pharmacy practice model initiative - ashp media · 2015-09-11 · pharmacy has come a long way…...
TRANSCRIPT
![Page 1: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/1.jpg)
Pharmacy Practice Model Initiative
Empowering Students to BecomeEmpowering Students to BecomeAgents of Change
![Page 2: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/2.jpg)
Shhhhhhh…
For event updates:www.twitter.com/ASHPMidyear/ y
#ashpmidyear
![Page 3: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/3.jpg)
Session AgendaSession Agenda
• PPMI Overview
• Practitioners Prospective
• Interactive Session
• Important Resources
![Page 4: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/4.jpg)
Goal:
Develop and disseminate a futuristic practice model
that supports the effective use of pharmacists as
direct patient care providers
www.ashp.org/PPMI
![Page 5: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/5.jpg)
Pharmacy Has Come a Long way…
2002 2008 2003 2008
1960’s
Unit Dose1990
Surfactant
1993
Pharmaceutical
Care
1.5% 21.5%
Bedside
5.9% 11.4%
CPOE Barcode with CDS
![Page 6: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/6.jpg)
Historical PerspectiveHistorical Perspective
ASHP Hilton Head Conference, 1985
“ To bring about change within a diverse profession such as pharmacy one needs a large number ofsuch as pharmacy, one needs a large number of
people pulling in the same direction. Before one can get folks pulling in the same direction, one needs g f p g ,
general agreement about the best direction in which to move.”
-William A. Zellmer
www.ashp.org/PPMI
![Page 7: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/7.jpg)
Vision
The initiative and summit will create passion, pcommitment, and action among hospital and health‐system pharmacy practice leaders to significantly advance the health and well being of patients by
optimizing the role of pharmacists in providing direct patient carepatient care.
www.ashp.org/PPMI
![Page 8: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/8.jpg)
Initiative and SummitInitiative and Summit
• Invitational Summit• Invitational Summit
• Social Marketing CampaignCampaign• Raise awareness
• Stimulate discussionStimulate discussion
• Disseminate the findings
• Initiative Grants
![Page 9: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/9.jpg)
5 PPMI Focus Areas
1. Create a Framework
2. Determine Services
Id if E i T h l i3. Identify Emerging Technologies
4. Develop a Template p p
5. Implement Change
www.ashp.org/PPMI
![Page 10: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/10.jpg)
PPMI Summit, Dallas, Texas, ,November 7 – 9, 2010
• Two‐day invitational event that included approximately 150 pharmacist participants
• Issue Briefings commissioned
• Plenary presentations and work groups followed y p g pby a consensus process to address key outcomes to develop a new pharmacy practice model
![Page 11: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/11.jpg)
PPMI Pre‐Summit Survey ResultsPPMI Pre‐Summit Survey Results
i id d i iDivided into Sections:
1. Overarching Principles
2. Services
3. Technology
4. Technicians
5. Implementing Change and Responding to Challenges5. Implementing Change and Responding to Challenges
![Page 12: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/12.jpg)
Section 1: Overarching Principles g p
• Consensus on the following principles:Opportunity to advance the health and well being of patients by changing the practice model
Financial press res ill force changes in hoFinancial pressures will force changes in how resources are used
Every pharmacy department should identify drug‐y p y p y gtherapy management services provided consistently by pharmacists
I th i th ill b i i d dIn the coming years, there will be increasing demand among new pharmacy graduates for residency training
![Page 13: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/13.jpg)
Section 2: ServicesSection 2: Services
• Essential services should include:Tracking and trending pharmacist interventions
Medication reconciliation at transitions in care
All patients deserve the care of a pharmacist. It is recognized that resources will need to be allocatedrecognized that resources will need to be allocated according to the complexity of patients and organizational needs.
![Page 14: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/14.jpg)
Section 3: TechnologySection 3: Technology
• Technology priority order of importance:
Electronic medical record systems
Use of barcode technology during medication administration
Real‐time monitoring systems that provide a work queue of patients needing review and possible intervention
• Pharmacy residency programs should provide informatics training
![Page 15: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/15.jpg)
Section 4: TechniciansSection 4: Technicians
Pharmacy technicians who have appropriate d i i i d d i l h ld b deducation, training, and credentials should be used to free pharmacists from drug distribution activities
Assigning medication distribution tasks to techniciansAssigning medication distribution tasks to technicianswould make it possible to deploy pharmacists to drug‐therapy management services
f l d d h ld l hUniform national standards should apply to the education and training of pharmacy technicians
To support optimal pharmacy practice models,To support optimal pharmacy practice models, technicians must be licensed by state boards of pharmacy
![Page 16: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/16.jpg)
Section 5: Implementing ChangeSection 5: Implementing Change
• Further support for the requirement of residency training
• Support from health care executives, pharmacy department and clinical pharmacy leadership
![Page 17: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/17.jpg)
Practitioners ProspectivePractitioners Prospective
Influencing others to buy into f g ychange…
![Page 18: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/18.jpg)
• Implementing the futuristic practice model will require incremental changes
Embracing change, not resisting change
Change management requires careful g g qplanning
• Addressing the conceptual, psychosocial, and g p , p y ,methodological aspects to change
• Examples of change in pharmacyp g p y
![Page 19: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/19.jpg)
• Experience with influencing others to buy into changechange
Department
OrganizationalOrganizational
State
NationalNational
• How you will implement the outcomes of the summit in your own practice y p
Hold your own summit
Debate the hot topicsp
Residency training
Mentoring
![Page 20: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/20.jpg)
PPMI Case RoundtablesPPMI Case Roundtables
How are you going to be an y g gagent of change?
![Page 21: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/21.jpg)
Timeline of SessionTimeline of Session• 10 minute10 minute brainstorming session
• 5 PPMI cases to discuss
• 3 groups will be g pchosen to present their case
• Wrap‐up and closing at 3:55 PM
![Page 22: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/22.jpg)
PPMI Case RoundtablesPPMI Case Roundtables
• Case #1Case #1Create a Framework
• Case #2D i S iDetermine Services
• Case #3Identify Emerging Technologies
• Case #4Develop a Template
• Case #5• Case #5Implement Change
![Page 23: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/23.jpg)
iliiliResources to Facilitate Resources to Facilitate InvolvementInvolvementInvolvementInvolvement
Arming you with tools to help g y padvance practice
![Page 24: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/24.jpg)
How can YOU get involved?How can YOU get involved?
![Page 25: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/25.jpg)
Virtual Participants Tweeted Group Pictures of their Sites
University of Cincinnati SSHP
John Hopkins Hospital Pharmacy
University of Cincinnati SSHP
Harding College of Pharmacy Henry Ford Pharmacy
![Page 26: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/26.jpg)
Summit MaterialsSummit Materials
![Page 27: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/27.jpg)
Perspectives and ResourcesPerspectives and Resources
![Page 28: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/28.jpg)
Pharmacy SpotlightPharmacy Spotlight
![Page 29: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/29.jpg)
Summit Webcast Archiveshttp://prestonevents.com/reg/ppmi/
![Page 30: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/30.jpg)
What’s Next?What s Next?
• Consensus Statements• Resources
Summit Proceedings (Spring 2011)Briefing Documents (Spring 2011)Self Assessments/Practice Based Tools
• Demonstration Grants• SSHP Recognition Projects• SSHP Recognition Projects
http://www.ashp.org/Import/MEMBERCENTER/StudentForum/StudentSocieties/Tools/Empowering‐Students.aspx
• Upcoming Meetings• Upcoming MeetingsSummer Meeting 2011 and MCM 2011
![Page 31: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/31.jpg)
Major ThemesMajor Themes
M i th h i t l t th ti t• Moving the pharmacist closer to the patient
• Greatly expanding the role of a qualified technician workforce and the use of technologytechnician workforce and the use of technology
• Ensuring that pharmacy departments are accountable for the development andaccountable for the development and implementation of medication use policy to ensure safe and effective use of medications
• Working to assure pharmacists are accountable for patient outcomes.
![Page 32: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/32.jpg)
Igniting your Passion for Change:Igniting your Passion for Change: 3 Take Home Points
• Be Bold
• Think Outside the Box
• Hit the Ground Running
![Page 34: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care](https://reader035.vdocument.in/reader035/viewer/2022070801/5f0298877e708231d4050c94/html5/thumbnails/34.jpg)