i2i GP Pharmacist Implementation Awards 2019

Submission Form

Remember:

Winners will need to have clear and measurable patient / medication-related outcomes

You must be willing to have your entry published as a best practice case-study (but don't worry, we will help you turn your submission into a comprehensive case-study!)
Submission deadline of Friday 31st May 2019

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* 1. Terms of submission

I agree to having my entry published as a best practice case-study

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* 2. Your name

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* 3. Your practice name

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* 4. Which i2i workshop did you attend?

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* 5. In which month did you attend this workshop?

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* 6. How long after attending the workshop did you run your first clinic (using the ABCDE methodology)?

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* 7. Please give us a brief summary of the project ( what did you decide to do?)

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* 8. How did you implement the ABCDE methodology in the following sections?

Agreed Scope (agree patient cohort, responsibilities, capacity and outcomes)

Buy-in (which stakeholders did you need to get on board & how)

Conduct Preparation (pre-read, clinic prep, equipment, clinic structure etc)

Deliver (how? consultation template, any patient resources used etc)

Evaluate Outcomes (patient, medication, anecdotal from patients and staff)

i2i GP Pharmacist Implementation Awards 2019

Submission Form

Question Title

* 1. Terms of submission

Question Title

* 2. Your name

Question Title

* 3. Your practice name

Question Title

* 4. Which i2i workshop did you attend?

Question Title

* 5. In which month did you attend this workshop?

Question Title

* 6. How long after attending the workshop did you run your first clinic (using the ABCDE methodology)?

Question Title

* 7. Please give us a brief summary of the project ( what did you decide to do?)

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* 8. How did you implement the ABCDE methodology in the following sections?

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* 9. What are the clear and measurable patient / medication-related outcomes that you have achieved? (compare to baseline, ideally)

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* 10. How did the i2i Network help you achieve these outcomes? (training, motivation, resources etc)