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Seattle Mama Doc - Dr Wendy Sue Swanson

Dr. Wendy Sue Swanson MAMA DOC

Prevention, Pediatrics, Technology & Innovation

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Tonic Transplant Education

We built a peer-to-peer and expert-to-family educational app co-designed with patients and families that leverages pharmacist and subspecialist expertise for solid organ transplant patients and their families. The app helps support families’ understanding of necessary medications and care after transplantation. During the inpatient stay for a liver transplant, all patient & family/caregivers must complete transplant medication education as a prerequisite for discharge. Pharmacists deliver approximately 16 hours of oral education bedside. Without a fully documented curriculum, there is variability in what the pharmacists deliver orally and it’s unknown how well the patient & family comprehend the material. Patient discharge may be delayed because of the didactic nature of training with Pharmacists. Digital Health partnered with Transplant and Transplant Pharmacy teams to digitize post-op medication curriculum for liver and renal patients using Tonic for Health. The practice of using the iPad curriculum for teaching has also been integrated into both the Pharmacists’ workflow and CIS via a Pharmacy Note.

Pilot Goals

  • Improve standardization of post-transplant medication education.
  • Decrease bedside teaching time for Pharmacists.
  • Improve patient and family confidence in medication administration.

Findings & Reach

Measured:

Result:

Conclusion/Comments:

Duration of “Pilot”

6/2015 (Liver)
1/2016 (Kidney)

No longer considered pilot as it has been fully integrated into the workflow for pharmacists.

# of transplants

49 (Liver) 67 (Kidney)

Average # of hours spent bedside for medication teaching

7 hours pre pilot
2.1 hours post pilot

Based on initial patient data surveyed in 2015.

Average view per chapter

60 views

Data for Liver only

Content Developed

Liver

  • 13 chapters for primary caregivers + 1 for other caregivers (aka “babysitter module”)
  • 45 videos (8 SCH family videos, 13 staff videos)
  • 76 content-related questions & 10 experience-related questions

Kidney

  • 19 chapters for primary caregivers
  • 57 videos (20+ SCH family videos, 15 care team videos)
  • 26 content-related questions & 10 experience-related questions

Conclusions

  • Parents/Caregivers and patients review education throughout the day and night.
  • Standardization in material improves patient outcomes.
  • Ability to review material at leisure and have access to it post-discharge is desired and reduces pharmacist teaching time thus cost saving.
  • Transplant teams received national attention for this work as an innovative and safety/quality improvement in care delivery.

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Dr. Wendy Sue Swanson

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