ASHPs Pharmacy Practice Model Initiative A Gap Analysis

ASHP’s Pharmacy Practice Model Initiative A Gap Analysis of Wisconsin Hospitals Organized by Wisconsin Health-System Administration Residents Chad Smith, Pharm. D, MBA, BCPS John Gray, Pharm. D Justin Guthman, Pharm. D Jack Kampf, Pharm. D, MPH, BCPS Barry Mc. Clain, Pharm. D Ryan Fleming, Pharm. D

Rationale http: //www. ashp. org/PPMI/About. PPMI/Objectives. aspx

Rationale PPMI implementation guidance not available n PSW structured to support the collaboration of Wisconsin pharmacy directors/departments n Practice ‘gaps’ need to be identified to develop next steps n PSW to offer guidance and education based on analysis to continually expand pharmacy practice in Wisconsin n

Gap Analysis Tool n n Survey to be sent to all pharmacy directors Designed to determine the following: 1. Site demographics: n n 2. Hospital information Current pharmacy practice model Site’s status with each consensus statement n n “To what extent is your pharmacy department following this recommendation? ” “How important is this recommendation to achieve/maintain a comprehensive practice model at your site? ”

Gap Analysis Tool – 4 Domains Imperatives for New Pharmacy Practice Models Optimal Pharmacy Practice Models Advancing the Application of Information Technology in the Medication-Use Process Advancing the use of Pharmacy Technicians

Gap Analysis Tool To what extent is your pharmacy department following this recommendation 5 = Fully implemented throughout 4 = Fully implemented in some areas 3 = Partially implemented in some or all areas 2 = Formally discussed and considered, not implemented 1 = No activity How important is this recommendation to achieve/maintain a comprehensive practice model at your site 5 = Very important 4 = Somewhat important 3 = Neutral 2 = Somewhat not important 1 = Not important at all

PPMI Gap Analysis Pilot n Gap analysis tool piloted by four hospital pharmacy departments: Aurora St. Luke’s Medical Center n Froedtert Health-Community Memorial Hospital n Froedtert Hospital n University of Wisconsin Hospital and Clinics n n Purpose was to test survey reporting and gather feedback

Reporting Capabilities Pharmacist-provided drug therapy management should be prioritized using a patient medication complexity index. (e. g. severity of illness, number of medications, and comorbidities)

Reporting Capabilities

Gap Analysis Tool PSW to analyze survey results n Hospitals will receive survey summary n Aggregate results to be published in JPSW n http: //www. pswi. org/communications/journal/2010/index. htm

Next Steps Directors/managers to complete survey n PSW to compile & distribute results n Develop ‘Best Practice Guiding Documents’ n PSW to develop resources & education based on gaps identified n PSW Hospital Pharmacy Advisory Board will plan educational programs to support PPMI n References to be located on www. pswi. org n