Hosam Mohamed-
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.
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situation, background, assessment, recommendation
What does the Acronym SBAR stand for?
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situation
-briefly describe the situation or the patient problem; concise statement of the problem
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background
-add necessary information to understand the problem; pertinent patient information related to the situation
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assessment
-provide an assessment of the problem, such as cause and severity; analysis and consideration of options; what you think
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Recommendation
-make recommendations to address or resolve the problem; action recommended; what you want/ need
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medication therapy review, medication-related action plan, personal medication record, intervention/referral, documentation/follow up
What are the core elements of MTM?
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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
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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
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Personal Medication Record (PMR)
- a list of all the patient’s medications, both prescription and nonprescription
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Intervention/referral
- when a patient has a Medication-related problem? Contract prescriber • Expertise of another professional needed? Make referral
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Documentation/ Follow up
-SOAP noting, documentation, billing
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>=80%
Medicare Part D patient measures for adherence for diabetes, hypertension, and statins is what?
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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?
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differences in complexity, different collaborations, different priorities
What are some problems associated with our operational definition of Implement?
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initiate, modify, discontinue, administer
Our "authorized" component of implement is broken into 4 categories; what are they?
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hormonal contraceptives, tobacco cessation aids, test/treat, naloxone
What can pharmacists initiate?
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quantity, therapeutic substitution
What can pharmacists modify?
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stewardship program, MTM
What can pharmacists discontinue?
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vaccines, long-acting antipsychotics, IM contraception & vitamins, first dosage or emergency
What can pharmacists administer?
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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
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Collaborative Practice Agreements (CPAs)
-create formal practice relationships between pharmacists and prescribers
-serve to improve efficiency and effectiveness
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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?
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motivational interviewing, shared decision making
Implement " educator and ally" consists of what 2 components?
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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?
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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
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help patients make best use of meds, earn revenue, demonstrate value to healthcare payers
Quality measure systems present a significant opportunity for pharmacists to :
