Best Practices Using Residents as Extenders of Patient

Best Practices: Using Residents as Extenders of Patient Care and Demonstrating Their Value November 2 nd, 2018

Objective Describe opportunities for residents to grow patient care

ASHP Residency Statements Standard 6: Pharmacy Services “Residents’ expectations as they leave residency programs should be to strive for exemplary pharmacy services to improve patient care outcomes” “This section encourages sites to continue to improve and advance pharmacy services and should motivate the profession to continually improve patient care outcomes” Overview of the Standards for PGY 1 Pharmacy Residencies

Inpatient Practice Changing Patient care Focus on satisfaction and quality Value Return on investment

Metrics Number of interventions Increase Outcomes Retention Satisfaction Readmissions

Ideas Patient care Medication Histories Counseling/Side effect education Disease state management optimization Mini-projects/Initiatives Pilot Resident to Resident continuation

Data Heart Failure Improve education, monitoring, and satisfaction COPD Education via technique demonstration Review of therapy Multiple intervention patients were not readmitted

Satisfaction in Heart Failure Research Project 90 patients New educational materials Satisfaction grew from 7 to 10 Likelihood of recommendation grew from 5 to 10 Readmission trends Improved for low to medium risk patients

Resident and COPD One month intervention 38 patients Eight with a 30 day readmit (21%, all-cause) Multiple intervention patients - 2 readmits Inhaler education Added inhaler Deleted inhaler Access review

Outcomes Patient care You decide Resident Increased autonomy Increased satisfaction

Questions

Post-test question Which of the following are activities that a resident can help improve? A. B. C. D. E. Heart Failure education Inhaler technique education Patient satisfaction All of the above A and B only