Can we get the Evidence to Everyone CADTH Symposium 2016 Lisa Farrell Chair of DEANS NS Liaison CADTH Drug Evaluation Alliance of Nova Scotia DEANS Multidisciplinary multisectoral alliance to optimize drug use in ID: 934781
Download Presentation The PPT/PDF document "Expanding the Reach of Evidence in Nova ..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Expanding the Reach of Evidence in Nova Scotia
Can we get the Evidence to Everyone?CADTH Symposium 2016Lisa Farrell- Chair of DEANS( NS Liaison CADTH)
Slide2Slide3Drug Evaluation Alliance of
Nova Scotia (DEANS)
Multidisciplinary, multi-sectoral alliance to optimize drug use in
Nova Scotia
Responsible and accountable to the Minister of Health and Wellness (DHW)
Management committee includes:
Representatives from DHW, health professionals, administrators, and researchers and their traineesDalhousie University (Faculty of Medicine, College of Pharmacy), Drug Evaluation Unit Nova Scotia Health Authority, Canadian Agency for Drugs and Technology in Health (CADTH), First Nations and Inuit Health, Pharmacy Association of Nova Scotia, Nova Scotia Prescription Monitoring Program.
Slide4DEANS
Slide5Mission
To contribute to the health of Nova Scotians by encouraging appropriate medication use.Obtains and analyses information.
Provides relevant information to Nova Scotian decision-makers, practitioners and consumers.
Evaluates the impact of the information and the methods of dissemination on policy making, practitioner behaviour and consumer outcomes.
Slide6History
Began in 1998Commitment by Nova Scotia Department of Health to fund a new initiative to complement existing drug management systemsPilot different ways to encourage appropriate prescribingTwo years of behind the scenes work by many groups (including the Pharmacy Association of Nova Scotia, the Nova Scotia Pharmaceutical Society and the College of Pharmacy) to establish the structural and funding framework to launch the
program
Slide7Early projects
Chlorpropamide Initiative:Over 1,500 seniors in NS were taking chlorpropamide, despite evidence that it should not be used in this population
.
Initiative included target date for delisting chlorpropamide, education targeting chlorpropamide prescribers, general educational initiatives for pharmacists and diabetes educators
in the 33 Diabetes Care Centres across
NS
Asthma initiative: Respiratory medications can be delivered as effectively, more portably and at less cost than via the use of wet nebulization solutions.Target date to restrict access to wet nebulization solutionsMulti-faceted educational interventions targeted at hospital staff, patients, pharmacists, physicians and respiratory technologists
Slide8Resources
Funding through Department of Health and WellnessDedicated staff coordinator Volunteer, with dedicated time commitmentFunding supportsDrug Evaluation Unit Nova Scotia Health Authority
Continuing Pharmacy Education
Continuing Medical Education
Academic detailing service
Academic Family medicine group
Project support
Slide9Objectives
Encourages appropriate drug use by:identifying areas where optimization of drug use is neededdeveloping interventions to provide targeted, evidence- informed knowledge to health care patients and providers
evaluating the impact of the interventions.
Work closely with Dalhousie continuing professional development programs and academic detailing service.
Slide10Products
The use of direct acting oral anticoagulants in atrial fibrillationIncorporating the evidence into Academic Detailing Service topicLiaise with cardiology specialties Presentations at Continuing Medical and Pharmacy Education ConferencesLive webinars for physicians and pharmacists
Self-monitoring of blood glucose
Province wide live interactive sessions, “Are we singing from the same song sheet?”
With leadership from Diabetes Care Nova Scotia
Web sessions
Slide11Products
Proton Pump InhibitorsEvidence incorporated into Academic Detailing Service topicLive webinar sessionsPharmacare policy change Evaluation demonstrated decrease in double dosing Statins for primary prevention
Evidence incorporated into Academic Detailing Service topic
Live webinar sessions
Presented at Continuing Medical and Pharmacy Education conferences
Slide12Products
“Managing Drug Diversion”Inter-professional province wide interactive program Partnered with Nova Scotia Prescription Monitoring Program and provincial Addictions ServicesSleepWell NSMulti-stakeholder initiative to promote non-pharmacological resources to manage sleep difficulties
Developed website and ‘sleep kits’
Promoted at professional conferences
Phase 2 under development
Slide13Why does it work?
CollaborationLong-standing personal and professional relationshipsBuilding of trust Sharing of ideasOngoing support from the Executive within the DHWReal deliverables with measurable outcomesIdentifying manageable components of a larger concept
Listening to and responding to the needs of primary care practitioners
Slide14“Don’t let what you can’t do stop you from what you can do.”
(John Wooden)
Slide15Questions?
Contact info
Judith.fisher@novascotia.ca
( Coordinator of DEANS)
lisaf@cadth.ca
( current Chair of DEANS
)