Haley Appaneal, PharmD – Career Development Awardee
Haley Appaneal, PharmD
Providence VA Medical Center, Providence, RI
Dr. Appaneal is a clinician scientist with expertise in infectious diseases, antibiotic stewardship, and pharmacy practice (PharmD). She completed a pharmacy practice residency at the Providence Veterans Affairs Medical Center (VAMC) in July 2012 and subsequently a two-year VA funded post-doctoral fellowship for PharmDs in July 2014. Her fellowship training was in ID clinical outcomes with a focus on the appropriate use and safety of antibiotics. Since completing her fellowship, Dr. Appaneal has been a health services investigator at Providence VAMC with the Rhode Island ID (RIID) Research Program and the Center of Innovation in Long-Term Services and Supports for Vulnerable Veterans (COIN-LTSS) and a core member of the Providence VAMC's Antimicrobial Stewardship Program. She was awarded a VISN-1 Career Development Award (CDA-1) to describe antibiotic use, resistance, and barriers and facilitators to antibiotic stewardship among all the long-term care facilities of the VA New England Healthcare System. This work continued with an HSR&D CDA to advance antibiotic stewardship in VA long-term care facilities (known as community living centers, or CLCs). Dr. Appaneal's long-term goal is to improve the quality of care of residents nationally through reduction of inappropriate antibiotic use. The immediate goal of this work is to develop and pilot test an education program for CLC pharmacists to improve treatment of urinary tract infections (UTIs). This project will 1) describe antibiotic use and inappropriate antibiotic use related to UTI among VA CLCs nationally and identify independent predictors of inappropriate antibiotic use, 2) develop and pilot test an educational intervention targeting CLC pharmacists to reduce inappropriate treatment of UTIs, and 3) evaluate the effectiveness of the educational intervention on UTI related antibiotic use and inappropriate antibiotic use using qualitative and quantitative research methodologies.
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