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The Regence Group
...nobody does it better than Delfini!!!...wonderful program...been to many of your programs and continue to learn, be inspired and stretch...already incorporating the information as well as your tools into our processes...
The Regence Group Showcase Page click here
Reference Letter from Chief Pharmacy Officer click here
"Dear Delfini (Mike/Sheri), Thank you for a wonderful two-day course on evidence-based medicine tools and applications. In an era of high tech, high cost medical technology and medications, Regence has made evidence-based medicine the core of its business model and guiding principle in making healthcare decisions.
Delfini has been both the inspiration and support in helping us build and evolve this foundation with their guidance, teachings, and EBM tools for ready application in critically appraising the literature. I want to complement Delfini on an outstanding presentation and the ability and flexibility to adapt and structure the presentation for a multi-disciplinary staff of healthcare professionals (medical directors, nurses, pharmacists, students), such that all benefit. I have attended several of your presentations and each time I attend there is always something new to learn or additional "pearls" of knowledge to add to my EBM tool kit. My staff has told me the same!
As always, we appreciate your time in working closely with us and customizing presentations to help meet the needs of our audience. Nobody does it better than Delfini!!!
Warmest regards,
Lynn"
Lynn Nishida, R.Ph.
Director, Clinical Pharmacy Services
After Two
Days Following A Delfini Training Retreat...
"Dr. Stuart and Sheri, I wanted to thank you both for the wonderful
program you put together. I've heard all the same things echoed by the
staff that were noted in the evaluations. For myself, I think I've been
to more than six of your programs and I continue to be inspired and stretched
each time. We are already incorporating the information you provided,
as wells as your tools into our processes. We look forward to working
with you again and further improving our processes with your knowledge
and tools. Again, thanks for everything and have a great summer."
Helen Sherman, R.Ph., Pharm.D., Senior Director - Chief Pharmacy Officer
Pharmacy Services, The Regence Group, Portland, OR
"I have seen your program 3 times (make that 4 times) and I learn something new (ok, a lot new) every time. I really appreciate the way you constantly update your material to be relevant. I would sit through a day of your seminar once or twice a year." Program Attendee
David Holloway, MD
Senior Vice President & Chief Quality Officer
Parkview Health
Fort Wayne IN
...already using tools in real life...like the organized approach...helped us change...real success...improved patient care...help us use resources optimally...invaluable...
After one month for a Pharmacy & Therapeutics Committee consultation
for one of our clients...
"The evaluation results look very good. Proof of impact: people are
already starting to use the tools and material in real life. 1) Parkview
Hospital and Parkview North have already changed the way 'addition to
formulary requests' are presented at their local PNT. The docs like the
organized approach. 2) The three Community Hospitals approved the System
PNT at their quarterly joint med staff officers meeting last week. We
take the matter before Parkview Hospital next week, but don't think there
will be any problems there. Well done. Yes, you can use this. You earned
it!"
Six months
later...
"It has been six months since the Delfini Group customized an evidence-based
training program to help us change our processes for drug reviews. We
have already experienced real success which we expect to be sustainable
and which will improve the care we provide to our patients and our ability
to use our resources optimally. The concepts and skills learned in the
training - along with the tools and process steps - were invaluable to
us and have helped us transform our system. Highly recommended!"
One and a
half years later...
Reference Provided by W. David Holloway, MD, Sr VP, Chief Quality
Officer, Parkview Health
"Parkview Health has seven hospitals, five boards, four medical staffs
and all of the inherent complexities of such a structure. Two years ago
we consolidated our various hospital pharmacy operations into one system
support function. One goal was to decrease variation within medication
class; in other words, standardize the formulary across hospitals and
medical staffs. An important milestone was creation of a System Pharmacy
and Therapeutics Committee with physicians from the four staffs. That
said, we took this opportunity to structure the new committee's decision-making
around evidence and not just physician preference and advocacy, as had
been the approach at the 'local' P&T's.
Mike and Sheri led a group of physicians, nurse, pharmacists and administrators
through a one-day EBM course, tailored specifically to a system-level
pharmacy and the types of decisions we might encounter. By the end of
the day we had: 1) created the structure and function of the new committee,
2) general agreement of how we would use EBM in decision-making, and 3)
a good understanding of the resources/functions needed from pharmacy to
support the new committee. In addition, we introduced this core group
of clinical leaders to the concepts and methods of EBM. This 'deep awareness'
has helped many times in other areas, such as better clinical pathway
development. This EBM training was a big 'ah ha' needed toward critical
mass.
The System P & T is running well. Formulary variation is decreasing.
New products must be accompanied by proper 'critical appraisal'. The committee
can still decide to look beyond the evidence (we haven't banished politics
from the planet...yet). But we are definitely making better decisions
and we see fewer physicians willing to approach without good RCTs. Also,
our flagship hospital (about 550 beds) decommissioned their separate P
& T committee, choosing to cast its fate with the System group. This
is a nice endorsement by the tertiary center..."
And EBM products...
"Mike,
I want to thank you for the outstanding evidence review and synthesis
Delfini did for our medical group on ACE inhibitors and angiotensin II
receptor blockers ARBs in heart failure. When I presented the synthesis
to our cardiologists they enthusiastically complimented Delfini. They
uniformly felt the synthesis was extremely thorough, well-organized and
highly useful evidence-based information. Another example of Delfini’s
superb work – I can’t thank you enough for helping us navigate
a challenging area."
Nicole
O'Kane, PharmD
InterHospital Physicians Association
Portland OR
...instrumental role in the enhancement of our processes...ideas to efficiently use available resources...improved our efficiency...
Maribeth
M. Bettarelli, PharmD
Clinical Associate, Clinical & Drug Information Resources Caremark
Inc.
Northbrook IL
...invaluable guidelines and tools...used almost daily...wonderful assets...extremely useful...
Thanks again for the wonderful program. It was so nice
to hang out and get to know you better, too! Best regards, Maribeth"
Chris
McFarland, PharmD
Ambulatory Care Pharmacist
Departments of Internal Medicine &
Family Practice
Lovelace at Journal Center
Albuquerque NM
...will become immediately embedded in our strategies...will utilize the tools...more worthwhile 2 days than any week-long program I've attended...spectacular!...
Two years
later...
...highly applicable...other courses and seminars covered much but left
me with little...Delfini's was comprehensive and practical...superbly
taught...rich with information...drove home key concepts...able to apply...tool
easily incorporated into practice...my highest recommendation...Delfini
offers something quite unique...
“The information gathered from this meeting will become immediately embedded in our clinical practice strategies. I will be able to utilize these tools in our evolving Journal Clubs (both clinicians and students/residents) as well as in my own presentations to the Medical Staff. To take this knowledge a step further even, I plan to discuss this meeting during our upcoming Preceptor’s Conference with our College of Pharmacy (and beg them to include such material in their curriculum!)
Thanks so much for a meeting that was more worthwhile in two days than any week-long meeting I have ever attended. The program was spectacular, free of commercial bias, and comprehensive, despite the short duration. I hope to be able to attend future programs you put on, as I think you are both a dynamic speaker and basically a fun person to be in the same room with!”
Two years later..."I attended two courses 2 years in a row, and subsequently sent our residents last year. I found the seminar to be highly applicable across all stages of EBM understanding. Historically, I had participated in other courses and seminars that covered much but left me with little. If you can't walk away with something — some tool — in hand to use, then what would be the worth? The Delfini Group provided a comprehensive – and practical – approach to interpreting EBM, but most importantly, they provided a tool that I was able to easily incorporate into my practice. The two-day course provided a hands-on workshop environment that drove home key concepts of EBM. Participants were able to apply what they learned in several sessions, using the tools that we ultimately were given. The group even received software that assisted in using the principles that were taught. I found it to be quite practical, superbly taught and facilitated, and comprehensive in its applicability…I sincerely believe that the Delfini group offers something quite unique, and not only that, they practice what they preach and are always available afterwards…they get my highest recommendations…the sessions are rich with information..."
George
Alexis M.S.,R.Ph.
Clinical Pharmacy Manager
Veterans Affairs
Boston Healthcare System
...excellent...very useful program...quality content...expert speakers...custom tailored to meet our needs...
Jim Shahriar,
M.S., R.Ph.
Clinical Pharmacist, Quality Programs
Blue Shield Pharmacy Services
San Francisco CA
...a pleasure...new insights...wonderful job...
"Dear Michael and Sheri, it was a pleasure to meet you and attend the EBM course on February 28 and March 1, 2003. Although I had studied the course material in my graduate courses, the EBM program was very helpful and gave me new insights in how to approach and evaluate literature effectively. In fact, your two-day course reviewed two of my gradutate courses. Thank you for such a wonderful job and please keep up the good work."
Rosa Sanchez,
Pharm D
Retrospective Drug Utilization Review Clinical Pharmacist
Walgreen's Health Initiatives
Deerfield IL
...great program...especially enjoyed information and decision aids...help us better communicate with patients...
Tanner
Odom, PharmD
Care Management Pharmacist
Clinical Services Department
Walgreens Health Initiatives
Deerfield IL
...without a doubt the best meeting I've ever attended...extremely relevant...couldn't wait to get started the next morning...so useful...
“I wanted to thank you very much for the opportunity to attend the Clinical Practice Guidelines Workshop this past week. This meeting was without a doubt the best meeting I've ever attended. The information provided was extremely relevant and will prove to be very useful for the rest of my professional career. Never have I attended a meeting where I couldn't wait to get started the next morning following the completion of that days’ session. This information is so useful, that we are looking to do some sort of a miniature workshop to share this information with the entire Clinical Services group.”
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