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Greater Than the Sum of
It’s Parts:
The PH Treatment Team
Sharon Jones, RN, MSN
Jacqueline Brewer, RN, BSN
Disclosures
This continuing education activity is managed and
accredited by Professional Education Services Group.
Neither PESG nor any accrediting organization supports or
endorses any product or service mentioned in this activity.
Commercial Support was not received for this activity.
Disclosures
• Sharon Jones, RN, MSN
Has no financial interest or relationships to disclose
• Jacqueline Brewer, RN, BSN
Has no financial interest or relationships to disclose
-and-
• CME Staff Disclosures
Professional Education Services Group staff have no
financial relationships to disclose.
Learning Objectives
At the conclusion of this activity, the
participant will be able to:
1. Identify 2 PH teams’ approaches to
managing their PH populations.
2. Define the roles of the multidisciplinary PH
team members.
3. Describe the “nuts and bolts” of developing a
PH team from creation to current state.
CHRISTIANA CARE HEALTH SERVICES
NEWARK, DELAWARE
Building Blocks
• PH Champion(s)
• Community Needs Assessment
• Business Plan
• Stakeholder Management
Stakeholder Management
Key players & levels of power
• Ultimate decision makers
• Influential supporters
• Peer corroboration
IN THE BEGINNING…
• First Steps of PH Patient Care-Late ‘90s
• Dr. Gerald O’Brien-Physician Champion
CCHS PH Team Timeline
1998-2000 2007 2009 2012-Present
No Team Informal Formal Team PH Clinic Opens Team Expansion Program Expansion
First Flolan PH pts seen Addition of Pts seen by CM takes over Nurse Navigator
pt. in Pulm office NP & MD, NP & all drug responsible for
Inpts seen Case Manager Office RN enrollments entire continuum
by of pt. care
Pulmonologists,
Nurses,
Clinical Spec
&
Pharm Specialist
20112000-2007
Multidisciplinary Team at CCHS
• Gerald O’Brien, MD, Medical Director
• Carol Gray, APN, Nurse Practitioner
• Megan Farraj, Clinical Pharmacy Specialist
• Maureen Seckel, APN, Clinical Nurse Specialist
• Sharon Jones, RN, Nurse Navigator
• Julie Adams, RN, Research Nurse
• 3D Unit Nurse PH Committee
CCHS PH Program
• 100 Pulmonary Arterial Hypertension Patients
• 12 IV/SQ patients
• 1 Clinic Day Per Week
• Industry Sponsored Clinical Trials
• Monthly PH Team Meetings
• 24/7 PH On-Call System
• Patient Support Group
Inpatient Components
• Dedicated Inpatient Unit
• Care Management Guidelines
• Unit PH Committee
• ED Algorithm
Role Responsibilities
• Providers
• Dedicated Nurse
• Clinical Pharmacist
• Research Nurse
• Inpatient Nursing
Dedicated PH Nurse
• Nurse Navigator-Entire Continuum
• Multi-tasker
• “Glue”
PH Team Concepts
“Commitment To The Commitment”
• Shared Responsibility
• Dedication
• Innovation
• Mutual Respect
• Supportive Environment
Program Essentials
• PH Champion
• Provision of ALL PH Therapies
• Program Structure
• Dedicated Physical Space
Systems, Systems, Systems!
• Patient Safety
• Transitions of Care
• Channels of Communication
• PH On-Call System
CCHS Program Future
• PH Patient Navigation Model
• Ancillary Staff
• PI Projects
Our Team
Make Your Dream A Reality
Obtaining CE Credit
If you would like to receive continuing
education credit for this activity, please visit:
www.pesgce.com

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PHPN Symposium 2013-CCHS

  • 1. Greater Than the Sum of It’s Parts: The PH Treatment Team Sharon Jones, RN, MSN Jacqueline Brewer, RN, BSN
  • 2. Disclosures This continuing education activity is managed and accredited by Professional Education Services Group. Neither PESG nor any accrediting organization supports or endorses any product or service mentioned in this activity. Commercial Support was not received for this activity.
  • 3. Disclosures • Sharon Jones, RN, MSN Has no financial interest or relationships to disclose • Jacqueline Brewer, RN, BSN Has no financial interest or relationships to disclose -and- • CME Staff Disclosures Professional Education Services Group staff have no financial relationships to disclose.
  • 4. Learning Objectives At the conclusion of this activity, the participant will be able to: 1. Identify 2 PH teams’ approaches to managing their PH populations. 2. Define the roles of the multidisciplinary PH team members. 3. Describe the “nuts and bolts” of developing a PH team from creation to current state.
  • 5. CHRISTIANA CARE HEALTH SERVICES NEWARK, DELAWARE
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Building Blocks • PH Champion(s) • Community Needs Assessment • Business Plan • Stakeholder Management
  • 11. Stakeholder Management Key players & levels of power • Ultimate decision makers • Influential supporters • Peer corroboration
  • 12. IN THE BEGINNING… • First Steps of PH Patient Care-Late ‘90s • Dr. Gerald O’Brien-Physician Champion
  • 13. CCHS PH Team Timeline 1998-2000 2007 2009 2012-Present No Team Informal Formal Team PH Clinic Opens Team Expansion Program Expansion First Flolan PH pts seen Addition of Pts seen by CM takes over Nurse Navigator pt. in Pulm office NP & MD, NP & all drug responsible for Inpts seen Case Manager Office RN enrollments entire continuum by of pt. care Pulmonologists, Nurses, Clinical Spec & Pharm Specialist 20112000-2007
  • 14. Multidisciplinary Team at CCHS • Gerald O’Brien, MD, Medical Director • Carol Gray, APN, Nurse Practitioner • Megan Farraj, Clinical Pharmacy Specialist • Maureen Seckel, APN, Clinical Nurse Specialist • Sharon Jones, RN, Nurse Navigator • Julie Adams, RN, Research Nurse • 3D Unit Nurse PH Committee
  • 15. CCHS PH Program • 100 Pulmonary Arterial Hypertension Patients • 12 IV/SQ patients • 1 Clinic Day Per Week • Industry Sponsored Clinical Trials • Monthly PH Team Meetings • 24/7 PH On-Call System • Patient Support Group
  • 16. Inpatient Components • Dedicated Inpatient Unit • Care Management Guidelines • Unit PH Committee • ED Algorithm
  • 17. Role Responsibilities • Providers • Dedicated Nurse • Clinical Pharmacist • Research Nurse • Inpatient Nursing
  • 18. Dedicated PH Nurse • Nurse Navigator-Entire Continuum • Multi-tasker • “Glue”
  • 19. PH Team Concepts “Commitment To The Commitment” • Shared Responsibility • Dedication • Innovation • Mutual Respect • Supportive Environment
  • 20. Program Essentials • PH Champion • Provision of ALL PH Therapies • Program Structure • Dedicated Physical Space
  • 21. Systems, Systems, Systems! • Patient Safety • Transitions of Care • Channels of Communication • PH On-Call System
  • 22. CCHS Program Future • PH Patient Navigation Model • Ancillary Staff • PI Projects
  • 24. Make Your Dream A Reality
  • 25. Obtaining CE Credit If you would like to receive continuing education credit for this activity, please visit: www.pesgce.com