Pfizer, Inc. · NYSE:PFE
Pfizer — First Fridays Webinar Series (October 2011)
52 slides from Pfizer's conference presentation, Oct 7, 2011
Slide 1: First Fridays Webinar Series: Medical Education Group (MEG)
10/7/2011 Polling Question In which setting do you work? A. Academic Medical Center B. Society or Association C. Healthcare System/Hospital D. Medical Education Company E. Gov’t/VA F. Other First Fridays Webinar Series: Medical Education Group (MEG) October 7th, 2011 This webinar is being recorded 1
Slide 2: Agenda
10/7/2011 Provide Insights into MEG Operations Share Share Up-To-Date Best Practices Information Webinar Series Goals Respond to How Can Outstanding Pfizer Improve Questions Processes? From Providers Agenda • Welcome • Using the Architecture of Continuing Professional Development to Build the Patien
Slide 3: Calls for Grant Applications
10/7/2011 Calls for Grant Applications • Clinical Areas – Adult Immunization – Improving Care for Patients with Renal Cell Carcinoma (RCC): Supporting Practice Improvement in Community Oncology Setting – Improving Care for Patients with Non-Small Cell Lung Cancer: Accelerating Adoption of New Guidel
Slide 4: Patient Centered Medical Home introduction and speaker disclosures
10/7/2011 Mary and Shelly have no financial conflicts or interests to declare. Mary Ales: maless@ipmameded.org Shelly Rodrigues: srodrigues@familydocs.org Primary care is in trouble. There is an overwhelming amount of work, poor compensation, health care costs are skyrocketing, physician pipel
Slide 5: Our Role in building the Patient Centered Medical Home
10/7/2011 Fun, thought provoking, social, local, global 5 minutes, 20 slides, 15 seconds a slide Generally occurs after hours Spend 5 minutes “igniting” the PCMH Our Role in building the Patient Centered Medical Home 5
Slide 6: Patient Centered Primary Care Collaborative
10/7/2011 Patient Centered Primary Care Collaborative Patient Centered Primary Care Collaborative 6
Slide 7: Summary Results
10/7/2011 Summary Results Measure Q2-08 Q3-08 Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 HF-01: Left Ventricular Function 50.0 24.6 26.7 25.2 19.0 17.4 9.7 10.3 HF-02: ACE Inhibior Therapy 0.0 75.0 57.1 38.5 57.1 71.8 7.9 3.7 HF-03: Weight Measurement 50.0 91.3 88.9 82.8 90.6 92.0 88.3 87.8 HF-04: Warfarin
Slide 8: Care coordination needs and patient example
10/7/2011 The level of care coordination needed will increase with greater system fragmentation, greater clinical complexity, and decreased patient capacity for participating effectively in coordinating one’s own care. Mr. Andrews is a 70 year old man with congestive heart failure and diabetes. He u
Slide 9: www.qualityforum.org
10/7/2011 www.qualityforum.org 9
Slide 10: Everybody can build this
10/7/2011 Everybody can build this But do they have the skills and tools to build this? Do you? 10
Slide 11: CE/CME Classes!
10/7/2011 3 CE/CME Classes! www.pcpcc.org 11
Slide 12: 10/7/2011
10/7/2011 12
Slide 13: Lansing Ophthalmology, 2007 from Commonwealth Foundation
10/7/2011 Lansing Ophthalmology, 2007 from Commonwealth Foundation 13
Slide 14: My learners only want clinical information
10/7/2011 My learners only want clinical information … www.wchq.org 14
Slide 15: CAFP Patient Centered Medical Home project in Fresno
10/7/2011 www.abms.org “CAFP is excited to undertake, at last, a Patient Centered Medical Home project in Fresno, California with the Fresno Unified School District's Joint Health Management Board and two outstanding primary care medical groups there, with strong family physician support.” 15
Slide 16: CAFP PI/QI experience and Fresno project design
10/7/2011 Since 2005, CAFP has been active in PI/QI, and with experience running four IHI-model collaboratives, believes that practice transformation is the key to success in family medicine and primary care. In its 2010 Strategic Plan, the California Academy of Family Physicians (CAFP) committed to
Slide 17: CAFP Fresno project progress and timeline
10/7/2011 After 18 months of strategy sessions, meetings with stakeholders, trips from SF to Fresno, conference calls, budget revisions, and one new baby for the CAFP staff lead, on August 30 the health plan allocated $564,000 to the budget to pay physician practices for transformation. • We have id
Slide 18: Georgia PCMH University
10/7/2011 In November 2010, about the same time the CAFP was beginning its pilot exploration, the Georgia Academy of Family Physicians launched the Patient Centered Medical Home University. This 18- month educational program assists small practices, of five or fewer physicians, in achieving the Nati
Slide 19: Washington Patient-Centered Medical Home Collaborative
10/7/2011 The power of collaborative learning and the meaningful changes it brought 31 primary care practice teams in our recently concluded Patient-Centered Medical Home Collaborative has energized Academy leadership and staff to continue this important work. We’re currently committed to Quality Im
Slide 20: Four strategies and Quality Improvement Coach
10/7/2011 The four strategies include: 1. Use of a registry 2. Use of condition specific decision support tools 3. Creation, use, and monitoring of practice wide protocols 4. Education and support of patients in performing self-management of their disease The second phase or long-term program focus
Slide 21: Other PCMH pilots and patient benefits
10/7/2011 Several state AFP chapters including Wisconsin, Colorado, Pennsylvania, Florida, Texas …. AAP and ACP Payors including Blue Shield and Sutter Kaiser Permanente Private practices and small groups Large groups and FQHC And at least 100 other pilots … Physician offices that are
Slide 22: Bob Meinzer
10/7/2011 Bob Meinzer Senior Director National CME New Jersey Academy of Family Physicians 22
Slide 23: Objectives
10/7/2011 Bob Meinzer Senior Director National CME New Jersey Academy of Family Physicians y 28 years in Pharma / 9 years in CME y 9 months CME consultant to an integrated healthcare system y 1 year Executive Director of a National Stroke Prevention Coalition y 12 years FP provider y No conflicts Ob
Slide 24: Patient Centered Care
10/7/2011 Patient Centered Care Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that that patient values guide all clinical decisions Committee on Quality of Health Care in America: Crossing the Quality Chasm 24
Slide 25: Patient Protection & Affordable Care Act (PPACA)
10/7/2011 Patient Protection & Affordable Care Act (PPACA) 25
Slide 26: What is the PCMH?
10/7/2011 What is the PCMH? yPatient Centered yComprehensive Care yCoordinated Care ySuperb Access to Care yA Systems-Based Approach to Quality and Safety 26
Slide 27: What is CME's role in Patient Centered Care?
10/7/2011 A patient-centered medical home implies a commitment to seeking and valuing the voice of the patient and family in care decisions. AHRQ Publication No. 10-0083-EF What is CME’s role in Patient Centered Care? 27
Slide 28: What's the Goal? Patient Centered
10/7/2011 What’s the Goal? Patient Centered Healthcare has been evolving away from a disease centered model and toward a patient centered model 28
Slide 29: A Family Physician's Guide to Parkinson's Disease
A Family Physician's Guide to the Diagnosis and Management of Parkinson's Disease An Evidence-based CME Consensus Beme Recommendation from an Expert Panel Pasay eee ene on dg el Deas nane ina I pec "Anes on ‘a bebareton estefan ay, yuuselapripio6h oho inausingbone* ise cegmmatne pee df he ‘Caner re
Slide 30: Adherence to medication is the elephant in the living room
10/7/2011 Adherence to medication is the elephant in the living room 30
Slide 31: Cost of medication nonadherence
10/7/2011 “Increasing the effectiveness of adherence interventions might have a far greater impact on the health of the population than any improvement in specific medical treatments.” RB Haynes, Cochrane Collaboration 61 High costs seen in medication nonadherence: study New England Healthcare Insti
Slide 32: Health Behavior: patient-centered versus traditional care
Health Behavior Change and Treatment Acdherence and M. Robin DimMattes Leslie R. Martin, Kelly B. Haskard-Zolnierek pee Oxrorpyp Table 8.2 Patient-centered versus traditional care. Patient-centered Traditional Focus on how illness affects all aspects of the patient’s life Holistic approach Shared de
Slide 33: Main Reasons for Non-Adherence
10/7/2011 High costs seen in medication nonadherence: study New England Healthcare Institute Study Modern Healthcare August 11, 2009 Reasons for non-adherence: y Cost y Unpleasant side effects y Confusion about the regimen y Forgetfulness y Language barriers y Feeling “too good” to take medication M
Slide 34: Physician survey on patient adherence
is do patients give you not taking their medications? 0 they stop ing better Forgetfulness should primary responsi for adherence rest? mpany Insurance company 10/7/2011 education about their ‘or in non-adherence? [ves |§ No [Ml Somewhat In your experience, how do patients respond best to education e
Slide 35: Adherence from the Physician's Perspective
10/7/2011 Adherence from the Physician’s Perspective y Physicians know adherence is an issue but place responsibility on the patient y System barriers exist y Adherence is not assessed pre-treatment y Adherence is not assessed with failure of therapy y Few resources or systems are available y Commun
Slide 36: The Missing Link to Improving Outcomes
10/7/2011 The Missing Link to Improving Outcomes Editorial JAMA Sept. 22/29, 2010 36
Slide 37: Physician Barriers to Empowering the Patient
10/7/2011 Physician Communication and Patient Adherence to Treatment: A Meta-Analysis Haskard Zolnierek, Kelly B. PhD*; DiMatteo, M Robin PhD† Medical Care: August 2009 - Volume 47 - Issue 8 - pp 826- 834 Conclusion: •Communication in medical care is highly correlated with better patient adherence •
Slide 38: Patient Barriers to Adherence
10/7/2011 Time y To fully satisfy the US Preventive Services Task Force recommendations, a physician would have to spend 7.4 hours per working day, providing preventive services y Applying guideline recommendations for 10 common chronic diseases that are stable and well controlled required 3.5 hours
Slide 39: IOM 2009
10/7/2011 IOM 2009 Integrating Health Literacy, Disparities and Quality Improvement FIGURE 2-2 Health literacy framework. SOURCE: IOM, 2003. 39
Slide 40: Health Literacy
10/7/2011 Health Literacy “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions,” Healthy People 2010 y Low health literacy is common y We do not have good strategies for knowing who is
Slide 41: The Scope and Cost of Low Health Literacy
10/7/2011 The federal government's new health literacy action plan cites a 2007 study led by a University of Connecticut economist The costs to the health-care system of low health literacy, such as patients not taking their medications or seeking appropriate treatment, amount to as much as $238 bil
Slide 42: Health Literacy Universal Precautions Toolkit
10/7/2011 Health Literacy Universal Precautions Toolkit 42
Slide 43: High BP vs. Hypertension
High BP vs. Hypertension Low income African American women in New Orleans “High blood pressure’— too much or too thick blood; made worse by rich diet, red meat, and best treated by medication ‘High-pertension’”— acute condition due to blood rising rapidly to head; caused by anxiety or nervousness an
Slide 44: E-Learning Program Toolkit
10/7/2011 an Toolkit E-Learning Program & Physic 44
Slide 45: NAEP Hypertension Toolkit
NAEP HYPERTENSION TOOLKIT P HOME Hypertension Resources ‘Black patios in he United States rac0 a lseroporionately high risk of hyperiension, and signifcant associated risks to teir heath While reducing high blood pressure is medical rather staightionward, racial disparies persist. ‘This set of tls w
Slide 46: Patient Education: One size doesn't fit all
10/7/2011 Patient Education One size doesn’t fit all 46
Slide 47: The Office of Minority Health
10/7/2011 The Office of Minority Health Patient Education 47
Slide 48: Shared Decision Making
10/7/2011 Shared Decision Making y An integrative process between patient and clinician that: ¾Engages the patient in decision making ¾Provides the patient with information about alternative treatments ¾Facilitates the incorporation of patient preferences and values into the medical plan (Charles C,
Slide 49: Decision Aids
10/7/2011 The Shared Decision-Making Continuum JAMA August 25, 2010 Vol 304, No. 8 Decision Aids y Designed to y NOT designed to y Provide information on y Advise people to choose options one option over another y Help people participate in y Not meant to replace decision making physician consultati
Slide 50: Presenting Risk Information
10/7/2011 Presenting Risk Information What are the odds? y Similar profile: Probability of outcome in people ‘like me’ who experience the problem y Format: Use quantitative, qualitative and graphic formats (100 faces) to enhance understanding y Framing: Risk message + ‘Positive’ message improves mes
Slide 51: Physician Barriers
10/7/2011 Physician Barriers 51
Slide 52: Until Next Time…
10/7/2011 Until Next Time… • Please join us for our next webinar – CS2Day Data Capture – George Mejicano, MD, MS, Associate Dean & Director University of Wisconsin Office of Continuing Professional Development – Friday, November 4, 2011 – 11am ET • Current grant window: September 1 – October 15 for