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Clinical Practice Improvement (CPI). Sue Markowsky, Pharm.D. Regional Director, CPI / Capstone Paper. Clinical Practice Improvement (CPI). CPI Objective: Improve practice within your realm of influence. Example:
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Clinical Practice Improvement (CPI) Sue Markowsky, Pharm.D. Regional Director, CPI / Capstone Paper
Clinical Practice Improvement (CPI) CPI Objective: • Improve practice within your realm of influence. • Example: • Aim to improve patient-centered care or pharmacy practice at your workplace (or voluntary practice setting)
Continuing Professional Development • CPD Processes* for Lifelong Learning Initial Reflection Goals and Plan Activities Evaluate Reflection (cycle repeats) *Refer to Dr. Mitrzyk’s CPD Lecture for Examples
CPI Year 1: Reflect and Plan • Reflect on ideas for clinical practice improvement Consider : • Patient needs • Personal / professional interests • Workplace opportunities • Search literature for published studies relevant to topic • Plan: • Outline CPI goals • Design strategies to improve practice • Write a plan / proposal which details CPI activiies • Plan Implementation of CPI activities
CPI Year 2: Activities • Implement CPI activities • Provide written reports each semester: • describe progress with practice improvement activities • submit evidence of accomplishments
Leadership • Successful CPI Planning and Implementation will require effective leadership skills • Review Dr. Karen Riley’s lecture on Leadership (Foundations Course) prior to planning CPI activities
CPI Year 2: Implementation Examples : • Design and provide an educational program to health care professionals • Implement or improve a patient counselling program for diabetics • Improve drug delivery systems or processes to reduce medication errors • Implement or improve clinical pharmacy services • Establish a medication therapy management programImplement a smoking cessation program • Implement a pharmacist-run vaccination service
Important Note • Do not include an evaluative component or data collection phase • Students are asked not to outline, plan, present or write about any institution-specific data collection • STOP HERE: UF IRB approval is required for any student assignments involving systematic data collection including clinical research, employee or patient surveys, outcomes data, quality improvement projects, etc…
CPI Year 1: Timelines • 1st Semester: Reflect • Reflect on 1-3 potential project ideas • Complete Course Assignment (see Next Steps, Resources) • Record your best ideas
CPI Year 1: 2nd Semester • Outline Goals and Strategies to improve practice • Complete CPI Outline form • outline objectives and initial planning steps • Search literature on evidence available for CPI topic • Submit to PharmPortfolio* *Refer to Manual for WPPD PharmPortfolio
CPI Year 1: 2nd Semester Details • Reflect on CPI ideas and professional goals • Decide on your first choice for the CPI strategy • Outline CPI objectives, strategy, and initial steps • Complete literature search for relevant evidence • Submit outline to facilitator • Present outline to facilitator and group for feedback • Regional: Session #1 • Remote: weekend session • Improve and resubmit based on facilitator feedback
CPI Year 1: 3rd Semester • Write a 1-2 page full paragraph paper which details the CPI Planned Activities • Submit the paper to PharmPortfolio* and Year 1 Practice Experiences Elearning site. *Refer to Manual for WPPD PharmPortfolio
CPI Timeline: 4th to 6th Semesters • Provide verbal and written class updates on accomplishments each semester during Session 1 or Remote Weekend • Submit evidences each semester to PharmPortfolio • Provide followup to the CPI action plan
PharmPortfolio • See Dr. Diane Beck’s lecture and demonstration of PharmPortfolio • Refer to the Manual for PharmPortfolio (see Resources, Next Steps section folders).
Capstone Year 3 Paper • Write a review paper summarizing clinical trials relevant to pharmacy practice • Recommended Option: • Write a practice paper which evaluates and summarizes published clinical trials which are relevant broadly or directly to the CPI plan / activities completed during CPI Year 1 and 2. • Alternative Option: • Write a review paper which evaluates and summarizes published clinical trials regarding a specific medication or pharmacy-related topic. • See next presentation “Capstone Paper”