MEDICINES OPTIMISATION SHARING BEST PRACTICE

Linden AshfieldAAL Ghent 24/09/15

Where are we?

Northern Health and Social Care Trust (NHSCT)

•Population 436,000

•Area 1,733 square miles

•10% of all hospital admissions are due to adverse drug events

•5% of inpatients suffer an adverse incident with 20% being due to medicines

•In Northern Ireland this equates to a health-care resource loss of over £60 million in terms of bed days.

Background

•2000 - 2004 Integrated Medicines Management (IMM)-patients over 65 years of age

•2005 - present Pharmaceutical Clinical Effectiveness

•2006 - Safer Patient Initiative (International Healthcare Institute (IHI) )

•2010 - present Innovation Programme (DHSSPS)

•2013 – EIP 3 star status (DHSSPS)

•2015 – Establishment of MOIC

Time line of events

• Reduced length of stay by 2 days

• Reduced readmission rate

• Reduced length of stay on readmission 5.8 days

• Reduction in 4.2 errors per admission kardex

• Reduced medicines administration error rate

• Reduced discharge error rate from 22% to less than 2%

Results

•Conference presentations– Including international conferences in March 2004 & in Jan 2013

•Publication of papers– An Innovative approach to integrated medicines management Journal of

Evaluation in Clinical practice 13 (2007) 781-788

•Hosting visitors from EU and beyond– Including Sweden, Norway, Netherlands, England, Southern

Ireland.

Dissemination

• Intelligent Alerts - Yarra Software Ltd Belfast

• Writemed - Yarra Software Ltd Belfast

• Live Automated Microbiology Pharmacy Surveillance System (LAMPS) - Yarra Software Ltd Belfast

• STEPSelect – Digitalis MM - Netherlands

• Other HCAI related, Iskus Health- Dublin, Arran Healthcare –Dublin, Goldshield- USA

Enabling Technologies(links with industry)

•Throughout Northern Ireland

•Lund (Sweden)

•Tallaght (Southern Ireland)

•Central Norway

Replication of project

Official opening 15/10/15.

Aim: To work towards better patient outcomes by initiating, developing and sharing best practice with regards to medicine use.

Medicines Optimisation Innovation Centre (MOIC)

•Involvement in EU projects which aim to improve patient care across Europe

•Knowledge transfer in relation to pharmacy systems developed in Northern Ireland to other parts of Europe

•Continued development of integrated technology solutions.

•Development of other Health Care Professionals through welcoming visitors to Northern Ireland from Europe and further afield.

How do we hope to achieve this?

Links with other innovation Hubs

Medicines Optimisation conference March 2015

•Share knowledge and best practice from recognized leaders in medicines optimization

•Explore future business opportunities and solutions

•Showcase current technology and process solutions

•Provide an opportunity for industry to meet procurers and buyers

ECH alliance

• Funded by the 3rd health programme & involves 10 organisations from throughout Europe:

– In depth studies to understand current practices showcasing different approaches

– Europe wide regional and local benchmarking survey identifying strategies

– Development of strategies and tools to support innovation

• Now have a number of EU funding applications in progress

SIMPATHY: (Stimulating InnovationManagement of Polypharmacy and

Adherence in the Elderly)

• H2020 TWINN-2015

To strengthen Academic Skills in Medicines Optimisation in Poland.

•3rd Health Programme

To set up a number of IMM demonstration projects at EIP reference sites to succesfully implement, monitor and evaluate the IMM concept.

Other EU funding applications

VARIOUS OPTIONS are AVAILABLE

Hosting Programme

High level 1-2 Days

Clinical/Resident pharmacists 2-4 Weeks

Undergraduate students 3-4 Months

Orbis Medical Centre, Sittard, Netherlands

•Medication surveillance & reconciliation (Clinical Rules)

•Electronic Prescription and Medicines Administration

Exchange programme

• Continued development of our pharmacy service to ensure medicines optimisation

– Co-operation with University colleagues– Working with commercial partners– Growing and developing networks

• Increased dissemination and knowledge translation– Publications in journals – Conference presentations– Expansion of our hosting programme

Moving Forward?

THANK YOU FOR YOUR TIME!

DANK U!

Linden.ashfield@northerntrust.hscni.net