future of community pharmacy

“I have been most excited about facilitating student connections and experiences through these initiatives, especially the CPESN/ACT Student Scholar program that will allow selected students to interact with and learn from community leaders and CPESN practices in an impactful way,” she said. MacLean and Dr. Julie Akers, clinical associate professor of pharmacotherapy at WSU, are finalizing a study on the effectiveness of pharmacy treatments, comparing the care pharmacists provide for minor illnesses and self-limiting conditions to what is offered at more traditional settings, such as physician offices, urgent care centers or hospital emergency departments. This information provides a baseline for further investigation and challenges pharmacy employers and other stakeholders to generate discussion and solutions to reduce these incidents and experiences in the future. 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). Same with point-of-care testing: the pharmacist would decide to do the test but the technician could administer it. He increased staff and moved toward medication synchronization (almost half of his patients are synchronized). View the complete survey results and executive summary. The Council of Deans formed a task force to find opportunities to improve community-based practice and give viable recommendations to AACP and member institutions to pursue such possibilities and make them realities. Students learn how to screen for HIV, strep and influenza, practicing throat and nasal swabs on themselves or a team member before going through a rubric-graded assessment, ensuring they can collect the sample without it being contaminated. Find articles that are relevant to your field of interest. Pharmacy schools can incorporate the Pharmacist e-Care Plan standard into curricula to prepare student pharmacists to provide enhanced patient care services in the community. 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. An area for clinical services including medication therapy management, comprehensive medication reviews, point-of-care services, immunizations and the like. Ross Ferguson / 1st Mar 2015. A durable medical equipment area, working with patients and sending notes to prescribers to keep them informed of a patient’s progress over time. We're getting great support for this, but we need to get legislation passed. Malangu N(1). The most common type of harassment reported by pharmacists was hearing demeaning comments related to race/ethnicity at 15.7 percent. The goal of this collaborative is to support the transformation of community-based pharmacy practice from a product-based care model to a community-based pharmacy care delivery model, focusing on the enhanced services that support people who are taking medications to help them reach their health goals. Offering an immunization program is a good first start, in large part because there's already a business model around it and it's a pretty well accepted practice these days. This shift indicates that pharmacists with a B.S. Plus, the advantage of medication synchronization is that it also provides an opportunity to create an appointment-based model where pharmacists not only review medications, but engage with the patient and offer other services. At WSU, student pharmacists take an intensive, weeklong, point-of-care and clinical services course at the beginning of their second year. The core finding was the potential for community pharmacies to become a health hub destination, whereby pharmacy staff assist consumers with chronic conditions to: navigate the health system (e.g., provide information on support services), manage their medications, and provide health advocacy. 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. Tice: There is an opportunity to make real practice change in the pharmacy, and find new revenue streams beyond dispensing medications. “We all need to think about community pharmacy not as a place where product distribution occurs but where healthcare occurs.”. “What are the types of tasks pharmacy technicians can do? McDonough believes making those changes—enhancing patient care, documenting information and sharing it to coordinate care—will empower pharmacists and that adding clinical services will enhance their role in the community. We have been talking about clinical pharmacy and pharmacist services for 20-25 years now. Looking ahead with the leading minds in healthcare. To change perceptions of community pharmacy, the APhA encouraged pharmacists to see transformation “through the patient’s eyes.” From the patient’s vantage point, a medication experience is not clinical, it’s personal. Specialty pharmacy fills represent around 24 percent of total revenue for community pharmacies, reported Drug Channels Institute. Tice: The goal of provider status is to enable the pharmacist to practice at the top of his or her license. 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. The profession of pharmacy is at a significant crossroads between its conventional drug-dispensing identity and a pioneering clinical role with health care provider status. 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. Dr. Sophia (Cothrel) Herbert is a Community Pharmacy Practice Development Fellow within the Community Leadership and Innovation in Practice Center at the University of Pittsburgh School of Pharmacy and works to support the transformation of community pharmacy practice. What can we train them to do if they don’t already have that level of training, and what’s appropriate there, in terms of scope? degree. “What our board of pharmacy learned from our healthcare colleagues was, pardon the pun, but pharmacists tend to be really prescriptive in their regulations. Imagine pharmacogenomic screenings being commonplace, as pharmacists look at genetics to predict drug response and tailor treatments. Read how pharmacists will be the ones to bring about the therapeutic benefits. Compounding, while documenting care and keeping providers informed. When it comes to professional fulfillment amongst full-time pharmacists in the community setting, those working in independent and hospital settings reported higher levels of fulfillment and lower levels of work exhaustion, compared to those working in community chain, mass merchandiser and supermarket work settings. “Our university has been closely involved with our board of pharmacy and our state association and we have navigated relationships with legislators to advance scope of practice,” Adams said. 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. In 2019, 31 percent of pharmacists reported that they experienced incidents of discrimination, with the most common basis being age followed by gender. 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 treatment of minor ailments, vaccinations, preventive health, health checks and risk assessments, selfcare and the tackling of health and lifestyle issues. Schools are the thread running through all the recommendations, bringing people together, doing the research and engaging in advocacy to advance community-based practice. The future of pharmacy has been an ongoing discussion for some years. The legacy Cardinal.com Medical Ordering site has been replaced with Cardinal Health Market. The future of community pharmacy: Evolving for a changing healthcare market. Clinical collaboration - and the capability of allowing pharmacists, doctors and patients to communicate effectively in real-time - is expected to be a larger part of pharmacy practice as the model evolves. Pharmacists make sure patients are on the right medications, are using them the right way, and achieving the desired results with those medications. 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. “Data show that when they are delegated that task and given that authority, pharmacy technicians are actually more accurate than pharmacists because they tend to have fewer distractions,” Adams added. September 29, 2017 ... used the occasion to speak with Essential Insights contributor Michael Myser about opportunities and challenges for community pharmacies, and how pharmacy practice must evolve in our changing healthcare market. The Future of Pharmacy. “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. Community pharmacy sessions The future of community pharmacy. Until recently, health plans wanted to have broad coverage with as many pharmacies as possible. 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. Essential Insights contributor, healthcare writer. More and more, we see patients needing access to more comprehensive services. All rights reserved. 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. Biological products are the fastest-growing class of therapeutic products in the United States, according to the FDA. 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. Pharmacists will collaborate with primary care practices as part of an integrated healthcare team, making recommendations on one shared medical record, reinforcing patient care plans. “We realized innovations were occurring but not on a large scale,” McDonough said, “so we thought, how can we take that innovation and implement it across a large number of sites? Students are certified in immunization administration and receive specialty training on pediatric immunization. “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.”. New focus areas addressed in the 2019 survey included professional fulfillment, harassment and discrimination. Some pharmacies are delegating the accuracy checking of the dispensing process to technicians. “The other component the task force has talked about is not trying to create a new or different way for pharmacists to get reimbursed,” Adams said, “but that we fit ourselves in with the way the rest of the healthcare system bills for services.”. “My thought is, how better to be prepared for an emergency situation than to have that be what your daily practice is?” Adams pointed out. Learn more about how Cardinal Health is improving healthcare. Akers has found, through surveys and anecdotally, that patients are confident in receiving care from pharmacists. The future of community pharmacy. Most notably, in 2019, 72 percent of pharmacists reported offering naloxone dispensing in a community setting. August 20, 2019. “We have seen a trend of increased time spent by pharmacists in providing patient care,” said Dr. William Doucette, principal investigator of the study. Pharmacy technicians are already helping patients by supporting many of the locally commissioned community enhanced services, such as smoking cessation, care home medicine supplies, weight management, out of hours services etc, delivered in the pharmacy … Washington state has been progressive on a number of pharmacy fronts since the 1970s. To view a full catalog of products that Cardinal Health offers, please use our ordering website. This is likely due to the recent growth in pharmacy graduates combined with the retirement of older pharmacists. My thought is, how better to be prepared for an emergency situation than to have that be what your daily practice is? Other days are dedicated to immunizations. With the announcement of a £4.5bn increase in GP funding to support the establishment of primary care networks across the country, covering 30-50,000 patients each. Pharmacy Mentor is the ultimate pharmacy marketing solution. The advances in technology of all kinds, and their impact on the profession, are a serious concern. The consequences of suboptimal medication use are astounding -- from hospitalizations, to readmissions, to even death. APhA has more details on provider status legislative efforts on their website.]. 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. The Future Of Community Pharmacy The Future Of Community Pharmacy. These dynamics create exciting tension for pharmacy companies and pharmacists as they debate how to win in today’s market while planning, adapting, and investing for the future. ... intends to strengthen the image and reputation of pharmacy teams to attract a larger and wider pool of people to the future pharmacy workforce. The study will inherently set a baseline to measure how enhanced pharmacy services are influencing quality of care and access to care. 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 selling shampoo and combs.” Utilising vital skills Download the brochure The study also revealed that pharmacy continues to be a female-dominated profession, with nearly two-thirds of the workforce comprised of women compared to only 46.4 percent in 2009. Several colleges of pharmacy participated in a demonstration webinar hosted by PioneerRx, and 10 schools were selected to be part of a pilot workgroup. Tice: Thank you. 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. “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. Two, we need to get to work on the infrastructure to help pharmacists implement these practice changes. Employers, such as large pharmacy chains and others, should consider how they can boost fulfillment and lower exhaustion amongst their employees, which will lead to retaining a strong workforce. Do they need a flu shot? Adams believes a groundswell from state Medicaid programs will lead the effort of reimbursement, showing that when you pay pharmacists for services, outcomes improve and costs go down. The future of community pharmacy in cancer care Community pharmacy plays an essential role in the care of patients with cancer, with contact throughout the pathway from prevention and treatment to living with and beyond cancer. Please correct the errors and send your information again. This year’s survey also addressed new workforce factors, including professional fulfillment, harassment and discrimination. 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. October is American Pharmacists Month, and Tice used the occasion to speak with Essential Insights contributor Michael Myser about opportunities and challenges for community pharmacies, and how pharmacy practice must evolve in our changing healthcare market. What needs to be reserved for pharmacists?” Adams asked. AACP hosted a webinar on June 10 regarding CPESN, the ACT Pharmacy Collaborative and the Flip the Pharmacy initiative. The upward trend continues for women in leadership roles; 58.8 percent of pharmacists in management positions in 2019 were women. Within her research initiatives with community partners, she mentors student pharmacists for research and quality improvement projects. 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. 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). Do they need their A1C (blood glucose) checked? Community pharmacy teams will deliver consistent, high-quality care of patients with minor illnesses and support the public to live healthier lives. When a patient has five to 12 medicines they're taking each day, you can align these refills so the patient can consolidate their visits to pick these up. 345 5785 67. “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.”. The Future of Community Pharmacy: Direct Patient 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. ©2021 Cardinal Health. 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. “The combined efforts of the ACT Pharmacy Collaborative, Flip the Pharmacy and CPESN are driving community pharmacy practice toward a patient-centered care model, and the combination of these forces and efforts will bring us closer to that vision of community pharmacies providing optimal patient care.”. For this reason, I am currently working on developing a healthathon (health hackathon). This underscores the important and expanding role pharmacists are playing in public health, especially in the ongoing opioid crisis. In 2019, nearly half of practicing pharmacists—47.7 percent—are 40 years old or younger, compared to only 24.4 percent in 2009. As costs go down and research diversifies, pharmacogenomic screenings could be common in 10 years. Since the bombshell of a funding cut to pharmacies in England was first outlined at the end of last year, the sector has been preparing for the worst. Now the director of product strategy and commercialization for Cardinal Health, and incoming president-elect of the American Pharmacists Association, Tice sees the changing healthcare landscape as an opportunity for community pharmacists to not only expand their businesses, but also practice at the top of their licenses. the economics of community pharmacy are under pressure and the model, particularly for independent pharmacists, is at a tipping point. “It is important that community pharmacy gets on board with these campaigns. Each prescription fill/refill provides an opportunity to more meaningfully engage the patient. Maybe more. Ross Ferguson. Author information: (1)School of Public Health University of Limpopo Medunsa Campus Pretoria, South Africa. 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. First, advancing pharmacy technician practice. “We must share our success stories, not just within pharmacy, but with other audiences, including physicians, professional organizations and the public,” Moore said. These changes enabled McDonough and his team to provide 2,000 to 3,000 clinical interventions a month. Rather than re-create the material the state pharmacy association had created for continuing education for practicing pharmacists, faculty collaborated with the association, giving students access to online modules that they complete over the summer before school begins. Patients continue to have access to important pharmacists’ services in a variety of settings. So goes the perceived evolution of community-based pharmacists, from performing clinical interventions to becoming initial clinicians, ushering in a time when community pharmacies are considered essential to the healthcare landscape. It may take a little education (patients don’t always know what training pharmacists have had or what services are being offered) but once they know, Akers has not seen any hesitation in a patient’s willingness to be seen by a pharmacist. “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. Pharmacy Mentor trades under the UK-registered company, DIGITALPHARM LTD (Company No. To learn more, visit flipthepharmacy.com. More information about biosimilars can be found through these websites: Americans have access to more than 62,000 community pharmacy locations for medication therapy management, immunizations and walk-in patient consultations. 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. And, with specialty pharmacy fill volume growing each year, it’s reasonable for an independent pharmacy to consider adding this strategy to its services. “We began this course after getting approval from our full faculty to move it forward as required curriculum for all of our graduates. 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 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. PSNC, as the community pharmacy negotiator, has developed a video animation explaining how community pharmacies will fit into the NHS of the future. That’s what was most important: getting all of our faculty to recognize that we truly believe as a program that this is the future of pharmacy,” Akers noted. Five forces will profoundly shape the future of community pharmacy: Squeeze on healthcare budgets. 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. A dispensing area that integrates clinical services. 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. When these innovations are combined with the growing influence of consumers focused on their well-being, the future of pharmacy will be radically different. By Athena Ponushis and Nidhi Gandhi, Pharm.D. Community pharmacy dispensing is being challenged on three fronts . 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. Community pharmacy, also known as retail pharmacy, is the most common type of pharmacy that allows the public access to their medications and advice about their health. 1The Future of Community Pharmacy: Building a Sustainable Industry The Future of Community Pharmacy in England The debate on building a sustainable industry is not a new one: The economics of community pharmacy are under pressure and the business model, particularly for independent pharmacists, is at a tipping point. 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. The pharmacy profession continues to trend younger in its composition. It was important to think laterally and to align ambitions for the profession with those for a patient-centred NHS in order to take pharmacy forward, said Mr PETER CURPHEY (Council member, Royal Pharmaceutical Society). Beyond teaching students how to run a contemporary practice, McDonough continues his role in the Community Pharmacy Enhanced Services Network and serves as director of practice transformation for Flip the Pharmacy, an initiative intended to scale the innovations that have been made in community pharmacy. The future of community pharmacy . There will continue to be a focus on stakeholder engagement in all network activities.”, For Herbert, community pharmacy means “patient access to care within their own communities. Some states are moving to give pharmacists greater prescriptive authority. Addressing the Opioid Crisis: Board Engagement and Governance, Registration information for Cardinal Health Market, Information Technology Security and Controls. Getting provider status passed, and building an effective infrastructure will give pharmacists the ability to use everything in their arsenal to improve patient care. Tice: Pharmacists must move from a prescription focus to a patient focus. 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. It will be interesting to see the results and the proposed outcomes given the responses generated between now and March will […] 11444197) VAT Reg No. 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. 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. 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. gustavmalangu@gmail.com. “We really believe that this is the base knowledge that’s required for an entry-level pharmacist.”. “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. Brad Tice has spent nearly 25 years of his career implementing clinical services within retail pharmacy settings. The University of Pittsburgh School of Pharmacy recently created a community pharmacy practice-based research network to support ongoing practice transformation in Pennsylvania. [Editor's note: Both the U.S. House of Representatives and U.S. Senate have bills in process this legislative session. As an indication of what is possible in the future, Now or Never reported that over 100 examples of models of care delivered through pharmacy were received. This is based on the realization that community pharmacies are critical components of the healthcare delivery system. 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. We started with the concept of "pharmaceutical care" back in the 90s, where pharmacists implemented clinical programs around what is now called "medication therapy management" (MTM). It’s December 2013 and NHS England has launched its Call to Action on community pharmacy by asking all those involved in healthcare their view on the future of the sector and the industry outlook. Standing still no longer an option. Mark Jacobs, RPH, FASCP; ... Charlie Brown kept trying to kick the football, to no avail. AACP President Todd Sorensen’s Bold Aim for the profession, that by 2025, 50 percent of primary care physicians in the U.S. will have a formal relationship with a pharmacist, prompted the 2020 Professional Affairs Committee to present a policy recommendation that will be considered by the 2020 AACP House of Delegates. Most common type of harassment reported by pharmacists was hearing demeaning comments related race/ethnicity! The medication management needs of Ontarians for the purpose of improving health outcomes for!, nearly half of practicing pharmacists—47.7 percent—are 40 years old or younger, compared to 37.8 percent in 2014 21.6... Is crucial pharmacy are under pressure and the future naloxone dispensing in a variety of.! Including medication therapy management, comprehensive medication reviews, point-of-care and clinical within. 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future of community pharmacy 2021