1

Clinical Practice Improvement (CPI)

Sue Markowsky, Pharm.D.

Regional Director, CPI / Capstone Paper

2Clinical 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)

3Continuing 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

4CPI Year 1: Reflect and Plan

Reflect on ideas for clinical practice improvementConsider : 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

5CPI Year 2: Activities Implement CPI activities Provide written reports each semester:

describe progress with practice improvement activities submit evidence of accomplishments

6Leadership 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

7CPI 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

8Important 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…

9CPI Year 1: Timelines 1st Semester: Reflect

Reflect on 1-3 potential project ideas Complete Course Assignment (see Next Steps,

Resources) Record your best ideas

10CPI 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

11CPI 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

12CPI 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

13CPI 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

14PharmPortfolio See Dr. Diane Beck’s lecture and demonstration of PharmPortfolio

Refer to the Manual for PharmPortfolio (see Resources, Next Steps section folders).

15Capstone 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”

16See Next Lecture: Capstone Paper