He optimized technology and welcomed more robots into the pharmacy. 4. There's a need to get pharmacists credentialed to be in these provider networks so that health plans understand they're eligible, just like a physician. As well as playing an enhanced role in chronic disease management and the delivery of broader health solutions, the community pharmacy of the future will increasingly become a preferred location for the … Pharmacists make sure patients are on the right medications, are using them the right way, and achieving the desired results with those medications. Future Directions for Pharmacy: Two summary themes of organizational change and better external relationships have emerged as the key future directives for pharmacy in the coming 5-10 years. Looking for other medical products we carry? A durable medical equipment area, working with patients and sending notes to prescribers to keep them informed of a patient’s progress over time. Third, the task force will provide recommendations to advance payment reimbursement for services. Brad Tice has spent nearly 25 years of his career implementing clinical services within retail pharmacy settings. Some forward-thinking pharmacies are already enabling pharmacists to live in this awaited world, helping patients manage their medication experience and documenting interventions. The Idaho board looked at other boards of pharmacy, but also looked at medicine and nursing, examining how their licensees were regulated and found they regulate based on this concept of standard of care. Schools should take the time to fully assess their curriculum, making sure it is robust enough to where they are going to have pharmacists who are confident and ready to go start these services,” Akers said. Students spend the entire first day of class going condition by condition, reviewing key guidelines through patient cases, deciding whether to use prescriptive authority, refer to a more advanced care setting or recognize that over-the-counter self-care products are appropriate for that case. The NHS Long Term Plan (published January 2019) sets out the Government’s priorities for healthcare over the next ten years and showing how the NHS … “I believe that community pharmacies are going to be the place where care is delivered, that access to the learned intermediary, someone who can assess, evaluate, prescribe when appropriate and even more importantly, refer when necessary.”. In July 2019, the Academia-CPESN Transformation (ACT) Pharmacy Collaborative was formed as a nationwide forum where community pharmacy leaders and schools of pharmacy could come together to make the patient-centered vision of community pharmacy a reality. [Editor's note: Both the U.S. House of Representatives and U.S. Senate have bills in process this legislative session. New focus areas addressed in the 2019 survey included professional fulfillment, harassment and discrimination. CP2025 focusses on actions that can take your community pharmacy into the future. There is a successful future for community pharmacies that strive to meet the medication and other health needs of their patients, within their own communities where they live, work and play,” she said. He started a clinically oriented practice, became recognized as a pioneer in community practice transformation and recently joined Loma Linda University School of Pharmacy as a professor of practice management and innovation. I officially become president-elect in March 2018 and first and foremost, we need achieve provider status for pharmacists at the federal level (getting recognition for the patient care services provided by pharmacists so they can be reimbursed by programs like Medicare Part D). Pharmacist-provided vaccinations, specimen … Pharmacists are trained for six or seven years on appropriate medication use, but they do so much more than just counting pills, putting them in a bottle, and handing them across the counter. Community-based pharmacy is evolving from a place of product distribution into a healthcare destination. All rights reserved. “More involved direct patient care is the future of pharmacy practice, and schools need to ensure that they are graduating practice-ready pharmacists who are prepared to move into that role. Until recently, health plans wanted to have broad coverage with as many pharmacies as possible. Pharmacists must change their mindset beyond just filling prescriptions and move to a patient-centered view where they are looking at all of the patient’s needs when they fill prescriptions. By Athena Ponushis and Nidhi Gandhi, Pharm.D. “If I am already doing these things and I am already taking care of patients at this level, it’s not such a stressful shift for me in an emergency.”. Long-term care for group homes, providing products and consultation services to ensure that patients are achieving optimization of medications. The University of Utah has also recently released r… During her fellowship, Herbert has worked on several projects involving student pharmacist participation through the ACT Pharmacy Collaborative such as the National Day of Service, Patient Case Challenge, CPESN/ACT Student Scholar program and CPESN/ACT Student Match program, which facilitates student experiences at community pharmacies across the country in light of the COVID-19 pandemic. Nidhi Gandhi is the Academic Leadership and Education Fellow at AACP, The Future of Community Pharmacy: Direct Patient Care, © 2020 American Association of Colleges of Pharmacy, Successful Academic Pharmacy Collaborations, Assessment & Accreditation Management System, Pharmacy Faculty Demographics and Salaries, Student Applications, Enrollments and Degrees Conferred, Pharm.D. It is a future … So it’s always comical when we’re doing these patient cases that the students’ automatic response is, ‘We have to refer because that’s what we’ve learned before.’ It’s changing that mindset for them, realizing that as an advanced care practitioner pharmacist, you can handle some of these minor illnesses and conditions with prescriptive authority,” Akers said. The percentage of non-white licensed pharmacists increased by 46 percent, from 14.9 percent in 2014 to 21.8 percent in 2019, with the percentage of black pharmacists more than doubling, from 2.3 percent to 4.9 percent. Tice: Probably the biggest change community pharmacies are facing is the establishment of performance provider networks and the narrowing of these networks, where health plans are giving their beneficiaries access to a more select network of pharmacies. “We must share the benefits of collaborating with community pharmacists.”. Since the … “One advantage to that is that during a public health emergency like COVID-19, a pharmacy can say, ‘You know what, we are going to do our best to take care of everyone who we want to keep out of urgent care centers and hospital emergency rooms because we want to relieve the burden on the healthcare system, so now we are going to treat acute sinusitis and uncomplicated urinary tract infections,’” Adams said. Tice: There is an opportunity to make real practice change in the pharmacy, and find new revenue streams beyond dispensing medications. The establishment of the ACT Pharmacy Collaborative came as a result of a grant from the Community Pharmacy Foundation to the University of Pittsburgh School of Pharmacy in partnership with CPESN USA. “What our board of pharmacy learned from our healthcare colleagues was, pardon the pun, but pharmacists tend to be really prescriptive in their regulations. “We are training our student pharmacists for the future and this is the future we see,” said Linda Garrelts MacLean, interim dean, clinical professor of pharmacotherapy at Washington State University College of Pharmacy and Pharmaceutical Sciences. More and more, we see patients needing access to more comprehensive services. CPPA will contract with NABP to administer the accreditation process. Legislators saw the same scenario playing out—they would hear opposition from the medical community, give pharmacists a chance and then see the positive outcomes. The study will inherently set a baseline to measure how enhanced pharmacy services are influencing quality of care and access to care. We're getting great support for this, but we need to get legislation passed. Dr. Randy McDonough left his position as a full professor at the University of Iowa 14 years ago to prove that clinical services could be provided to people in the community pharmacy setting. “Independent pharmacy owners need to harness the technology already built into their existing systems and put it to work.” Read more in the Look Ahead issue. “What I find interesting is that prior to this course, our students have completed their over-the-counter self-care pharmacotherapy course, and in that course it’s over-the-counter or refer because the patient needs a prescription. In 2019, 31 percent of pharmacists reported that they experienced incidents of discrimination, with the most common basis being age followed by gender. As the healthcare market evolves to a value-based care model that pays for quality and performance, his experience sheds light on how community pharmacies can thrive amidst these changes. Several colleges of pharmacy participated in a demonstration webinar hosted by PioneerRx, and 10 schools were selected to be part of a pilot workgroup. Biosimilars, which are defined as biological products that are highly similar to and have no clinically meaningful differences from existing FDA-approved reference products, can offer additional treatment options when patients are prescribed a biological product, potentially lowering healthcare costs. My thought is, how better to be prepared for an emergency situation than to have that be what your daily practice is? Akers has found, through surveys and anecdotally, that patients are confident in receiving care from pharmacists. Professor Lloyd Sansom touches on the future of pharmacy, pharmacists in general practice and prescribing rights at NAPSA Congress 2019 Student delegates heard from speakers representing a variety of pharmacy … First, advancing pharmacy technician practice. The most common type of harassment reported by pharmacists was hearing demeaning comments related to race/ethnicity at 15.7 percent. Learn more about how Cardinal Health is improving healthcare. Even if you manage to source a pair of rose-tinted glasses, the future of community pharmacy doesn’t look particularly promising at the moment. Two, we need to get to work on the infrastructure to help pharmacists implement these practice changes. The future of community pharmacy. Many pharmacists who spend time filling prescriptions keep hearing of a future where their role will be more focused on the patient, not the product. Do they need a flu shot? This is true of community pharmacy as well. … Pharmacists in Idaho can prescribe based on four parameters: when no new diagnosis is required, when a CLIA-waived test can guide diagnosis, when a condition is minor and self-limiting or in an emergency. At first, the board of pharmacy made a list of medications pharmacists could prescribe for those categories, each year adding new medications to the list for legislators to approve. We write out the exact details of how hot the water in the pharmacy needs to be, the amount of counter space that needs to be provided, we get way into the weeds, rather than saying the facility needs to be appropriate so that the practitioners in the facility can provide the appropriate standard of care,” Adams said. Then, MTM was later incorporated into Medicare Part D. So pharmacies need to continue to build on this concept – working closer with patients to better meet their health needs, and not just dispensing their medications. Picture pharmacists having routine interactions with patients to review, optimize and synchronize medications rather than just episodic or transactional meetings at the counter. The consequences of suboptimal medication use are astounding -- from hospitalizations, to readmissions, to even death. This study is the fifth in a series of surveys conducted by the Midwest Pharmacy Workforce Research Consortium, which has been commissioned by the Pharmacy Workforce Center, Inc. (PWC) since 2000. The normal 8–12 hour shift becomes a forgotten concept and as days turn to nights, and days blur together. Getting provider status passed, and building an effective infrastructure will give pharmacists the ability to use everything in their arsenal to improve patient care. Growth of the Specialty Pharmacy Market. Each prescription fill/refill provides an opportunity to more meaningfully engage the patient. Pharmacy chiefs have published their vision for the future of community pharmacy in the UK, laying out a new roadmap to radically enhance and expand personalised care, support and wellbeing services provided by the sector. “The way Idaho has tackled this is really from the perspective of delegating, allowing pharmacists to delegate tasks to technicians as long as those tasks are appropriate for their education, training and experience.” An example would be immunization administration. An area for clinical services including medication therapy management, comprehensive medication reviews, point-of-care services, immunizations and the like. “We began this course after getting approval from our full faculty to move it forward as required curriculum for all of our graduates. Take a look at our featured experts who are shaping the healthcare industry. The upward trend continues for women in leadership roles; 58.8 percent of pharmacists in management positions in 2019 were women. We led the way on immunization practice in the pharmacy, and we're leading the way on provider status. Dickson said “there is a future for community pharmacy in various forms… it has to be about plugging into primary care and being a part of that… My view is that it’s more about primary care than it is about … “I always said if I ever was asked to go back to academia, I would be an even better professor than before, having lived this experience,” McDonough said. The Future of Community Pharmacy The Future of Community Pharmacy Jacobs, Mark 2015-02-01 00:00:00 Counter Points DIS PE NS E D AS WRITTE N Mark Jacobs, RPh, FASCP Truman Lastinger recently posed the question “Is community pharmacy … Essential Insights contributor, healthcare writer. The committee is also developing a survey tool, a database of successful models to serve as a resource for schools and pharmacies. Same with point-of-care testing: the pharmacist would decide to do the test but the technician could administer it. There's also work being done to get a solid billing infrastructure in place. By tapping into the right resources at the right stage, community pharmacists can plan for … The animation not only showcases the sector to stakeholders, but … In its 2018 report, “The Next Transition in Community-Based Pharmacy Practice,” the American Pharmacists Association found that pharmacists are trained to perform certain tasks but often experience work settings that are not conducive to such practice. The information provided by the health system employers informed the 2011 revision of the guidelines to the ACPE accreditation standards. “We want to take a comprehensive approach of looking at how pharmacists can collaborate with primary care practices, from models that we know about and models that maybe we are less familiar with, but helping to disseminate that information to schools, identifying the needs for these collaborations and ways to build sustainable models,” said Dr. Gina Moore, assistant dean for clinical and professional affairs, associate professor, University of Colorado Skaggs School of Pharmacy, and chair of the committee. Its mission is to serve the public and the pharmacy profession by developing data regarding the size and demography of the pharmacy workforce and conducting and supporting research in related areas. If I am already doing these things and I am already taking care of patients at this level, it’s not such a stressful shift for me in an emergency. “This change is positive for patients and the profession.”. Patients continue to have access to important pharmacists’ services in a variety of settings. But now there's this focus on value-based care rather than fee-for-service models, so health plans are contracting with fewer pharmacies — particularly those that can prove they are addressing quality measures, delivering care that's improving the lives of patients, and reducing the overall total cost of care. The task force chair, Dr. Jennifer Adams, associate dean for academic affairs, director of interprofessional education, clinical associate professor at Idaho State University College of Pharmacy, said the task force will structure recommendations in three separate areas. Some examples of enhanced services include clinical medication synchronization, medication reconciliation, comprehensive medication management, durable medical equipment evaluation and support, point-of-care testing, travel immunizations and travel medication consultations. process for community pharmacy practice standards. The Future of Community Pharmacy by Mark Robinson — Monday, 4 April 2016 “Pharmacy at the heart of the NHS: There is a real potential for far greater use of community pharmacy and pharmacists” Second, advancing the scope of pharmacy practice. The study found that new roles abound for community pharmacists in this “new patient-centered, medication experience era,” but stressed the difference between professional identity and commercial identity. “So there is nuance, and sometimes it’s unnerving for pharmacists to begin to think that way, but our board of pharmacy in Idaho has shifted all of our regulation to a standard of care model, which allows pharmacists to practice at the top of their education and training and not be restricted by their license.”. Only 15.9 percent of all discrimination incidents and 17.2 percent of all harassment incidents were reported to an employer. She serves as the Pennsylvania Flip the Pharmacy Team Project Manager, also funded by the Community Pharmacy Foundation, and is a member of the leadership team for the ACT Pharmacy Collaborative under the mentorship of professors Kim Coley and Melissa McGivney. In addition, dedicated mobile apps are enticing to new customers, especially if they integrate with other tech applications that they are already using (such as a smart watch, heart monitor, or oxygen duration calculator). One of our other goals is to increase the membership of APhA. Biosimilars may become more accessible though community pharmacy practice. “Community pharmacists who are providing these clinical services really are needed because they can make communitywide interventions that affect patients in a positive way, not just with drug therapy but by evaluating social determinants of health, connecting patients with agencies that can help them achieve their goals,” McDonough said. Compounding, while documenting care and keeping providers informed. A full description of the Collaborative and how colleges/schools can be involved can be found in the “Blueprint for Building a National Partnership Collaborative” on the ACT Pharmacy Collaborative’s centralized website (www.actforpharmacy.com). He increased staff and moved toward medication synchronization (almost half of his patients are synchronized). The Future of Pharmacy is About the Patient Experience By McKesson October 15, 2018 It’s a cliché to say that the healthcare landscape is changing. The Future of Community Pharmacy in England is our latest publication in our Tipping Point series which examines the different trends shaping the delivery of healthcare in the 21st century. The Community Pharmacy Future project was created in 2011 by Boots UK, LloydsPharmacy, Rowlands Pharmacy and Well (formerly The Co-operative Pharmacy). Results released in April from the 2019 National Pharmacist Workforce Study (NPWS) indicate that the profession’s demographics continue to rapidly change, with notable gains in racial and gender diversification. A dispensing area that integrates clinical services. It has … We realized we needed to do it in bite-size pieces.” The program runs as a two-year practice transformation; pharmacists receive a monthly package with changes to make that month. Pharmacists must have good support staff if they are going to take on new roles, so elevating pharmacy technicians is crucial. Pharmacy is one … In 2019, nearly half of practicing pharmacists—47.7 percent—are 40 years old or younger, compared to only 24.4 percent in 2009. These future directions will help to transform how pharmacy … “We all need to think about community pharmacy not as a place where product distribution occurs but where healthcare occurs.”. 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