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Activity Dates: 04/23/2013 - 04/23/2016

This course is closed. Please look for other available products in CPNP University.

Target Audience

If you are a pharmacist, nurse practitioner or other healthcare professional involved in the comprehensive medication management of psychiatric and/or neurological patients, we invite you to participate in this online course.

Session Summary

Background: As part of the major initiative to Improve Veterans Mental Health, Pharmacy Benefits Management Services (PBM) and Mental Health Services (MHS) in VA Central Office selected VISNs 21 and 22 to pilot the use of Academic Detailing (AD) within mental health. Academic Detailing (AD), a service that provides educational outreach visits, has been effective in changing prescribing habits in a variety of practice settings.

Methods: Evidenced-based reviews, patient educational brochures and provider-level audit and feedback tools were utilized to address opportunities for improving medication effectiveness and safety both at a population and patient specific level. This approach customizes content and barrier-resolution strategies to meet individual clinician needs in the context of local operations. Efforts focused on providers with the largest panels of Veterans on the psychotropic medications or related to topic being addressed by the educational campaign.

Results: VA providers and clinicians participated in approximately 3,500 face‐to‐face encounters, with academic detailers in VISN 21 and 22, during fiscal years 2011 and 2012. The average duration of time for each encounter with the clinician was 42 minutes. To date, 1,394 individual clinicians participated in an academic detailing session. Approximately 67% have prescribing authorization to make interventions on the evidence-based recommendations (n=940). In 2011, a twenty-five percent (25%) reduction in prescribing costs of off-label use of antipsychotics, estimates of financial benefit from cost reduction in one year is $940,000. Providers treating PTSD responded to academic detailing evidence-based recommendations with a 23% increase in patient level measurement-based care for PTSD Check List (PCL). Increase in prescribing of prazosin for PTSD nightmares/sleep disturbances, with up to a 28% increase achieved compared to baseline. Reduction in benzodiazepine prescribed for PTSD occurred by up to 1.0%. Reduction in antipsychotics prescribed for PTSD by up to 0.9% occurred with additional improvements in rates of psychotherapy delivered, utilizing audit and feedback tools which select case finders for intervention at the point of the provider panels.

Conclusion:  Academic Detailers identify opportunities to improve healthcare systems with solutions for applying evidenced-based medicine for mental health patients in VHA. The provision of educational services, clinical consultation, and health systems barrier solutions presents a new opportunity for pharmacists to improve quality of patient care in behavioral medicine.

Course Requirements

You will proceed through the following steps to satisfactorily complete this course:

  • Review the full content of the activity and reflect upon its teachings.
  • Complete the post-test at the end of the activity no later than the closing activity date. (login first)
  • Complete the evaluation at the end of the activity. (login first)
  • Receive a passing grade (60%).
  • Provide the necessary details in your profile to ensure correct reporting by CPNP to CPE Monitor. (login first)

This course is provided online at cpnp.org and consists of the speaker audio and slides. A PDF file of the slides is also provided and access is available to participants indefinitely although ACPE credit is available only through the course expiration date.

Participants in this course must complete an examination and achieve a score of 60% or greater. Successful completion of the course also requires the completion of a course evaluation. ACPE statements of credit can be retrieved by participants online at cpnp.org immediately upon successful completion of the course.

Faculty Information and Disclosures

Learning Objectives

  1. Describe the role of audit feedback tools to assess the impact of educational outreach on patient outcomes.
  2. Identify at least 2 positive outcomes of Academic Detailing on prescribing and medication monitoring.
  3. Demonstrate the effectiveness of developed provider and patient handouts in leading a discussion on evidence-based care.
  4. Demonstrate effective educational techniques with a sample detailing session.

Continuing Education Credit and Disclosures

Activity Dates: 04/23/2013 - 04/23/2016
ACPE Contact Hours: 1.0
ACPE Number: 0284-0000-13-019-H04-P (Knowledge)
Nursing Credit Reminder: Note that ACPE credit is accepted for certification renewal.

ACPEThe College of Psychiatric and Neurologic Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This self-study course provides 1.0 contact hours (0.01 CEUs) of knowledge-based continuing education credit from CPNP approved programming. The ACPE universal program number assigned to this course is 0284-000-13-019-L04-P (1.0 contact hours).

ACPE approved contact hours are accepted for ANCC Certification Renewal (see pages 5 and 6): At least 50% (37.5 hours) of your 75 continuing education hours must be formally approved continuing education hours. Formally approved continuing education hours meet one or more of the criteria listed below:

  1. Continuing nursing education (CNE) approved for nursing contact hours by an accredited provider or approver of nursing continuing education
  2. Continuing medical education (CME) approved for CME hours
  3. Sponsored by organizations, agencies, or educational institutions accredited or approved by the American Nurses Credentialing Center (ANCC) or the Accreditation Council for Continuing Medical Education (ACCME) or the Accreditation Council for Pharmacy Education (ACPE) or the Commission on Dietetic Registration

Grant Support

Annual Meeting Grant Provider

Cyberonics