PPC IV & V Practice Based Learning and Improvement Presentation Guide: Steps 6 & 7

• What information would you provide your clinical faculty member or medical team member about the case?
• What information would you provide your patient?
  • Should be provided in terminology that a patient could understand.

• Drugs: Consider drug cost, insurance coverage, serious adverse reactions, serious drug interactions, contraindications, ease of administration, etc.
  • Drugs - See the drug monographs in Lexi-Comp Online or MicroMedex
    • Drug Prices - Seethe preparations section of the Lexi-Drugs drug monograph (Lexi-Comp Online)
  • Herbs/Supplements/Vitamins - See the herbal/supplement monographs
    • See the Natural Medicines database or Drug databases (Lexi-Comp Online or MicroMedex)
• Treatments: Efficacy of treatment, treatment cost, insurance coverage, possible complications, etc.
• Geography of where patient lives. For example, some treatments may not be easily available/assessable to patient living in a rural community.
• Transportation
• Diversity, culture, and spiritual beliefs of the patient

If prescribing a new medication to a patient, remember STEPS.

S    Safety
         T     Tolerability
     E     Effective
P     Price
       S     Simplicity

University of Georgia YouTube site. Athens (GA): Slawson David C; 2010 May 28. [Video], Teaching evidence based medicine: should we be teaching information management instead? [reviewed 2013 Aug 3; cited 2013 Aug 20]; [55 min., 41 sec.]. Available from: http://www.youtube.com/watch?v=w60YNt3deW4.

Preskorn SH. Advances in antidepressant therapy: the pharmacologic basis. San Antonio: Dannemiller Memorial Educational Foundation, 1994

• This step is completed AFTER the verbal communication response is given to requestor
• Follow-up is perceived as good clinical practice and enhances professional relations
  • Will there be follow-up? When (provide an estimate)?

• We all have a responsibility to provide responses to clinical questions from patients and health care providers
• Before providing a response, be sure to utilize the 7-step approach to assure completeness with the response
• Responses are often given in a verbal, fast-paced setting, however, sometimes a written response is needed.  Be aware of your setting.

Include the citation of your article or guideline on your reference slide. Other resources utilized in the presentation should also be cited,