1. Local Marketing | Promotion | Training By Mina Georgy

2. Box Hill Hospital Pharmacy Branding Why have we chosen computerised decision support?  “Knowledge-performance gap”  Exponential growth of published medical knowledge  Pressures to use this knowledge Evidenced based medicine, clinical governance, cost “Guidelines are useless if no-one uses them” We have well established criteria to create a guideline, but struggle to encourage guideline uptake Aim to:  Make the information more readily accessible  Present it in a form that fits workflow and suits the context Mina Georgy 2010

3. Box Hill Hospital Pharmacy Advertising Mina Georgy 2010 1Initial Advertising Campaign Timelines 1.1Ads targeted at clinicians to promote Guidance MS 1.1.1 CEO/CMO Correspondance 1.1.2Pharmacy Newsletters 1.1.3Guidance MS intranet site 1.1.4Brochures/Handouts 1.1.5Lanyard Cards 1.2Heads of Clinical Units 'Introduction Letters' requesting their contribution to review content 1.3Grand Round Presentation (Dr. Karin Thursky – Antimicrobial Stewardship) 1.4Department/Unit Meetings

4. Box Hill Hospital Pharmacy Advertising Mina Georgy 2010 CEO/CMO Correspondence Introduction of Guidance MS …. Go Live at Box Hill 8 th June, 2010 Guidance MS is an electronic decision support and approval system for antibiotic prescribing. The system is being introduced as part of the Victorian Government’s ‘Start clean – Victorian Infection Control Strategy 2007-11’ Inappropriate antibiotic use is seen as a key reason for increasing antibiotic resistance. This program is expected to improve antimicrobial use by providing advice on antibiotic selection and limiting use of antibiotics to accepted indications. Training to use the system will take place over the coming months. This will occur at Box Hill initially before being extended to other acute sites. Clinical pharmacists will be available to provide advice on the system. For more information, or should you have any enquiries please email: mina.georgy@easternhealth.org.au or carolyn.beckett@easternhealth.org.aumina.georgy@easternhealth.org.aucarolyn.beckett@easternhealth.org.au Other Newsletters  EH Pharmacy Newsletter  EH Weekly

5. Box Hill Hospital Pharmacy Advertising Mina Georgy 2010 Group e-mails / Training PowerPoint A set of PowerPoint slides used as an interactive learning aid to roll out training. Training slides will be made available:  as a link on the Guidance MS homepage,  through emails to all medical staff,  attached as a requirement when new users apply for a username & password

6. Box Hill Hospital Pharmacy Advertising Mina Georgy 2010 Guidance MS Intranet Homepage

7. Box Hill Hospital Pharmacy Advertising Mina Georgy 2010 Brochures & Handouts  Provide a clear message on the importance of Antimicrobial Stewardship  Highlight the benefits of computerised decision support tools.

8. Box Hill Hospital Pharmacy Promotion Mina Georgy 2010 2Roll Out 2.1 Enforce new access condition for restricted antimicrobials (e.g. Remove restricted drugs from wards) 2.2GO LIVE! 8 th June 2.2.1Guidance MS Promotion Week (FOYER) 2.2.21 Week go-live countdown (FOYER) 2.2.3Pharmacy intranet site/health service newsletters 2.2.4Guidance MS link on intranet homepage 2.2.5Posters 2.2.6Group e-mails with training powerpoint attached 2.2.7iApprove reminder stickers for charts 2.2.8Nursing in-services, Nursing Flyers

9. Box Hill Hospital Pharmacy Training Mina Georgy 2010 Difficulties & Challenges  Large number of users requiring training (medical, pharmacy) ack of funding to backfill and pay for training.  Training must be incorporated into existing workload.  Constant rotation of medical staff throughout Eastern Health sites.  Lack of incentive for junior medical staff to proactively attend planned training sessions.  Presentation at regular Department clinical meetings ostgraduate Medical Education & Training (PGMET) sessions  Interactive web-based learning through powerpoint slides  Dedicated training sessions during lunch times.  Ward pharmacists training on wards Training Modalities

10. Box Hill Hospital Pharmacy Questions