Transcript CSHP 2015 - You Can Make it Happen!

CSHP 2015 Can YOU hit the Target?
Carolyn Bornstein BScPhm, ACPR, FCSHP
CSHP President, Vision Liaison
November 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


Organizational Effectiveness


Communication, branches, succession
Members and Membership Services


CMA, SOP, Global, PR, Blueprint, CPSI
E-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.
2.
3.
4.
5.
6.
Making medication use effective in hospitals
Making medication use effective in nonhospital 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
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 evidencebased methods to the improvement of
medication therapy
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
GOALS Continued
“Safe” medication use
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
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007
GOALS Continued
“Community” health
6. 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
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 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
Some Objectives – Goal 1
Objective 1.3
In 90% of hospitals, pharmacists will have
organizational authority to manage medication therapy
in collaboration with other members of the health-care
team
Objective 1.4
75% of hospital inpatients discharged with complex
and high-risk medication regimens will receive
medication counselling managed by a pharmacist
Objective 1.5
50% 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 2.2
In 95% of ambulatory and specialized care clinics,
pharmacists will counsel clinic patients with complex
and high-risk medication regimens
Objective 2.3
In 85% of home care services, pharmacists will have
organizational authority to manage medication therapy
in collaboration with other members of the healthcare
team
Objective 2.4
In 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 3.2
In 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 3.7
90% 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 4.1
90% 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 4.3
80% 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 medicationrelevant 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 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
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
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 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
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
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
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 document
4. Susceptible to change/updating as
practice standards are redefined
5. 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
benefits
 Finish, 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!
CSHP 2015 – Can YOU Hit the Target?
OB AGM – Nov 17, 2007