It has … 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. 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. The University of Pittsburgh School of Pharmacy recently created a community pharmacy practice-based research network to support ongoing practice transformation in Pennsylvania. 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. For many, it’s difficult not to feel pessimistic. Tice: There is an opportunity to make real practice change in the pharmacy, and find new revenue streams beyond dispensing medications. Find articles that are relevant to your field of interest. “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.”. Community pharmacists collect and assess patient information on a daily basis for medication therapy management, chronic disease state education, health screenings and immunization administration. ©2020 Cardinal Health. The normal 8–12 hour shift becomes a forgotten concept and as days turn to nights, and days blur together. Pharmacists must have good support staff if they are going to take on new roles, so elevating pharmacy technicians is crucial. “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. 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. Tice: The goal of provider status is to enable the pharmacist to practice at the top of his or her license. Over the past decade there has been a dramatic increase in the percentage of pharmacists that have a Pharm.D. 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. Since the … We led the way on immunization practice in the pharmacy, and we're leading the way on provider status. degree are likely retiring or moving out of practice and into different roles, which could mean more career opportunities for new pharmacy graduates. Athena Ponushis is a freelance writer based in Ft. Lauderdale, Florida. 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. Community-based pharmacy is evolving from a place of product distribution into a healthcare destination. A bold new future for pharmacy practice. 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). “Community pharmacists who are providing these clinical services really are needed because they can make communitywide interventions that affect patients in a positive way, not just with drug therapy but by evaluating social determinants of health, connecting patients with agencies that can help them achieve their goals,” McDonough said. 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. 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. Read how pharmacists will be the ones to bring about the therapeutic benefits. Some pharmacies are delegating the accuracy checking of the dispensing process to technicians. Tice: Pharmacists must move from a prescription focus to a patient focus. 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 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 … By Athena Ponushis and Nidhi Gandhi, Pharm.D. 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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. He optimized technology and welcomed more robots into the pharmacy. Picture pharmacists having routine interactions with patients to review, optimize and synchronize medications rather than just episodic or transactional meetings at the counter. The Pharmacist e-Care Plan standard is one of the many ways to transform community pharmacy practice. 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. 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. Do they need a flu shot? Several states have passed emergency regulations during this crisis, allowing pharmacists to do more, like extend refills. 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. “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. 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. Some forward-thinking pharmacies are already enabling pharmacists to live in this awaited world, helping patients manage their medication experience and documenting interventions. 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. 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. 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 … 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. 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. As we approach fall, there is uncertainty of what the future holds, but we do know that practices will need to transform. 2 The ASHP-ACPE Task Force report was shared jointly with the National Community Pharmacy … This year’s survey also addressed new workforce factors, including professional fulfillment, harassment and discrimination. But that evolution has real consequences … We're getting great support for this, but we need to get legislation passed. The pharmacy of the future will need new skill sets, competencies and service expectations to be successful. 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. 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. View the complete survey results and executive summary. That means it will also need new talent management protocols to find, … “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.”. 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. At the end of the 2019 legislative session, legislators eliminated the list. “This change is positive for patients and the profession.”. APhA has more details on provider status legislative efforts on their website.]. 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. in 2019, compared to 37.8 percent in 2014 and 21.6 percent in 2009. Community pharmacy unveils its vision for the future. 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. 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. 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. After that, medication synchronization is a core service pharmacies should think about. and Graduate Programs Tuition and Fees, Survey of Vacant Budgeted and Lost Faculty Positions, American Journal of Pharmaceutical Education, https://www.fda.gov/drugs/therapeutic-biologics-applications-bla/biosimilars, Read how authorizing pharmacists to prescribe. “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. 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 upward trend continues for women in leadership roles; 58.8 percent of pharmacists in management positions in 2019 were women. Third, the task force will provide recommendations to advance payment reimbursement for services. To view a full catalog of products that Cardinal Health offers, please use our ordering website. “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. What needs to be reserved for pharmacists?” Adams asked. 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. 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. 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