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  1. Article ; Online: Pharmacist-reported practice change as a result of a statewide community pharmacy accreditation program.

    Frey, Meredith / Trapskin, Kari / Margolis, Amanda / Sutter, Susan / Cory, Pat / Decker, Chris

    Journal of the American Pharmacists Association : JAPhA

    2019  Volume 59, Issue 3, Page(s) 403–409

    Abstract: Objectives: To assess pharmacist-reported practice change as a result of participation in a community pharmacy accreditation program.: Setting: Community pharmacy practice in Wisconsin.: Practice innovation: The Wisconsin Pharmacy Quality ... ...

    Abstract Objectives: To assess pharmacist-reported practice change as a result of participation in a community pharmacy accreditation program.
    Setting: Community pharmacy practice in Wisconsin.
    Practice innovation: The Wisconsin Pharmacy Quality Collaborative (WPQC) is a network of pharmacies and pharmacists who provide standardized pharmacy services. WPQC is based on a unique set of quality-based best practices designed to improve patient safety in the medication use process. WPQC is supported by the statewide pharmacy organization, the Pharmacy Society of Wisconsin (PSW), which provides resources focused on implementation and engagement to support the success of WPQC-accredited pharmacies.
    Program evaluation: PSW used a 24-question online survey to evaluate the degree of pharmacist-reported practice change as a result of the WPQC quality-based best practices.
    Results: Pharmacist-reported frequency and consistency of all quality-based best practices and services increased after WPQC accreditation (P < 0.05), with the exception of robotic dispensing systems, holding regular staff meetings for team communication, and providing incentives for recording quality-related events. In addition, quality-based best practices and WPQC services had a positive impact on pharmacist perceptions of their quality of patient care, patient safety, patient satisfaction, and patient relationships in WPQC-accredited pharmacies. The majority of pharmacies valued WPQC accreditation and shared positive comments about their experiences.
    Conclusion: A community pharmacy accreditation program using standardized quality-based best practices can create and reinforce behavior change in the community pharmacy setting to positively affect patient care and medication safety. Research is needed to determine if there are actual behavior changes as a result of WPQC accreditation compared with pharmacies that have elected not to participate.
    MeSH term(s) Accreditation ; Community Pharmacy Services/organization & administration ; Community Pharmacy Services/standards ; Community Pharmacy Services/trends ; Education, Pharmacy ; Humans ; Patient Care/standards ; Patient Safety/standards ; Pharmacists/statistics & numerical data ; Professional Role ; Program Evaluation/statistics & numerical data ; Surveys and Questionnaires ; Wisconsin
    Language English
    Publishing date 2019-03-30
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2118585-2
    ISSN 1544-3450 ; 1544-3191 ; 1086-5802
    ISSN (online) 1544-3450
    ISSN 1544-3191 ; 1086-5802
    DOI 10.1016/j.japh.2018.12.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Gallbladder disease in northwestern Ontario: the case for Canada's first rural ERCP program.

    Touzin, Eric / Decker, Chris / Kelly, Len / Minty, Bryanne

    Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada

    2011  Volume 16, Issue 2, Page(s) 55–60

    Abstract: Introduction: The rate of cholecystectomy in northwestern Ontario is double the provincial rate. This paper explores the demographics of cholecystectomy and the role for rural endoscopic retrograde cholangiopancreatography (ERCP) services in the central ...

    Abstract Introduction: The rate of cholecystectomy in northwestern Ontario is double the provincial rate. This paper explores the demographics of cholecystectomy and the role for rural endoscopic retrograde cholangiopancreatography (ERCP) services in the central part of this region.
    Methods: We conducted a literature review of ERCP services and cholecystectomy rates, as well as a hospital chart review of patients who underwent laparoscopic cholecystectomies in Sioux Lookout, Ont. We contacted surgeons and gastroenterologists from referral centres in Winnipeg, Man., and Thunder Bay, Ont., for the charts of patients from our catchment area who underwent ERCP.
    Results: Patients in our region who require urgent and emergent surgery are flown by fixed-wing aircraft to referral centres in Winnipeg and Thunder Bay for assessment and surgery. The rate of ERCP in our population is 150 in 100 000, which is threefold that of other populations, and our cholecystectomy rate is the highest in Ontario.
    Conclusion: Substantial savings in transportation expenses would offset the development costs of an ERCP program and provide more integrated patient care. The volume of patients would support maintenance of competency. This rural area with a high rate of gallbladder disease would benefit from the development of a rural ERCP program.
    MeSH term(s) Adult ; Aged ; Cholangiopancreatography, Endoscopic Retrograde/statistics & numerical data ; Cholecystectomy, Laparoscopic/statistics & numerical data ; Emergency Service, Hospital/statistics & numerical data ; Female ; Gallbladder Diseases/epidemiology ; Gallbladder Diseases/surgery ; Humans ; Indians, North American/statistics & numerical data ; Male ; Middle Aged ; Ontario/epidemiology ; Retrospective Studies ; Rural Health Services/organization & administration ; Time Factors ; Transportation of Patients/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2011-03-28
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 2029911-4
    ISSN 1488-237X ; 1203-7796
    ISSN (online) 1488-237X
    ISSN 1203-7796
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Spatial Convergence in Major Dissolved Ion Concentrations and Implications of Headwater Mining for Downstream Water Quality.

    Johnson, Brent / Smith, Elizabeth / Ackerman, Jerry W / Dye, Sue / Polinsky, Robyn / Somerville, Eric / Decker, Chris / Little, Derek / Pond, Gregory / D'Amico, Ellen

    Journal of the American Water Resources Association

    2020  Volume 55, Issue 1, Page(s) 247–258

    Abstract: Spatial patterns in major dissolved solute concentrations were examined to better understand impact of surface coal mining in headwaters on downstream water chemistry. Sixty sites were sampled seasonally from 2012 to 2014 in an eastern Kentucky watershed. ...

    Abstract Spatial patterns in major dissolved solute concentrations were examined to better understand impact of surface coal mining in headwaters on downstream water chemistry. Sixty sites were sampled seasonally from 2012 to 2014 in an eastern Kentucky watershed. Watershed areas (WA) ranged from 1.6 to 400.5 km
    Language English
    Publishing date 2020-12-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2090051-X
    ISSN 1752-1688 ; 1093-474X
    ISSN (online) 1752-1688
    ISSN 1093-474X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Forging a novel provider and payer partnership in Wisconsin to compensate pharmacists for quality-driven pharmacy and medication therapy management services.

    Trapskin, Kari / Johnson, Curtis / Cory, Patrick / Sorum, Sarah / Decker, Chris

    Journal of the American Pharmacists Association : JAPhA

    2009  Volume 49, Issue 5, Page(s) 642–651

    Abstract: Objective: To describe the Wisconsin Pharmacy Quality Collaborative (WPQC), a quality-based network of pharmacies and payers with the common goals of improving medication use and safety, reducing health care costs for payers and patients, and increasing ...

    Abstract Objective: To describe the Wisconsin Pharmacy Quality Collaborative (WPQC), a quality-based network of pharmacies and payers with the common goals of improving medication use and safety, reducing health care costs for payers and patients, and increasing professional recognition and compensation for pharmacist-provided services.
    Setting: Wisconsin between 2006 and 2009.
    Practice description: Community (independent, chain, and health-system) pharmacies and private and public health care payers/purchasers with support from the McKesson Corporation.
    Practice innovation: This initiative aligns incentives for pharmacies and payers through implementation of 12 quality-based pharmacy requirements as conditions of pharmacy participation in a practice-advancement pilot. Payers compensate network pharmacies that meet the quality-based requirements for two levels of pharmacy professional services (level 1, intervention-based services; level 2, comprehensive medication review and assessment services).
    Main outcome measures: The pilot project is designed to measure the following outcomes: medication-use quality improvements, frequency and types of services provided, drug therapy problems, patient safety, cost savings, identification of factors that facilitate pharmacist participation, and patient satisfaction.
    Results: The Pharmacy Society of Wisconsin created the WPQC network, which consists of 53 pharmacies, 106 trained pharmacists, 45 student pharmacists, 6 pharmacy technicians, and 2 initial payers. A quality assurance process is followed approximately quarterly to audit the 12 network quality requirements. An evaluation of this collaboration is being conducted.
    Conclusion: This program demonstrates that collaboration among payers and pharmacists is possible and can result in the development of an incentive-aligned program that stresses quality patient care, standardized services, and professional service compensation for pharmacists. This combination of a quality-based credentialing process with a professional services reimbursement schedule is unique and has the promise to enhance the ambulatory pharmacy practice model.
    MeSH term(s) Community Pharmacy Services/economics ; Cooperative Behavior ; Health Plan Implementation/methods ; Humans ; Medication Therapy Management/economics ; Pilot Projects ; Program Evaluation ; Quality Assurance, Health Care/economics ; Reimbursement Mechanisms/economics ; Wisconsin
    Language English
    Publishing date 2009-09
    Publishing country United States
    Document type Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2118585-2
    ISSN 1544-3450 ; 1544-3191 ; 1086-5802
    ISSN (online) 1544-3450
    ISSN 1544-3191 ; 1086-5802
    DOI 10.1331/JAPhA.2009.08158
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  5. Article: Patient satisfaction with alosetron for the treatment of women with diarrhea-predominant irritable bowel syndrome.

    Olden, Kevin / DeGarmo, Ronald G / Jhingran, Priti / Bagby, Barbara / Decker, Chris / Markowitz, Michael / Carter, Eric / Bobbitt, William / Dahdul, Adnan / DeCastro, Enrique / Gringeri, Louis / Johanson, John / Levinson, Lawrence / Mula, Gregory / Poleynard, Gary / Stoltz, Randall R / Truesdale, Richard / Young, Douglas

    The American journal of gastroenterology

    2002  Volume 97, Issue 12, Page(s) 3139–3146

    Abstract: Objective: The efficacy and tolerability of alosetron in women with diarrhea-predominant irritable bowel syndrome (IBS) have been established in double-blind, placebo-controlled trials. However, the degree to which alosetron fulfills the needs of those ... ...

    Abstract Objective: The efficacy and tolerability of alosetron in women with diarrhea-predominant irritable bowel syndrome (IBS) have been established in double-blind, placebo-controlled trials. However, the degree to which alosetron fulfills the needs of those suffering from IBS has not been thoroughly examined from the patient's perspective. This randomized, double-blind, placebo-controlled study conducted in women with diarrhea-predominant IBS evaluated patients' overall satisfaction with treatment as well as their satisfaction with respect to several specific medication attributes.
    Methods: Patients randomized to receive either alosetron 1 mg b.id. (n = 532) or placebo (n = 269) were administered a questionnaire on which they rated on 7-point Likert scales their prestudy IBS treatment (at the screening visit) or study medication (on wk 12 or final study visit) with respect to overall satisfaction and 11 specific medication attributes.
    Results: Whereas approximately 10% of patients were satisfied or very satisfied overall with prestudy IBS medication, 69% of patients were satisfied or very satisfied overall with alosetron and 46% with placebo (p < 0.001) at the end of 12 wk of therapy. The majority of alosetron-treated patients (61-87%) were satisfied or very satisfied with each of 11 specific medication attributes (p < 0.001 vs placebo for each attribute). Favorable satisfaction ratings for alosetron were assigned to the five medication attributes that patients considered to be most important, including relief of urgency (68% alosetron vs 41% placebo), speed of relief (71% vs 40%), time to return to normal activities (75% vs 49%), relief of abdominal pain (62% vs 44%), and prevention of return of urgency (68% vs 42%).
    Conclusions: Women with diarrhea-predominant IBS are satisfied with alosetron 1 mg b.i.d. treatment overall and also with respect to specific attributes of IBS medication they consider most important.
    MeSH term(s) Adult ; Carbolines/adverse effects ; Carbolines/therapeutic use ; Colonic Diseases, Functional/complications ; Colonic Diseases, Functional/drug therapy ; Diarrhea/etiology ; Female ; Gastrointestinal Agents/adverse effects ; Gastrointestinal Agents/therapeutic use ; Humans ; Middle Aged ; Patient Satisfaction ; Placebos
    Chemical Substances Carbolines ; Gastrointestinal Agents ; Placebos ; alosetron (13Z9HTH115)
    Language English
    Publishing date 2002-12
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.1111/j.1572-0241.2002.07111.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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