UNlVERSITY OF UTAH COLLEGE"' PHARMACY S. SKAGGS PHARMACY INSTITUTE 2q1a National Survey of Advanced . Pharmacy Technician Services ProPosal to the Utah Departmentof Professional and Occupational I ., Licensing (Utah Board of Pharmacy) ! . Mark·A. Munger, Pharm.D., F.C.C.P., F.A.C.C., F.H.F.S.A. . . . Professor; Pharmacotherapy; · Adjunct Professqr, .Internal Medicine; Associate Dean, College Affairs, College of Pharmacy University of Utah · and· Mike Feehan, Ph.D. Managing Partner, Analytics ·Practice, Kantar Millard Brown I Prepared Jor the Utah Board of Pharmacy 05/22/2018 I
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S. SKAGGS PHARMACY INSTITUTE 2q1a National Survey of ... · RCG;P and the BMA, has proved so popular with patients and GP practices that NHS England doubled the funding to £31m in
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UNlVERSITY OF UTAH COLLEGE"' PHARMACY ~ S. SKAGGS PHARMACY INSTITUTE
2q1a National Survey of Advanced . Pharmacy Technician Services ProPosal to the Utah Departmentof Professional and Occupational
Associate Dean, College Affairs, College of Pharmacy University of Utah ·
and·
Mike Feehan, Ph.D.
Managing Partner, Analytics ·Practice, Kantar Millard Brown
I Prepared Jor the Utah Board of Pharmacy 05/22/2018 I
Healthcare Delivery in 2020 Closer to Patient
Emergency Care
Intensive Care
Major Surgery
Minor Surgical Procedures
Basic Diagnostics and Prescribing by MidLevel Practitioners
{(Life Checks"
Web-based Diagn (Wearables)
IT Healthcare {M.D., Rx, Personal Health
Records)
OTC drugs for chronic and non-chronic
conditions
uwellness" services
DC PREVENTATIVE HEALTH CHECKLIST
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Centers for Disease Control Prevention Checklist. 'http:l/www.cdc:go'v/prev~ntion/
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UNIVERSITY OF UTAH CO LUGE"' PHARMACY L. S. SKAGGS FHARMACYINSTITUTL
Pharmacist Reimbursement Activities
• Preventative Care Education and Follow-Up
• Self-Care Education and Principles .I ;
• Comprehensive Medication Management (CMM) I
• CMM was first defined in 2010 by the Patient-Centered Primary ~are Collaborative as a practice intended for high-risk, chronically ill p~tients in which pharmacists assess each patient's medications (whether they are prescription, nonprescription, alternative, traditional, vitamins~ or
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nutritional supplements) to determine that each medication is: j
• Appropriate for the patient I
• Effective for the medical condition
• Safe, given the comorbidities [concurrent medical conditions] and ot~er medications being taken I
• Able to be taken by the patient as intended
These assessments are part of an individualized care plan that includes appropriate follow-up to determine actual patient outcomes. ]
• NHSj England is today launching a scheme to get 1,500 more clinical pharmacists working in GP surgeries (clinics)- a move set to benefit patie/nts across the country. 12/2016
• By tdking responsibility for patients with chronic diseases, clinical pharmacists can free up GPs for other appointments and so reducing thedumbers of people presenting atA&E (emergency) departments. and ·so ease pressures on ·other parts of the health service. ·
. I . . • The iinitial £15m pliot, supported by~ Health Education England, the
RCG;P and the BMA, has proved so popular with patients and GP practices that NHS England doubled the funding to £31m in November 2015:. This led to more than 490 clinical_ pharmacists working in approximately 650. practices across 90 pilot sites.
• Applications for this next phase, worth over £100m, open next month as NHS England and its partners target a further 1 ,500 clinical phar~acists working in general practice by 2020/21- ·
• 'Theiway clinical pharmacists in general practice can help patients and support them is so important and helps prevent mc:>re ~~rio us illness."
Johri C et al. Res Soc Admin Pharm 2017;13:297-99. KoehlerT et al. Res SocAdminPharm 2017;13:?97-99. Oeselle SP. Am J Ph arm Assoc 2005;45(3):458-65. Deselle SP. Am J Pharm Assoc 2005;45(4):676-83.
·Schmitt MR et aL J Pharm Techno/2009;25(1):79~88. · · Deselle $P et al. Am J Pharm Assoc 2007;47:58-72. Desselle SP Am J Health Syst Ph arm 2005;62: 1992-7. Schmitt MR, et aL J Pharm Techno/ 201 0;26(4):340.;51. Raymond CS, et aL Can J Hosp Pharm 2011 ;64(3):218-20.
-Totton JS, et al. Can JHosp Pharm 2008;61(2):133-7 .. ·. FrostTP et al. JAm PharmAssoc 2016;:1-5. · Odukoya OK, et al. Pharmacy (Basel) 2015;3(4):330-43, Shireman Tl, et al. JAm Pharm Assoc 2016:56:389-96.
UNIVERSITY OF UTAH COLLEGE"'PHARMACY L. S. SKAGGS FHARMACY INSTITUTE
Background Literature
Studies have also shown that pharmacists have greater confidenbe in delegating tasks to CPhTs.
• In Canada under a collaborative care model, pharmacists provide medication management and patient health outcomes, and pharrhacy
· technicians focus on medicine distribution. i • A recent _study exami!'led supe_rvi~ion of pharmacy te~hnicians ·b~
pharmacists from a d1stance, f1ndmg that use of on-s1te pharmacy technicians led to an increase in the number of clinical interventions and a decrease in pharmacist time require to provide the interventions.
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• Obtained medical histories & tracked laboratory test results allo~ing pharmacists greater time for collaborative practice. . '
• •
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Transcribe pharmacist interventions .
Seventeen states allow pharmacy technicians to accept verbal prescriptions called in by a prescriber or prescriber's agent, or transfer a prescription order. I
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Safety net for pharmacists in e-prescribing. i
Measure blood pressure in a randomized, practice-based intervehtion community-based study to improve blood pressure control in African American patients. · . I
2018 National Survey of Advanced Pharma Technician Services
i -- UNMET NEED
• ThJre is a clear need to appraise and willingness of Pharmacy Tedhnicians to participate in Advanced Practice Services to ma~imize Pharmacist Clinical Time - - - . ·
I - - . -• Important information for employers, community pharmacists,
• Part-time (> 20hours/week) or Full-time employment at < 2 lo~ations
• Not enrolled in ;3n accredited Pharm.D. program I
• Distributed across the United States and rurality pattern
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I . 201 S National Survey o.f Advance·d Pharmacy Tec~nician Services ·.. .
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• Me~hods • Data Collection (20-30 minute on-line survey)
• Place of employment
• Method of pharmacy technician training
UNIVERSITY OF UTAH COLLEGE m PHARMACY l. S. SKAGGS PHARMACY IN!ITITUTE
• Perceived level of involvement and importance to the organization collected across wide variety of current (see slide #13) and advanced services (below)
• Short Batteries of Satisfaction and Stress with current·employment