All rights reserved. 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. Pharmacy Mentor trades under the UK-registered company, DIGITALPHARM LTD (Company No. 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. 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. Some pharmacies are delegating the accuracy checking of the dispensing process to technicians. Same with point-of-care testing: the pharmacist would decide to do the test but the technician could administer it. Take a look at our featured experts who are shaping the healthcare industry. 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. New focus areas addressed in the 2019 survey included professional fulfillment, harassment and discrimination. Schools are the thread running through all the recommendations, bringing people together, doing the research and engaging in advocacy to advance community-based practice. 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. Tice: Pharmacists must move from a prescription focus to a patient focus. He increased staff and moved toward medication synchronization (almost half of his patients are synchronized). With advances in artificial intelligence and ‘fuzzy’ logic (an approach to computing based on ‘degrees of truth’), and in logistics and supply (e.g. “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.”. 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. These future directions will help to transform how pharmacy tackles the medication management needs of Ontarians for the purpose of improving health outcomes. 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. “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. The most common type of harassment reported by pharmacists was hearing demeaning comments related to race/ethnicity at 15.7 percent. 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. Community pharmacy teams will deliver consistent, high-quality care of patients with minor illnesses and support the public to live healthier lives. 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. 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. 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? Second, advancing the scope of pharmacy practice. View the complete survey results and executive summary. These pharmacies are sharing their innovative models and schools are studying the impact, providing a window into the future of community-based pharmacy practice. Most notably, in 2019, 72 percent of pharmacists reported offering naloxone dispensing in a community setting. 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. 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. Pharmacists make sure patients are on the right medications, are using them the right way, and achieving the desired results with those medications. Third, the task force will provide recommendations to advance payment reimbursement for services. 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. Please correct the errors and send your information again. The consequences of suboptimal medication use are astounding -- from hospitalizations, to readmissions, to even death. 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. ©2021 Cardinal Health. At WSU, student pharmacists take an intensive, weeklong, point-of-care and clinical services course at the beginning of their second year. Specialty pharmacy fills represent around 24 percent of total revenue for community pharmacies, reported Drug Channels Institute. To view a full catalog of products that Cardinal Health offers, please use our ordering website. 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. 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. Community pharmacy sessions The future of community pharmacy. “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.”. These changes enabled McDonough and his team to provide 2,000 to 3,000 clinical interventions a month. 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. 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. Getting provider status passed, and building an effective infrastructure will give pharmacists the ability to use everything in their arsenal to improve patient care. “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. 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. Only 15.9 percent of all discrimination incidents and 17.2 percent of all harassment incidents were reported to an employer. 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 economics of community pharmacy are under pressure and the 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. Within her research initiatives with community partners, she mentors student pharmacists for research and quality improvement projects. 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 legacy Cardinal.com Medical Ordering site has been replaced with Cardinal Health Market. 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. 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. “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. gustavmalangu@gmail.com. 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 profession of pharmacy is at a significant crossroads between its conventional drug-dispensing identity and a pioneering clinical role with health care provider status. “We have seen a trend of increased time spent by pharmacists in providing patient care,” said Dr. William Doucette, principal investigator of the study. At the end of the 2019 legislative session, legislators eliminated the list. After that, medication synchronization is a core service pharmacies should think about. 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. The future of community pharmacy practice in South Africa in the light of the proposed new qualification for pharmacists: implications and challenges. 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. The normal 8–12 hour shift becomes a forgotten concept and as days turn to nights, and days blur together. 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). 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. This is likely due to the recent growth in pharmacy graduates combined with the retirement of older pharmacists. “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. For many, it’s difficult not to feel pessimistic. 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. 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. 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. 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. Akers has found, through surveys and anecdotally, that patients are confident in receiving care from pharmacists. The Future of Community Pharmacy in England 1. Mark Jacobs, RPH, FASCP; ... Charlie Brown kept trying to kick the football, to no avail. The pharmacy profession continues to trend younger in its composition. 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. An area for clinical services including medication therapy management, comprehensive medication reviews, point-of-care services, immunizations and the like. The University of Pittsburgh School of Pharmacy recently created a community pharmacy practice-based research network to support ongoing practice transformation in Pennsylvania. 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. “It is important that community pharmacy gets on board with these campaigns. He optimized technology and welcomed more robots into the pharmacy. 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. The Pharmacist e-Care Plan standard is one of the many ways to transform community pharmacy practice. Read how pharmacists will be the ones to bring about the therapeutic benefits. Standing still no longer an option. The future of pharmacy has been an ongoing discussion for some years. New CPCF: As many of you should be aware by now we have just had the announcement of the 5 year deal for Community Pharmacy and the proposed changes to the CPCF. 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. Community-based pharmacy is evolving from a place of product distribution into a healthcare destination. To understand the impact of COVID-19 on community pharmacies and the future of community pharmacy practice post-COVID-19 we did a survey in Kenya. Each prescription fill/refill provides an opportunity to more meaningfully engage the patient. Ross Ferguson. 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. The advances in technology of all kinds, and their impact on the profession, are a serious concern. Since then, the only real hints regarding future developments from the NHS and Department of Health were in the letter sent out just before Christmas 2, which announced a £170m (6 per cent) cut in funding for community pharmacy in England. 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. 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. 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. 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. He optimized the use of his pharmacy technicians, who run dispensing and take care of the product from beginning to end while pharmacists counsel patients. The video showcases the work that pharmacies already do, as well as describing the transformation that community pharmacies will need to undertake over the coming months and years. 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. Tice: There is an opportunity to make real practice change in the pharmacy, and find new revenue streams beyond dispensing medications. The future of community pharmacy. [Editor's note: Both the U.S. House of Representatives and U.S. Senate have bills in process this legislative session. 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. 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. Imagine pharmacogenomic screenings being commonplace, as pharmacists look at genetics to predict drug response and tailor treatments. “We must share our success stories, not just within pharmacy, but with other audiences, including physicians, professional organizations and the public,” Moore said. Picture pharmacists having routine interactions with patients to review, optimize and synchronize medications rather than just episodic or transactional meetings at the counter. The study will inherently set a baseline to measure how enhanced pharmacy services are influencing quality of care and access to care. 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 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. 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. “We really believe that this is the base knowledge that’s required for an entry-level pharmacist.”. degree. 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. “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. Biological products are the fastest-growing class of therapeutic products in the United States, according to the FDA. 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. The Future of Community Pharmacy: Direct Patient Care. 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. in 2019, compared to 37.8 percent in 2014 and 21.6 percent in 2009. Community pharmacy dispensing is being challenged on three fronts . PWC, formerly known as the Pharmacy Manpower Project, Inc., is a nonprofit corporation comprised of major national pharmacy professional and trade organizations. A dispensing area that integrates clinical services. 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. 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. And, with specialty pharmacy fill volume growing each year, it’s reasonable for an independent pharmacy to consider adding this strategy to its services. 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. Traditionally known as … Several colleges of pharmacy participated in a demonstration webinar hosted by PioneerRx, and 10 schools were selected to be part of a pilot workgroup. 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. “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. 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. 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. 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. “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. 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). 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. We're getting great support for this, but we need to get legislation passed. Malangu N(1). 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. 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. “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.”. “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.”. 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