Transcript Gap Analysis of ASHP’s PPMI for Wisconsin Hospitals

ASHP’s Pharmacy Practice
Model Initiative
A Gap Analysis of Wisconsin Hospitals
Organized by Wisconsin Health-System Administration Residents
Chad Smith, PharmD, MBA, BCPS
John Gray, PharmD
Justin Guthman, PharmD
Jack Kampf, PharmD, MPH, BCPS
Barry McClain, PharmD
Ryan Fleming, PharmD
Rationale
http://www.ashp.org/PPMI/AboutPPMI/Objectives.aspx
Rationale
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PPMI implementation guidance not available
PSW structured to support the collaboration of
Wisconsin pharmacy directors/departments
Practice ‘gaps’ need to be identified to develop
next steps
PSW to offer guidance and education based on
analysis to continually expand pharmacy practice
in Wisconsin
Gap Analysis Tool
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Survey to be sent to all pharmacy directors
Designed to determine the following:
1.
Site demographics:
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2.
Hospital information
Current pharmacy practice model
Site’s status with each consensus statement
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“To what extent is your pharmacy department following this
recommendation?”
“How important is this recommendation to achieve/maintain a
comprehensive practice model at your site?”
Gap Analysis Tool – 4 Domains
Imperatives for
New Pharmacy
Practice Models
Optimal
Pharmacy
Practice Models
Advancing the Application
of Information
Technology in the
Medication-Use Process
Advancing the use
of Pharmacy
Technicians
Gap Analysis Tool
To what extent is your pharmacy
department following this
recommendation
5 = Fully implemented throughout
4 = Fully implemented in some areas
3 = Partially implemented in some or
all areas
2 = Formally discussed and
considered, not implemented
1 = No activity
How important is this
recommendation to achieve/maintain
a comprehensive practice model at
your site
5 = Very important
4 = Somewhat important
3 = Neutral
2 = Somewhat not important
1 = Not important at all
PPMI Gap Analysis Pilot
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Gap analysis tool piloted by four hospital
pharmacy departments:
Aurora St. Luke’s Medical Center
 Froedtert Health-Community Memorial Hospital
 Froedtert Hospital
 University of Wisconsin Hospital and Clinics
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Purpose was to test survey reporting and gather
feedback
Reporting Capabilities
Recommendation
B12
C14
D9
A9
B13
B19
B8
C7
B9
B7
C12
C8
B27d
D10
B11
B25e
B25f
B27a
B27b
B25i
Average Implementation
3
1.75
3.75
4.25
2.75
3.75
4.75
4
4
4.25
2
3.25
4.75
4
3.25
4.25
1.75
4.75
4.5
4.75
UW Implementation Status
2
2
4
4
4
4
5
3
3
4
2
4
4
3
1
4
2
5
4
4
Implementation Gap
-1.0
0.3
0.3
-0.3
1.3
0.3
0.3
-1.0
-1.0
-0.3
0.0
0.8
-0.8
-1.0
-2.3
-0.3
0.3
0.3
-0.5
-0.8
Pharmacist-provided drug therapy management should be
prioritized using a patient medication complexity index. (e.g.
severity of illness, number of medications, and co-morbidities)
Reporting Capabilities
Gap Analysis Tool
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PSW to analyze survey results
Hospitals will receive survey
summary
Aggregate results to be
published in JPSW
http://www.pswi.org/communications/journal/2010/index.htm
Next Steps
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Directors/managers to complete survey
PSW to compile & distribute results
Develop ‘Best Practice Guiding Documents’
PSW to develop resources & education based on
gaps identified
 PSW Hospital Pharmacy Advisory Board will plan
educational programs to support PPMI
 References to be located on www.pswi.org
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