Pfizer, Inc. · NYSE:PFE
Pfizer — MEG Webinar Series (December 2012)
24 slides from Pfizer's conference presentation, Dec 5, 2012
Slide 1: MEG Webinar Series
1/4/2013 MEG Webinar Series December 5, 2012 Presented by the Pfizer Medical Education Group Agenda/ Topics • Introduction - Jackie Mayhew • Hospital grant results: Heart Failure Readmissions - Cathy Brown, BSN, RN • Hospital grant results: Diabetic Foot Exams - Susan Szpunar, PhD • Questions and An
Slide 2: 2011 Hospital Strategy Background
1/4/2013 2011 Hospital Strategy Background Recognition of Important Role Hospitals Play in Providing CME to their physicians – ACCME 2009 data – 58,000 CME activities offered byy hospitals, p both nationally accredited or state-accredited – More than 25% of these were Regularly Scheduled Series or “
Slide 3: 2011 Hospital Strategy Background; Hospital Call for Grant Applications
1/4/2013 2011 Hospital Strategy Background Objectives • Mount a ggrass roots effort that is appropriate pp p to our p place as a supporter of ethical independent professional education that positively impacts patient health. • Encourage the advancement of hospital CME from a single live activity mod
Slide 4: Clinical Areas of Interest; 31 grants awarded by hospital type
1/4/2013 Hospital Call for Grant Applications (CGA) – Clinical Areas of Interest • Bacterial Infections • Cardiology (cardiovascular risk reduction, primary and secondary d prevention, ti lilipids, id h hypertension, t i smoking ki cessation, anti-coagulation/thrombosis prevention) • Immunizations •
Slide 5: 31 grants awarded by clinical area; Speaker Introductions
1/4/2013 31 grants awarded – by clinical area Diabetes COPD 6% 3% Cardiovascular 23% Smoking Cessation Infectious 3% Disease 36% Pain 23% Multiple Areas 6% 9 | It all starts here. Company Confidential and Proprietary – Internal Use Only – Draft – Not to be implemented without Legal & Regulatory Revi
Slide 6: Heart Failure Quality Improvement Team: Our Mission
1/4/2013 Heart Failure (HF) Quality Improvement Team Our Mission Utilizing best practices and published evidence evidence, the QIT will develop a fully integrated HF care plan model in stages that will improve the experience and quality of care for patients with heart failure. The new model should r
Slide 7: First Stage / Second Stage
1/4/2013 First Stage • The first stage g will include development of a multi‐disciplinary HF team for the management of the patient while in the hospital. Second Stage • The second stageg is to develop a model to successfully transition the patient to a home setting that will improve the quality of
Slide 8: The Team; HF Readmit Demographic
1/4/2013 The Team Team Members Team Sponsor Dr. D D David id R Roberts b t Quality Assurance Nurses CMO/VP Cardiac Care Nurses Case Managers Team Leader Cardiac Nursing Directors EMS Director Mollie Taylor ED Director Executive Director, Pharmacist ICU/Progressive Care Units Physicians Home Health N
Slide 9: Accomplishments
1/4/2013 Accomplishments • Developed clinical team on A7 to work together on HF patients. patients (Nurse, doctor, case manager, dietary, pharmacist, cardiac rehab nurse) • Implemented clinical rounding with case managers to recognize high risk HF patients. • Develop HF Education material for HF pat
Slide 10: Accomplishments
1/4/2013 Accomplishments • Developed follow up calls post discharge in 72 hours to make sure appointment arranged for HF patients within two weeks of discharge. • Purchased HF videos for Patient Education channel with Pfizer grant • Spoke to Nursing Homes to educate and consider palliative care • De
Slide 11: HF QIT Recommendations
1/4/2013 HF QIT Recommendations • Admit HF patients to A7 & A8 • Core Team meets monthly • Continue providing scales to HF patients in need • Continue OP Education Clinic on Wednesday (Including patient follow‐ up phone calls) 11
Slide 12: One HF Patient; HF Clinic Results as of 6/30/12
1/4/2013 One HF Patient • Januaryy to June 2011 • 4 Readmissions <30 days • January‐June 2012 • 1 Readmission <30 daysy • 16 Clinic visits 2012 HF Clinic Results as of 6/30/12 • Number of HF visits‐179 • Percentage readmitted‐ 13% M t lit rate • Mortality t has h dropped overall 20% 12
Slide 13: Future Potential; Final Results
1/4/2013 Future Potential • Follow upp on pulmonary p y and diabetic patients • Use nurses in clinic for tele‐health follow up • Develop disease management clinic for all chronic disease Final Results – Approved as a continuing Disease Management Clinic – Continue with purchasing of individual scale
Slide 14: CMS Hospital Compare; Team Goal 19% Readmission Rate
1/4/2013 CMS Hospital Compare • Readmission Report R l d July Released J l 2012 Third Thi d Quarter 2008 to Second Quarter 2011 • National Average HF Readmission Rate 24 7% 24.7% JMCGH Readmission Rate 22.8% Team Goal 19% Readmission Rate • HF Readmission rate for June 2012 • 18.1% 14
Slide 15: Improving the Completeness of Annual Foot Examinations in Patients with Diabetes
1/4/2013 Improving the Completeness of Annual Foot Examinations in Patients with Diabetes: A Performance Improvement-Continuing Medical Education (PI-CME) Project Susan M. Szpunar, PhD St. John Hospital and Medical Center ` The prevalence of diabetes mellitus in the US is approximately pp y 8.3%--25
Slide 16: American Diabetes Association annual foot examination guidance
1/4/2013 ` The American Diabetes Association suggests that all p patients with diabetes should have an annual foot examination that includes: ◦ Inspection; ◦ Assessment of pulses; and ◦ Testing for the loss of protective sensation (monofilament testing). 16
Slide 17: Incomplete foot examinations in Internal Medicine clinics
1/4/2013 ` Many patients seen in our Internal Medicine Faculty yppractice (IMD) and in the Internal Medicine resident clinic (IMSC) do not receive complete foot examinations; i.e. at least one of the three elements is missing. 17
Slide 18: PI-CME approach: objectives and stages
1/4/2013 ` Using a PI-CME approach, to increase the percentage of “complete” complete foot examinations in diabetic patients seen in the faculty Internal Medicine clinic (IMD); ` Using the same approach, to increase the percentage of “complete” foot examinations in diabetic patients seen in the resi
Slide 19: Stage A: Baseline chart review and intervention
1/4/2013 ` We completed chart review of all patients who had a visit to IMD or IMSC between 1/1/2011 and 4/30/2011 and diabetes was listed as one of their diagnoses for that visit. ` Assessed 252 unique patients in IMD and 300 patients in IMSC. ` Each physician then received a personal report about
Slide 20: Stage C: Re-evaluation chart review
1/4/2013 ` Chart review, as in Stage A, of all patients who had a visit to IMD or IMSC between 2/1/2012 and d 5/31/2012 and d di diabetes b t was listed as one of their diagnoses for that visit. ` Assessed 252 unique patients in IMD and 221 patients in IMSC. ` Each physician then received another pe
Slide 21: *These values decreased because the
1/4/2013 *These values decreased because the complete exams iincreased! d! * * *These values decreased because the complete exams increased! * * 21
Slide 22: Thank You!
1/4/2013 ` The PI-CME initiative helped to improve the timeliness and completeness of foot exams in patients with diabetes. diabetes ` Both the faculty staff physicians (who receive CME credits) improved as well as the residents (no CME credit). ` Their were distinct Aha! moments for both the facult
Slide 23: 2012 Year in Review
1/4/2013 45 | It all starts here. Company Confidential and Proprietary – Internal Use Only – Draft – Not to be implemented without Legal & Regulatory Review and Approval 2012 Year in Review Track 1 • 11 RFPs Issued – Vaccines, Pain, Serious Infections, Lung Cancer, Inflammation, Women’s Health and S
Slide 24: 2013 and Beyond
1/4/2013 2013 and Beyond • Launch new online system – Simple, streamlined • Track 2 enhancements • 12 new RFPs proposed • Global strategy • Updated MEG website – Approved proposals, proposals milestone updates updates, outcomes reports reports, etc etc. • Forums, publications, presentations 47 | It