The Focus Is You

Experiential Education Manual
VI. IPPE Rotations

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B. Global IPPE Program Objectives

2. Integration of the Pharmacists’ Patient Care Process

Students involved with the various elements (integrated IPPE activities, IPPE simulations, and IPPE rotations) of the IPPE program will participate in the steps of the Pharmacists’ Patient Care Process*. The steps are:

  1. Collect Information
    Collect information from subjective and objective sources about the patient to enhance understanding of relevant medical/medication history and clinical status which includes the following elements:
    1. Current mediation list and history of medication use regarding prescription and nonprescription medications, herbal products and other dietary supplements and complementary alternative medication use
    2. Health data regarding patients’ medication history, health and wellness information, biometric test results, physical assessment findings
    3. Lifestyle habits, preferences and beliefs, socioeconomic factors that may affect patients’ access to care and access to medications
  2. Assess Information
    Assess information to evaluate the clinical effects of therapy in context of overall health goals so that problems can be identified and prioritized in the effort to achieve optimal outcomes. This includes assessment of:
    1. Appropriateness, efficacy, safety and adherence issues for each medication
    2. Functional and health status, risk factors, health data, cultural factors, health literacy and access to care/medications
    3. Immunization status and needs for preventive care or other care from other health care providers
  3. Develop Care Plans
    Develop individualized, patient-centered care plans collaboratively with other health care professionals as well as with the patient and/or caregivers that is evidence-based and cost effective. This includes a plan that addresses:
    1. Medications-related problems to optimize medication therapy
    2. Goals of therapy necessary to achieve clinical outcomes in context of the patient’s overall health care goals and abilities to access care
    3. Engagement of the patient through education, empowerment and self-management approaches
    4. Consideration of the continuity of care, including follow-up needs and anticipated transitions of care
  4. Implement Care Plans
    Implement the care plan in collaboration with other health care professionals as well as with the patient and/or caregivers. The implementation of the care plan involves:
    1. Care directed towards making improvements in medication and health-related problems
    2. Preventive care strategies including immunization
    3. Initiation, modification, discontinuation or administration of medication therapy as allowed by state and/or federal laws
    4. Provision of education and self management training to the patient and/or caregivers
    5. Contributions to the coordination of care, including referral or transition of the patient to another health care professional
    6. Scheduling of follow-up care as needed to achieve goals of therapy
  5. Monitor and Evaluate Care Plans
    Follow-up with monitoring and evaluation of the care plan and modify the plan in collaboration with other health care professionals and the patient and/or caregiver, as needed. This process includes ongoing monitoring and evaluation of:
    1. Medication appropriateness, efficacy and safety as well as adherence to a therapeutic plan
    2. Clinical endpoints that contribute to overall health improvement
    3. Outcomes of care, including progress towards the achievement of collaboratively developed goals of therapy

*The Pharmacists’’ Patient Care Process published May 29, 2014 from the Joint Commission of Pharmacy Practitioners (JCPP)

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The Focus Is You