Jim Lichauer, Meryl Biksacky, and Conor Hanrahan discuss the strategies Intermountain Healthcare implemented to improve their immune globulin utilization.
 
Guest speaker:
Meryl Biksacky, PharmD
Pharmacist, Drug Information Specialist
Drug Shortage Management CO-Lead
Intermountain Healthcare Drug Information Services
 
Conor Hanrahan, PharmD, MS, BCPS, CPHQ
Medication Policy, Outcomes and Stewardship Director
System PGY1 Pharmacy Residency Program Director
Intermountain Healthcare Pharmacy Services
 
Moderator:
Jim Lichauer, PharmD, BCPS, FASHP
Sr Performance Improvement Program Director, Pharmacy
Vizient
 
Show Notes:
[01:50] Intermountain Healthcare is a complex system.
[03:19] Challenges included the size and scale of the organization, drug shortages, as well as technology and data capture issues.
[05:30] The development of IG appropriate use guidelines was intricate and enterprise-wide.
[08:21] A medication use evaluation was conducted.  
[10:08] Evaluation of adherence to weight-based dosing strategies produced shocking results.  
[11:41] Surveying stakeholders revealed a lack of awareness of internal guidelines and standards. 
[12:42] A formal policy to optimize IG weight-based dosing is in the process of being approved.
[13:35] Advice for those planning similar strategies includes system-wide collaboration, establishing and monitoring adherence rates, standardization, and quantification of cost savings.
[15:12] Intermountain Healthcare has exciting developments on the horizon.
 
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