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HealthNet Medication Storage Project Leadership Development Academy Brett Grady, Jennifer Braun, Amy Hume & Wayne Cornwell

HealthNet Medication Storage - Class of 2010-11 LDA Collaborative Project Presentation

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HealthNet Medication Storage ProjectLeadership Development

Academy

Brett Grady, Jennifer Braun, Amy Hume & Wayne Cornwell

HealthNet of Janesville, Inc.HealthNet of Janesville, Inc. opened in 1994 as the result of a needs assessment completed by the Salvation Army in 1993.

The assessment identified a lack of affordable health care as one of the major problems of Rock County.

HealthNet of Janesville is a free clinic serving Rock County individuals who have no health insurance, Medicare, Medicaid, or Medical Assistance.

HealthNet is at its absolute max capacity

Before limited enrollment, they were accepting 30 to 40 new patients per week.

HealthNet has doubled in size and services over the past four years.

Last fall, HealthNet expanded its clinic by 40% to address the demand.

HealthNet has: doubled the number of exam rooms created a medication dispensing area built a new space for the nursing staff and volunteers

HealthNet’s Major Accomplishments:

23,567 prescriptions worth an estimated $2,000,000

Completed 32% of treatment plans

Reduced the number of ER visits for 74%

Enrolled patients into the new BadgerCare Core Plus program (and/or on waiting list) when eligible

Increased the number of volunteer hours by 50% over the last two years

Services Provided By HealthNet:

Medical Care General primary care Mental Health care Pediatrics Vision Care Medication

Dental Care Cleaning X-rays Treatment Plans Fillings Fluoride and Sealant

treatments Extractions Exposed Wisdom Tooth

Removal Root Canals Front Teeth Transitional

Partials

HealthNet Revenues/Expenses

Expenses Revenues

LDA Group Involvement

Walkthrough Research Interviews Recommendations Implementation Conclusion

Background HealthNet was undergoing a renovation

More room needed to be available to store medications

Our group was asked to make recommendations for storing medications

Objectives: Research best practice models for dispensing medications in a

non-licensed pharmacy

Develop a plan to organize medications.

Help implement medication organization plan.

Research The Gifts Program

Walgreens

Joint Commission Resources

VA Pharmacist

InterviewsMike Dow (Volunteer Pharmacist) & Susanne Altbuch (HealthNet)

JoAnn Goodrich (HealthNet)

LDA Interview Conclusions Alphabetized storage

Nurses’ Frustration

Help nurses adjust

Orientation and Training

Layout

LDA Group Recommendations and ActionsBased on our research and interviews, we have come up with the following recommendations.

Medication Organization Plan 

Process

Formulary

Medication Disposal

Follow-up Survey

FormularyEnhancement

GENERIC NAME BRAND NAMEACETAMINOPHEN 500 MG TABSACETAZOLAMIDE 250 MG TABS DIAMOXALBUTEROL 0.083% NEB SOL'N AMPS PROVENTIL NEBSALLOPURINOL 100 MG TABS ZYLOPRIMALLOPURINOL 300 MG TABS ZYLOPRIMAMANTADINE 100 MG CAPS SYMMETRELAMIODORONE 200 MG CORDARONEAMITRIPTYLINE 25 MG TABS ELAVILAMITRIPTYLINE 50 MG TABS ELAVIL

HealthNetGeneric Formulary

June 18, 2010

BRAND NAME GENERIC NAMEACCUPRIL QUINAPRIL 10 MG TABSAMARYL GLIMEPIRIDE 4 MG TABSANTIVERT MECLIZINE 25 MGAPRESOLINE HYDRALAZINE 10 MGAPRESOLINE HYDRALAZINE 25 MG TABSATARAX HYDROXYZINE 10 MGATARAX HYDROXYZINE 25 MG TABSBENADRYL DIPHENHYDRAMINE 25 MG CAPS

HealthNetBrand Formulary

June 18, 2010

After Expansion

Survey Follow -Up

11 surveys returned

Comments categorized and counted

Results returned to HealthNet

Survey Follow -Up

Yes No9 Additional Space/Storage 2 Shelves too high7 Better Organized/Easier to find meds

1 Need additional med box sizes

1 Private 1 Meds filed under Generic and Brand Name

1 Better Lighting 1 Hard time finding meds1 Layout More efficient 1 Need computer/printer

access

Survey Follow -Up

Survey Follow -Up

3. What did you like most about the changes?

Additional Space/Storage 4Better Organized/Easier to find meds 1Labeled Shelves 1Height of counter 1Lighting/Comfort 1Privacy 1

4. What did you like least about the changes?

Shelves too high/spread out 2More and permanent space for pill sorting 1Nothing 1Pharmacy set up 1Aisles too narrow 1

How can you help? Volunteer

Donations

Spread the Word

Questions?