Wednesday, June 17

Facilitating the Use of Barcoding for the Successful Closed-Loop Medication Management System
Informatics Series
ACPE Program #204-000-09-123-L04P / 204-000-09-123-L04T
2.0 Contact Hours / Application-based
Moderator:  Christopher Fortier, PharmD, Manager, Pharmacy Support Services, Medical University of South Carolina, Charleston

One of the first questions to ask regarding barcode medication administration is "repackage in-house or outsource?"  Explore financial and other advantages and disadvantages for both options requiring different cost and personnel resources.  Regardless, pharmacy must ensure that all medications used within the organization have a barcoding solution to ensure the successful use of barcode-enabled medication administration (BCMA).  With BCMA representing such a change in the medication-use process, it is critical for pharmacy to have an efficient and effective plan for implementing and maintaining the medication piece of the BCMA system.  This session will address the critical planning and preparation steps to ensure 100% medication barcode scanning.

Learning Objectives:

• Summarize the steps and strategies to prepare the medication-use system for the implementation of a barcode-enabled medication administration (BCMA) system.
• Explain the advantages and disadvantages for both in-house and outsourced barcode repackaging.
• Describe the common barriers, challenges, and lessons learned in preparing the medication-use process for BCMA.
• Explain the various repackaging technologies, resources needed, and ongoing maintenance required.

8:00 a.m. – 8:05 a.m.
Announcements

8:05 a.m. – 8:45 a.m.
In-House Repackaging:  Challenges and Options to Barcoding Medications with the Implementation of Barcode Medication Administration
Christopher Fortier

8:45 a.m. – 9:50 a.m.
Outsourcing Barcode Packaging:  RFP Development, Conversion, Implementation, and ROI
Noel C. Hodges, RPh, MBA, Division Director of Pharmacy Services, HCA Central Atlantic Supply Chain, Richmond, VA

9:50 a.m. – 10:00 a.m.
Questions, Answers, and Discussion

Bringing It All Together:  Solving Problems in Turbulent Times
Planned in cooperation with the ASHP Foundation Center for Health-System Pharmacy Leadership
Leading the Pharmacy Enterprise in Challenging Times Learning Community
ACPE Program #204-000-09-122-L04P
2.5 Contact Hours / Application-based
Moderator:  Sharon M. Enright, RPh, MBA, President, Envision Change, Richmond, VA

Pull up a chair; sit down and talk; listen and learn.  You might be surprised at the outcome. . . .

The concept of the Knowledge Café is based on the assumption that people already have within them the wisdom and creativity to confront and control even the most difficult issues—even the most wicked problems.  The Knowledge Café is a method of creating collaborative dialogue around key questions that matter in addressing challenging situations in organizations and communities.  Given the proper context and focus it is possible for participants to access and use their own deeper knowledge about what is important. 

In the Knowledge Café environment, the power of collaborative thinking sparks insights and perspectives to cross-pollinate ideas and trigger discoveries that lead to innovative opportunities.   Collective knowledge grows, evolves and group wisdom emerges.

• What makes this conversation so important?
• Why do you need to be here, and be a part of this critical conversation?
• What is the best outcome for our professional future that we can imagine, and how do we build that in our own organizations?

This is no ordinary session. . .

• Focus on what matters
• Contribute your thinking
• Speak your mind and your heart
• Listen to understand
• Link and connect ideas
• Listen together for insights, patterns, and deeper questions

Join the conversation and HAVE FUN!

Learning Objectives:

• Describe how to apply the techniques and principles of Knowledge Café and Mind Mapping to strategic and tactical planning for the pharmacy enterprise.
• Describe new learning that emerges in open dialog to unleash what we "know."
• Define issues, strategies, and solutions for success identified through the session, and build them into preliminary personal and departmental plans for change.

8:00 a.m. – 8:05 a.m.
Announcements

8:05 a.m. – 8:30 a.m.
Introduction to the "Knowledge Café"
Sharon M. Enright

8:30 a.m. – 10:00 a.m.
Cafe Conversations: A Unique Problem Solving Process
Sharon M. Enright
Stephen J. Allen, Executive Vice President / Chief Executive Officer, ASHP Research and Education Foundation, Bethesda, MD
Sue Keely, Graphic Recorder and Facilitator, Wauwatosa, WI

10:00 – 10:30 a.m.
Summary, Conclusions and Open Discussion
Sharon M. Enright

Operating Room (OR) Pharmacy Essentials
Planned in cooperation with the ASHP Quality Improvement Initiative
Quality Standards in Clinical Practice Series
ACPE Program #204-000-09-124-L01P
2.5 Contact Hours / Application-based
Moderator:  Julie Golembiewski, PharmD, Clinical Associate Professor, University of Illinois Medical Center, Chicago

This session expands upon one of the 2008 Summer Meeting's most popular topics.  Come learn more about the mysteries of what goes on behind the double doors.  Regulatory issues in the perioperative setting including The Joint Commission standards and National Patient Safety Goals, the role of computerized/clinical decision support, and roles and opportunities for pharmacists in the OR setting will be covered.
A limited number of participants will have the opportunity for short-term mentoring beyond this session in ASHP's new "Extensions into Practice (XIP)" education format.  More information on XIP will be given in the session.

Learning Objectives:

• Explain the impact of regulatory issues in the perioperative setting on your institution.
• Define the role your pharmacy can play in developing processes and interpreting data related to automation, surgical preference cards, and anesthesia information systems.
• Solve cases involving how to effectively perform distribution and non-distribution activities in the operating room.
• Identify operating room opportunities for pharmacists at your institution.

8:00 a.m. – 8:05 a.m.
Announcements

8:05 a.m. – 8:35 a.m.
Regulatory Issues in the Perioperative Setting
Tricia A. Meyer, MS, PharmD, FASHP, Director, Scott and White Healthcare, Temple, TX; and Assistant Professor Anesthesiology, Texas A&M College of Medicine, Temple 

8:35 a.m. – 9:05 a.m.
Role of Computerization/Clinical Decision Support in the Perioperative Setting
Deborah Wagner, PharmD, Associate Professor, University of Michigan Health Systems, Ann Arbor

9:05 a.m. – 9:15 a.m.
Break

9:15 a.m. – 9:45 a.m.
Retooling the Pharmacist—The Basics of Operating Room Pharmacy
Peggy Bickham, PharmD, Assistant Director of Pharmacy and Clinical Assistant Professor, University of Illinois Medical Center, Chicago

9:45 a.m. – 10:15 a.m.
Beyond the Basics—What are the Opportunities for the Operating Room Pharmacist?
Eric L. Chernin, RPh, Pharmaceutical Care Specialist-OR Pharmacy, Sarasota Memorial Hospital, Sarasota, FL

10:15 a.m. – 10:30 a.m.
Questions, Answers, and Discussion

Meeting Today's Challenges in Implementing USP <797>
Hot Topic
ACPE Program #204-000-09-125-L03P / 204-000-09-125-L03T
2.5 Contact Hours / Knowledge-based
Moderator:  Eric S. Kastango, MBA, RPh, FASHP, President, Clinical IQ, LLC, Florham Park, NJ

Get the latest on strategies in complying with USP <797>.  Define issues and challenges that you face.  Learn ways that others are meeting similar challenges and identify strategies that you can use in your institution.

Learning Objectives:

• Define issues and challenges in complying with both USP <797> and the National Institute for Occupational Safety and Health Alert (NIOSH).
• Describe strategies and methods that are being used to successfully comply with specific aspects of USP <797>.
• Identify strategies for handling the change management issues in getting employees to embrace the principles required by USP <797> standards.

8:00 a.m. – 8:10 a.m.
Announcements

8:10 a.m. – 8:40 a.m.
Issues and Challenges Complying with Both USP <797> and the NIOSH Alert
Eric S. Kastango

8:40 a.m. – 9:20 a.m.
Case Study:  Strategies and Methods to Successfully Comply with Specific Aspects of USP <797>
Allison Hoff, BS Pharm, RPh, Pharmacy Operations Supervisor, Champlain Valley Physicians Hospital, Plattsburgh, NY

9:20 a.m. – 10:00 a.m.
Case Study:  Strategies for Handling Change Management and Getting Employees to Embrace the Principles
Jennifer V. Kacmarcik, PharmD, Health-System Pharmacy Administration Resident, The Johns Hopkins Hospital, Baltimore, MD

10:00 a.m. – 10:30 a.m.
Questions, Answers, and Discussion

Don't Bug Me! Ramping Up an Antimicrobial Stewardship Program
Hot Topic
ACPE Program #204-000-09-129-L01P
2.5 Contact Hours / Knowledge-based
Moderator:  Kevin W. Garey, PharmD, MS, Associate Professor and Chair, University of Houston College of Pharmacy, Houston, TX

"Numerous studies show that inappropriate and unnecessary antimicrobial usage leads to increased selection of resistant pathogens….Not only can antimicrobial stewardship programs improve patient care and outcomes, but they also can pay for themselves."  IDSAnews, Winter 2007.  Learn from experts to create or improve an antimicrobial stewardship program in your institution.

Learning Objectives:

• Explain key antimicrobial stewardship program guidelines and how to apply them in your setting.
• Describe exemplary antimicrobial stewardship programs and elements that can be implemented in your setting.
• Outline a preliminary plan for implementing or improving an antimicrobial stewardship program in your institution.

8:00 a.m. – 8:10 a.m.
Announcements

8:10 a.m. – 8:45 a.m.
State of the Art Minilecture:  Antibiotic Stewardship
Robert C. Owens, PharmD, Co-Director, Antimicrobial Stewardship Program, Maine Medical Center, Portand; and Clinical Assistant Professor, Tufts University School of Medicine, Boston, MA

8:45 a.m. – 9:30 a.m.
Pro / Con Debate #1:  What is the Best Strategy to Use for an Effective Antibiotic Stewardship Program?

8:45 a.m. – 9:00 a.m.
Position A:  The Prospective Audit and Feedback Strategy is the Most Effective Program
Marc H. Scheetz, PharmD, MSc, Assistant Professor, Midwestern University, Downers Grove, IL; and Infectious Diseases Pharmacist, Northwestern Memorial Hospital, Chicago, IL

9:00 a.m. – 9:15 a.m.
Position B:  The Preauthorization Strategy is the Most Effective Program
Hannah R. Palmer, PharmD, Clinical Coordinator, Infectious Diseases, St. Luke's Episcopal Hospital; and Director, Infectious Diseases Fellowship, Houston, TX

9:15 a.m. – 9:20 a.m.
Rebuttal A
Marc H. Scheetz

9:20 a.m. – 9:25 a.m.
Rebuttal B
Hannah R. Palmer

9:25 a.m. – 9:30 a.m.
Questions, Answers, and Discussion

9:30 a.m. – 10:15 a.m.
Pro / Con Debate #2:  What is the Primary Function of an Effective Antimicrobial Control Program?

9:30 a.m. – 9:45 a.m.
Position A:  The Primary Function of Antimicrobial Control Programs is to Contain Drug Costs
Kevin W. Garey

9:45 a.m. – 10:00 a.m.
Position B:  The Primary Function of Antimicrobial Control Programs is to Decrease Antibiotic Resistance and Save Lives
Robert Owens

10:00 a.m. – 10:05 a.m.
Rebuttal A
Kevin W. Garey

10:05 a.m. – 10:10 a.m.
Rebuttal B
Robert Owens

10:10 a.m. – 10:15 a.m.
Questions, Answers, and Discussion

10:15 a.m. –10:30 a.m.
Roundtable Discussion

Who's in Charge? Sorting Out Faculty Roles in Hospitals
Hot Topic
ACPE Program #204-000-09-126-L04P
2.5 Contact Hours / Knowledge-based
Moderator:  Eric H. Hobson, PhD, Associate Dean for Academic Affairs, Belmont University School of Pharmacy, Nashville, TN

You work for the university but spend time at the local hospital.  Whose rules apply: the university's or the hospital's?  How do hospital staff members relate to faculty they work with who report to someone at the college rather than the hospital?  What about students?  How do finances impact these issues?  Explore these thorny issues and get tips on effectively managing them.

Learning Objectives:

• Identify issues that arise in the roles of faculty and students in hospitals.
• Explain ways to effectively manage these issues.
• Solve scenarios describing typical issues that are encountered when faculty have a role in hospitals. 

10:45 a.m. – 10:50 a.m.
Announcements

10:50 a.m. – 11:30 a.m.
Where are We? How Did We Get Here? Why are We Here?
Eric H. Hobson
Philip E. Johnston, BS Pharm, PharmD, Dean, Belmont University School of Pharmacy, Nashville, TN; and Adjunct Professor of Medicine, Vanderbilt University, Nashville, TN

11:30 a.m. – 12:00 p.m.
Small Group Activity:  Naming the Issues and Isolating the Catalysts

12:00 p.m. – 12:30 p.m.
Point - Counterpoint: You Work for Us AND Us (Oh, and Them Too)
Eric H. Hobson
Philip E. Johnston

12:30 p.m. – 12:45 p.m.
Small Group Activity:  Strategy Development

12:45 p.m. – 1:00 p.m.
Making the Many Staffing Models Work for All Parties
Eric H. Hobson
Philip E. Johnston

1:00 p.m. - 1:15 p.m.
Questions, Answers, and Discussion

Seek and IT Shall Find: Clinical Surveillance Systems
Informatics Series
ACPE Program #204-000-09-127-L04P / 204-000-09-127-L04T
2.5 Contact Hours / Application-based
Moderator:  Christopher Fortier, PharmD, Manager, Pharmacy Support Services, Medical University of South Carolina, Charleston

Pharmacists are trained experts.  They have considerable knowledge that can improve patient outcomes.  Unfortunately, they are often faced with an overwhelming workload and a simultaneously cumbersome method for gathering requisite information to support their clinical decision making.  This session will demonstrate how clinical surveillance systems gather, organize, and present information to support care.  Learn from your colleagues how they have saved time, improved care, and increased efficiency with clinical surveillance systems.

Learning Objectives:

• Describe the various available clinical surveillance systems and their functionality.
• Describe how clinical surveillance systems have been implemented across institutions to support clinical care.
• Explain how to increase efficiency and improve patient outcomes using clinical surveillance systems.
• Explain the impact of clinical surveillance systems on workflow in the pharmacy department.
• Evaluate ways in which clinical surveillance systems can provide cost savings in your institution.

10:45 a.m. – 10:50 a.m.
Announcements

10:50 a.m. – 11:30 a.m.
Clinical Decision Support Software (CDSS):  Why is It Useful?  Considerations for Choosing One, Applications for Use, and Results in a Non-Academic Community Hospital Setting
John Russillo, BS Pharm, Clinical Pharmacy Manager, John Muir Medical Center, Concord, CA

11:30 a.m. – 12:05 p.m.
Using CDSS to Address The Joint Commission Core Measures and National Patient Safety Goals
Christian Hartman, PharmD, MBA, Medication Safety Officer and Assistant Professor of Medicine, UMass Memorial Medical Center, Worcester, MA

12:05 p.m. – 12:40 p.m.
Implementing CDSS to Facilitate Development and Integration of an Antimicrobial Surveillance Program within Your Current Clinical Staffing Model
David J. Taber, PharmD, BCPS, Clinical Pharmacy Specialist, Medical University of South Carolina, Charleston; and Assistant Professor of Pharmacy, South Carolina College of Pharmacy, Charleston

12:40 p.m. – 1:15 p.m.
Using CDSS to Enhance Pharmacist Clinical Impact in an Integrated Practice Model
Michael Postelnick, RPh, BCPS with AQ Infectious Diseases, Clinical Coordinator and Senior Infectious Diseases Pharmacist, Northwestern Memorial Hospital, Chicago, IL

Physician and Nursing Perspectives on Operating Room (OR) Pharmacy Issues
Planned in cooperation with the ASHP Quality Improvement Initiative
Quality Standards in Clinical Practice Series
ACPE Program #204-000-09-128-L01P
2.5 Contact Hours / Application-based
Moderator:  Julie Golembiewski, PharmD, Clinical Associate Professor, University of Illinois Medical Center, Chicago

Get a physician's perspectives on current issues in moderate sedation including fospropofol and intraoperative glycemic control.  In addition, a nurse will share thoughts on opportunities for pharmacist support in the Postanesthesia Care Unit.

Learning Objectives:

• Describe appropriate use of select drugs for moderate sedation including fospropofol.
• Explain issues in end-tidal carbon dioxide monitoring and appropriate sedation providers.
• Describe challenges of intraoperative glycemic control in given patient cases.
• Define key issues facing Postanesthesia Care Unit nurses and the roles pharmacists can play in this setting.

10:45 a.m. – 10:50 a.m.
Announcements

10:50 a.m. – 11:20 a.m.
Current Issues in Moderate Sedation
Guy Edelman, MD, Associate Professor of Anesthesiology, University of Illinois, Chicago

11:20 a.m. – 12:00 p.m.
Intraopertive Glycemic Control
Guy Edelman

12:00 p.m. – 12:35 p.m.
Pharmacist Support in the Postanesthesia Care Unit (PACU)
Denise O'Brien, MSN, RN, Clinical Nurse Specialist, Perianesthesia Care Areas, University of Michigan Health System, Ann Arbor; and Adjunct Clinical Instructor, University of Michigan School of Nursing, Ann Arbor

12:35 p.m. – 1:15 p.m.
Questions, Answers, and Discussion