Development of the comprehensive medication management practice management assessment tool: A resource to assess and prioritize areas for practice improvement

2019 ◽  
Vol 3 (2) ◽  
pp. 448-454 ◽  
Author(s):  
Deborah L. Pestka ◽  
Caitlin K. Frail ◽  
Lindsay A. Sorge ◽  
Kylee A. Funk ◽  
Kristin K. Janke ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Management Practice ◽  
Medication Management ◽  
Practice Management ◽  
Practice Improvement

scholarly journals How a State Measures Up: Ambulatory Care Pharmacists’ Perception of Practice Management Systems for Comprehensive Medication Management in Utah

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 136
Author(s):  
Kyle Turner ◽  
Alan Abbinanti ◽  
Bradly Winter ◽  
Benjamin Berrett ◽  
Jeff Olson ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Health Systems ◽  
Assessment Tool ◽  
Medication Management ◽  
Standard Of Care ◽  
The State ◽  
Practice Management ◽  
Patient Centered ◽  
University Of Utah ◽  
High Level

Comprehensive medication management (CMM) is a patient-centered standard of care that ensures a patient’s medications are optimized. The CMM Practice Management Assessment Tool (PMAT) is a tool to assess areas of CMM practice management. The purpose of this project was to assess the state of CMM practice management based on clinical pharmacist perception for two health systems in the state of Utah, and to identify areas of excellence and/or improvement utilizing a novel method for PMAT analysis. The PMAT was distributed to all primary care-focused ambulatory care pharmacists employed by University of Utah Health (U of U Health) and Intermountain Healthcare (Intermountain). Ordinal responses were assigned to three possible categories of CMM support (High, Indifferent, and Low). Ten surveys were completed from U of U Health, and nine were completed from Intermountain. Thirty-two of the 86 survey questions resulted in a high level of support, and 25 questions resulted in a low level of support from the majority of respondents. Statistically significant differences between the institutions were found for 18 questions. The utilization of the PMAT within two Utah health systems highlighted areas of excellence and improvement and demonstrates a unique method for analysis of PMAT results.

scholarly journals The development of a conceptual framework to guide sustainable organisational performance

2007 ◽  
Vol 38 (4) ◽  
pp. 9-19 ◽  
Author(s):  
S. Fontannaz ◽  
H. Oosthuizen
Keyword(s):  
Conceptual Framework ◽  
Dynamic Capabilities ◽  
Assessment Tool ◽  
Management Practice ◽  
Qualitative Interviews ◽  
Conclusive Evidence ◽  
Theory Approach ◽  
Organisational Performance ◽  
Strategy Formulation ◽  
Management Approaches

The emergence of the networked economy implies that traditional management approaches no longer suffice in addressing the challenge of complexity. This is compounded by the existence of divergent approaches to determining organisational performance in both management practice and academia, resulting in an execution gap occurring between strategy formulation and results.This article contributes to an understanding of organisational performance by integrating the divergent approaches to determining organisational performance into the Performance ‘ESP’ framework. This provides a conceptual framework to guide organisational development. The research to validate the framework includes a grounded theory approach, comprising a meta-analytical study of existing research, in-depth qualitative interviews and the pilot testing of the Performance ESP Index, which provides a composite measure of the multi-faceted stakeholder view of organisational performance.The research concludes that organisational performance resides in an organisation’s ability to integrate the divergent approaches, to create an execution culture with the necessary dynamic capabilities for sustainable organisational performance in addressing the challenge of complexity. There needs to be diversity in executive abilities at board level to ensure the integration of strategy and people to create the execution culture. Furthermore, leadership should focus on the strategic fusion of strategy and people, whilst management should focus on developing the strategic paradigm throughout the organisation to ensure an execution culture.The Performance ESP framework provides a diagnostic tool to assess the existence of an execution culture to address the challenge of complexity. The purpose of the assessment tool is to complement the financial metrics of profitability, to ensure a balance between short term profitability and growth for sustainable organisational performance.Further research is required to confirm the reliability of the Performance ESP index as the initial pilot study, whilst indicative of the potential of the instrument, did not provide conclusive evidence of reliability.

scholarly journals Case study of extracting soil and land use maps to determine agricultural best management practices that can be applied to prevent erosion and fertile soil loss

2020 ◽  
Vol 61 (4) ◽  
pp. 313-327
Author(s):  
Akıner Ernur
Keyword(s):  
Land Use ◽  
Best Management Practices ◽  
Management Practices ◽  
Assessment Tool ◽  
Management Practice ◽  
Global Climate ◽  
Residential Areas ◽  
Filter Strips ◽  
Land Type ◽  
Agricultural Areas

The Büyük Melen river in the Melen Basin meets Istanbul's drinking water needs. Protecting the basin against nutrient pollution is vital in this regard as well. This study focuses on the best possible management practice (BMPs) in the Melen Basin to reduce the export of nutrients from the agricultural areas. A region comprising industrial, farming, and residential zones is the Melen basin. There is a forecast of global climate change in Turkey, and scientists and also governors must know which areas are no longer farming zones and which will be more appropriate for agriculture. Turkey's territory is a high-risk desertification area. In Melen Basin, the soil type and land use properties have been determined and mapped using GIS and Soil and Water Assessment Tool (SWAT). Buffer BMP filter strips can be used effectively for nutrient protection that can be carried from residential areas and motorways by runoff. The region in the basin is steep, and its clay and sandy soil structures are ideal for parallel terraces, grade stabilization, strip, and contour cultivation. Unless the ground can not retain or store water, the soil can undergo sudden floods, causing an erosion of the soil's productive surface layer. When we protect the land, this condition is reduced. The land type and land use mapping should be drawn up as soon as possible for the remaining Turkish basins by scientific methods. This research is intended to be an illustration for researches on other agricultural basins in Turkey and the world for this reason.

scholarly journals Streamflow and Sediment Yield Prediction for Watershed Prioritization in the Upper Blue Nile River Basin, Ethiopia

Water ◽  
2017 ◽  
Vol 9 (10) ◽  
pp. 782 ◽  
Author(s):  
Gebiaw Ayele ◽  
Engidasew Teshale ◽  
Bofu Yu ◽  
Ian Rutherfurd ◽  
Jaehak Jeong
Keyword(s):  
Sediment Yield ◽  
Land Surface ◽  
Assessment Tool ◽  
Management Practice ◽  
Swat Model ◽  
Shallow Groundwater ◽  
Sediment Delivery ◽  
Inappropriate Use ◽  
Land Management Practice ◽  
Shallow Groundwater Table

Inappropriate use of land and poor ecosystem management have accelerated land degradation and reduced the storage capacity of reservoirs. To mitigate the effect of the increased sediment yield, it is important to identify erosion-prone areas in a 287 km2 catchment in Ethiopia. The objectives of this study were to: (1) assess the spatial variability of sediment yield; (2) quantify the amount of sediment delivered into the reservoir; and (3) prioritize sub-catchments for watershed management using the Soil and Water Assessment Tool (SWAT). The SWAT model was calibrated and validated using SUFI-2, GLUE, ParaSol, and PSO SWAT-CUP optimization algorithms. For most of the SWAT-CUP simulations, the observed and simulated river discharge were not significantly different at the 95% level of confidence (95PPU), and sources of uncertainties were captured by bracketing more than 70% of the observed data. This catchment prioritization study indicated that more than 85% of the sediment was sourced from lowland areas (slope range: 0–8%) and the variation in sediment yield was more sensitive to the land use and soil type prevailing in the area regardless of the terrain slope. Contrary to the perception of the upland as an important source of sediment, the lowland in fact was the most important source of sediment and should be the focus area for improved land management practice to reduce sediment delivery into storage reservoirs. The research also showed that lowland erosion-prone areas are typified by extensive agriculture, which causes significant modification of the landscape. Tillage practice changes the infiltration and runoff characteristics of the land surface and interaction of shallow groundwater table and saturation excess runoff, which in turn affects the delivery of water and sediment to the reservoir and catchment evapotranspiration.

District nurses’ use for an assessment tool in their daily work with elderly patients’ medication management

2011 ◽  
Vol 39 (4) ◽  
pp. 354-360 ◽  
Author(s):  
Annelie K. Gusdal ◽  
Christel Beckman ◽  
Rolf Wahlström ◽  
Lena Törnkvist
Keyword(s):  
Elderly Patients ◽  
Assessment Tool ◽  
Medication Management ◽  
Daily Work ◽  
District Nurses

scholarly journals Development and Reliability Review of an Assessment Tool to Measure Competency in the Seven Elements of the Risk Management Process: Part One—The RISKometric

Safety ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Garry Marling ◽  
Tim Horberry ◽  
Jill Harris
Keyword(s):  
Risk Management ◽  
Assessment Tool ◽  
Management Practice ◽  
Health And Safety ◽  
Future Research ◽  
Management Process ◽  
Risk Management Process ◽  
Work Health ◽  
Risk Scenario ◽  
The Individual

Ineffective and inefficient workforce involvement can negatively impact risk management practice for work health and safety (WHS) issues. Often the risk management process is undertaken by a single person, or by teams without a facilitator and without regard to the participants’ levels of competency in the risk management process. This study aimed to develop a tool to assess the competence of individuals in different elements of the risk management process and then review its reliability. This tool, termed the RISKometric, incorporated a 360° performance review method whereby peers upline and downline colleagues and the individual themselves gave competence ratings. The RISKometric was tested using 26 participants. Results showed that a significant positive relationship existed between the feedback given by peers and downline colleagues. Initial results gained from using the tool suggest it is able to discriminate the competence of participants, in each of the elements of risk management, through the opinions of self and others. In future research, we test assumptions through a further two studies. Firstly, that individuals’ RISKometric results are comparable with their performance in a risk scenario exercise; so, providing validity for the tool. Secondly, that a collectively-optimised team (formed using the Riskometric) can perform a risk assessment exercise better than marginally- or sub-optimised teams.

The practice management components needed to support comprehensive medication management in primary care clinics

2019 ◽  
Vol 3 (2) ◽  
pp. 438-447 ◽  
Author(s):  
Deborah L. Pestka ◽  
Caitlin K. Frail ◽  
Lindsay A. Sorge ◽  
Kylee A. Funk ◽  
Mary T. Roth McClurg ◽  
...  
Keyword(s):  
Primary Care ◽  
Medication Management ◽  
Practice Management ◽  
Primary Care Clinics

Drawing upon the evidence to develop a multiagency risk assessment and risk management framework for domestic violence

2022 ◽  
Author(s):  
Katie Lamb ◽  
Kirsty Forsdike ◽  
Cathy Humphreys ◽  
Kelsey Hegarty
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Domestic Violence ◽  
Risk Management ◽  
Assessment Tool ◽  
Management Practice ◽  
Management Strategies ◽  
Assessment Tools ◽  
Evidence Based ◽  
Violence Risk

Domestic violence poses a threat to the health, safety and wellbeing of women internationally and is associated with a range of physical injuries, chronic mental and physical health issues and death. In recognition of the serious consequences and to guide the allocation of resources, multiple countries have invested in efforts to measure domestic violence risk. This study aimed to determine whether there was an existing validated risk assessment tool with an actuarial element, or a common set of evidence-based risk factors that could be implemented in Victoria, Australia. A tool was sought which would effectively predict risk of severity, lethality and re-assault and support risk management strategies. The tool needed to be suitable for administration by a variety of professionals. Through an audit and analysis of existing tools, the study found an absence of universal standards or guidance for weighting actuarial tools and clear insight into how risk assessments currently inform risk management practice and multidisciplinary responses. However, the literature provides clarity around the key evidence-based risk factors that most commonly form a validated tool for adult victim survivors. The evidence was less definitive in terms of assessing risk of lethality and re-assault for children and young people.<br /><br />Key messages<br /><ul><li>There has been considerable investment in approaches to measure domestic violence risk.</li><br /><li>Some consistency exists in terms of evidence-based risk factors across existing risk assessment tools.</li><br /><li>There is an absence of universal standards for weighting actuarial tools as well as guidance to inform a response by a broad range of professionals.</li></ul>

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