Common use of Learning Objectives Clause in Contracts

Learning Objectives. Describe the classes of the different NNITs and their mechanisms of action. Discuss the efficacy of antidiabetic medications, including NNITs, when being prescribed for type 2 diabetes management. Which of the following medications and drug classes are paired correctly? A Dapagliflozin and PPAR activator B: Glyburide and DPP-4 inhibitor C: Linagliptin and SGLT2 inhibitor D: Dulaglutide and GLP-1 agonist Which of the following has shown the best overall HbA1c reduction? A Pioglitazone B Metformin Q1 Answer: D Q2 Answer: B ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, PharmD*, ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇, PharmD, BCPS, BCACP, ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Pharm, ▇▇▇▇▇▇▇ Hamper, PharmD, BCACP, ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, PharmD Jewel-Osco Pharmacies / University of Illinois at Chicago,6107 ▇ ▇▇▇▇▇▇ ▇▇▇,Chciago,IL,60638 ▇▇▇▇▇▇▇.▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ Purpose: Immunizations are critical in reducing the risks of vaccine- preventable diseases. Several studies have demonstrated that adherence to specific immunization recommendations are low in patients receiving antiretroviral (ARV) therapy; however, limited data exists to describe trends in overall immunization status for this population. The primary objective of this study is to identify patients who have received ARV therapy and the Centers for Disease Control and Prevention (CDC) recommended immunizations at community pharmacies specializing in Human Immunodeficiency Virus (HIV) patien care. The secondary objectives are to determine if the above-identified patients received immunizations at a different healthcare facility, and to determine trends in patient characteristics including age, gender, insurance coverage, and how often therapy has changed.Methods: A retrospective cohort study is being conducted within four grocery store chain pharmacies in Chicago, IL as advanced HIV patient care services were initiated at the selected study sites in 2013. Patients 18 years and older currently on ARV therapy components recommended by the United States Department of Health and Human Services 2017 HIV guidelines were included. Eligible patients were identified using dispensing reports for National Drug Codes of specified ARVs filled at each study location. Baseline characteristics and the CDC recommended immunization histories were recorded. Recommended immunizations include hepatitis B, influenza, pneumococcal, human papilloma virus, and tetanus, diphtheria and pertussis. ARV dispensing reports and immunization history were collected from January 2013 to October 2017, in order to reflect the conception of HIV patient care services at the study locations. Additional immunization history information were also collected from the Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE). Descriptive statistics will be used to describe study results.Results/Conclusions: Data collection and analysis are in progress. Results and conclusion will be presented at the Great Lakes Pharmacy Residency Conference.

Learning Objectives. Describe Review current opportunities for pharmacist billing Recognize the classes impact of the different NNITs and their mechanisms of action. Discuss the efficacy of antidiabetic medications, including NNITs, when being prescribed for type 2 diabetes management. an ambulatory pharmacist on patient care Which of the following medications and drug classes are paired correctlyis a current viable option for pharmacist reimbursement in an ambulatory setting? A Dapagliflozin Direct billing as a provider as defined by Centers for Medicare and PPAR activator B: Glyburide and DPP-4 inhibitor Billing medication therapy management services as allowed by in C: Linagliptin and SGLT2 inhibitor Incident-to Physician Assistant D: Dulaglutide and GLP-1 agonist Which of the following has shown the best overall HbA1c reductionPharmacists do not currently have any avenues for reimbursemen In which way can pharmacists positively impact patient care in an ambulatory setting? A Pioglitazone Proactively identify patients with complex medication regimens for B Metformin Stay in the pharmacy until consulted C Allow prescribers to complete their own prior authorizations for the D Depend on prescribers and community (retail) pharmacists to ens Q1 Answer: D B Q2 Answer: B ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, A Vidhi Doshi PharmD*, ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇, ; Juinting Chiang PharmD; Thaer Idrees MD; Kanan Shah PharmD, BCPS, BCACP, ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Pharm, ▇▇▇▇▇▇▇ Hamper, PharmD, BCACP, ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, PharmD Jewel-Osco Pharmacies / University of Illinois at Chicago,6107 ▇ ▇▇▇▇▇▇ ▇▇▇BCCCP Presence Saint Joseph Hospital,2900 N.Lake Shore Dr.,Chicago,Chciago,IL,60638 ▇▇▇▇▇▇▇.▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ IL,606575640 Vidhi.Doshi@presencehealth.org Purpose: Immunizations are critical Targeted temperature management (TTM) is a process used for unconscious adults who have a return of spontaneous circulation post-cardiac arrest. These patients often experience changes in reducing the risks of vaccine- preventable diseasesblood glucose, which is associated with poor neurological outcomes and death. Several While previous studies have demonstrated that adherence explored this subject, further research is needed to specific immunization recommendations are low in patients receiving antiretroviral (ARV) therapy; however, limited data exists to describe understand insulin dosing and blood glucose trends in overall immunization status for this population. The primary objective of this This project will identify the patient characteristics that predict the need for insulin therapy, determine the average time to initiate insulin therapy, and evaluate trends in blood glucose. Methods: This study is to identify an IRB-approved, retrospective chart review that assesses blood glucose management and trends in patients who have were treated with TTM from 2012-2017 at a 361-bed, community teaching hospital. Patients will be included if they underwent TTM post- cardiac arrest and were admitted to the intensive care unit (ICU). Patients will be excluded if they were less than 18-years old, received ARV therapy and the Centers for Disease Control and Prevention (CDC) recommended immunizations at community pharmacies specializing in Human Immunodeficiency Virus (HIV) patien carebasal bolus insulin during TTM, or if TTM was interrupted. The secondary objectives are to determine if the above-identified patients received immunizations at a different healthcare facilitydata will include various baseline characteristics, targeted temperatures, electrolyte levels, blood glucose levels, insulin infusion rates, frequency of hypoglycemia episodes, and to determine trends duration of TTM. Primary endpoints will be the average insulin infusion rate in patient characteristics including agethose patients with and without diabetes. Secondary endpoints, gendersuch as initial blood glucose at start of TTM, insurance coveragepercent of patients with hypoglycemic episode requiring administration of dextrose, initial infusion rate, and how often therapy has changed.Methods: A retrospective cohort study is being conducted within four grocery store chain pharmacies in Chicagomean time to initiation of insulin, IL as advanced HIV patient care services were initiated at the selected study sites in 2013. Patients 18 years and older currently on ARV therapy components recommended by the United States Department of Health and Human Services 2017 HIV guidelines were included. Eligible patients were identified using dispensing reports for National Drug Codes of specified ARVs filled at each study location. Baseline characteristics and the CDC recommended immunization histories were recorded. Recommended immunizations include hepatitis B, influenza, pneumococcal, human papilloma virus, and tetanus, diphtheria and pertussis. ARV dispensing reports and immunization history were collected from January 2013 to October 2017, in order to reflect the conception of HIV patient care services at the study locations. Additional immunization history information were also collected from the Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE). Descriptive statistics will be used to describe study results.Results/Conclusions: Data collection and analysis are in progressincluded. Results and conclusion conclusions will be presented at the Great Lakes Pharmacy Residency Resident Conference.. Describe the changes in blood glucose in patients undergoing TTM. Recall the recommendations pertaining to TTM in the 2015 ACLS guidelines. Which of the following statements is correct regarding blood glucose trends in patients undergoing TTM? A Patients undergoing cooling will typically experience hyperglycemi B: Patients undergoing cooling will typically experience hypoglycemia C: Patients undergoing cooling will typically experience no changes in D: Patients undergoing cooling will typically experience both hypergly Based upon the updated 2015 ACLS guidelines, what is the goal temperature for TTM? A 30 to 34 degrees Celsius B 32 to 34 degrees Celsius C 32 to 36 degrees Celsius

Learning Objectives. Describe Define acute kidney injury in a pediatric population using the classes pRIFLE criteria Recognize factors that may increase the risk of AKI in children receiving vancomycin What percent decrease in estimated creatinine clearance defines pediatric acute kidney Injury category per the different NNITs and their mechanisms of action. Discuss the efficacy of antidiabetic medications, including NNITs, when being prescribed for type 2 diabetes management. Which of the following medications and drug classes are paired correctlypRIFLE criteria? A Dapagliflozin and PPAR activator 20% B: Glyburide and DPP-4 inhibitor 25% C: Linagliptin and SGLT2 inhibitor 50% D: Dulaglutide and GLP-1 agonist 75% Which of the following has shown the best overall HbA1c reductionbeen correlated with increased AKI incidence in children receiving vancomycin therapy? A Pioglitazone Higher vancomycin daily doses B Metformin Lower vancomycin troughs C Use of concomitant cephalosporins D Use of concomitant IV fluids Q1 Answer: D C Q2 Answer: B A ACPE Universal Activity Number 0121-9999-18-318-L01-P Activity Type: Knowledge-based Contact Hours: 0.5 (if ACPE number listed above) ▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇▇, PharmD*, ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇, PharmD, BCPS, BCACP, ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Pharm, ▇▇▇▇▇▇▇ Hamper, PharmD, BCACP, ▇; ▇▇▇▇▇▇ ▇▇▇▇▇▇, PharmD Jewel-Osco Pharmacies / BCPS; ▇▇▇▇▇ ▇▇▇▇▇, PharmD BCPS University of Illinois at Chicago,6107 Chicago Medical Center,5841 ▇ ▇▇▇▇▇▇▇▇ ▇▇▇,Chciago▇▇▇▇▇▇▇,IL,60638 ▇▇,▇▇▇▇▇ ▇▇▇▇▇▇▇.▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Purpose: Direct oral anticoagulants (DOACs) offer benefits over standard-of-care warfarin for the treatment of venous thromboembolism (VTE) or stroke prevention in non-valvular atrial fibrillation (NVAF) due to lack of routine laboratory monitoring requirements, dietary restrictions, and reduced incidence of drug-drug interactions. However, dose adjustments of DOACs may be necessary based on certain clinical criteria which may lead to inappropriate prescribing and the potential for increased rates of adverse events. Methods: A single-center, retrospective observational cohort study was conducted to evaluate the adverse event rates of inappropriately dosed dabigatran, rivaroxaban, and apixaban in adult patients with a diagnosis of VTE or NVAF. The primary objective was the composite rate of bleeding and thrombosis between patients who were prescribed an inappropriately dosed DOAC compared to patients who were appropriately dosed. Secondary objectives include rates of thrombosis, rates of bleeding, prescribing services, reasons for inappropriate dosing, and rates of inappropriate dose adjustment for each DOAC.Results: Among the 158 patients included, the rate of inappropriately dosed DOACs was 10.8%. The most common indication for DOAC prescribing was NVAF (55.7%). Rivaroxaban was the most frequently prescribed DOAC (53.8%). Inappropriately dosed DOACs occurred most frequently with apixaban (52.9%).The primary endpoint found no significant difference in composite rates of bleeding and thrombosis in the inappropriately prescribed group (11.8%) compared to the appropriately prescribed group (21.3%) (p=0.19). The overall rate of adverse events was 20%, with minor bleeding being the most commonly reported adverse event.Conclusions: Initial findings show low rates of inappropriately prescribed DOACs. No differences in the composite rate of bleeding or thrombosis were seen in patients who received an inappropriately dosed DOAC for treatment of VTE or stroke prevention in NVAF compared to those who were appropriately dosed. List the pros and cons of direct oral anticoagulants compared to warfarin Review the dosing recommendations of direct oral anticoagulants for non-valvular atrial fibrillation and treatment of venous thromboembolism What are the potential advantages of direct oral anticoagulants when compared to warfarin? A Reduced monitoring requirements B: Availability of reversal agents for all of the direct oral anticoagulant C: Decreased risk of drug-drug and drug-food interactions D: A and C What is the appropriate dose of apixaban for an 82 year old female with an acute pulmonary embolism who weighs 57 kg with a serum creatinin of 1.2 mg/dL? A 2.5 mg twice daily B 5 mg twice daily C 5 mg BID x 7 days, followed by 2.5 mg BID D 10 mg BID x 7 days, followed by 5 mg BID Q1 Answer: D Q2 Answer: D ACPE Universal Activity Number 0121-9999-18-319-L01-P Activity Type: Knowledge-based Contact Hours: 0.5 (if ACPE number listed above) *▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, PharmD, ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, PharmD, BCPS Northwestern Memorial Hospital,251 E. Huron St.,Suite LC- 700,Chicago,IL,60611 ▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇@▇▇.▇▇▇ Purpose: Medication errors cause preventable adverse drug events in approximately 1.5 million individuals each year; however, only 10-20% o all errors are reported. The use of “triggers” such as abnormal lab results, antidote administration, and ▇▇▇▇▇ ▇▇▇▇▇ to identify adverse event is an effective method to identify and track medication errors. However, there is currently no standardized methodology to detect and report adverse drug events utilizing trigger tools. Errors commonly occur durin medication ordering/prescribing. The computerized provider order entry (CPOE)-based function of medication order voiding is a way for clinicians to remove medication orders from a patient’s active medication list, including those that were placed in error. Therefore, a voided order may serve as a proxy for medication order entry errors. Analysis of prescribing errors identified in voided orders can provide useful insight into the source of these errors as a step towards reducing them. The primary purpose of this study is to determine if voided medication orders can serve as a useful method for detecting prescribing errors. Methods: This is a single-center, retrospective chart review of a random sample of inpatient medication orders that were voided between January 1, 2016 and December 31, 2016 at Northwestern Memorial Hospital. Data will be obtained from Cerner’s PharmNet and will include voided order ID, position of person placing the order and voiding it, date/time order was voided, and new orders placed within 10 minutes of the voided order. Orders will be analyzed to determine the proportion of voided orders that are potentially medication errors. Medication errors will be categorized as one of the following: wrong route, wrong dose, wrong schedule, wrong strength, wrong indication, wrong drug, duplicate order, or not clinically appropriate. The primary endpoint will be to assess the incidence of medication order entry errors among voided medication orders. Identify potential trigger tools which can be used to recognize adverse drug events. Define the CPOE-based function of medication order voiding. Which of the following would NOT serve as a trigger tool that an advers drug event may have occurred? A Medication order abruptly discontinued B: Administration of glucagon C: Potassium level of 6 D: Nausea after chemotherapy session Which of the following statements is true about the CPOE-based function of medication order voiding? A Function of voiding is standardized across all institutions B Orders can be voided before or after medication administration C Discontinuing an order is the same as voiding it ▇▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, PharmD, MBA*; ▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇, PharmD Candidate; ▇▇▇▇▇▇▇ ▇ ▇▇▇▇, PharmD; ▇▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇▇▇, PharmD, MBA, BCPS; ▇▇▇▇▇▇ ▇ ▇▇▇▇▇▇▇▇▇▇▇▇, PharmD, MHA University of Kentucky HealthCare,800 ▇▇▇▇ ▇▇▇▇▇▇,▇▇▇▇,▇▇▇▇▇▇▇▇▇,▇▇,▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇.▇▇▇ Purpose: Immunizations are critical in reducing the risks of vaccine- preventable diseases. Several studies have demonstrated that adherence to specific immunization recommendations are low in patients receiving antiretroviral (ARV) therapy; however, limited data exists to describe trends in overall immunization status for this population. The primary objective of this study is to identify patients who have received ARV therapy and the Centers for Disease Control and Prevention (CDC) recommended immunizations at community pharmacies specializing in Human Immunodeficiency Virus (HIV) patien care. The secondary objectives are to determine if the above-identified patients received immunizations at a different healthcare facility, and to determine trends in patient characteristics including age, gender, insurance coverage, and how often therapy has changed▇▇▇▇@▇▇▇.Methods: A retrospective cohort study is being conducted within four grocery store chain pharmacies in Chicago, IL as advanced HIV patient care services were initiated at the selected study sites in 2013. Patients 18 years and older currently on ARV therapy components recommended by the United States Department of Health and Human Services 2017 HIV guidelines were included. Eligible patients were identified using dispensing reports for National Drug Codes of specified ARVs filled at each study location. Baseline characteristics and the CDC recommended immunization histories were recorded. Recommended immunizations include hepatitis B, influenza, pneumococcal, human papilloma virus, and tetanus, diphtheria and pertussis. ARV dispensing reports and immunization history were collected from January 2013 to October 2017, in order to reflect the conception of HIV patient care services at the study locations. Additional immunization history information were also collected from the Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE). Descriptive statistics will be used to describe study results.Results/Conclusions: Data collection and analysis are in progress. Results and conclusion will be presented at the Great Lakes Pharmacy Residency Conference.▇▇▇