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CSHP 2015 - Can YOU hit the Target?

CSHP 2015 - Can YOU hit the Target?. Carolyn Bornstein BScPhm, ACPR, FCSHP CSHP President, Vision Liaison November 17, 2007. CSHP MISSION.

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CSHP 2015 - Can YOU hit the Target?

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  1. CSHP 2015 - Can YOU hit the Target? Carolyn Bornstein BScPhm, ACPR, FCSHP CSHP President, Vision Liaison November 17, 2007

  2. 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

  3. 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

  4. VISION 2010 – Four Pillars • Advocacy • CMA, SOP, Global, PR, Blueprint, CPSI • Organizational Effectiveness • Communication, branches, succession • Members and Membership Services • E-commerce, PSNs, online education, PLI • Practice Excellence through CSHP 2015 CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  5. 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

  6. 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

  7. SIX GOALS OF CSHP 2015 • Making medication use effective in hospitals • Making medication use effective in non-hospital settings • Making medication use scientific • Making medication use safe wrt systems • Making medication use safe wrt technology • Making meaningful contributions to public health CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  8. SIX GOALS OF CSHP 2015 “Effective” medication use • Increase the extent to which pharmacists help individual hospital inpatients achieve the best use of medications • 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

  9. GOALS Continued “Scientific” medication use • 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

  10. GOALS Continued “Safe” medication use • Increase the extent to which pharmacy departments in hospitals and related healthcare settings have a significant role in improving the safety of medication use. • Increase the extent to which hospitals and related healthcare settings apply technology effectively to improve the safety of medication use CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  11. GOALS Continued “Community” health • Increase the extent to which pharmacy departments in hospitals and related healthcare settings engage in public health initiatives on behalf of their communities CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  12. 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

  13. 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

  14. Please REMEMBER…. ALL OBJECTIVESwon’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

  15. MEASURABLE TARGETS BASELINES required • Where are we now? TARGETS • Aspirations, challenges, NOT standards • Where we want to be in 2015! • May change once baseline determined CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  16. 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

  17. Some Objectives – Goal 2 Objective 2.2 In 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. CSHP 2015 vs ASHP 2015 • Same Goals • Objectives – 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

  23. 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 monitoring • Medication counselling • Routine medication orders • Community Health Initiatives CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  24. 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

  25. 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

  26. How to Incorporate CSHP 2015 • Strategic plan • A new pharmacist service • A residency project • Program improvement project • Patient safety initiative • Research project • Use your imagination…….. CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  27. HOW You can hit the Target • Select your objective • Action plan – NO roadmaps! • Measure Baseline (Don’t forget!!) • Monitor progress • Evaluate • Give yourself time (8 years if necessary!) • SHARE YOUR SUCCESS!!! CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  28. Strategic Plan for CSHP 2015 • Official launch at PPC 2008 • Commitment – individual and institution • Project leader and steering committee • Lilly Hospital Pharmacy Survey • Share members’ success stories • Ongoing 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

  29. TO RECAP, CSHP 2015 is… • A vision of pharmacy practice excellence • A patient centered tool to improve medication safety and outcomes • A living, breathing document • Susceptible to change/updating as practice standards are redefined • Applicable to various areas of pharmacy practice CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  30. And Don’t forget when you…. • Hit the Target.. • Share your success story… • Succeed we ALL succeed! • Improve patient care, everyone benefits • Finish, choose another objective CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

  31. So get out there and.. Just DO it! Because… You CAN hit the TARGET! CSHP 2015 – Can YOU Hit the Target? OB AGM – Nov 17, 2007

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