1. Denver Health and Hospital Authority
Patricia M. Lanius RPh
Director of Outpatient Pharmacy
Denver, Colorado

2. Denver Health Denver Health Medical Center
Rocky Mountain Regional Trauma Center
Rocky Mountain Poison and Drug Center (RMPDC)
Denver Health Paramedics
Denver Public Health
Family Health Centers
School Health Centers
Center for Medical Response to Terrorism
Correctional Care
Denver CARES

3. Safety Net Integrated Health Care System
Safety Net Integrated Health Care system servicing residents of the City and County of Denver
Primarily urban based
Almost 50% of patients have no health insurance
Largest Provider of Medicaid Services in the State of Colorado

4. Department of Pharmacy
Inpatient-Level 1 Trauma Center
Outpatient-CHS Centers and School Based Clinics
Correctional Care—City and County Jails and CCMF
Public Health-ID pharmacy, TB clinic, STD clinic, immunization clinic, travelers clinic
Discharge Pharmacy
Clinical Pharmacy Services

5. Clinical Pharmacy Services
Coagulation Services (Anti coagulation clinic)
Ambulatory Infusion Center (Hem/Onc)
Cardiology
Medication Use Coordinator
Behavioral Health
Infectious Disease
Pediatrics
SICU/MICU
Residency Program

6. Outpatient Pharmacy Services
Four CHS pharmacies on site in clinics
One Central Fill (refill) Pharmacy
Four Family Practice Clinics with dispensaries and medication pick up services
One Infectious Disease Pharmacy
12 School based health clinics
Discharge Pharmacy

7. Cardiology Clinical Pharmacist
Attends Inpatient Cardiology Rounds Daily
average 3 interventions per week (formulary/insurance)
Attends Cardiology Clinic Weekly
average 3 hours weekly
average 2 interventions regarding formulary or insurance
3 interventions regarding therapeutic drug monitoring
Cardiac Cath Lab—works with cardiology and the discharge team to assure outpatient prescriptions for aspirin and clopidogrel
Outpatient Cardiac Rehab patients enrolled in the program. Meets with each new patient for medication history, patient education and medication counseling. Team approach with rehab RN, cardiologist and primary care providers to start new medications, adjust current medications, and follow up on labs

8. Improving Blood Pressure in Colorado Study
Focus of the study is to determine if patients randomized to BP management by a pharmacist versus usual care improves BP control
Patients are given a home BP monitor and access to an interactive voice response system to record home readings
Currently managing 29 patients
4th Quarter 2007 interventions
112 phone calls to patients
dosage adjustments =31
labs ordered =5
clinic visits = 32

9. Getting it Right: Perfecting the Patient Experience
Denver Health Mission and Value Statement
Denver Health Dozen
Right People: Talent Matching
Right Communication and Culture
Right Environment
Right Reward
Right Process LEAN

10. Denver Health Dozen
Treat each other, our patients and their families with courtesy, empathy and respect. Be a Denver Health ambassador
Provide top-quality health care
Care for all people regardless of gender, ethnicity or social class
Solve problems through teamwork and open communications
Strive for continuous performance improvement and innovation
Educate each other, our patients and the next generation of health care professionals

11. Denver Health Dozen Create pride and joy in the workplace
Think Safety. Each employee is responsible for creating safe processes and a safe environment for patents and each other
Use Denver Health’s resources widely and efficiently and eliminate waste
Foster and appreciate the talents of our work force
Workplace cleanliness is the responsibility of every employee
Each employee can and should solve problems when they occur