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Clinical Practice
Improvement (CPI)
Sue Markowsky, Pharm.D.
Regional Director, CPI / Capstone Paper
Clinical Practice Improvement (CPI)
CPI Objective:
 Improve practice within your realm of influence.
 Example:
 Aim to improve patient-centered care or pharmacy
practice at your workplace (or voluntary practice setting)
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Continuing Professional Development
• CPD Processes* for Lifelong Learning
Initial Reflection
Goals and Plan
Activities
Evaluate
Reflection (cycle repeats)
*Refer to Dr. Mitrzyk’s CPD Lecture for Examples
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CPI Year 1: Reflect and Plan
 Reflect on ideas for clinical practice improvement
Consider :
 Patient needs
 Personal / professional interests
 Workplace opportunities
 Search literature for published studies relevant to topic
 Plan:
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Outline CPI goals
Design strategies to improve practice
Write a plan / proposal which details CPI activiies
Plan Implementation of CPI activities
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CPI Year 2: Activities
 Implement CPI activities
 Provide written reports each semester:
 describe progress with practice improvement activities
 submit evidence of accomplishments
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Leadership
 Successful CPI Planning and Implementation will
require effective leadership skills
 Review Dr. Karen Riley’s lecture on Leadership
(Foundations Course) prior to planning CPI activities
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CPI Year 2: Implementation
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Examples :
• Design and provide an educational program to health
care professionals
• Implement or improve a patient counselling program
for diabetics
• Improve drug delivery systems or processes to reduce
medication errors
• Implement or improve clinical pharmacy services
• Establish a medication therapy management program
Implement a smoking cessation program
• Implement a pharmacist-run vaccination service
Important Note
 Do not include an evaluative component or
data collection phase
 Students are asked not to outline, plan,
present or write about any institution-specific
data collection
 STOP HERE: UF IRB approval is required for
any student assignments involving systematic
data collection including clinical research,
employee or patient surveys, outcomes data,
quality improvement projects, etc…
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CPI Year 1: Timelines
 1st Semester: Reflect
 Reflect on 1-3 potential project ideas
 Complete Course Assignment (see Next Steps,
Resources)
 Record your best ideas
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CPI Year 1: 2nd Semester
 Outline Goals and Strategies to improve practice
 Complete CPI Outline form
outline objectives and initial planning steps
 Search literature on evidence available for CPI topic
 Submit to PharmPortfolio*
*Refer to Manual for WPPD PharmPortfolio
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CPI Year 1: 2nd Semester Details
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Reflect on CPI ideas and professional goals
Decide on your first choice for the CPI strategy
Outline CPI objectives, strategy, and initial steps
Complete literature search for relevant evidence
Submit outline to facilitator
Present outline to facilitator and group for feedback
 Regional: Session #1
 Remote: weekend session
 Improve and resubmit based on facilitator feedback
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CPI Year 1: 3rd Semester
 Write a 1-2 page full paragraph paper which details
the CPI Planned Activities
 Submit the paper to PharmPortfolio* and Year 1
Practice Experiences Elearning site.
*Refer to Manual for WPPD PharmPortfolio
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CPI Timeline: 4th to 6th Semesters
 Provide verbal and written class updates on
accomplishments each semester during Session 1
or Remote Weekend
 Submit evidences each semester to PharmPortfolio
 Provide followup to the CPI action plan
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PharmPortfolio
 See Dr. Diane Beck’s lecture and demonstration of
PharmPortfolio
 Refer to the Manual for PharmPortfolio (see
Resources, Next Steps section folders).
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Capstone Year 3 Paper
 Write a review paper summarizing clinical trials
relevant to pharmacy practice
 Recommended Option:
 Write a practice paper which evaluates and summarizes
published clinical trials which are relevant broadly or
directly to the CPI plan / activities completed during CPI
Year 1 and 2.
 Alternative Option:
 Write a review paper which evaluates and summarizes
published clinical trials regarding a specific medication or
pharmacy-related topic.
 See next presentation “Capstone Paper”
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See Next Lecture: Capstone Paper
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