PHI LAMBDA SIGMA CHARLES THOMAS LEADERSHIP CHALLENGE

Alpha Chi Chapter

University of Utah

OBJECTIVE

  To amend an existing successful leadership development or recognition activity/project  To include an interprofessional focus  To foster learning with, from, and about at least one other health profession

EXISTING PROJECTMaliheh Free Clinic

MALIHEH FREE CLINIC

  Patient Population  Uninsured individuals  150% below federal poverty guidelines  Variety of ethnicities

  Services  Primary care  Specialities  Patient Assistance

  Pharmacy Services  Clinic Chart Reviews

Tran E, Jennings B. Innovations in Pharmacy. October 2013;4(3):article 119.

INTERPROFESSIONAL FOCUSTo include an interprofessional focus

DIABETES DAY

  Review patient’s chart and present to preceptor

  Participate in patient’s comprehensive diabetes medical appointment

  Collaborate with members of the patient’s healthcare team  Nursing students  Nurse educators  Physician assistant students  Physician

  Findings  > 200 face-to-face visits with patients  Time donated: ~544 hours

FINDINGS: DIABETES DAY

9.2

8.6

MEAN HBA1C

40.0%

54.7%

PERCENT AT LDL GOAL (<100 MG/DL)

43.9%

45.5%

PERCENT OF ALBUMIN-CREATININE RATIO LAB

ORDERED

*

* *

* p<0.001

Prior to December 2011 After December 2011

Tran E, Jennings B, Singhal M. ASHP 2013 Midyear Poster Presentation; Orlando, FL.

STUDENT-LED CLINICS

  Teamed up with Primary Care Progress

  Student-led clinics  Medical students or physician assistant students

serve as primary provider for patient  Pharmacy students

  Perform a medication reconciliation

  Sit in on history and physical exam of patient  Collaborate with medical students or physician assistant

students to develop care plan

  Counsel patients on medications prescribed during visit

FINDINGS: STUDENT-LED CLINICS

  Likert scale survey over 5 months (January to May 2013)  More familiar with the pharmacist’s role on the primary care team (p<0.001)  Improved ability to develop patient-centered, therapeutic plans as part of a

multidisciplinary team (p=0.03)  Improved communication of therapeutic plans to other healthcare students or

professionals (p=0.006) and patients (p=0.003)  “Strongly agreed” or “Agreed” that patients would benefit from receiving care from

interprofessional teams

Turner K et al. Pharmacotherapy. 33: e182–e332. (Poster Presentation; Albuquerque, NM).

FOSTER LEARNINGTo foster learning with, from, and about at least one other health profession

IMMUNIZATION SERVICES

  Patient Care  Screened and delivered

immunizations

  Inservice  Provided immunization updates to

physician assistant students and pharmacy students

  Funding  $800.00 seed money to provide Tdap

vaccinations

LEADERSHIP DEVELOPMENT

  Project development

  Practice leadership  Role model  Interdisciplinary team  Collaborative practice agreement

  Coordinators  Maliheh Free Clinic Coordinator  Primary Care Progress Coordinators

CONCLUSION AND FUTURE DIRECTION

  Fostered interprofessional and collaborative practice between health care students or professionals

  Developed ability to communicate with and learn from and with other healthcare professionals

  Future directions  Continue Diabetes Day appointments and student-led clinics   Improve access to needed vaccines  Further develop collaborative practice agreements  Funding: $200.00

  94% of every dollar goes directly to patient care

THANK YOU

  Phi Lambda Sigma

  Primary Care Progress

  University of Utah College of Pharmacy

  Alpha Chi Chapter of Phi Lambda Sigma  Chapter Advisors: Dr. Brandon Jennings and Dr.

Jim Ruble

  Maliheh Free Clinic  Medical Director: Dr. Ayesha Khan  Executive Director: Jeanie Ashby