what can your pharmacy do for you? creating synergy june ... · canada: enhanced scope of practice...
TRANSCRIPT
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What can your pharmacy do for you? Creating Synergy
June 13, 2013 Steve Long
Na,onal Director Public Policy Shoppers Drug Mart
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Agenda
Evolu,on of Pharmacy
Pharmacists: Part of the Solu,on Your Pharmacist and You
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TO PATIENT FOCUS
Evolution of Pharmacy in last 15 years
FROM PRODUCT FOCUS
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Canada: Enhanced Scope of Practice
Mainstream Services
• Medica,on Reviews • Prescrip,on Adapta,ons • Prescrip,on Renewals • Influenza vaccina,ons • Pharmaceu,cal Opinion • Refusal to Fill a Prescrip,on • Smoking Cessa,on Consulta,ons
Further Expansion
• Comprehensive Annual Care Plan • Minor Ailment Assessments • Public Vaccina,on (pandemics and rou,ne vaccines)
• Ini,a,on of Prescrip,on Therapy • Ordering and Interpre,ng Lab Test Results
• Health Promo,on – Screening
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Areas of Focus
1. Product services – Drug distribu,on services that support
safety, accuracy, quality, and integrity of the drug supply
3. Pa,ent services – Specific services aligned with individual need
and care complexi,es
5. Health system services – Improve integra,on with other health
providers , meet pop’n health objec,ves
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Pharmacists: Part of the Solution
– Pa,ents are seen by a pharmacist 5 ,mes more oZen than they are seen by family physicians
– Evidence supports enhanced adherence and outcomes when pharmacists are engaged
– Pa,ents value and trust the rela,onship – Governments are recognizing pharmacists’ ability to help through expanded scope of prac,ce
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Alberta Program • Those with valid Alberta Health Care Insurance Plan coverage
may be eligible for the following services, at no charge: • Assessment and Care Planning
– Comprehensive Annual Care Plan ($100/$125) – Standard Medica,on Management Assessment ($60/$75)
• Assessment for ($20/$25): – Administra,on of injec,ons – Modifying prescrip,ons based upon individual pa,ent needs – Prescrip,on renewals – Prescrip,ons for emergency needs, – Ini,a,ng medica,on therapy, and – Refusal to Fill/Trial Prescrip,on
hbp://www.health.alberta.ca/documents/Pharmacy-‐Services-‐Compensa,on-‐2012.pdf
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New Prescription Check Your pharmacist should ensure you know:
– The name of this medica,on(s) – When and how you should take your medica,on(s) – How to tell a medica,on(s) is working – What to do if a medica,on seems not to be working – Common and important side effect(s) and what do to about the side effect(s)
– Interac,ons with prescrip,on, non-‐prescrip,ons, and herbal medica,ons
– Cau,ons about ac,vi,es, foods, and other drugs that may not be safe with your medica,on(s)
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New Prescription Check
• Ques,ons you might consider to ask -‐ – Why should I take this medica,on? – How should I manage this medica,on with my other medica,ons?
– How long you should take the medicine? How many refills do I have?
– Is alcohol safe to drink while I am taking this medicine? – What should I do if I miss a dose or accidentally take too much? – Are generic medica,ons effec,ve? – What other medica,on op,ons are available? – What non-‐medica,on choices might help improve my health?
• Other ques,ons? -‐ Make a List!
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Refill Check
Your pharmacist should: – Ask if the medica,on is working for you – Ask if you have had side effects – Make sure you can manage the medica,on
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Refill Check
What concerns you? – I am worried about long-‐term effects. – I am concerned about using alcohol with this medica,on.
– I am concerned the dose isn’t right for me. – I am not sure if this medica,on is safe with other meds, vitamins or herbals I take.
– I am not sure what to do if I miss a dose or take too much.
– My medica,ons are geing too expensive.
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Refill Check
What concerns you? – I am not sure if my medica,on(s) are working for me.
– I have experienced some bothersome side effects related to my medica,on(s).
– I find the dosing ,mes are inconvenient. – I am not sure if I need this medica,on. – I am on too many medica,ons. – I am concerned I will develop tolerance to my medica,ons.
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Do you need a Medication Review? You may if any of these apply to you -‐ – I some,mes wonder if my medica,on(s) are
working. – I have unwanted effects from my medica,on(s). – I find the dosing ,mes are inconvenient. – I am not sure if I need my medica,on(s). – I am on too many medica,ons. – I can't remember to take my medica,on(s). – I am worried about long-‐term effects of my
medica,on(s).
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Do You Need a Medication Review?
– I am not sure if alcohol is safe with this medica,on(s).
– I am concerned the dose is too high or low. – I am not sure if my medica,on(s) are safe with my
other non-‐prescrip,on meds, herbal remedies, supplements or vitamins.
Your Pharmacist will: Complete an assessment with you. Establish a plan, goals and follow-‐up that work for you. Communicate plan to other health care team
members. 14
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Partnership Programs at Shoppers
• Injec,on Programs – Flu, travel, preventa,ve vaccines – Sub-‐q medica,on administra,on
• Diabetes Management – A1C clinic – CANRISK assessment
• Heart Health – Heart Age calculator – Cholesterol tes,ng
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2010 2011 2012 (Est’d) *
# of VaccinaBons
Example: Flu Immunization
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• 52% of A1C results greater than Target of 7 • For A1C > 7, pharmacists communicated results to physician
in ~75% of cases • Over 15,000 pa,ents tested since launch
A1C Results Reported
< 7 7-‐9 > 9
48% 40% 12%
Example: A1C Clinics
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Example: CANRISK
• Opportunity for SDM Pharmacists to help paBents idenBfy risk and take acBon
• 1 in 20 have diabetes but are not diagnosed
• SDM Partnership with PHAC will con,nue to help thousands of Canadians
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Heart Age Calculator Do You Know the Age of You Heart?
Heart Health Program: Heart Age Calculator developed with McGill
Simple visual comparison of birth age to heart age
Visual representaBon of the overall risk benefits
associated with meeBng Canadian recommended
treatment targets
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Perspective
http://aviesplace.wordpress.com/2012/12/01/forget-the-past-and-embrace-the-future/