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S.O.A.A.R. and Blue Bag Initiative –
Prescriptions for SuccessOctober 4, 2017
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Working With Pharmaceutical Students in Addressing Addiction:
James L. Bresette, PharmDAssociate Dean for Development and External Relationsjlbresette@umes.edu
Tolani AdebanjoPharmD Candidate, 2018tladebanjo@umes.edu
The University of Maryland Eastern Shore School of Pharmacy and Health Professions S.O.A.A.R
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Mission
.1.) Increase awareness of substance abuse and opioid overdose
2.) Explain issues associated with addiction and substance use disorder
3.) Connect the public to community substance abuse programs, resource facilities, organizations and treatment centers
4.) Train community members to recognize opioid overdose and safely administer nasal Narcan™
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S.O.A.A.R
Substance & Opioid Abuse Awareness Response
• Student-led initiative
• 7 Main committees– Speaker, Finance, Community
Resources, Creative, Promotions, Registration, and Event Space Logistics
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Media Resources• WMDT-Channel 47 evening news: http://www.wmdt.com/news/maryland/umes-school-of-
pharmacy- students-host- opioid-education- information-exchange/470608515
• Good Morning Delmarva (WMDT): http://www.wmdt.com/good-morning-delmarva/umes-substance- abuse-and- awareness-response/464300589
• DelmarvaLife (WBOC): https://www.youtube.com/watch?v=SQIShlY93og
• Delmarva Now/Daily Times: http://www.delmarvanow.com/story/news/local/maryland/2017/04/29/opioids-heroin drugs-umes/101073572/
• DelmarvaNow: http://www.delmarvanow.com/videos/news/local/maryland/2017/04/28/watch-university-hosts- free-opioid- clinic/101051478/
• The (Ocean City) Dispatch: UMES Hosting Free Drug Abuse Awareness Clinic Saturday
• Daily Times: Opioid information exchange clinic is Saturday at UMES
• UMES: https://www.umes.edu/PR/News-Articles/2017/Confronting- opioid-addiction-abuse/
http://www.wmdt.com/news/maryland/umes-school-of-pharmacy- students-host- opioid-education- information-exchange/470608515http://www.wmdt.com/good-morning-delmarva/umes-substance- abuse-and- awareness-response/464300589https://www.youtube.com/watch?v=SQIShlY93oghttp://www.delmarvanow.com/story/news/local/maryland/2017/04/29/opioids-heroin drugs-umes/101073572/http://www.delmarvanow.com/videos/news/local/maryland/2017/04/28/watch-university-hosts- free-opioid- clinic/101051478/
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Maryland Board of Pharmacy
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Maryland Board Of Pharmacy
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Measures of Success• Over 150 registered participants
• ~ 40 students contributed to planning and executing the event
• 25 Local exhibitors from the community
• 70 community members trained to administer nasal Narcan™
• Alumni involvement
• Inter-professional collaboration
• over 500 service hours were donated by students and faculty
• Connected community members to resources
• UMES residence life professional staff trained
• Nasal Narcan™ dispensed to residence life staff to intervene and respond in case of emergency in dormitories and student activity areas
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You Tube Video of Program
• https://www.youtube.com/watch?v=EyU7oBmgnqs
https://www.youtube.com/watch?v=EyU7oBmgnqs
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The Maryland General Assembly
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Designated a “Promising Practice” MDH Opioid Operations Command Center
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Vision Statement
• Every healthcare professional (HCP) possesses a basic understanding of the nature and extent of SUD and the ability to interact with these individuals without prejudice.
• HCP schools include core curriculum necessary to achieve the vision
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Suggested Learning Objectives
1. Recognize, interact with and refer individuals with suspected SUD for assessment and treatment (implement SBIRT)
2. Explain basic SUD neuropathology
3. Support distribution and use of naloxone
4. Use non-pejorative language when discussing SUD
5. Identify meds and psychosocial supports in SUD treatment
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Questions…
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The Blue Bag Initiative
Objectives:
The Blue Bag Initiative
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1. Overview
2. Goals
3. Objectives
4. Supplies Needed
5. Process
6. Collecting Data
7. Questions
Turning the Brown Bag………………Blue
The Blue Bag Initiative
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The Blue Bag is a dynamic, innovative initiative that
brings a new twist to the evidence-based brown bag
medication review. When pharmacists are included in a
team-based approach, chronic disease outcomes improve
and adverse drug events (ADE) decrease.
Goals Of the Blue Bag Initiative
Blue Bag Initiative
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• Provide an easy to use program
• Facilitate the creation of an accurate medication list
• Help participants take an active role in managing their
medications
• Identify and address medication errors
• Provide a reusable bag to carry their medications
• Separate discontinued/expired drugs from the “active” drugs
Objectives
The Blue Bag Initiative
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• Adapt this initiative for use in different
settings
• Provide simple steps to organize, implement,
measure and analyze effective medication
therapy management
• Improve participants’ understanding and
health literacy through this “hands-on” activity
Objectives – cont.
The Blue Bag Initiative
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• Increase the efficiency and consistency of
medication safety initiatives
• Collect data to measure adverse drug events
prevention
Supplies Needed
• Blue Bags
• Discontinued/expired
medication bags (white)
• Notebook
• Instructions for providers
• Pharmacist/Physician forms
Medication Review
Participant Evaluation
Data Collection
Worksheet
The Blue Bag Initiative
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• Participant instruction sheet
• Participant checklist
• Event/information flyers
• Appointment cards
This Process Includes 5 Steps:
How Does Using Comprehensive Medication Prevent Errors
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1. Develop a list of current medications
2. Make clinical decisions based on the list review and
participant interview
3. Verify medications are “the right drug, with the right
dose, at the right time”
4. Create a list of suggested changes for the prescriber
5. Communicate suggested changes for the prescriber to
appropriate caregivers and to the participant
The causes of errors found during medication reconciliation
reported to MEDMARX included:
How Does Using Comprehensive Medication Prevent Errors
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1. Performance deficit: nearly
88%
2. Transcription inaccurate/omitted:
84%
3. Documentation:
83%
4. Communication:
82%
5. Workflow disruption:
80%
How to Get Started?
The Blue Bag Initiative
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For more information contact:
Cindy Warriner
HQI’s Pharmacist
Consultant
804.720.4070
bluebag@hqi.solutions
For Printed Materials
and additional bags:
Reach Out to HQI
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Krystyna Lineberry
804.289.5320
bluebag@hqi.solutions
To order additional bags direct,
contact:
4imprint
1-877-446-7746 blue bag -
order# 12808005
www.4imprint.com white bag -
order# 12909182
Pick a Setting
1. Community
Pharmacy/Physician Practice
2. Assisted Living
3. Health Fair
4. Immunization Clinic
5. Hospital Discharge
Pick Marketing Forms
How To Get Started
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1. Flyers
2. Appointment Cards
3. Rack Cards
4. RX Bag Cards
5. Signup Sheets
6. Participation Evaluation
Form
7. Medication Review Form
8. Follow up Questions
Collecting the Data
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Data Collection Worksheet
Month/Year: / Pharmacy Name:
Location:
Number of Blue Bags given to participants
Number of participants screened
Number of participants screened with events identified
Number of adverse drug events identified
Number of expired medications or medications/OTC participants should NOT be taking
Comments:
Please email monthly results to: bluebag@hqi.solutions
Blue Bag Initiative in a Rural Independent Pharmacy
Implementation
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Apple Discount Drugs – Core Clinical Care
• Utilized Community Pharmacy Resident to incorporate medication reconciliation
in the diabetes clinic.
• Resident conducted a research project to highlight the impact of medication
reconciliation on improving health outcomes and sustaining clinical services.
• Results highlighted pharmacists’ role in preventing and resolving medication
related problems; especially in the diabetic population.
Measures of Success
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Number of Patients
Completing Blue Bag
Initiative
Number of Pharmacists’
Identified Medication
Related Problems
Identified Medication Related Problems by Pharmacists
Results
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22
9 9
0
5
10
15
20
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Compliance or adherence Alternate over-the-countermedications were being used by
the participant without aprescription or communication with
primary care provider
Cost of the medications, possiblegenerics available
# of interactions
Tips & Tricks!
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Determine a Blue Bag
Champion
Stay Organized Assign Roles
Train Staff Review Process
The Impact of the Blue Bag Initiative
A Value Added Service!
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• Provided a pathway for diabetes follow-up
• Improved patient satisfaction and rapport
• Increased interprofessional transitions of care
Expanding the Blue Bag Initiative at Apple Discount Drugs
Future Implications
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• Increased amount of Blue Bags
• Incorporating student pharmacists
• Looking for new avenues to bill for services
• Expanding the service outside of the diabetes clinic
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Contact Information
Cindy Warriner, BS, RPh, CDEPharmacist
804-720-4070
cwarriner@hqi.solutions
Geoff Twigg, PharmD, BCACP, CDEPharmacist, Apple Discount Drugs
geoff@appledrugs.com410-749-8401
QA&
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This material was prepared by Health Quality Innovators (HQI), the Medicare Quality Innovation Network-Quality Improvement Organization for Maryland and Virginia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. : HQI|11SOW|20170810-014057
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