SBAR
-communication technique provides a framework for communication between members of the health care team about a patient's condition, including your assessment and recommendation.
situation, background, assessment, recommendation
What does the Acronym SBAR stand for?
situation
-briefly describe the situation or the patient problem; concise statement of the problem
background
-add necessary information to understand the problem; pertinent patient information related to the situation
assessment
-provide an assessment of the problem, such as cause and severity; analysis and consideration of options; what you think
Recommendation
-make recommendations to address or resolve the problem; action recommended; what you want/ need
medication therapy review, medication-related action plan, personal medication record, intervention/referral, documentation/follow up
What are the core elements of MTM?
Medication Therapy Review (MTR)
- a review of prescription, over-the-counter medications, herbal therapies and dietary supplements, that is intended to aid in assessing medication therapy and optimizing outcomes
Medication-Related Action Plan (MAP)
-a list of “to-do’s” for the patient to use with their pharmacist, primary care physician, physician specialists, and other healthcare providers to ensure they are working toward their specific health goals
Personal Medication Record (PMR)
- a list of all the patient’s medications, both prescription and nonprescription
Intervention/referral
- when a patient has a Medication-related problem? Contract prescriber • Expertise of another professional needed? Make referral
Documentation/ Follow up
-SOAP noting, documentation, billing
>=80%
Medicare Part D patient measures for adherence for diabetes, hypertension, and statins is what?
things pharmacist can do alone, things that involve the patient, things that involve other healthcare providers
Our operational definition of "Implement" is broken into 3 steps; what are they?
differences in complexity, different collaborations, different priorities
What are some problems associated with our operational definition of Implement?
initiate, modify, discontinue, administer
Our "authorized" component of implement is broken into 4 categories; what are they?
hormonal contraceptives, tobacco cessation aids, test/treat, naloxone
What can pharmacists initiate?
quantity, therapeutic substitution
What can pharmacists modify?
stewardship program, MTM
What can pharmacists discontinue?
vaccines, long-acting antipsychotics, IM contraception & vitamins, first dosage or emergency
What can pharmacists administer?
implement: authorized
-the extent of privileges permitted by state law for a given class of allied health provider based on specific criteria like education, training, experience, and [other] qualifications
Collaborative Practice Agreements (CPAs)
-create formal practice relationships between pharmacists and prescribers
-serve to improve efficiency and effectiveness
Minimum of 16 hours board approved: development of patient care plans, education on specific disease-state; active license, no less than 6 hours on nationally recognized updates, copies of certifications to MSBOP
What are Mississippi Provider Qualifications?
motivational interviewing, shared decision making
Implement " educator and ally" consists of what 2 components?
reconcile discrepancies in medication therapy, medication reconciliation, improve communication between providers, patient counseling at discharge & follow up
Pharmacists are well positioned to play a vital role in many aspects of care transitions. What are the roles?
Medication Therapy Management (MTM)
-A distinct service or group of services, independent of, but can occur in conjunction with, the provision of a medication product, that optimize therapeutic outcomes for individual patients
help patients make best use of meds, earn revenue, demonstrate value to healthcare payers
Quality measure systems present a significant opportunity for pharmacists to :