Program Description
Hepatic encephalopathy (HE), a neurocognitive disorder linked to severe liver disease, commonly affects long-term care (LTC) residents with liver cirrhosis. It presents with cognitive decline, motor dysfunction, and increased fall risks, leading to higher mortality with recurrent episodes. Diagnosing HE in LTC is difficult due to symptom overlap with conditions like delirium, often resulting in mismanagement. Early diagnosis and multidisciplinary care are essential for better outcomes. This Collaborating Across the Continuum™ program addresses educational gaps in health care by promoting cross-specialty collaboration to improve care from diagnosis to end of life for patients with overt HE.
This program is provided by both Physicians’ Education Resource® and Pharmacy Times Continuing Education™.
Target Audience: Pharmacists
Type of Activity: Application
Release date: October 31, 2024
Expiration date: October 31, 2025
Time to complete activity: 1.25 hours
Fee: Free
Educational Objectives
At the completion of this activity, participants will be able to:
- Describe the unmet needs of patients with hepatic encephalopathy in LTC settings
- Implement strategies to identify patients with hepatic encephalopathy in LTC settings
- Integrate preventative strategies into multidisciplinary care plans for patients at risk of hepatic encephalopathy in LTC settings

Kimberly Brown, MD
Chief, Division of Gastroenterology and Hepatology
Associate Medical Director
Henry Ford Transplant Institute
Detroit, MI

Chad Kodiak, RPh, PharmD
President/CEO
KODOCARE Pharmacy
Joliet, IL

Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD
Jefferson College of Population Health
Thomas Jefferson University
Senior Physician
Trinity Health
Mercy LIFE
Philadelphia, PA

Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 1.25 contact hours (0.125 CEUs) under the ACPE universal activity number 0290-0000-24-284-H01-P. The activity is available for CE credit through October 31, 2025.
Instructions for Completing the Activity and Receiving CPE Credit
To receive CPE credit, participants must complete the pretest, view the activity in its entirety, complete the posttest, and complete the online activity evaluation. After successful completion of the online activity evaluation, you can submit your credit to CPE Monitor. You may view your credit within 48 hours at www.mycpemonitor.net. All participants must request credit before the activity expiration date. CE credit will not be issued after this date.
Faculty, Staff, and Planners’ Disclosures
Kimberly Brown, MD has the following relevant financial relationship with a commercial interest to disclose:
Speakers Bureau: Gilead, Intercept, Ipsen, Mallinckrodt, Salix, Madrigal.
Advisory Boards: Gilead, Intercept, Ipsen, Mallinckrodt, Salix, Madrigal.
Chad Kodiak, RPh, PharmD has the following relevant financial relationship with a commercial interest to disclose:
Speakers Bureau: Pfizer, Merck.
Advisory Board: Jannssen.
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD has the following relevant financial relationship with a commercial interest to disclose:
Consultant: Salix.
The staff of Physicians’ Education Resource®, LLC, have no relevant financial relationships with ineligible companies.
PER® mitigated all COI for faculty, staff, and planners prior to the start of this activity by using a multistep process.
An anonymous peer reviewer was used as part of content validation and conflict resolution. The peer reviewer has no relevant financial relationships with commercial interests to disclose.
Educational Disclaimer
CPE activities are offered solely for educational purposes and do not constitute any form of professional advice or referral. Discussions concerning drugs, dosages, and procedures may reflect the clinical experience of the author(s) or they may be derived from the professional literature or other sources and may suggest uses that are investigational in nature and not approved labeling or indications. Participants are encouraged to refer to primary references or full prescribing information resources.
For questions about this internet CPE activity, please contact:
[email protected]
Privacy Policy and Terms of Use Information:
http://www.pharmacytimes.org/terms

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