Oxford medicines optimisation presentation
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A presentation of how clinical pharmacists can optimize patients' medication to improve treatment outcomes and improve cost efficiency in the wider NHS.
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The document summarizes three medication management programs:
1. The London Older Peoples Service Development Programme uses a specialist pharmacist assessment and care plan coordinated by a case manager to address older patients' medication access, compliance, and clinical issues.
2. Imperial College's My Medication Passport provides patients a consolidated list of their medications, allergies, and contacts to improve information sharing between care settings.
3. Optimize Adherence Service uses accredited community pharmacists to conduct adherence assessments, develop support plans, and provide ongoing reviews to both address unintentional non-compliance barriers and provide cognitive support to improve intentional medication taking.
Oxford medicines optimisation presentation
This document discusses medicines optimisation, which aims to identify, intervene, and resolve issues with adverse medication performance, inappropriate prescribing, and non-compliance. The goal is to improve treatment outcomes for patients, improve value for the NHS, and ensure optimal and safe treatment based on evidence. Pharmacists can contribute by ensuring safe prescribing adheres to best practices, assessing drug histories for issues like polypharmacy, optimizing drug therapy, providing medication education, and coordinating information for patients. A case study examines a high-risk elderly patient taking multiple medications and proposes recommendations like reviewing medications like diuretics and shorter-acting benzodiazepines to reduce falls risk.
Patient Medication History Interview
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Munir Pirmohamed discusses the potential impact of medicines optimisation in terms of ensuring the right patients get the right choice if medicine at the right time. He presents a case history of over prescription and introduces three examples of medicines optimisation through use of genetics, big data, and pharmacogenetics profiling.
Correlation of medication therapy in COPD with 30 day readmission rates
This study examined the impact of a clinical pharmacist intervention on 30-day readmission rates in patients with chronic obstructive pulmonary disease (COPD). The study found that 30-day readmission rates were significantly lower in patients who received input from a clinical pharmacist during their hospital stay and discharge compared to those who did not receive a pharmacist intervention. Additionally, appropriateness of medications was higher in the pharmacist intervention group both during admission and at discharge. While length of stay was shorter in the group with appropriate medication management, there was no correlation between medication appropriateness and readmission rates. The results suggest that involvement of a clinical pharmacist in the care of COPD patients can help reduce avoidable hospital readmissions
Medicines usage reviews
Medicines reconciliation aims to ensure a patient's prescribed medications correspond to what they were taking before admission to minimize errors and harm. It involves collecting, checking, and communicating any discrepancies between current and past medications. Medicines Usage Reviews conducted by pharmacists allow patients to check their understanding of their conditions and medications. The pharmacist can identify issues like incorrect use, doses, or adverse effects that require follow up. MURs fall under level 1 reviews conducted with the patient and no medical records. Higher level reviews involve doctors, nurses, or pharmacists reviewing records with or without the patient.
Medical history interview
The document discusses medication history interviews, which are used to obtain a complete record of all medications a patient is currently taking or has taken recently. A medication history interview provides valuable insights into a patient's allergies, adherence to treatments, and use of alternative medicines. The goal is to collect information that can be used to prevent prescription errors, detect drug-related issues, and inform an overall care plan for the patient. Common questions asked during an interview include what medications the patient is currently taking, any allergies or side effects, adherence to past treatments, and use of over-the-counter or herbal remedies.
Surgery Block Evaluation
The document summarizes student feedback from various surgery electives and block rotations. Some of the key positives mentioned are excellent teaching from consultants and residents, and good student involvement in the operating room, wards and clinics for certain specialties like vascular surgery and urology. However, some negatives mentioned are limited teaching and involvement for students in some specialties like neurosurgery and plastic surgery. Students also felt that hours were long and that more feedback could be provided. Suggestions include ensuring students have security and workspace, and improving resident teaching and student involvement in cases.
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The document summarizes three medication management programs:
1. The London Older Peoples Service Development Programme uses a specialist pharmacist assessment and care plan coordinated by a case manager to address older patients' medication access, compliance, and clinical issues.
2. Imperial College's My Medication Passport provides patients a consolidated list of their medications, allergies, and contacts to improve information sharing between care settings.
3. Optimize Adherence Service uses accredited community pharmacists to conduct adherence assessments, develop support plans, and provide ongoing reviews to both address unintentional non-compliance barriers and provide cognitive support to improve intentional medication taking.
Oxford medicines optimisation presentation
This document discusses medicines optimisation, which aims to identify, intervene, and resolve issues with adverse medication performance, inappropriate prescribing, and non-compliance. The goal is to improve treatment outcomes for patients, improve value for the NHS, and ensure optimal and safe treatment based on evidence. Pharmacists can contribute by ensuring safe prescribing adheres to best practices, assessing drug histories for issues like polypharmacy, optimizing drug therapy, providing medication education, and coordinating information for patients. A case study examines a high-risk elderly patient taking multiple medications and proposes recommendations like reviewing medications like diuretics and shorter-acting benzodiazepines to reduce falls risk.
Patient Medication History Interview
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As per PCI Syllabus
Patient Medication History Interview
ECO 11: Medicines Optimisation Through Precision - Sir Munir Pirmohamed
Munir Pirmohamed discusses the potential impact of medicines optimisation in terms of ensuring the right patients get the right choice if medicine at the right time. He presents a case history of over prescription and introduces three examples of medicines optimisation through use of genetics, big data, and pharmacogenetics profiling.
Correlation of medication therapy in COPD with 30 day readmission rates
This study examined the impact of a clinical pharmacist intervention on 30-day readmission rates in patients with chronic obstructive pulmonary disease (COPD). The study found that 30-day readmission rates were significantly lower in patients who received input from a clinical pharmacist during their hospital stay and discharge compared to those who did not receive a pharmacist intervention. Additionally, appropriateness of medications was higher in the pharmacist intervention group both during admission and at discharge. While length of stay was shorter in the group with appropriate medication management, there was no correlation between medication appropriateness and readmission rates. The results suggest that involvement of a clinical pharmacist in the care of COPD patients can help reduce avoidable hospital readmissions
Medicines usage reviews
Medicines reconciliation aims to ensure a patient's prescribed medications correspond to what they were taking before admission to minimize errors and harm. It involves collecting, checking, and communicating any discrepancies between current and past medications. Medicines Usage Reviews conducted by pharmacists allow patients to check their understanding of their conditions and medications. The pharmacist can identify issues like incorrect use, doses, or adverse effects that require follow up. MURs fall under level 1 reviews conducted with the patient and no medical records. Higher level reviews involve doctors, nurses, or pharmacists reviewing records with or without the patient.
Medical history interview
The document discusses medication history interviews, which are used to obtain a complete record of all medications a patient is currently taking or has taken recently. A medication history interview provides valuable insights into a patient's allergies, adherence to treatments, and use of alternative medicines. The goal is to collect information that can be used to prevent prescription errors, detect drug-related issues, and inform an overall care plan for the patient. Common questions asked during an interview include what medications the patient is currently taking, any allergies or side effects, adherence to past treatments, and use of over-the-counter or herbal remedies.
Surgery Block Evaluation
The document summarizes student feedback from various surgery electives and block rotations. Some of the key positives mentioned are excellent teaching from consultants and residents, and good student involvement in the operating room, wards and clinics for certain specialties like vascular surgery and urology. However, some negatives mentioned are limited teaching and involvement for students in some specialties like neurosurgery and plastic surgery. Students also felt that hours were long and that more feedback could be provided. Suggestions include ensuring students have security and workspace, and improving resident teaching and student involvement in cases.
Wardround documentation audit
This document summarizes a ward round documentation audit conducted over 8 weeks. The results showed substandard documentation across several categories assessed. Discussion notes that poor documentation can negatively impact patient safety and care continuity. While electronic documentation may be ideal, pragmatic first steps include education, improving note access, utilizing ward round checklists, and addressing time pressures faced by junior doctors. The conclusion is that a multidisciplinary team approach is needed to implement stepwise improvements to documentation standards.
Medicines optimisation, pop up uni, 9am, 3 september 2015
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Patient councilling
Communication is the transfer of information meaningful to those involved. Interactive communication is a process that facilitates a dialogue to provide multiple opportunities to accurately interpret meaning and respond appropriately. An interactive model is similar to a discussion rather than a lecture.
For example, using an interactive model, a patient may be asked what they know about their medications. As the patient describes aspects of his or her medication therapy, the pharmacist can then respond to fill in knowledge gaps, correct misinformation and verify patient understanding, thus eliminating or minimizing misunderstandings.
Interactive communications are effective for many interpersonal situations, but are especially useful when working with patients to assure appropriate use of medications.
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Medication history interview
A medication history interview involves collecting detailed information about all medications a patient is currently taking or has taken in the past. This provides insights into allergies, adherence to treatment, and use of alternative medicines. The goals are to identify discrepancies in medication records and gather additional information to inform care. Key information collected includes current and past medications, OTC drugs, reactions, adherence, and sources like pharmacies. Through counseling, patients can better understand their treatment and improve medication management to enhance outcomes.
Clinical pathways
The document discusses clinical pathways, which are multidisciplinary plans that embed evidence-based best practices into patient care to improve outcomes and efficiency. Clinical pathways aim to standardize care for specific patient groups, coordinate care across specialties, and reduce variation. They define processes, timing, targets, and allow for measuring variations to make improvements. Implementing clinical pathways provides benefits like supporting evidence-based care, quality, risk management, and resource optimization, though controlled studies on their effects are still limited.
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The document discusses the evolution of pharmacist medication history services at Abbott Northwestern Hospital. It describes challenges with accurate medication histories and additional services pharmacists provide, such as obtaining medication lists from outside sources. The presentation reviews two patient cases where pharmacist involvement led to improved outcomes by identifying an overdose and undisclosed herbal supplement use. Data demonstrates pharmacists can reduce adverse drug events and hospital costs by enhancing medication reconciliation.
Patient data analysis
The document outlines the core elements of medication therapy management (MTM) services provided by pharmacists, including: conducting a medication therapy review, developing a personal medication record and medication action plan, making interventions or referrals, and documenting and providing follow-up. The medication therapy review involves collecting patient information, identifying medication-related problems, and creating a care plan. The personal medication record and medication action plan provide customized records for patients. Interventions address issues identified, and referrals are made when needed. Services are documented and follow-up is provided as needed or when care settings change.
adherence
This document discusses strategies to enhance patient adherence to preventive dental programs. It defines key terms like adherence and compliance. It outlines factors that influence patient adherence like patient characteristics and relationships with providers. It also examines protocols to assess adherence using indices and discusses monitoring adherence over time. Finally, it presents strategies to promote adherence like patient education, counseling, stage-based models, and motivational interviewing. The goal is to properly identify strategies tailored for each individual patient's needs.
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This document discusses patient medication adherence. It defines adherence as taking medication as recommended by a healthcare provider. Adherence is affected by social, economic, healthcare system, condition-related, and patient-related factors. The five main dimensions that determine adherence are social/economic factors, provider-patient/healthcare system factors, condition-related factors, therapy-related factors, and patient-related factors. The role of pharmacists is to improve communication, provide education, simplify treatment regimens, monitor side effects, and involve patients to enhance medication adherence.
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Patient compliance refers to how well a patient follows medical advice, especially regarding medication. Compliance can be full, partial, or non-existent. Adherence is a more active choice by the patient to follow treatment while taking responsibility for their health. Factors affecting compliance include the patient's social and economic situation, their relationship with healthcare providers, characteristics of the disease and treatment, and individual factors like age and memory. Compliance can be measured directly through medical tests or indirectly through prescription refills, outcomes, and patient interviews. Pharmacists can help improve compliance through education, monitoring therapy, and simplifying dosing.
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Patients medication history interview
The document discusses the importance of medication history interviews. A medication history interview involves collecting detailed information from a patient about all prescribed and non-prescribed medications they have taken. This information includes allergies, adherence to treatments, and use of alternative medicines. Collecting a thorough medication history helps prevent prescription errors, detect potential drug-related issues, and allows healthcare providers to develop better treatment plans by understanding a patient's complete medication use and history. The interview collects demographic data, medical information, and details on both current and past prescription and non-prescription medication use.
Medication history
This document provides guidance on obtaining an accurate medication history from patients. It discusses important information sources, challenges that may be faced, questions to ask patients, tips for performing a medication history, educating patients, and tools that can be used. The goal is to reconcile the patient's reported medications with their medication records to identify any discrepancies. Documentation of the medication history in the patient's chart is also emphasized.
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This document summarizes a ward round documentation audit conducted over 8 weeks. The results showed substandard documentation across several categories assessed. Discussion notes that poor documentation can negatively impact patient safety and care continuity. While electronic documentation may be ideal, pragmatic first steps include education, improving note access, utilizing ward round checklists, and addressing time pressures faced by junior doctors. The conclusion is that a multidisciplinary team approach is needed to implement stepwise improvements to documentation standards.
Medicines optimisation, pop up uni, 9am, 3 september 2015
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Patient councilling
Communication is the transfer of information meaningful to those involved. Interactive communication is a process that facilitates a dialogue to provide multiple opportunities to accurately interpret meaning and respond appropriately. An interactive model is similar to a discussion rather than a lecture.
For example, using an interactive model, a patient may be asked what they know about their medications. As the patient describes aspects of his or her medication therapy, the pharmacist can then respond to fill in knowledge gaps, correct misinformation and verify patient understanding, thus eliminating or minimizing misunderstandings.
Interactive communications are effective for many interpersonal situations, but are especially useful when working with patients to assure appropriate use of medications.
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SAFTINet Teleconference Slideset guiding discussion of selection and development of a medication adherence instrument. 2 July 2012.
ASE_C_POP APSA poster final
This document presents the ASE-C-POP framework for identifying and resolving drug-related problems (DRPs). It was developed to improve how pharmacy students learn problem identification and solving. The framework follows the acronym ASE-C-POP: Appropriate, Safe, Effective, Comprehensive care, to systematically screen each medication and identify any DRPs. It leads to a logical way to discuss issues with prescribers. When tested on students, they quickly embraced the framework and it allowed identification of their clinical reasoning. The authors plan to trial this with other healthcare professionals as well.
Medication history interview
A medication history interview involves collecting detailed information about all medications a patient is currently taking or has taken in the past. This provides insights into allergies, adherence to treatment, and use of alternative medicines. The goals are to identify discrepancies in medication records and gather additional information to inform care. Key information collected includes current and past medications, OTC drugs, reactions, adherence, and sources like pharmacies. Through counseling, patients can better understand their treatment and improve medication management to enhance outcomes.
Clinical pathways
The document discusses clinical pathways, which are multidisciplinary plans that embed evidence-based best practices into patient care to improve outcomes and efficiency. Clinical pathways aim to standardize care for specific patient groups, coordinate care across specialties, and reduce variation. They define processes, timing, targets, and allow for measuring variations to make improvements. Implementing clinical pathways provides benefits like supporting evidence-based care, quality, risk management, and resource optimization, though controlled studies on their effects are still limited.
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The Evolution and Outcomes of Pharmacist Medication History Services
The document discusses the evolution of pharmacist medication history services at Abbott Northwestern Hospital. It describes challenges with accurate medication histories and additional services pharmacists provide, such as obtaining medication lists from outside sources. The presentation reviews two patient cases where pharmacist involvement led to improved outcomes by identifying an overdose and undisclosed herbal supplement use. Data demonstrates pharmacists can reduce adverse drug events and hospital costs by enhancing medication reconciliation.
Patient data analysis
The document outlines the core elements of medication therapy management (MTM) services provided by pharmacists, including: conducting a medication therapy review, developing a personal medication record and medication action plan, making interventions or referrals, and documenting and providing follow-up. The medication therapy review involves collecting patient information, identifying medication-related problems, and creating a care plan. The personal medication record and medication action plan provide customized records for patients. Interventions address issues identified, and referrals are made when needed. Services are documented and follow-up is provided as needed or when care settings change.
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This document discusses strategies to enhance patient adherence to preventive dental programs. It defines key terms like adherence and compliance. It outlines factors that influence patient adherence like patient characteristics and relationships with providers. It also examines protocols to assess adherence using indices and discusses monitoring adherence over time. Finally, it presents strategies to promote adherence like patient education, counseling, stage-based models, and motivational interviewing. The goal is to properly identify strategies tailored for each individual patient's needs.
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Patient centric workflow is required for the pharmacy to establish an effective patient relationship management. pateint -patient centric
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This document outlines various aspects of quality assurance in pharmaceutical services including definitions, types of quality assurance services, methods of assessment, and evaluation techniques. It discusses patient counseling evaluation, audit types and cycles, and methods for monitoring quality at input, process, and output levels. The key aspects of quality assurance are ensuring quality of practice and services through performance appraisal, audit, and evaluating structures, processes, and outcomes of pharmaceutical activities.
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This document discusses patient medication adherence. It defines adherence as taking medication as recommended by a healthcare provider. Adherence is affected by social, economic, healthcare system, condition-related, and patient-related factors. The five main dimensions that determine adherence are social/economic factors, provider-patient/healthcare system factors, condition-related factors, therapy-related factors, and patient-related factors. The role of pharmacists is to improve communication, provide education, simplify treatment regimens, monitor side effects, and involve patients to enhance medication adherence.
Patient compliance
Patient compliance refers to how well a patient follows medical advice, especially regarding medication. Compliance can be full, partial, or non-existent. Adherence is a more active choice by the patient to follow treatment while taking responsibility for their health. Factors affecting compliance include the patient's social and economic situation, their relationship with healthcare providers, characteristics of the disease and treatment, and individual factors like age and memory. Compliance can be measured directly through medical tests or indirectly through prescription refills, outcomes, and patient interviews. Pharmacists can help improve compliance through education, monitoring therapy, and simplifying dosing.
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Patients medication history interview
The document discusses the importance of medication history interviews. A medication history interview involves collecting detailed information from a patient about all prescribed and non-prescribed medications they have taken. This information includes allergies, adherence to treatments, and use of alternative medicines. Collecting a thorough medication history helps prevent prescription errors, detect potential drug-related issues, and allows healthcare providers to develop better treatment plans by understanding a patient's complete medication use and history. The interview collects demographic data, medical information, and details on both current and past prescription and non-prescription medication use.
Medication history
This document provides guidance on obtaining an accurate medication history from patients. It discusses important information sources, challenges that may be faced, questions to ask patients, tips for performing a medication history, educating patients, and tools that can be used. The goal is to reconcile the patient's reported medications with their medication records to identify any discrepancies. Documentation of the medication history in the patient's chart is also emphasized.
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The Evolution and Outcomes of Pharmacist Medication History Services
The Evolution and Outcomes of Pharmacist Medication History Services
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Pharmacy Interventions - For Next generation patient engagement
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Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptx
b) Clinical Pharmacy
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Medication chart review, clinical review., pharmacist intervention
Ward round participation, Medication history and Pharmaceutical care.
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An Introduction to pharmaceutical care and the role of patient assessment in providing optimal pharmaceutical care to your patients.
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Comprehensive and person centred approach to addressing Polypharmacy in adult...
Comprehensive and person centred approach to addressing Polypharmacy in adult...Health Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Comprehensive and person centred approach to addressing Polypharmacy in adult care home residents, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/Pharmacy practice.pdf
I am professionally pharmacist. These slides for clinical subject especially for pharmacy department students.
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Clinical pharmacy ppt
Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and
responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart
review, clinical review
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PMY 6120_1-2-Pharmaceutical Formulation Systems_Compound and Dispensing Proce...
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This document discusses the role of pharmacists in falls prevention. It notes that patients on four or more medications are at greater risk of falls. Pharmacist interventions like medication reviews and screenings can help identify risk factors and optimize treatment to reduce falls risk. A case study example is provided of a 74-year-old woman recently discharged after a fall to illustrate how a pharmacist might evaluate risk factors and make recommendations to improve medication safety and adherence.
St Andrews Presentation.
A clinical intervention is defined as identifying and recommending solutions to actual or potential medication-related problems that could interfere with a patient's medical treatment outcomes.
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Black Country Partnership Trust Presentation (1)
The role of the mental health pharmacist is to help improve treatment outcomes through various clinical, educational, and collaborative efforts. Key responsibilities include screening for appropriate and safe medication use, identifying and resolving issues, promoting health and adherence, liaising with other professionals, and providing drug information to patients and care teams. Pharmacists play an important role at admission, discharge, when managing new medications or changes, and by conducting audits and reviews to continually optimize care delivery and advocate for patients.
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Oxford medicines optimisation presentation
- 1. Medicines Optimisation Richard Harris MRPharmS 21/11/2016 1
- 2. Medicines Optimisation Aim Identification, Intervention and Resolution of adverse medicines performance, inappropriate prescribing and compliance issues Improve Treatment Outcomes for Patients Improve value for money for the wider NHS Improve quality, safety & optimal treatment outcomes based on best evidence Patient Engagement 21/11/2016 2
- 4. 21/11/2016 4 How Can Pharmacists Contribute ? Ensure safe prescribing & administration of medication that adheres to best evidence & practice Cost effective-QIPP drop lists -drugs of limited clinical value Assess Drug History & Monitor for Polypharmacy/ prescribing cascades & ADEs-Document-Communicate-Challenge Optimise Drug Therapy- Switching/ patent expiry Medicines waste campaigns e.g. patient education awareness Medicines Optimisation Training (MDT/GP Practices/ Care Homes) Provide co-ordinated medicine information to patients/carers/relatives as part of the discharge-planning process
- 5. 21/11/2016 5 Case study - Elsie 78 • Recently discharged from hospital after a fall • She lives alone • Elsie says her mobility and eye sight are getting worse. • Takes Furosemide 40mg BD –doesn’t like ‘water tablet’ • Recently prescribed Nitrazepam to help poor sleep. • Reports feeling thirsty What Are The Risk Factors? • Age • Falls history • Adherence concerns-cognitive/physical • New medication • Undiagnosed disease? • Isolation Supporting Medicines Optimisation & reduce further falls • Is diuretic suitable? Consider recommending an alternative • Switch to a shorter acting benzodiazepine e.g. Zopiclone - consider cessation • Increased thirst may suggests undiagnosed diabetes-referral • Is Elsie managing to take her tablets OK on her own?- Ask the patient-check her medicines with her-advise on correct use - consider compliance aid • Wider question over independence : Engage with MDT/arrange care package
- 6. 21/11/2016 6 Case Study : Omega 3 Low Priority Poor Value The NHS Midlands and East spent £2.5 million on omega-3 fatty acids compounds in 2012-2013 Source: PrescQIPP Bulletin 47 October 2013 NICE Guideline-Evidence base PrescQIPP Drop List Letter of Advice/PIL to Patient Agree protocol/process Audit practice/patients Monitor savings - summary report Omacor I capsule daily = 28 day saving of £14.28 Medicine Stopped Pharmacist CCG Medicines Review Optimisation
- 7. 21/11/2016 7 •Prioritise: • Engage the patient in the process •Aim: • Keep regimes as simple as possible-reduce pill burden •Modify: • Make recommendations including cessation- “is the drug still needed?” •Prevent : • Adherence issues-check patient understanding, Identify & resolve barriers, explain & monitor changes Presentation Summary
Editor's Notes
- Helping care home rehabilitation staff with medicines management
- Rivastigmine Patch Switch where appropriate to capsules-cost saving
- Step one: Agree protocol Step two: Patient identification and data collection Step three: Exclusion criteria – patients NOT suitable/eligible for stopping prescribing of omega-3 fatty acid compounds Step four: Stop prescription for omega-3 fatty acid compounds in reviewed patients Step five: Summary report to GP practice Step six: Follow up