- Change Package
 Full package for download and printing. Details strategies and change concepts. 39 pages.
The Change Package serves as the catalog of leading practices that Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) teams adapt and implement, using an accelerated improvement process.
Detailing the leading practices that address the goals of the Collaborative, the change package was developed after visits to high-performing organizations that have achieved outstanding results. It was reviewed and vetted by a panel of national experts. The Change Package is an evolving document that will be honed as teams test and refine the leading practices in their patient care settings.
The PSPC faculty was drawn from the high-performing organizations and provides guidance on testing and implementing Change Package strategies to achieve breakthrough improvements.
Change concepts and specific action steps will be sufficiently defined so that teams can initially test recommended changes in their delivery system and track them within a defined patient population.
Throughout the collaborative, the faculty and consultants will serve a major role in supporting the teams as they work together to implement a patient-centered, inter-professional team approach in the delivery of clinical pharmacy services and practices that improve patient safety.
Strategies and Change Concepts
The five major strategies and 15 change concepts found to be key components of high-performing organizations are as follows:
Leadership Commitment: Develop organizational relationships that promote safe medication-use systems and optimal health outcomes
A. Foster a culture of quality and safety with a vision of integrated clinical pharmacy services to improve safety and health outcomes.
B. Form partnerships to achieve a compelling vision by aligning and leveraging resources.
C. Build the business case and foundation for the sustainability of integrated clinical pharmacy services.
Measurable Improvement: Achieve change using the value and power of data- driven improvements
D. Collect, analyze, and disseminate the data that are necessary to guide improvement in process and results.
E. Manage the delivery system on safety improvement by implementing safe practices and tracking safety outcomes.
F. Manage the delivery system for improvements in health outcomes for high-risk patients.
Integrated Care Delivery: Build an integrated health care system across providers and settings that produces safety and optimal health outcomes
G. Develop a delivery system with an established medical home and linkages with other providers and settings.
H. Develop an integrated multi-professional care team that includes clinical pharmacy services.
I. Coordinate care transitions among providers and settings, with medication reconciliation at each care transition.
Safe Medication Use Systems: Develop and operate by safe medication-use practices
J. Systematically introduce and institutionalize safe medication-use practices and monitoring procedures.
K. Establish on-site clinical pharmacy services.
L. Implement pharmacy services and safe medication practices in the absence of an on-site pharmacist.
Patient-Centered Care: Build a patient-centered medication-use system
M. Engage patients and families in achieving safe care and optimal health outcomes.
N. Establish patient self-management as a practice that is tracked and improved over time.
O. Provide culturally appropriate services by developing the understanding and competencies that providers need to engage their patients.
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