S.O.A.A.R. and Blue Bag Initiative Prescriptions for SuccessBlue Bag Initiative in a Rural...

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1 S.O.A.A.R. and Blue Bag Initiative Prescriptions for Success October 4, 2017

Transcript of S.O.A.A.R. and Blue Bag Initiative Prescriptions for SuccessBlue Bag Initiative in a Rural...

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    S.O.A.A.R. and Blue Bag Initiative –

    Prescriptions for SuccessOctober 4, 2017

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    Working With Pharmaceutical Students in Addressing Addiction:

    James L. Bresette, PharmDAssociate Dean for Development and External [email protected]

    Tolani AdebanjoPharmD Candidate, [email protected]

    The University of Maryland Eastern Shore School of Pharmacy and Health Professions S.O.A.A.R

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    Mission

    .1.) Increase awareness of substance abuse and opioid overdose

    2.) Explain issues associated with addiction and substance use disorder

    3.) Connect the public to community substance abuse programs, resource facilities, organizations and treatment centers

    4.) Train community members to recognize opioid overdose and safely administer nasal Narcan™

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    S.O.A.A.R

    Substance & Opioid Abuse Awareness Response

    • Student-led initiative

    • 7 Main committees– Speaker, Finance, Community

    Resources, Creative, Promotions, Registration, and Event Space Logistics

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    Media Resources• WMDT-Channel 47 evening news: http://www.wmdt.com/news/maryland/umes-school-of-

    pharmacy- students-host- opioid-education- information-exchange/470608515

    • Good Morning Delmarva (WMDT): http://www.wmdt.com/good-morning-delmarva/umes-substance- abuse-and- awareness-response/464300589

    • DelmarvaLife (WBOC): https://www.youtube.com/watch?v=SQIShlY93og

    • Delmarva Now/Daily Times: http://www.delmarvanow.com/story/news/local/maryland/2017/04/29/opioids-heroin drugs-umes/101073572/

    • DelmarvaNow: http://www.delmarvanow.com/videos/news/local/maryland/2017/04/28/watch-university-hosts- free-opioid- clinic/101051478/

    • The (Ocean City) Dispatch: UMES Hosting Free Drug Abuse Awareness Clinic Saturday

    • Daily Times: Opioid information exchange clinic is Saturday at UMES

    • UMES: https://www.umes.edu/PR/News-Articles/2017/Confronting- opioid-addiction-abuse/

    http://www.wmdt.com/news/maryland/umes-school-of-pharmacy- students-host- opioid-education- information-exchange/470608515http://www.wmdt.com/good-morning-delmarva/umes-substance- abuse-and- awareness-response/464300589https://www.youtube.com/watch?v=SQIShlY93oghttp://www.delmarvanow.com/story/news/local/maryland/2017/04/29/opioids-heroin drugs-umes/101073572/http://www.delmarvanow.com/videos/news/local/maryland/2017/04/28/watch-university-hosts- free-opioid- clinic/101051478/

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    Maryland Board of Pharmacy

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    Maryland Board Of Pharmacy

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    Measures of Success• Over 150 registered participants

    • ~ 40 students contributed to planning and executing the event

    • 25 Local exhibitors from the community

    • 70 community members trained to administer nasal Narcan™

    • Alumni involvement

    • Inter-professional collaboration

    • over 500 service hours were donated by students and faculty

    • Connected community members to resources

    • UMES residence life professional staff trained

    • Nasal Narcan™ dispensed to residence life staff to intervene and respond in case of emergency in dormitories and student activity areas

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    You Tube Video of Program

    • https://www.youtube.com/watch?v=EyU7oBmgnqs

    https://www.youtube.com/watch?v=EyU7oBmgnqs

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    The Maryland General Assembly

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    Designated a “Promising Practice” MDH Opioid Operations Command Center

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    Vision Statement

    • Every healthcare professional (HCP) possesses a basic understanding of the nature and extent of SUD and the ability to interact with these individuals without prejudice.

    • HCP schools include core curriculum necessary to achieve the vision

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    Suggested Learning Objectives

    1. Recognize, interact with and refer individuals with suspected SUD for assessment and treatment (implement SBIRT)

    2. Explain basic SUD neuropathology

    3. Support distribution and use of naloxone

    4. Use non-pejorative language when discussing SUD

    5. Identify meds and psychosocial supports in SUD treatment

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    Questions…

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    The Blue Bag Initiative

  • Objectives:

    The Blue Bag Initiative

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    1. Overview

    2. Goals

    3. Objectives

    4. Supplies Needed

    5. Process

    6. Collecting Data

    7. Questions

  • Turning the Brown Bag………………Blue

    The Blue Bag Initiative

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    The Blue Bag is a dynamic, innovative initiative that

    brings a new twist to the evidence-based brown bag

    medication review. When pharmacists are included in a

    team-based approach, chronic disease outcomes improve

    and adverse drug events (ADE) decrease.

  • Goals Of the Blue Bag Initiative

    Blue Bag Initiative

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    • Provide an easy to use program

    • Facilitate the creation of an accurate medication list

    • Help participants take an active role in managing their

    medications

    • Identify and address medication errors

    • Provide a reusable bag to carry their medications

    • Separate discontinued/expired drugs from the “active” drugs

  • Objectives

    The Blue Bag Initiative

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    • Adapt this initiative for use in different

    settings

    • Provide simple steps to organize, implement,

    measure and analyze effective medication

    therapy management

    • Improve participants’ understanding and

    health literacy through this “hands-on” activity

  • Objectives – cont.

    The Blue Bag Initiative

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    • Increase the efficiency and consistency of

    medication safety initiatives

    • Collect data to measure adverse drug events

    prevention

  • Supplies Needed

    • Blue Bags

    • Discontinued/expired

    medication bags (white)

    • Notebook

    • Instructions for providers

    • Pharmacist/Physician forms

    Medication Review

    Participant Evaluation

    Data Collection

    Worksheet

    The Blue Bag Initiative

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    • Participant instruction sheet

    • Participant checklist

    • Event/information flyers

    • Appointment cards

  • This Process Includes 5 Steps:

    How Does Using Comprehensive Medication Prevent Errors

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    1. Develop a list of current medications

    2. Make clinical decisions based on the list review and

    participant interview

    3. Verify medications are “the right drug, with the right

    dose, at the right time”

    4. Create a list of suggested changes for the prescriber

    5. Communicate suggested changes for the prescriber to

    appropriate caregivers and to the participant

  • The causes of errors found during medication reconciliation

    reported to MEDMARX included:

    How Does Using Comprehensive Medication Prevent Errors

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    1. Performance deficit: nearly

    88%

    2. Transcription inaccurate/omitted:

    84%

    3. Documentation:

    83%

    4. Communication:

    82%

    5. Workflow disruption:

    80%

  • How to Get Started?

    The Blue Bag Initiative

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  • For more information contact:

    Cindy Warriner

    HQI’s Pharmacist

    Consultant

    804.720.4070

    [email protected]

    For Printed Materials

    and additional bags:

    Reach Out to HQI

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    Krystyna Lineberry

    804.289.5320

    [email protected]

    To order additional bags direct,

    contact:

    4imprint

    1-877-446-7746 blue bag -

    order# 12808005

    www.4imprint.com white bag -

    order# 12909182

  • Pick a Setting

    1. Community

    Pharmacy/Physician Practice

    2. Assisted Living

    3. Health Fair

    4. Immunization Clinic

    5. Hospital Discharge

    Pick Marketing Forms

    How To Get Started

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    1. Flyers

    2. Appointment Cards

    3. Rack Cards

    4. RX Bag Cards

    5. Signup Sheets

    6. Participation Evaluation

    Form

    7. Medication Review Form

    8. Follow up Questions

  • Collecting the Data

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    Data Collection Worksheet

    Month/Year: / Pharmacy Name:

    Location:

    Number of Blue Bags given to participants

    Number of participants screened

    Number of participants screened with events identified

    Number of adverse drug events identified

    Number of expired medications or medications/OTC participants should NOT be taking

    Comments:

    Please email monthly results to: [email protected]

  • Blue Bag Initiative in a Rural Independent Pharmacy

    Implementation

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    Apple Discount Drugs – Core Clinical Care

    • Utilized Community Pharmacy Resident to incorporate medication reconciliation

    in the diabetes clinic.

    • Resident conducted a research project to highlight the impact of medication

    reconciliation on improving health outcomes and sustaining clinical services.

    • Results highlighted pharmacists’ role in preventing and resolving medication

    related problems; especially in the diabetic population.

  • Measures of Success

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    Number of Patients

    Completing Blue Bag

    Initiative

    Number of Pharmacists’

    Identified Medication

    Related Problems

  • Identified Medication Related Problems by Pharmacists

    Results

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    22

    9 9

    0

    5

    10

    15

    20

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    Compliance or adherence Alternate over-the-countermedications were being used by

    the participant without aprescription or communication with

    primary care provider

    Cost of the medications, possiblegenerics available

    # of interactions

  • Tips & Tricks!

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    Determine a Blue Bag

    Champion

    Stay Organized Assign Roles

    Train Staff Review Process

  • The Impact of the Blue Bag Initiative

    A Value Added Service!

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    • Provided a pathway for diabetes follow-up

    • Improved patient satisfaction and rapport

    • Increased interprofessional transitions of care

  • Expanding the Blue Bag Initiative at Apple Discount Drugs

    Future Implications

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    • Increased amount of Blue Bags

    • Incorporating student pharmacists

    • Looking for new avenues to bill for services

    • Expanding the service outside of the diabetes clinic

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    Contact Information

    Cindy Warriner, BS, RPh, CDEPharmacist

    804-720-4070

    [email protected]

    Geoff Twigg, PharmD, BCACP, CDEPharmacist, Apple Discount Drugs

    [email protected]

  • QA&

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    This material was prepared by Health Quality Innovators (HQI), the Medicare Quality Innovation Network-Quality Improvement Organization for Maryland and Virginia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. : HQI|11SOW|20170810-014057