Greater Than the Sum of It’s Parts:

The PH Treatment TeamSharon Jones, RN, MSN

Jacqueline Brewer, RN, BSN

DisclosuresThis continuing education activity is managed and accredited by Professional Education Services Group. Neither PESG nor any accrediting organization supports or endorses any product or service mentioned in this activity.

Commercial Support was not received for this activity.

Disclosures• Sharon Jones, RN, MSN

Has no financial interest or relationships to disclose

• Jacqueline Brewer, RN, BSN Has no financial interest or relationships to disclose

-and-• CME Staff Disclosures

Professional Education Services Group staff have no financial relationships to disclose.

Learning ObjectivesAt the conclusion of this activity, the participant will be able to:

1. Identify 2 PH teams’ approaches to managing their PH populations.

2. Define the roles of the multidisciplinary PH team members.

3. Describe the “nuts and bolts” of developing a PH team from creation to current state.

CHRISTIANA CARE HEALTH SERVICES

NEWARK, DELAWARE

Building Blocks • PH Champion(s)

• Community Needs Assessment

• Business Plan

• Stakeholder Management

Stakeholder ManagementKey players & levels of power

• Ultimate decision makers

• Influential supporters

• Peer corroboration

IN THE BEGINNING…

• First Steps of PH Patient Care-Late ‘90s

• Dr. Gerald O’Brien-Physician Champion

CCHS PH Team Timeline

1998-2000 2007 2009 2012-Present

No Team Informal Formal Team PH Clinic Opens Team Expansion Program Expansion

First Flolan PH pts seen Addition of Pts seen by CM takes over Nurse Navigator pt. in Pulm office NP & MD, NP & all drug responsible for Inpts seen Case Manager Office RN enrollments entire continuum by of pt. care Pulmonologists, Nurses, Clinical Spec

& Pharm Specialist

20112000-2007

Multidisciplinary Team at CCHS

• Gerald O’Brien, MD, Medical Director• Carol Gray, APN, Nurse Practitioner• Megan Farraj, Clinical Pharmacy

Specialist• Maureen Seckel, APN, Clinical Nurse

Specialist• Sharon Jones, RN, Nurse Navigator• Julie Adams, RN, Research Nurse• 3D Unit Nurse PH Committee

CCHS PH Program• 100 Pulmonary Arterial Hypertension

Patients• 12 IV/SQ patients• 1 Clinic Day Per Week• Industry Sponsored Clinical Trials• Monthly PH Team Meetings• 24/7 PH On-Call System• Patient Support Group

Inpatient Components• Dedicated Inpatient Unit

• Care Management Guidelines

• Unit PH Committee

• ED Algorithm

Role Responsibilities• Providers• Dedicated Nurse• Clinical Pharmacist• Research Nurse• Inpatient Nursing

Dedicated PH Nurse• Nurse Navigator-Entire Continuum

• Multi-tasker

• “Glue”

PH Team Concepts “Commitment To The Commitment”

• Shared Responsibility• Dedication• Innovation• Mutual Respect • Supportive Environment

Program Essentials • PH Champion

• Provision of ALL PH Therapies

• Program Structure

• Dedicated Physical Space

Systems, Systems, Systems!

• Patient Safety

• Transitions of Care

• Channels of Communication

• PH On-Call System

CCHS Program Future

• PH Patient Navigation Model

• Ancillary Staff

• PI Projects

Our Team

Make Your Dream A Reality

Obtaining CE CreditIf you would like to receive continuing education credit for this activity, please visit:

www.pesgce.com