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PHPN Symposium 2013-CCHS
The document describes the development of the pulmonary hypertension treatment team at Christiana Care Health Services from an informal approach in the late 1990s to the current comprehensive multidisciplinary team that provides dedicated care and support for their 100 PH patients. It outlines the key players that championed the program, their efforts to conduct needs assessments and develop a business plan, and how they established defined team member roles and systems to coordinate inpatient and outpatient care.
PHPN Symposium 2013-CCHS
- 1. Greater Than theSum of It’s Parts: The PH Treatment Team Sharon Jones, RN, MSN Jacqueline Brewer, RN, BSN
- 2. Disclosures This continuing educationactivity 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 theconclusion 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 HEALTHSERVICES NEWARK, DELAWARE
- 10. Building Blocks • PHChampion(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 TeamTimeline 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 atCCHS • 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 • DedicatedInpatient 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 “CommitmentTo The Commitment” • Shared Responsibility • Dedication • Innovation • Mutual Respect • Supportive Environment
- 20. Program Essentials • PHChampion • 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
- 23.
- 24. Make Your DreamA Reality
- 25. Obtaining CE Credit Ifyou would like to receive continuing education credit for this activity, please visit: www.pesgce.com