Recipe for Quinoa Salad Wraps

Ingredients:

  • 1 cup quinoa, cook according to package directions (approx. 3 c. cooked)
  • ½ tsp. salt
  • 1 cup carrots, chopped
  • ½ c. celery, chopped
  • ½ c. parsley, chopped
  • ¼ c. sunflower seeds
  • ½ c. red pepper, chopped
  • 1 c. fresh spinach, chopped

Dressing:

  • 3-4 garlic cloves, chopped
  • ¼ c. fresh lemon juice
  • ¼ c. olive oil
  • 1-2 T. soy sauce
  • 1 t. honey

Directions:

Combine dressing ingredients in a large bowl.  Add remaining ingredients.  Mix well.  Chill.  Place approximately ½ cup of salad in a tortilla, lettuce leaf or collard green and roll.

Serve with Treana White wine.

May 2013 IV Lines

Patient Success Story

One high school boy with a terminal illness had hopes of attending his prom this spring.  His challenge of requiring a dose of antibiotic intravenously using a Bard pump that is not so easy to transport and is quite conspicuous required some creative problem solving.   With the help of Alternacare’s pharmacist Tim and nurse Jaci, this teen was able to enjoy a prom night like all of the other high school students his age.  Tim drew up two additional doses of the antibiotic, and Jaci delivered the medication and a “pocket pump” called the Eclipse Pump to this patient prior to his evening event.  This youth was able to infuse his antibiotic while attending prom without his classmates’ knowledge.  Way to go, Tim and Jaci, for going above and beyond for this patient!

EDUCATION AND MORE EDUCATION

A firefighter from New York speaking about being in the North Tower when it collapsed… What a way to kick off a conference.  Deputy Chief Richard Picciotto spoke about his experience and shared his heart with the crowd.  His book Last Man Down is well worth the read.

Three team members of Alternacare attended the National Home Infusion Association (NHIA) meeting in Dallas April 8-11.  As with any conference, there was some great networking and sharing of information as to how Alternacare can improve services to our patients and referral partners as well as a recognition of the things that we are doing right.  After 19 years in business and more than 30 years in the industry, you look for those pearls of wisdom that can really make a difference.

Here are some highlights:

  • Data related to transitions of care
  • Mobile applications and technology
  • Clinical poster presentations
  • Medicare and re-hospitalization
  • HIPAA and HITECH
  • Clinical Liaisons
  • Pharmacy updates
  • Insurance issues – Commercial, Military, Medicare, Medicaid

The items listed here are just a few of the workshops offered to help improve the care provided in the Kansas City community. 

Next stop – Alternacare is sending one of our nurses to the Intravenous Nurses Society (INS) conference in Charlotte this month.

Alternacare is committed to educating our internal staff and our partners in the community.  Thank you for allowing us to serve you and your patients every day.

 Recipe for Chicken Spiedini

Ingredients:

  • ·         2 c. Italian bread crumbs
  • ·         1 c. grated Romano cheese
  • ·         Salt & pepper, to taste
  • ·         1 T fresh minced parsley
  • ·         4 cloves garlic, chopped
  • ·         6 chicken breasts, sliced into 2 inch strips
  • ·         ½ c. extra virgin olive oil

Directions:

Mix together the bread crumbs, cheese, salt and pepper, parsley and garlic.  Dip the chicken in olive oil and then into the bread crumb mixture.  Place on foil lined cookie sheet with non-stick spray.  Bake at 350 degrees for 25-30 minutes.  While the chicken is cooking, make the lemon garlic sauce to drizzle over the chicken.

Lemon Garlic Sauce:

  • ·         1 t. fresh parsley, minced
  • ·         1-2 garlic cloves, mashed
  • ·         Juice of 5 lemons
  • ·         Salt & pepper, to taste
  • ·         ¼ t. crushed red pepper
  • ·         1/3 c. olive oil
  • ·         ¼ c. water

Warm the lemon garlic sauce and drizzle over the chicken before serving.

 

This recipe pairs well with: Liberty School Chardonnay from Paso Robles, California.

EFFECTIVE JANUARY 1, 2013

ALTERNACARE CONTINUES TO PARTICIPATE WITH ALL KANSAS MEDICAID PLANS

  1.  Sunflower State Health Plan
  2. Amerigroup
  3. United Health Care Community Plan

www.kancare.ks.gov

 

Mark your Calendar!

May 6 – 12: National Nurses Week

May 8: World Red Cross Day

May 12: Mother’s Day

May 12 – 18: National Nursing Home Week

May 19 – 25: National Emergency Medical Services Week

May 27: Memorial Day

June 14: Flag Day

June 16: Father’s Day

 

March 2013 IV Lines

Congressman Kevin Yoder Visits Alternacare

Wednesday, January 30, 2013 Alternacare Infusion Pharmacy was honored by the visit of Congressman Kevin Yoder.  Mr. Yoder met with owners Mike Hayden and Rick Lane regarding the services that Alternacare provides for thousands of local area residents with infectious diseases, immune deficiencies, cancer, short bowel syndrome, cystic fibrosis and other conditions to receive the care they need in the comfort of their own homes.  The Congressman toured the facility and spoke with Alternacare’s pharmacists to learn about the intake process, insurance benefit verification, preparation of medications and delivery staging process.  During the visit, he was able to see the sterile preparation room, warehouse and infusion suites.   Our nurse Sarah shared with Mr. Yoder the importance of patients being able to be cared for in their own home rather than having to stay in a facility to receive intravenous medication or having to make daily visits to a clinic or office to receive medication.  There was also discussion regarding the lack of benefit coverage that a Medicare recipient has for home infusion.  As the picture denotes, Medicare only covers the actual medication.  Medicare does not cover the necessary pumps, supplies and services required to administer the medication.  This lack of coverage creates high out-of-pocket costs for Medicare patients, causing the patient to elect to make regular visits to a facility to receive their medication, to stay in a skilled nursing facility or to have to change to an oral medication, which may not be as effective as the intravenous route of administration.  Many patients in this population would greatly benefit from the home infusion alternative when the therapy is administered in the comfort and convenience of the patient’s own home.  An additional important factor is the cost savings for taxpayers if Medicare covers home infusion.  Currently, two bills (Senate and House) are being scheduled to be re-introduced in late spring or early summer. These bills would address the appropriate changes necessary for this patient population to have the health benefit coverage needed when a physician prescribes home infusion therapy.

To learn more about this legislation, please visit www.nhia.org. With the potential support of future Medicare Home Infusion Legislation by Congressman Kevin Yoder and other Congressmen and Senators, more innovative healthcare solutions will be available to the Medicare population.  We thank Congressman Kevin Yoder for taking the time to visit Alternacare on this cold, blustery day in January.

Drug Shortages

Drug shortages have always been something that pharmacies have had to deal with over the years, however, we usually found that allocation from manufacturers would get you through the tough times.  Last year, 2012, proved to be much more difficult.  The home infusion industry is a small component of a much larger healthcare industry that has felt the pain of drug shortages and we may continue to feel it in 2013.

According to an article from the New York Times published November 16th, 2012:

Rationing is just one example of the extraordinary lengths being taken to address the shortage, which health care workers say has ceased to be a temporary emergency and is now a fact of life. In desperation, they are resorting to treating patients with less effective alternative medicines and using expired drugs. The Cleveland Clinic has hired a pharmacist whose only job is to track down hard-to-find drugs. (see link below).

http://www.nytimes.com/2012/11/17/business/drug-shortages-are-becoming-persistent-in-us.html?pagewanted=all&_r=1&

Fortunately, Alternacare has some great buyers that continue to find resourceful ways to acquire the medications when they are in short supply.  Many times we can work in conjunction with the physician to see if there is a clinically equivalent substitute or a way to share supply with area hospitals.

Noted below are two websites for reference regarding medications that are in short supply.  One is the Food and Drug Administrations website and the other is on the American Society of Hospital Pharmacists website.

FDA

http://www.fda.gov/drugs/drugsafety/drugshortages/ucm050792.htm

ASHP

http://www.ashp.org/Drugshortages/Current/

As always, we will continue to focus on patient quality and service, while doing our very best to access the medications that every patient needs.

Recipe for St. Patrick’s Day Blondies

 

 

 

 

 

 

 

 

 

Ingredients:

2/3 cup butter

1-1/4 cup brown sugar, packed

1 egg

1 tsp vanilla extract

2 cups flour

1/2 tsp baking soda

1 cup green M&M’s

Preheat the oven to 350 degrees. Spray non stick spray in a 13×9 inch glass dish.  In a small bowl combine the flour, egg, baking soda.  Mix the butter and sugar together with a hand mixer or stand mixer. Add in the egg, mix well. Then add in the vanilla extract.  Mix in the M&M’s into the batter. Pour the batter into the glass dish and bake for 30-35 minutes until the top is golden brown. Allow to cool to room temperature then cut into bars.

Mark your Calendar!

March: Social Work Month

March 13:   Registered Dietitian Day

March 30: National Doctor’s Day

April 1 – 7: National Public Health Week

April 9 – 13: Patient Advocacy Week

April 22: Earth Day

April 21-27: National Healthcare Volunteer Week

April 21 – 27: Healthcare Administrative

IV Lines January 2013

January 2013 IV Lines

EFFECTIVE JANUARY 1, 2013

ALTERNACARE CONTINUES TO PARTICIPATE WITH ALL KANSAS MEDICAID PLANS

  1.  Sunflower State Health Plan
  2. Amerigroup
  3. United Health Care Community Plan

www.kancare.ks.gov

Top 10 by Time Magazine – Arts & Entertainment

Movies Performances

10. Jennifer Lawrence as Tiffany in Silver Linings Playbook

9. Tommy Lee Jones as Thaddeus Stevens in Lincoln

8. Vanessa Paradis, Café de Flore

7. Denzel Washington as Whip Whitaker in Flight

6. Denis Lavant as the Actor in Holy Motors

5. Matthew McConaughey as Joe Cooper in Killer Joe

4. Rachel Weisz as Hester Collyer in The Deep Blue Sea

3. Clarke Peters as Da Good Bishop Enoch Rouse in Red Hook Summer

2. Quvenzhané Wallis as Hushpuppy in Beasts of the Southern Wild

1. Jean-Louis Trintignant and Emmanuelle Riva as Georges and Anne in Amour
 

Songs

10. Can, “Graublau”

9. The Belle Brigade, “No Time to Think”

8. Pussy Riot, “Putin Lights Up the Fires”

7. Nicki Minaj, “Roman in Moscow”

6. Skrillex, “Bangarang”

5. Parquet Courts, “Master of My Craft”

4. Taylor Swift, “We Are Never Ever Getting Back Together”

3. Carly Rae Jepsen, “Call Me Maybe”

2. PSY, “Gangnam Style”

1. Usher, “Climax”

TV Series

10. The 2012 Election

9. American Horror Story

8. Parenthood

7. Game of Thrones

6. Girls

5. Mad Men

4. Breaking Bad

3. Homeland

2. Louie

1. Parks and Recreation
 

Fiction Books

10. This Is How You Lose Her, Junot Diaz

9. Where’d You Go, Bernadette?, Maria Semple

8. NW, Zadie Smith

7. Building Stories, Chris Ware

6. The Casual Vacancy, J.K. Rowlin

5. The Girl Who Fell Beneath Fairyland and Led the Revels There, Catherynne Valente

4. At Last, Edward St. Aubyn

3. Billy Lynn’s Long Halftime Walk, Ben Fountain

2. Bring Up the Bodies, Hilary Mantel

1. The Fault in Our Stars, John Green

Non-Fiction Books

10. The Black Count, Tom Reiss

9. The First Four Notes: Beethoven’s Fifth and the Human Imagination, Matthew Guerrieri

8. People Who Eat Darkness: The True Story of a Young Woman Who Vanished from the Streets of Tokyo — and the Evil That Swallowed Her Up, Richard Lloyd Parry

7. Dearie: The Remarkable Life of Julia Child, Bob Spitz

6. Wild, Cheryl Strayed

5. Are You My Mother?, Alison Bechdel

4. My Friend Dahmer, Derf Backderf

3. Far from the Tree, Andrew Solomon

2. The Passage of Power: The Years of Lyndon Johnson, Vol. Four, Robert A. Caro

1. Iron Curtain: The Crushing of Eastern Europe 1944–1956, Anne Applebaum
 

To see these lists and more, visit www.time.com/time/top-10-lists-of-2012/.

Recipe for Stromboli 

 

 

Ingredients:

  • ·         2 French loaf breads (in a tube in the refrigerator section at grocery store)
  • ·         30 plus pepperoni slices
  • ·         2 c. shredded mozzarella cheese
  • ·         Deveined and seeded Tuscan Peppers
  • ·         1 jar Pepperocinis, cut into thirds
  • ·         2 cans artichoke hearts, cut into thirds or fourths
  • ·         15 oz. can black olives, sliced in half
  • ·         1 jar sweet roasted peppers, cut into thirds
  • ·         Oregano to taste
  • ·         Parmesan cheese

Directions:

Rub olive oil on cookie sheet.  Roll out bread dough.  Cover with overlapped pepperoni slices.  Make 3 rows vertically of peppers, artichoke hearts and olives.  Sprinkle entirely with mozzarella cheese, oregano and Parmesan cheese.  Roll up like a jelly roll and flip so that the seam is side down.  Tuck in ends.  Spray loaf with olive oil.  Bake at 350 degrees for 20 to 30 minutes.  Let set before cutting into slices.

Serve this recipe with:  Banfi Cecchi Chianti Classico

Mark your Calendar!

Jan. 1:  New Year’s Day

Jan. 21:  Martin Luther King’s Birthday

Feb. 2:   Groundhog’s Day

Feb. 3:  Super Bowl Sunday

Feb. 12: Lincoln’s Birthday

Feb. 18: President’s Day

Feb. 22: George Washington’s Birthday

Feb. 29: Leap Day

 

November 2012 IV Lines

What is TPOPP?

Transportable Physician Orders for Patient Preferences is what TPOPP stands for, but what does it mean?  TPOPP is a medical order form designed for patients with serious illness and advanced frailty.  This form travels with the patient across patient care settings to ensure that the patient’s wishes are honored throughout the health care system.  TPOPP is a statement, signed by the patient, which reflects current treatment preferences, translated into actionable physician orders.  TPOPP is based on the belief that individuals have the right to make their own health care decisions.  TPOPP differs from an advance directive.  An advance directive is for all adults, whereas a TPOPP is for the individual with chronic progressive illness or one who may die within the year.  An advance directive is completed for the future while a TPOPP applies to a person’s current situation with medical orders for the present.  Advance directives take effect when decision-making capacity is lost, but a TPOPP  is not conditional on decision-making capacity.  Advance directives contain no medical orders while a TPOPP does.  Advance directives may not be available in all settings.  TPOPP accompanies the patient across settings.  TPOPP is an approach to ensure care received agrees with patient wishes.

Source: Cancerkansas.org and Center for Practical Bioethics Guidance at the Crossroads of Decision.

WHAT IS AN ACO?

An ACO, or Accountable Care Organization, is a network of doctors and hospitals that shares responsibility for providing care to patients. In the new law, an ACO would agree to manage all of the health care needs of a minimum of 5,000 Medicare beneficiaries for at least three years.

Why did Congress include ACOs in the law?

As lawmakers search for ways to reduce the national deficit, Medicare is a prime target. With baby boomers entering retirement age, the costs of the program for elderly and disabled Americans are expected to soar.

ACOs make providers jointly accountable for the health of their patients, giving them financial incentives to cooperate and save money by avoiding unnecessary tests and procedures. For ACOs to work they have to seamlessly share information. Those that save money while also meeting quality targets would keep a portion of the savings. Providers can choose to be at risk of losing money if they want to aim for a bigger reward, or they can enter the program with no risk at all.

HHS estimates that ACOs could save Medicare up to $940 million in the first four years. That’s far less than one percent of Medicare spending during that period. If the program is successful, it can be expanded by the Secretary of Health and Human Services.

How would ACOs be paid?

In Medicare’s traditional fee-for-service payment system, doctors and hospitals generally are paid more when they give patients more tests and do more procedures. That drives up costs, experts say. ACOs wouldn’t do away with fee for service but would create savings incentives by offering bonuses when providers keep costs down. Doctors and hospitals would have to meet specific quality benchmarks, focusing on prevention and carefully managing patients with chronic diseases. In other words, providers would get paid more for keeping their patients healthy and out of the hospital.

Source: http://www.kaiserhealthnews.org

Currently the closest hospital system that has developed an ACO is Heartland Regional Medical Center (“Heartland”).  Heartland has developed an accountable care organization (ACO), is participating in the Medicare Shared Savings Program and may enter into other similar shared savings arrangements with commercial, self-insured, or other third-party payors.

Source: July 9th article from Heartland Regional Medical Center.

Compounding Pharmacies versus Home Infusion Pharmacies

Recent widespread media reports regarding the tragic multi-state fungal meningitis outbreak linked to contaminated drugs compounded by New England Compounding Pharmacy (NECC), are generating questions from various stakeholders regarding the safety of pharmacy compounding.

Home Infusion Pharmacies follow Federal USP 797 sterility guidelines when compounding medications on a patient specific basis.  The term compounding pharmacy covers a wide range of pharmacies that can produce creams and ointments that are patient specific to bulk products like the ones compounded by NECC.  When a pharmacy is doing bulk compounding that is not patient specific, they are considered a manufacturer and usually follow standards known as GMP’sor Good Manufacturing Practices.  These standards are a legal codification of sound quality principles, thathave been used by the pharmaceutical and healthcare manufacturing industries for over 50 years as a means of assuring that products have the identity, strength, purity and quality that they purport to contain. GMPs are in effect in over 100 countries, and GMP compliance is a pre-requisite to exporting pharmaceuticals between countries.

While there is risk in any compounding situation, it is significantly reduced when done under the State and Federal guidelines.  Please feel free to contact us if you have any questions regarding our compounding standards.

Recipe for Creamy Pasta

Ingredients:

  • ·         16 oz. box of rigatoni pasta
  • ·         6 bacon strips, diced
  • ·         2 cloves garlic, minced
  • ·         1-1/4 c. milk
  • ·         8 oz. light cream cheese, cubed
  • ·         ½ cup butter or margarine
  • ·         ½ cup Parmesan cheese, shredded
  • ·         ¾ cup frozen peas, thawed
  • ·         ¾ cup diced ham

Directions:

Cook pasta according to directions on the box.  Brown the bacon and remove from skillet.  Cook garlic in the bacon grease.  Add milk, cream cheese and butter.  Stir till smooth.  Stir in Parmesan cheese, peas, ham and bacon.  Cook until the peas are heated, about 5 minutes.  Mix pasta into the sauce.

Serve this recipe with:  Banfi Centine

 

September 2012 IV Lines

Letter from a Mother

I wanted to express my gratitude for the wonderful service you gave my son over the last year during his cancer treatment and recovery. The stellar care and training, professionalism, and courtesy demonstrated never ceased to amaze me. Even though my insurance changed, I maintained Alternacare as our provider, no matter the additional cost.

Lastly, we were additionally blessed financially by your generous billing decision. Please know the daily difference you make in the challenging lives of others does not go unappreciated or unnoticed. I am sure I speak for others when I say, “Thank You” for doing what you do with such grace and skill, allowing others to more easily tend to their struggles.
May God bless you as you have blessed your customers and our family.

“When you are kind to others, it not only changes you, it changes the world.”
— Harold Kushner

K.M. of Blue Springs, MO

 P.S. My son is recovering well! Is off all meds and has begun running with his cross country team again…

 

Kansas and Missouri Managed Medicaid

The states of Kansas and Missouri have recently chosen new providers for their State Managed Care Medicaid Programs.  As healthcare continues to evolve, one thing remains the same.  People need healthcare services and how those are delivered and paid for will be changing over the next few years.  The following companies have been awarded bids in each State.  Noted below is the name of the companies and their respective websites.  Alternacare is currently a provider with all three in the State of Missouri and the State of Kansas is beginning the process of adding providers for a January 2013 start date.  We fully intend to participate with the three award winners in Kansas.

Missouri

Healthcare USA

http://chcmedicaid-missouri.coventryhealthcare.com/

 

Home State Health Plan

http://www.homestatehealth.com/

Missouri Care

http://www.missouricare.com/

Kansas

Amerigroup Kansas

http://kansas.joinagp.com/amerigroup-in-kansas/

Sunflower State Health Plan

http://www.sunflowerstatehealth.com/

United Healthcare of the Midwest – website not found for Medicaid – use www.uhc.com

 

Alternacare’s Liaison Program: How Your Patients Can Benefit

When discharging a patient who will receive IV therapy at home, one of our liaisons will gladly visit the patient in the hospital prior to dismissal to help the transition of care from hospital to home flow more smoothly.  The liaison will let your patient know what to expect, what equipment will be involved in the therapy and who will contact the patient.  The liaison will also be sure that the patient has the pharmacy phone number in case a question or concern arises. The patient will be reassured that a nurse will meet him/her in the home to teach the patient how to use the medications and supplies. Insurance benefits may also be discussed prior to discharge.  Liaisons are available in person in the Kansas City metropolitan area and by phone outside of the KC metro area.  Patients will feel more relaxed and confident returning home after having spoken with Alternacare’s liaison.

Recipe for Sensational Chicken

 

 

 

 

Ingredients:

  • 2 tablespoons Worcestershire sauce
  • 2 tablespoons low sodium soy sauce
  • 2 tablespoons teriyaki sauce
  • 1 teaspoon liquid smoke flavoring
  • 1 tablespoon sesame seeds
  • 1 tablespoon brown sugar
  • 1 teaspoon paprika
  • 1/2 teaspoon garlic salt
  • 1/4 teaspoon garlic pepper
  • 2 teaspoons minced garlic
  • 1/4 cup vegetable oil
  • 10 – 12 chicken “drummies”

Directions:

  1. Mix together all of the ingredients (except for the chicken) in a large re-sealable bag. Add chicken to the marinade, seal, and marinate for 6 to 8 hours in the refrigerator, redistributing the chicken in the marinade occasionally.
  2. Preheat an outdoor grill for medium heat.
  3. Remove chicken from marinade and shake off excess. Grill the chicken, turning occasionally, on preheated grill until the chicken has reached an internal temperature of 165 degrees F (75 degrees C), and is firm and opaque, about 15 minutes. Discard any remaining marinade.

Serve this recipe with: GARNET 2010 SONOMA COAST CHARDONNAY

Dates for your Calendar

September 18 – 19: Kansas Home Care Association Annual Meeting

September 27: 2012 ACMA/MOKAN Chapter Case Management Conference

October 16: National Boss’s Day

October 21 – 24: National Association for Home Care Annual Meeting

Share your experience with Alternacare by liking us on Facebook and leaving your feedback and /or testimonial on our page!

feedback and /or testimonial on our page.

www.facebook.com/alternacare 

SPECIALIZING IN:

PARENTERAL NUTRITION

ANTIBIOTIC THERAPY

IVIG / ScIG

ENTERAL NUTRITION

CHEMOTHERAPY

PAIN MANAGEMENT

Call us with your referrals!

Alternacare Infusion Pharmacy

913-906-9260 (w)
913-906-9326 (f) www.alternacare.net

 

July 2012 IV Lines

Sarah’s Notes from the 2012 Infusion Nurses Society Annual Convention

I had the great pleasure of attending the 2012 Infusion Nurses Society Annual Convention April 29 – May 3 in Las Vegas, Nevada. I look forward to going to the INS conference every other year. It gives me a chance to network with other infusion nurses and see the latest in infusion-related products and new research that is improving infusion practice.

I will admit that Las Vegas was a bit overwhelming, and I had the hardest time finding my way around the hotel/casino. (I was told they purposely confuse you this way so you gamble more). Once I got my bearings it was smooth sailing. (By the way, I don’t gamble). The conference Keynote Speaker was Jeff Henderson. What an honor to hear him speak of his amazing redemption story from spending nearly a decade behind bars to an award winning motivational speaker, NY Times best-selling author, and Food Network TV personality. It was a fantastic start to a great week!

The expo is another favorite part of the convention where I can try products and ask questions to vendors. They have poster presentations from infusion nurses around the world. This year several of the presentations were practice changing; one in particular focused on PIV dwell times. I am excited to see better evidence-based practice research to improve patient care. I love smart nurses who aren’t content with the status quo. It is a real honor to visit with them, and it motivates me to think forward. I already have a few ideas bouncing in my head for a possible study to launch for next year.

I have grown accustom to traveling to the conference by myself and enjoy talking with other nurses every chance I have. We are exposed to a number of experiences at Alternacare Infusion Pharmacy, but the national conference exposes me to even more cutting edge practices. I am so grateful that AIP sees the advantage in providing us opportunities to meet up with other professionals who are passionate about infusion nursing. I always return with new tools that improve my practice, resulting in better outcomes for our patients. While away from my daily nursing routine, I have the opportunity to think about infusion nursing in a different light.

(What Sarah did NOT mention in her notes above is that she won an award for an essay she wrote about excellence in nursing!!!!)

Immunotherapy in the Home and/or Infusion Suite

Our mission is to provide our patients with exceptional care from our dedicated, experienced nurses and pharmacists in order to improve quality of life.

Alternacare provides safe and effective therapy to hundreds of patients with complex and chronic conditions. These patients may encounter many challenges, including transportation, unavoidable wait time in clinics or offices, scheduling conflicts and inconvenient appointment times. Our nurses can provide immunotherapy at a convenient time for the patient in the home or in our infusion suite. This convenience also often lowers the risk of infection commonly spread in facilities in addition to lowering cost by using the patient’s prescription drug plan. Under a prescription drug benefit many patients pay a co-pay of $20 per month. Moreover, the cost of immunotherapy in the hospital is approximately twice the cost of home therapy. Using Alternacare’s services in the home or in our infusion suite for therapy and reducing the total costs that are billed to your medical plan, the patient will save money.

By utilizing Alternacare Infusion Pharmacy’s service for patients requiring immunotherapy, your patients’ will:

1. Receive quality care in the comfort and convenience of home and/or infusion suite

2. Obtain potential medical cost-savings.

If you are interested in receiving Alternacare’s Immune Globulin Referral Form, please call your representative Peggy Langenbach at 816-645-2890 or Stacey Burton at 913-904-4667.

Recipe for Grilled Salmon

 

Ingredients:

  • 6 T. butter
  • 1/3 c. honey
  • 1/3 c. brown sugar
  •  2 T. lemon juice
  • 1/8 t. Tabasco
  • 4 (8 oz.) salmon steaks

Directions:

Combine all ingredients except the salmon steaks in a sauce pan. Cook over low heat for 5 minutes. Let stand and cool. Pour over and coat salmon and let marinate for 30 minutes. Grill salmon 5 minutes on each side, basting each side. For thicker salmon steaks, it might be necessary to grill longer.

Serve this recipe with: Garnet Vineyard Pinot Noir Monterey 2009

Did you know that Alternacare has served more than 10.000 patients in the states of Kansas and Missouri? We could not have accomplished this task without the trust of our referral sources including discharge planners, case managers, physicians, nurses, home health agencies, hospitals and insurance companies. Thank you for 18 great years!

Share your experience with Alternacare by liking us on Facebook and leaving your feedback and /or testimonial on our page!

www.facebook.com/alternacare

 Alternacare Infusion Pharmacy

SPECIALIZING IN:

PARENTERAL NUTRITION

ANTIBIOTIC THERAPY

IVIG / ScIG

ENTERAL NUTRITION

CHEMOTHERAPY

PAIN MANAGEMENT

Call us with your referrals!

Alternacare Infusion Pharmacy

913-906-9260 (w) 913-906-9326 (f)

www.alternacare.net

 

 

May 2012 IV LINES

May 2012 IV LINES
Alternacare Infusion Pharmacy

913-906-9260 (w) 913-906-9326 (f)

www.alternacare.net

www.facebook.com/alternacare

15065 W 116th Street Olathe, KS 66062

Congratulations Jaci and Sarah!

We are pleased to announce that our nurses Jaci and Sarah both passed the CRNI exam.

Certification, as defined by the American Board of Nursing Specialties, is the formal recognition of the specialized knowledge, skills, and experience demonstrated by the achievement of standards identified by a nursing specialty to promote optimal health outcomes. (http://www.incc1.org/files/public/10_08_10_CRNI_bulletin_2011.pdf)

The Certified Registered Nurse Infusion certification indicates the nurse has achieved a specialized level of practice in providing infusion therapy to patients, appropriately and safely administering intravenous medications to patients suffering from a broad spectrum of illnesses. (http://www.testprepreview.com/crni.htm)

“I have thought about taking the CRNI exam for years now,” said Sarah.  “I have always been intimidated by the thought but once I committed, made a plan and had a great study partner in Jaci- the task was much more bearable.”   Sarah shares, “For me I feel more confident in myself and know that the INS is a great organization that backs their nurses with quality evidence based practice. They continue to put research first and are passionate about infusion nursing. It is an honor to be connected to other CRNI’s with such a great emphasis on excellence.  Mostly, I am excited to carry the knowledge I am gaining to nurses who aren’t as connected in the rural settings. It is really exciting to bring them new tools that really improve their practice and the outcomes for their patients. That is probably one of the most favorite parts of my job. I love connecting with other nurses and hopefully after our teaching opportunities, they will be better nurses. That really energizes me.”

NHIA: More than just Continuing Education…

The National Home Infusion Association annual conference took place in Phoenix the last week of April.  Although blisteringly hot, the attendees stayed comfortable inside the convention center learning about a wide variety of topics including venous access innovations, new medications, nursing procedures, reimbursement coding, management practices, and sales.   Pharmacists Leigh Luna and Mike Hayden were among the 1300 members at the conference that encompassed nurses, pharmacists, reimbursement experts, sales staff, and managers.  Along with the educational sessions, they learned about a data initiative regarding outcomes reporting, and a new push in the grassroots movement to generate a Medicare B benefit for home infusion.  (Currently, legislation introduced in the Senate and House of Representatives has wide spread support, but CMS has asked for more data in the form of a demonstration project.  CMS leaders have pledged to meet with NHIA representatives again in 3 months to review the process.)

“It’s all about the networking for me,” says Mike.  “NHIA has allowed me to make and keep up with old friends who provide insight and expertise on a variety of subjects throughout the year.  But it is especially great to get together at the conference and catch up.  The exhibit hall also provides great information on new products and ideas.”

NHIA, an association by and for infusion companies, provided educational sessions, roundtable discussions and networking opportunities for home infusion professionals from around the country.  Independent companies like Alternacare met side by side with national chains to express concerns about the current health care reform measures and economic climate in the US today.  An exposition hall containing more than 100 vendors of medications, supplies, equipment, and services provided information about their companies as well as prizes for a raffle at the end of the week.

NHIA pointed out that the current healthcare system is beginning to change, but with each others’ help, we can “Transcend Uncertainty” and continue to provide important alternate site care for patients everywhere.  As described by Leigh, “There is no better place to meet people in my field than at NHIA.  The conference gave me the chance to hear other people’s ideas and brainstorm solutions to problems.  I have already e-mailed some of the people that I met last week!

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Did you know that one of Alternacare’s owners has a son who had 4 hole-in-ones by the age 11?  At age nine, the same week he hit two of the four shots, he met Tom Watson and Bill Self, who both signed his North Carolina Tarheels hat.

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Hospital Bloopers (Actual Writings from Hospital Charts)                        

  • Patient was alert and unresponsive.
  • The patient has no previous history of suicides.
  • Patient had waffles for breakfast and anorexia for lunch.
  • The skin was moist and dry.
  • Occasional, constant infrequent headaches

 

 

 

Recipe for Fudge Pie:

 

Ingredients:

  • ½ stick butter
  • 2 eggs
  • 1-1/2 cup sugar
  • ½ cup evaporated milk
  • 3 T. cocoa
  • 1 t. vanilla

Instructions:

Melt butter in sauce pan.  Remove from heat and add sugar and cocoa.  Stir and add eggs.  Stir well.  Add evaporated milk and vanilla.  Stir until milk is mixed in.  Pour into a 9 inch unbaked frozen pie shell.  Bake at 400 degrees for 10 minutes.  Reduce heat to 350 degrees and bake for 22-24 more minutes.

Serve this dessert with: Estimulo Malbec Mendoza  

Bon Appetite!

March 2012 IV Lines

Alternacare Welcomes Three New Pharmacists to the Pharmacy Team

Tim Orford, PharmD, MPH

Tim is one of our new full-time pharmacists who previously worked five years at a local hospital in the inpatient pharmacy and for two years prior to that in retail working as a pharmacist at CVS.

 

Daina Smith, PharmD

Daina Smith started as a part-time pharmacist at Alternacare in September 2010. She graduated from the University of Kansas School of Pharmacy in 2006. Daina began her career in retail pharmacy in the Kansas City area working in chain and grocery store pharmacies.

Joye Blume, PharmD

Joye is one of our new part-time pharmacists. She graduated from UMKC in 2002. Since graduation Joye has worked primarily as a retail pharmacist at Price Chopper.  She started at Alternacare in September 2011.

 

Hospital Bloopers (Actual Writings from Hospital Charts)

  • The patient refused autopsy.
  • Patient has chest pain if she lies on her left side for over a year.
  • On the second day the knee was better and on the third day it disappeared.
  • Discharge status: Alive but without permission.
  • She is numb from her toes down.

 

 

 

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Did you know that Alternacare started 18 years ago with four patients?  The owner, Mike Hayden, ran into a patient he had taken care of with a previous company while shopping at a local mall.  The patient encouraged him to start his own company as she really missed the compassion that he had shown to her.  So Mike started a venture in April of 1994 with the tagline “Putting the personal touch back into patient care.”

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Recipe for Slow Cooker BBQ Pulled Chicken

Ingredients:

  • 4 full chicken breasts
  • 1 cup ketchup
  • 2 tsp. mustard
  • 2 tsp. lemon juice
  • ¼ tsp. garlic powder
  • ¼ cup molasses
  • 2 T. Worcestershire sauce
  • ½ tsp. chili powder
  • ¼ tsp. cayenne pepper
  • 2 dashes hot sauce

Instructions:

Mix all ingredients except for chicken.  Place chicken in a crock pot on low, and pour over the sauce mixture.  Cook for 6 hours.  Shred the chicken with two forks and cook 30 more minutes.  Serve on a bun with your favorite BBQ sauce.

Serve this meal with: TintoNegro Mendoza Malbec

Bon Appetite!

 

 

 

 

 

   Become a Fan of Alternacare Infusion Pharmacy on Facebook!

Once a fan, you can view our bimonthly newsletters on Facebook,    keep up-to-date on home infusion legislation, be informed when new infusion     medications are approved & more.  www. facebook.com/Alternacare

ALTERNACARE is now offering four CEU’S

1. Evaluating and Monitoring the Nutrition Plan to Insure Quality Outcomes in the Home Setting

2. Intravenous Immune Globulin – Clinical Uses and Treatment Options

3. Medicare and Medicaid Coverage for Home Infusion Therapy

4. Healthcare Issues 2012

Soon to come: IV Therapy Equipment and Line Care in the Home

Please contact Stacey Burton at 913.904.4667 or Peggy Langenbach at 816.645.2890 to schedule your in-service.

 

Mark your Calendar!

March 2:  National Patient Recognition Day

March 14:   Registered Dietitian Day

March 30: National Doctor’s Day

April 1 – 8: National Public Health Week

April 9 – 15: Patient Advocacy Week

April 15 – 21: National Healthcare Volunteer Week

April 22 – 28: Healthcare Administrative Professionals Week