National Resource Center for Academic Detailing [NaRCAD]     857.307.3801
NaRCAD
  • About Us
    • Our Team
    • Contact Us
  • Learning Center
    • The AD Core Toolkit >
      • Opioid Safety Toolkit
      • HIV Prevention Toolkit
    • Examples of Program Materials
    • News & Media Center
  • The Detailing Directory
  • EVENTS
    • Training Series
    • CONFERENCE SERIES
    • THE CONFERENCE HUB
  • Blog
  • Partner Network
    • Partners by Location
  • About Us
    • Our Team
    • Contact Us
  • Learning Center
    • The AD Core Toolkit >
      • Opioid Safety Toolkit
      • HIV Prevention Toolkit
    • Examples of Program Materials
    • News & Media Center
  • The Detailing Directory
  • EVENTS
    • Training Series
    • CONFERENCE SERIES
    • THE CONFERENCE HUB
  • Blog
  • Partner Network
    • Partners by Location

The DETAILS BLOG

Capturing Stories from the Field: Reflections, Challenges, & Best Practices in Clinical Outreach Education

Transitional Care for Chronic Disease: Behind the Scenes

7/9/2015

0 Comments

 
Picture
An Interview with Paula Walker, Clinical Pharmacist
Baylor, Scott & White Health | Dallas, Texas


Tell us a bit about yourself. How did you get into care redesign and transitional care? I grew up in the area of Inman Square Pharmacy in Cambridge, Massachusetts.  After graduating from Northeastern University in 1990, I began my career in community pharmacy.  Soon after I entered the pharmaceutical industry, I spent many years representing the biological division of Rhone-Poulenc.  I continued to keep connected with public health by practicing in the community part time; I’ve also been serving in a family practice clinic for over 8 years now.  Three years ago, upon recommendation from our clinic director, I joined The Institute of Chronic Disease and Care Redesign at Baylor Scott and White Health in Dallas.

Tell us about the institute. What does your team focus on with regards to providing transitional care? What approach do you take?
Our multidisciplinary team focuses on improving outcomes among chronically ill older adults.  Our innovative approach includes using advanced technology to identify patients at most risk for readmission.  With a focus on heart failure, COPD, and pneumonia, patients are identified and supported as they transition from one level of care to the next.  Our transitional care team encourages each specialty to work at the very top of their license to assist patients whose recovery is complicated by cognitive impairment, frailty, and social issues.  Our team shares offices together so each discipline is available to all team members at all times.  A strong team and constant communication is the key to our success.

What does a typical day or week look like for you in this field? How do you incorporate academic detailing techniques into your work?
My role is to perform the medication reconciliation on all of my patients and communicate any concerns with the appropriate providers. I attend weekly rounding with my team and need to be able to make and support any medication recommendations. In terms of using academic detailing techniques, our team practices evidence-based medicine in the care and treatment of our population with chronic disease. It’s also key for a pharmacist in this role to be able to communicate to providers quickly and effectively regarding drug selection, dosage, and titration.  Learning and practicing the skills required to communicate effectively in this environment is essential.  In a typical day I will consult with a geriatric specialist, cardiology, nephrology, APRN, social worker, and corporate administration.  That is a lot of communicating!

You attended our Academic Detailing Techniques Training a few years back. What parts of the program worked well for you, and what are the most useful resources or information that you’re still using today? I found the skills learned during the NaRCAD training to be useful and confidence building. There is an art to being able to research information then applying it to support a recommendation in a short amount of time.  NaRCAD brings together professionals from different disciplines that are focused on improving the communication of science-based information in their practice or facility.  It is useful to connect with others that require these skills in their work. The small class size made it very easy to meet all the participants and learn from their experiences.  I believe you can never be too experienced, and I constantly learn from the experience of others.

What are some future successes you’re looking forward to in your work and in the field in general? As we prepare to expand the Transitional Care Model at Baylor Scott and White Health under the population health infrastructure, I look forward to the pharmacist’s role to expand as well.  Our goal of disease management, well above the national standard, will require evidence based medicine and the sharing of clinical information to all members of the care team.  I look forward to continuing my relationship with NaRCAD—together we can help each other transform care, resulting in an improvement in the quality of life for our patients.  And I’m looking forward to NaRCAD’s 3rd International Conference on Academic Detailing this November in Boston!

Biography: Paula Walker, Clinical Pharmacist, joined the Baylor Scott & White Health Transitional Care Team in 2012.  Paula is the team pharmacist and oversees all medication reconciliation for their older adult population with heart failure, COPD, and pneumonia. Prior to joining BSW, Paula has worked in community pharmacy, clinic pharmacy (still active), and the pharmaceutical industry. Paula holds BS in Pharmacy from Northeastern University.

0 Comments

    Highlighting Best Practices

    We highlight what's working in clinical education through interviews, features, event recaps, and guest blogs, offering clinical educators the chance to share successes and lessons learned from around the country & beyond.

    Search Archives
    by Topic:

    All
    21st Century Cures Act
    5 Year Anniversary
    80% By 2018 Campaign
    Academic Detailing
    Addiction
    ADHD
    Affordable Care Act
    AHRQ
    AIDS
    Alaska
    Alosa Health
    Alternative Facts
    American Academy Of Pediatrics
    American Cancer Society
    Annual Community Survey
    Antibiotics
    Apply To Present
    Aspirin
    Atrius
    Autism
    Autism Screening
    Behavior Change
    Best Practices
    Big Data
    Blood Pressure
    Boston
    Breast Cancer
    California
    Cancer Roundtable
    Cancer Screening
    Cardiology
    Cardiovascular Health
    Care Delivery
    CDC
    Centers For Disease Control
    Cholesterol
    Chronic Disease
    Chronic Illness
    Clinical Education
    Clinical Outreach Education
    Clinical Pharmacists
    Clinical Pharmacy
    Clinician
    Clinician Education
    Clinicians
    CME
    Coaching
    Collaboration
    Colorado
    Colorado ABCD
    Colorado Department Of Public Health And Environment
    Colorectal Cancer
    Communications Skills
    Community-based
    Compliance
    Conference
    Conference Series
    Connecticut
    Consultation
    COPD
    COrE Series
    Cost Savings
    Cultural Competency
    CVS Health
    Data
    Decision Making
    Denver
    Department Of Health
    Dependence
    Depression
    Detailing Aid
    Developmental Delays
    Diabetes
    Director's Letter
    Drug Approval
    Drug Costs
    Drug Regulation
    Drugs
    Drug Safety
    Early Childhood Development
    Education
    Educational Materials
    Efficacy
    Engagement
    Evaluating Evidence
    Evaluation
    Event
    Events
    Evidence
    Evidence-based
    Evidence Based Medicine
    Evidence-based Medicine
    Expert Insight Series
    Expert Panels
    Fall 2016 Training
    Fall 2017 Training
    FDA
    Florida
    Former Trainee
    Formularies
    Gaining Access
    Gatekeeper
    Geronotology
    Getting To Zero
    Guest Blog
    Healthcare
    Healthcare Improvement
    Healthcare Reform
    Health Care System
    Healthcare Transformation
    Health System
    Health Systems
    HealthTeamWorks
    Heart Disease
    Heart Failure
    HEDIS
    HepC
    HIV
    HPV
    Hypertension
    Idaho
    IDIS
    Incontinence
    Interactivity
    Interdisciplinary
    Interview
    Jerry Avorn
    Kaiser Permanente
    Kentucky
    Key Messages
    Keynote Speakers
    Kidney Disease
    LaNet
    LA Net
    Las Vegas
    Learning Center
    Letter
    Lifestyle Management
    Local Response
    Long-term Care
    Los Angeles
    Lung Disease
    Mammography
    Manchester
    Massachusetts
    Massachusetts Department Of Health
    MAT
    Materials Development
    Medical Centers
    Medication
    Medication Assisted Treatment
    Medicine
    Mental Health
    Messaging
    Michigan
    Mississippi
    Morphine Milligram Equivalents
    NACCHO
    Naloxone
    #NaRCAD2014
    #NaRCAD2015
    #NaRCAD2016
    #NaRCAD2017
    #NaRCAD2018
    National AD Service
    Needs Assessment
    Networking
    Nevada
    New Hampshire
    New Mexico
    New York
    North Carolina
    NYDOHMH
    Obesity
    Ohio
    Oklahoma
    On The Road
    Opioid
    Opioid Crisis
    Opioids
    Opioid Use Disorder
    Oregon
    Outreach
    Outreach Education
    Overdose
    Overdose Prevention
    Overprescribing
    Pain Medication
    Partner Network
    Patient Care
    Patients
    PCORI
    PDMP
    PDSA Cycle
    Pediatrics
    Pediatric Screening
    Pennsylvania
    Pertussis
    Pharma
    Pharmaceutial
    Pharmaceutical
    Pharmaceuticals
    Pharmacology
    Pharmacotherapy
    Pharmacy
    Pharmageddon
    Pilot Project
    Policy
    Polypharmacy
    Practice-centered
    Practice Facilitation
    Pregnancy
    Pregnancy-related Depression
    Prenatal Health
    PrEP
    Prescribers
    Prescribing
    Prescribing Guidelines
    Prescription Drug Management
    Prescriptions
    Prevention
    Primary Care
    Primary Care Burnout
    Prisoner Health
    Program Evaluation
    Program Management
    Project PrIDE
    Provider Education
    Providers
    PTSD
    Public Health
    Pulmonology
    Quality Improvement
    RAPID
    Readmission
    Referral
    Registration Open
    Research
    Research Study
    Resources
    Rhode Island
    Role Play
    Rural AD Programs
    Safe Prescribing Guidelines
    San Francisco
    San Francisco Department Of Public Health
    Save The Date
    Scaling Up
    Screening
    Serious Mental Illness
    Sexual Health
    SFDPH
    Smoking Cessation
    Social Marketing
    Social Marketing Skills
    Stakeholders
    Statins
    STDs
    Strategies
    Stroke
    Team Approach
    Technical Assistance
    Technology
    Tennessee
    Texas
    The New Yorker
    Tobacco Treatment
    Total Quality Management
    Training
    Training And Support
    Training Recap
    Training Series
    Transgender
    Transitional Care
    Treatment
    Trends
    VA
    Vaccination
    Vaccinations
    Vermont
    Veterans
    Veterans Affairs
    Veterans Health
    Virginia
    Washington D.C.
    Washington State
    West Virginia
    Workshop
    Zika Virus

    RSS Feed

Picture

​NaRCAD is a program of the Division of Pharmacoepidemiology & Pharmacoeconomics [DoPE], Department of Medicine at Brigham & Women's Hospital and Harvard Medical School, and is funded by  the Agency for Healthcare Research and Quality [AHRQ].

Proudly powered by Weebly