1. 1 Clinical Practice Improvement (CPI) Sue Markowsky, Pharm.D. Regional Director, CPI / Capstone Paper

2. 2 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)

3. 3 Continuing Professional Development CPD Processes* for Lifelong Learning Initial R eflection Goals and Plan Activities Evaluate Reflection (cycle repeats) *Refer to Dr. Mitrzyk’s CPD Lecture for Examples

4. 4 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

5. 5 CPI Year 2: Activities  Implement CPI activities  Provide written reports each semester:  describe progress with practice improvement activities  submit evidence of accomplishments

6. 6 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

7. 7 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 program Implement a smoking cessation program Implement a pharmacist-run vaccination service

8. 8 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…

9. 9 CPI Year 1: Timelines  1 st Semester: Reflect  Reflect on 1-3 potential project ideas  Complete Course Assignment (see Next Steps, Resources)  Record your best ideas

10. 10 CPI Year 1: 2 nd 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

11. 11 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

12. 12 CPI Year 1: 3 rd 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

13. 13 CPI Timeline: 4 th to 6 th 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

14. 14 PharmPortfolio  See Dr. Diane Beck’s lecture and demonstration of PharmPortfolio  Refer to the Manual for PharmPortfolio (see Resources, Next Steps section folders).

15. 15 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”

16. 16 See Next Lecture: Capstone Paper