Our services

Through optimising medicines use we create efficient approaches with lasting results.

John Trowbridge – physician with extensive infectious disease and long term care expertise

  1. 1 High cost medicines management
  2. 2 Heart failure management
  3. 3 Medicines safety
  4. 4 Medicines use process
  5. 5 Antimicrobial stewardship

High cost medicines management

A well constructed formulary is a dynamic tool that is responsive to the needs of the population being served while supporting best practices with a cost effective selection of essential medicines.

Visante’s consultants have the necessary clinical backgrounds and pharmaceutical expertise needed across all care settings to evaluate and optimise an institution’s formulary.

This includes the assessment and management of specialist and high cost medicines for acute and long term conditions. We are able to provide an impartial review of drug information and selection that can counteract biased promotion of particular products and medicines.

We are committed to help clients identify options and opportunities to maximise a cost-efficient drug spend, while providing clinically comprehensive coverage for the prevention and treatment of disease.

Use this link to download a pdf of Visante’s service offerings.


Heart failure management

Mortality and readmission rates for heart failure are among the highest for any diagnosis. While many health care organisations are meeting this challenge head-on by improving their patients’ experiences and outcomes, there is still much to do to optimise health status and longevity for patients with heart failure.

Heart failure management assessment and programme

Visante consultants have developed successful heart failure management programmes.  We bring this expertise and experience to organisations to improve heart failure care management.

Visante will assess, benchmark and facilitate improved care and outcomes

An interdisciplinary team conducts a complete assessment of every aspect of your existing heart failure care protocols and results to assess performance against evidence-based best practices. We have an interdisciplinary of physicians and pharmacists supported by IT and operational experts whose experience goes to work for you. A systematic assessment with evidence-based recommendations will be delivered by clinical professionals having proven success managing heart failure.

We will help you determine how and where to dedicate resources to significantly reduce A & E visits and hospital admissions. Use this link to download more information about Visante’s heart failure management assessment and programme.


Medicines safety

Healthcare institutions are becoming increasingly accountable for patient outcomes. In this environment, quality and safety assessments are rising to the forefront of critical tools to reduce the risk of errors, infections and injury.

Assessments done by individuals from outside an organisation can provide an impartial and often truer picture of what is happening. The Visante medicines safety assessment team is comprised of experts who have worked in most sizes and types of organisations and are content experts in their fields.

To accomplish this, Visante has created a comprehensive Medicines Safety Audit that covers every step of medicines use management from admission through discharge and extending to medicines use and adherence as patients return to their homes or other care settings.

As a part of this assessment, our medicines safety audit team is experienced with identifying incorrect or incomplete communicating of instructions, miscalculated dosage amounts, contraindicated drugs prescribed, and failure to monitor results. Our assessment will also identify any critical gaps in an institution’s processes.

Medicines safety does not end at the time of discharge. Our independent assessment team can also follow up on discharge instructions and medicines ordered as patients move from hospital to other levels of care, including home.


Medicines use process

The medicines maintained by an institutional pharmacy change at a phenomenal pace. This is the nature of pharmacy’s business model which is to stay current with a formulary that reflects current best practices and accepted updates in technology.

Visante consultants provide medicines use management assessments that examine every aspect of medicines use. This includes detailed review of medicines:

• Procurement
• Stock control
• Storage, and
• Distribution systems.

Our assessments also analyse methods of medicines prescribing, administration, handling and final disposal of waste. Visante consultants have particular expertise in managing the supply and distribution of stock to wards and clinical areas. The intent is to reduce stock levels and minimise waste resulting from the accumulation of date-expired products.

Every comprehensive assessment concludes with a final report identifying the strengths and weaknesses of the current medicines use system. This report also identifies opportunities to improve safety and efficiency and includes recommendations to generate potential financial savings.


Antimicrobial stewardship

Since its introduction in the 1940s, antibiotics and similar agents have reduced illness and death from infectious disease. However, current data show that because of widespread use and abuse people are more likely to be infected with antimicrobial-resistant organisms.

Visante has created a program for antimicrobial stewardship that is consistent with World Health Organisation recommendations. This includes surveying local disease patterns and trends in antimicrobial resistance. We also assess antimicrobial use behaviour supporting clinical decisions and the development of standard treatment guidelines.

Visante has assembled a team of clinical and academic experts that have developed a process for assisting healthcare organisations to assess current bacteriology, prescribing habits, special resistance issues, and current supportive efforts.

Following careful assessment, this team will recommend processes to improve multidisciplinary communication and training resulting in:

• Enhanced protocols to determine optimal drug choice and dosing
• Rapid adjustment and tapering strategy for antibiotic use
• Timely transitioning of patients to portable therapy
• Reduced patient exposure to additional nosocomial bacteria.