future of community pharmacy

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. Learn more about how Cardinal Health is improving healthcare. 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. 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. 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. 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. [Editor's note: Both the U.S. House of Representatives and U.S. Senate have bills in process this legislative session. The information provided by the health system employers informed the 2011 revision of the guidelines to the ACPE accreditation standards. 1: CCP Guiding Principles for Accreditation of Organizations, Sites or Programs in Pharmacy 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. Brad Tice has spent nearly 25 years of his career implementing clinical services within retail pharmacy settings. Community pharmacy unveils its vision for the future. “We must share our success stories, not just within pharmacy, but with other audiences, including physicians, professional organizations and the public,” Moore said. 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. Akers has found, through surveys and anecdotally, that patients are confident in receiving care from pharmacists. They have open practice laboratory sessions and breakout sessions where they learn how to run a travel consultation, interact with a patient and do the paperwork. The future of pharmacy services A summary for commissioners and local councillors. The Pharmacist e-Care Plan standard is one of the many ways to transform community pharmacy practice. 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. An area for clinical services including medication therapy management, comprehensive medication reviews, point-of-care services, immunizations and the like. Getting provider status passed, and building an effective infrastructure will give pharmacists the ability to use everything in their arsenal to improve patient care. The Future of Pharmacy. Do they need a flu shot? Idaho was successful in adding pharmacists to the list of nonphysician providers in its Medicaid basic plan this year, enabling pharmacists to bill for services based on scope of practice, with no restricted services. 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. 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. Working together with GuildData, we can identify key industry trends and potential impacts and most importantly, new opportunities for your pharmacy. “We have something we call continuous medication monitoring, where we have created a software program to quickly assess a patient and make determinations of any drug-related problems during workflow,” McDonough said. 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. This shift indicates that pharmacists with a B.S. In 2019, 31 percent of pharmacists reported that they experienced incidents of discrimination, with the most common basis being age followed by gender. 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. Since the … “This change is positive for patients and the profession.”. Several colleges of pharmacy participated in a demonstration webinar hosted by PioneerRx, and 10 schools were selected to be part of a pilot workgroup. Herbert noted, “The idea behind the network is to engage community pharmacists who are willing and able to perform practice-based research in collaboration with patients and research partners. The legacy Cardinal.com Medical Ordering site has been replaced with Cardinal Health Market. 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). 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. 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. The pandemic has resulted in adjustments to community pharmacy practice. “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.”. I look forward to helping more pharmacists provide quality patient care services and improve the health, wellness, and quality of life for those we serve. Community-based pharmacy is evolving from a place of product distribution into a healthcare destination. The pharmacy of the future will need new skill sets, competencies and service expectations to be successful. A bold new future for pharmacy practice. 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. Growth of the Specialty Pharmacy Market. After that, medication synchronization is a core service pharmacies should think about. “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.”. 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. Most notably, in 2019, 72 percent of pharmacists reported offering naloxone dispensing in a community setting. in 2019, compared to 37.8 percent in 2014 and 21.6 percent in 2009. One of our other goals is to increase the membership of APhA. 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. Community pharmacy is part of the newly formed community response team set up in the PCN, she says, which also draws on GPs, the voluntary sector, and mental health and district nursing teams. To adapt to the rapidly evolving value-based healthcare system, the community pharmacy practice model must be transformed into a place for patients to receive comprehensive medication-related care from pharmacists and the pharmacy team. 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. 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). We're getting great support for this, but we need to get legislation passed. He optimized technology and welcomed more robots into the pharmacy. The pilot workgroup is also working on a manuscript for publication to expand awareness of this standard and its implementation into the curricula. The future of community pharmacy Standing still no longer an option It was important to think laterally and to align ambitions for the profession with those for a patient-centred NHS in order to take … The animation not only showcases the sector to stakeholders, but … Future Proof Your Pharmacy. The future of community pharmacy event was a fantastic opportunity for us to learn from passionate people in the sector who had different interactions. This underscores the important and expanding role pharmacists are playing in public health, especially in the ongoing opioid crisis. 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. 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? This is true of community pharmacy as well. “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. 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. 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. The normal 8–12 hour shift becomes a forgotten concept and as days turn to nights, and days blur together. 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. Over the past decade there has been a dramatic increase in the percentage of pharmacists that have a Pharm.D. 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. Take a look at our featured experts who are shaping the healthcare industry. “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.”. Washington state has been progressive on a number of pharmacy fronts since the 1970s. First, advancing pharmacy technician practice. “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. They have participated in biweekly meetings since late 2019 to learn about the PioneerRx pharmacy management software system, create patient use cases to utilize with the e-Care Plan standard and work with the software system to implement in their laboratory curricula. 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. “We all need to think about community pharmacy not as a place where product distribution occurs but where healthcare occurs.”. At WSU, student pharmacists take an intensive, weeklong, point-of-care and clinical services course at the beginning of their second year. It’s anticipated that their attention will shift from dispensing to providing convenient clinical care. 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. 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 … Within her research initiatives with community partners, she mentors student pharmacists for research and quality improvement projects. Athena Ponushis is a freelance writer based in Ft. Lauderdale, Florida. View the complete survey results and executive summary. CP2025 focusses on actions that can take your community pharmacy into the future. “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. A durable medical equipment area, working with patients and sending notes to prescribers to keep them informed of a patient’s progress over time. The Collaborative, with support from AACP, has three main drivers: to unite, mobilize and amplify community pharmacy practice transformation with colleges/schools and community pharmacy partners nationwide. The most common type of harassment reported by pharmacists was hearing demeaning comments related to race/ethnicity at 15.7 percent. 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. “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. Community-based pharmacy is evolving from a place of product distribution into a healthcare destination. Meader is optimistic about the future of community pharmacies, adding that “we should not sit idly by and accept the hand we are dealt. PWC, formerly known as the Pharmacy Manpower Project, Inc., is a nonprofit corporation comprised of major national pharmacy professional and trade organizations. “We began this course after getting approval from our full faculty to move it forward as required curriculum for all of our graduates. 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. 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. 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. Each prescription fill/refill provides an opportunity to more meaningfully engage the patient. The 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. Only 15.9 percent of all discrimination incidents and 17.2 percent of all harassment incidents were reported to an employer. This year’s survey also addressed new workforce factors, including professional fulfillment, harassment and discrimination. 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. Some forward-thinking pharmacies are already enabling pharmacists to live in this awaited world, helping patients manage their medication experience and documenting interventions. Patients who want care on demand go to their pharmacists for point-of-care testing, immunizations and travel consults, or prescriptions for contraception, smoking cessation and HIV prevention. The Future of Community Pharmacy: Direct Patient Care. 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. Long-term care for group homes, providing products and consultation services to ensure that patients are achieving optimization of medications. Once analyzed, MacLean believes the study will provide evidence that community pharmacists can contribute to caring for patients, compelling other states and pharmacies to replicate services and treat common ailments such as strep throat, urinary tract infections and severe headaches, including migraines. He increased staff and moved toward medication synchronization (almost half of his patients are synchronized). Tice: The goal of provider status is to enable the pharmacist to practice at the top of his or her license. 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. New focus areas addressed in the 2019 survey included professional fulfillment, harassment and discrimination. Tice: Thank you. It has … These pharmacies are sharing their innovative models and schools are studying the impact, providing a window into the future of community-based pharmacy practice. NABP has done some initial work with key community pharmacy stakeholders to test various approaches to the accreditation process. 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. process for community pharmacy practice standards. 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. 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. 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). “We have seen a trend of increased time spent by pharmacists in providing patient care,” said Dr. William Doucette, principal investigator of the study. Takes a glimpse into the future and discover ways to transform your pharmacy… As we approach fall, there is uncertainty of what the future holds, but we do know that practices will need to transform. There is no way around technology, especially in rural areas. 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). Find articles that are relevant to your field of interest. 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 … What needs to be reserved for pharmacists?” Adams asked. “What are the types of tasks pharmacy technicians can do? 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. Looking ahead with the leading minds in healthcare. The study will inherently set a baseline to measure how enhanced pharmacy services are influencing quality of care and access to care. 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. Read how authorizing pharmacists to prescribe hormonal contraception can impact public health, helping women avoid unintended pregnancies and live healthy, satisfying lives. 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. 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. 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 … “We must share the benefits of collaborating with community pharmacists.”. ©2020 Cardinal Health. Until recently, health plans wanted to have broad coverage with as many pharmacies as possible. Tice: Pharmacists must move from a prescription focus to a patient focus. 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 is one … 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. 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 … degree. “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? That means it will also need new talent management protocols to find, … We led the way on immunization practice in the pharmacy, and we're leading the way on provider status. More and more, we see patients needing access to more comprehensive services. 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. 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 … “Also ensuring that they are building strong advocacy with their students so that as students want to move toward this future, they understand the legislative and regulatory framework of what they are allowed to do within their state and how to overcome any barriers.”. The consequences of suboptimal medication use are astounding -- from hospitalizations, to readmissions, to even death. 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 … These future directions will help to transform how pharmacy … “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.”. The more members we have, the bigger voice we can have and the easier it is to make those changes happen. … To learn more, visit flipthepharmacy.com. Tice: There is an opportunity to make real practice change in the pharmacy, and find new revenue streams beyond dispensing medications. 4. Biosimilars may become more accessible though community pharmacy practice. Future of pharmacy animation PSNC has developed an animation explaining how community pharmacy will fit into the NHS of the future. 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. Imagine pharmacogenomic screenings being commonplace, as pharmacists look at genetics to predict drug response and tailor treatments. Specialty pharmacy fills represent around 24 percent of … By Athena Ponushis and Nidhi Gandhi, Pharm.D. 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. This has positive implications for patients as these practitioners are trained in new systems of care and will play key roles in the future of pharmacy practice. Independent community pharmacists shouldn't limit their options when thinking about retirement. Third, the task force will provide recommendations to advance payment reimbursement for services. 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. 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. Pharmacists must have good support staff if they are going to take on new roles, so elevating pharmacy technicians is crucial. Second, advancing the scope of pharmacy practice. 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” 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. “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. As co-owner of Towncrest Pharmacy in Iowa City, McDonough helped create a clinical practice that runs on five gears, all separate but cohesive, each financially viable on its own: McDonough knew he would need to integrate all services. Pharmacy-based community clinics, led by public health pharmacists and primary care providers, may become a common feature in community pharmacies. The upward trend continues for women in leadership roles; 58.8 percent of pharmacists in management positions in 2019 were women. Compounding, while documenting care and keeping providers informed. “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. Looking for other medical products we carry? APhA has more details on provider status legislative efforts on their website.]. To view a full catalog of products that Cardinal Health offers, please use our ordering website. Determining if it’s the right immunization for that patient at that time would be the responsibility of the pharmacist, but the actual administration could be done by a technician. “What our board of pharmacy learned from our healthcare colleagues was, pardon the pun, but pharmacists tend to be really prescriptive in their regulations. In 2019, it will be imperative to consider new ways to allow patients to interact with physicians and customer service representatives including, live chat, video chat, and phone helplines. Here, Brent Stutz, the leader Cardinal Health’s innovative technology lab, Fuse, talks about how technology will continue to shape pharmacy … Students are certified in immunization administration and receive specialty training on pediatric immunization. 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 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.”. 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