future of community pharmacy

View the complete survey results and executive summary. 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. Some forward-thinking pharmacies are already enabling pharmacists to live in this awaited world, helping patients manage their medication experience and documenting interventions. It is a future … 2 The ASHP-ACPE Task Force report was shared jointly with the National Community Pharmacy … 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. PWC, formerly known as the Pharmacy Manpower Project, Inc., is a nonprofit corporation comprised of major national pharmacy professional and trade organizations. The normal 8–12 hour shift becomes a forgotten concept and as days turn to nights, and days blur together. 4. For many, it’s difficult not to feel pessimistic. “We have seen a trend of increased time spent by pharmacists in providing patient care,” said Dr. William Doucette, principal investigator of the study. 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. “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.”. Tice: Pharmacists must move from a prescription focus to a patient focus. Long-term care for group homes, providing products and consultation services to ensure that patients are achieving optimization of medications. Pharmacy-based community clinics, led by public health pharmacists and primary care providers, may become a common feature in community pharmacies. 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 are the types of tasks pharmacy technicians can do? A bold new future for pharmacy practice. Patients continue to have access to important pharmacists’ services in a variety of settings. 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. 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 … Picture pharmacists having routine interactions with patients to review, optimize and synchronize medications rather than just episodic or transactional meetings at the counter. 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 consequences of suboptimal medication use are astounding -- from hospitalizations, to readmissions, to even death. Read how authorizing pharmacists to prescribe hormonal contraception can impact public health, helping women avoid unintended pregnancies and live healthy, satisfying lives. Until recently, health plans wanted to have broad coverage with as many pharmacies as possible. 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. What needs to be reserved for pharmacists?” Adams asked. 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. Two, we need to get to work on the infrastructure to help pharmacists implement these practice changes. First, advancing pharmacy technician practice. 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 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. New focus areas addressed in the 2019 survey included professional fulfillment, harassment and discrimination. NABP has done some initial work with key community pharmacy stakeholders to test various approaches to the accreditation process. 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In 2019, nearly half of practicing pharmacists—47.7 percent—are 40 years old or younger, compared to only 24.4 percent in 2009. 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 … 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. These future directions will help to transform how pharmacy … Learn more about how Cardinal Health is improving healthcare. Working together with GuildData, we can identify key industry trends and potential impacts and most importantly, new opportunities for your pharmacy. 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 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.”. The overarching theme of The Community Pharmacy … “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. It’s now up to a pharmacist or pharmacy to determine what fits into those categories. Community pharmacy unveils its vision for the future. The more members we have, the bigger voice we can have and the easier it is to make those changes happen. ©2020 Cardinal Health. One of our other goals is to increase the membership of APhA. process for community pharmacy practice standards. 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. 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. Students are certified in immunization administration and receive specialty training on pediatric immunization. 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. We must grasp every opportunity, and we must push for every penny … “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. The most common type of harassment reported by pharmacists was hearing demeaning comments related to race/ethnicity at 15.7 percent. 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. Compounding, while documenting care and keeping providers informed. This is likely due to the recent growth in pharmacy graduates combined with the retirement of older pharmacists. In 2019, 31 percent of pharmacists reported that they experienced incidents of discrimination, with the most common basis being age followed by gender. That means it will also need new talent management protocols to find, … The upward trend continues for women in leadership roles; 58.8 percent of pharmacists in management positions in 2019 were women. Since the … 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. Pharmacy is one … 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. Takes a glimpse into the future and discover ways to transform your pharmacy… The pharmacy of the future will need new skill sets, competencies and service expectations to be successful. 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. Second, advancing the scope of 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. 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. 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. This is unsustainable for those SuperPharmacists and we need more people, if we are to change this bleak future of community pharmacy… Community-based pharmacy is evolving from a place of product distribution into a healthcare destination. Tice: There is an opportunity to make real practice change in the pharmacy, and find new revenue streams beyond dispensing medications. Growth of the Specialty Pharmacy Market. “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. By tapping into the right resources at the right stage, community pharmacists can plan for … There's also work being done to get a solid billing infrastructure in place. By Athena Ponushis and Nidhi Gandhi, Pharm.D. Read how pharmacists will be the ones to bring about the therapeutic benefits. Read expert commentary, best practices, and insights from the leaders who are shaping the industry. 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. This year’s survey also addressed new workforce factors, including professional fulfillment, harassment and discrimination. The legacy Cardinal.com Medical Ordering site has been replaced with Cardinal Health Market. “We really believe that this is the base knowledge that’s required for an entry-level pharmacist.”. Several colleges of pharmacy participated in a demonstration webinar hosted by PioneerRx, and 10 schools were selected to be part of a pilot workgroup. Fifty-three percent of licensed pharmacists have a Pharm.D. My thought is, how better to be prepared for an emergency situation than to have that be what your daily practice is? Here, Brent Stutz, the leader Cardinal Health’s innovative technology lab, Fuse, talks about how technology will continue to shape pharmacy … Future Proof Your Pharmacy. 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. The future of pharmacy services A summary for commissioners and local councillors. 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. Third, the task force will provide recommendations to advance payment reimbursement for services. Perhaps there are lessons to be learned from independent and hospital settings that are succeeding at meeting the needs of its personnel. 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 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). Some states are moving to give pharmacists greater prescriptive authority. Biosimilars may become more accessible though community pharmacy practice. “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. CPPA will contract with NABP to administer the accreditation process. Same with point-of-care testing: the pharmacist would decide to do the test but the technician could administer it. 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. 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. 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. More and more, we see patients needing access to more comprehensive services. Community-based pharmacy is evolving from a place of product distribution into a healthcare destination. After that, medication synchronization is a core service pharmacies should think about. Future of pharmacy animation PSNC has developed an animation explaining how community pharmacy will fit into the NHS of the future. He optimized technology and welcomed more robots into the pharmacy. Patient point-of-care service at the pharmacy level is the future of community pharmacy… Biological products are the fastest-growing class of therapeutic products in the United States, according to the FDA. Pharmacist-provided vaccinations, specimen … 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. 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. This shift indicates that pharmacists with a B.S. A dispensing area that integrates clinical services. Some examples of enhanced services include clinical medication synchronization, medication reconciliation, comprehensive medication management, durable medical equipment evaluation and support, point-of-care testing, travel immunizations and travel medication consultations. 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. 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? “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. We set out, and achieved our aim, to design pathways for pharmacy … Pharmacists must have good support staff if they are going to take on new roles, so elevating pharmacy technicians is crucial. These changes enabled McDonough and his team to provide 2,000 to 3,000 clinical interventions a month. degree. As costs go down and research diversifies, pharmacogenomic screenings could be common in 10 years. 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. 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. 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. “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. Looking ahead with the leading minds in healthcare. CP2025 focusses on actions that can take your community pharmacy into the future. 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