Issue: 10.09 - October Newsletter by Pharmacy OneSource
Published: 10/15/2009
Pharmacy OneSource - Enabling Swift and Safe Healthcare Worldwide
Issue:10.09

Medication interventions get a boost from a powerful tool: "Pharmacists can improve patient outcomes by following 3 major functions: identification of potential and actual medication-related problems (MRPs), resolution of actual MRPs, and prevention of potential MRPs.

The best way to achieve these goals is through accurate documentation, and one of the chief obstacles to this is time—or rather the lack of it." Read the full article from Formulary.

In This Issue...


Sentri7 Customers Far Outperform Other U.S. Hospitals in Core Measure Improvements

Sentri7 can find patients that may have had a heart attack or heart failure and check to ensure they are taking aspirin, beta blockers or other preventative treatment required by Centers for Medicare & Medicaid Services (CMS) quality measures.

"We were having trouble with core measures in educating congestive heart failure patients because they were being admitted with different complaints," said Steve Bethea, Pharmacy Director at University of South Alabama Medical Center. "Sentri7 is able to query for patients on medications that would typically be prescribed for a CHF patient. We can then verify with the physician whether or not the patient has CHF, and if so, we will provide the education and document the activity in the patient's medical record."

According to the most recently updated Hospital Compare data, the average score change across all hospitals reporting quality measures was 0.711%, with the highest average increase of 2.79% for measure PN-7, Percent of Pneumonia Patients Assessed and Given Influenza Vaccination.

Meanwhile, Sentri7 customers showed improvements of up to 16 to 34% on measure PN-7. This is about six times better than the national averages. The system identifies patients with a pneumonia diagnosis and checks their medication history to see if they've had a flu shot. Using this process The UMass Memorial Medical Center improved their score by 26%.

"Sentri7 has improved our ability to proactively identify core measure compliance issues where medications are involved," said Christian Hartman, PharmD, MBA Medication Safety Officer at The UMass Memorial Medical Center. "Sentri7 generates lists of patients that require our immediate attention so we can focus our efforts and improve our publicly reported compliance rates." Read the full press release.

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Two Upcoming Webinars: "From 22% to 0% Pharmacist Turnover, How Benefis Health System Did It" and "USP 797: De-mystifying Beyond-Use Dating"

In "From 22% to 0% Pharmacist Turnover, How Benefis Health System Did It" (Thursday, October 29th) Benefis Health System describes their multi-faceted approach to improving retention and recruitment. From 2000-2002, the turnover rate averaged 22% yearly. From 2003-2005 this decreased to an average of 4.7% yearly. For the last two consecutive years, the turnover rate has been 0%. Register for this webinar.

Determining beyond-use dating (BUD) continues to vex pharmacists and technicians and is one of the most frequently asked questions of the chapter. In "USP 797: De-mystifying Beyond-Use Dating" (Wednesday, November 18th) Eric S. Kastango, MBA, RPh, FASHP, will review will review beyond-use dating and the requirements as they apply to USP 797. Register for this webinar.

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Recent Webinars On-Demand: "The Joint Commission Medication Management Update for Pharmacists" and "BCMA vs. CPOE, Which Comes First?"

In "The Joint Commission Medication Management Update for Pharmacists" Darryl S. Rich, Pharm.D., M.B.A., FASHP, Surveyor for The Joint Commission, presented what pharmacists need to know going in to 2010. DISCLAIMER: Please note that this presentation is current as of 10/14/09. The Joint Commission reserves the right to change the content of the information as appropriate. View on-demand webinar.

In "Pharmacy Face-Off: BCMA vs. CPOE, Which Comes First?" John Poikonen took on Steven Rough in our first "pharmacy face-off." Pharmacists debated on Bar Code Medication Administration or Computerized Physician Order Entry and which should be implemented first. Who won? View the on-demand webinar.

Have you missed any of our other past free webinars? Check out the webinar archive to view on-demand recorded versions and download presentation slides.

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St. Luke's Hospital - Expanding the role of the pharmacist

St. Luke's Hospital - Bethlehem Campus is the main campus of St. Luke's Hospital & Health Network. Leslie Johnson is the Clinical Coordinator and has been using Quantifi and UnitStock since 2006. In this interview she explains how Quantifi helped expand the role of the pharmacists and UnitStock makes their inspection process paperless across the four-hospital system.

Pharmacy OneSource: How has Quantifi helped the pharmacy department at your facility?

Leslie Johnson: Quantifi has allowed us to track the interventions that are being completed by our pharmacists. Additionally, in the past year we have begun to develop clinical services at our main campus. Quantifi has allowed us to show Senior Leadership the impact that pharmacists, and in particular clinical pharmacists, can have. Our three other sites also have and use Quantifi. Quantifi has helped us to justify the expansion of clinical services both by adding pharmacists and expanding the roles of current pharmacists. Additionally it has helped all of our pharmacists get excited about documenting what they are doing. Each site provides a small reward to the top "Quantifier" each quarter. This has inspired some competition between staff members and has lead to an increase in documentation.

Pharmacy OneSource: What do you like best about Quantifi?

Leslie Johnson: I like that it can be customized to fit an individual site's need. We are a four-hospital network and each site has different services and needs. We can build interventions to fit what they are doing and hide interventions that are not applicable at that time. I also like that the application is web based. This means that our pharmacists can access it anywhere within our facility or even in our off-site clinics.

Pharmacy OneSource: How has UnitStock helped the pharmacy department at your facility?

Leslie Johnson: UnitStock allows us to organize and track our inspections and has helped to minimize the amount of paper we need to keep. The real-time reporting and ability to pull up reports via the web is also helpful. All of our sites also use the e-mail function to send the completed inspections directly to the unit manager for electronic filing, creating a truly paperless system. Read the full interview.

Get more information on Quantifi and UnitStock.

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Frye Regional Medical Center Selects Simplifi 797 to Increase Safety for Drug Compounding

Frye Regional Medical Center has adopted Simplifi 797 quality assurance software to simplify meeting all of the requirements of USP Chapter 797 for compounding sites throughout the hospital.

"Making sure that the pharmacy is following the correct procedures in compounding sterile products (products given through injections or infusions) protects our patients from infections," said Marc Hughes, RPh, MBA, Administrative Director of Pharmacy Services at Frye Regional Medical Center. "This program aids us in compliance with USP 797 rules on sterile compounding, but more importantly keeps our patients safe."

Simplifi 797 is a web-based application that automates, integrates and streamlines the quality activities and documentation required to meet the U.S. Pharmacopeia's Chapter 797 best practice guidelines. Simplifi 797 manages task scheduling for environmental monitoring and automates the reporting of exceptions and compliance.

Hughes said the Simplifi 797 program does the following for Frye Regional Medical Center:

  • Provides off-site storage for record keeping for temperatures, humidity readings, and staff competencies
  • Provides accurate and easily retrievable record keeping for tasks and competencies with reminders
  • Reminds staff of daily, weekly, and monthly duties
  • Helps "go green" environmentally by eliminating paper waste for record keeping
  • Allows better control over seeing which tasks are completed or not completed

View the Simplifi 797 video demo.

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