward
Clinic reopens at limited capacity Re-assess pharmacy team workflow to include more remote work Further develop our HTN program (exploring different platform to allow
patient home data as discrete data in Epic) Pharmacy tech refill protocol Group medication classes for Cardiac Rehab Continue to explore pharmacist billing opportunities Expand pharmacy services with goal to get pharmacist/technician at
each clinic site
Slide Number 1
Slide Number 2
UCSF Cardiology Clinics
Pre-COVID-19 Pharmacy Schedule
Pharmacy Outcomes: Hypertension
Success Depends on Interprofessional Teams and Robust Systems
Post-COVID-19 Pharmacy Schedule
Doximity
Communication Tools for Team Based Care
Telephone Reports Generated Daily
COVID-19 Lessons Learned