The patient-public-led development of a “Medication Passport ‟ Kandarp Thakkar Lead Pharmacist...
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Transcript of The patient-public-led development of a “Medication Passport ‟ Kandarp Thakkar Lead Pharmacist...
The patient-public-led development of a
“Medication Passport‟
Kandarp ThakkarLead Pharmacist – Admissions
Project Manager
Saadia JamilSenior Pharmacist – Admissions
Project Support
Making Healthcare Safer
28th June 2011
Overview• ImPE Project• Patient Public Involvement• Medication Passport• Workshop• Summary
• To develop a medication review system based on an evidence based tool (“STOPP” – Screening Tool of Older Persons potentially inappropriate Prescriptions) for use with elderly patients across all sectors and interfaces of care
• And providing patients with better information about their medicines
Improving Prescribing in the Elderly (ImPE Project)
Aims
CLAHRC
• Collaboration for Leadership in Applied Health Research & Care
• 9 CLAHRC’s – each £10m over 5 years –NIHR funded and managed
• Focus - Cooksey’s "second gap in translation“ (Review of Health Research)
• Main aim - to support the translation of research evidence into practice in the NHS
• Quality Improvement Methodology• Process mapping• Action Effect diagram• Plan Do Study Act (PDSA) cycles
• Sustainability assessments and action
• Strong Patient and Public Involvement (PPI)
Standard NHS approach to quality improvement
Patient Public Involvement
• To explore what sort of information patients need about medicines
• To take part in the creation of different modes of getting this information
• To ensure understanding of patients using surveys and interviews
Medication passport idea originated from focus group
Discussed with multiprofessional project team including patient representation
A mock-up of the passport was taken to a reader group
Passport was redesigned based on comments from reader group
This was taken to a further reader group and external organisations for comments
Ratified by project team
lack of staff continuity which hinders effective communication
Who is responsible for my medication
changes?
Not being told why they are changing
my medication
uncertainty about who is responsible/ liable for communicating these
changes
Lack of information
about the new medicine
Medication Passport – evaluation
• Evaluation currently underway• Quantitative surveys and
qualitative interviews / videos• Further focus group planned
Results – Survey of Medicines Passport users
Overwhelming agreement/satisfaction with . . .
Function• To carry around and show anyone involved with patient care• To ensure transfer of info between different sectors of care• To ensure transfer of info between the healthcare team in hospital• To ensure transfer of info between the community healthcare team
Presentation• Text, colour, layout, • Ease of understanding, completion
Usefulness • Recommend to family/friend/HCP
Workshop• Split into 4 groups
Challenges with PPI• Recruitment
– What best fits team and project
• Project team meetings– Effective chairing– Communication – Hidden Agenda
• Getting the most relevant points• Language barrier• Complaints – ‘buddy’ system• Logistics – Contract, CRB etc.
How do you engage patients?• ‘Expert’ patient(s) on project steering group• Focus groups• Reader groups• Public facing national organisations e.g. Age UK• Local organisations e.g. LINKS, Hestia• Patients from other projects• ‘Real’ patients i.e. inpatients
Benefits of PPI and how to harness
• The patient perspective• Attention to detail we would ignore• Using patients as service users in design vs
comments after design• Use a range of PPI involvement methods
Using patients in evaluation
• Surveys – involving patients in design
• Patient Videos
• Interviews
• Qualitative Research
Summary
• Key in success of project
• Most important question – why are you involving patients?
• One size does not fit all – use different sources of engagement
Thank You