scholarly journals Scaling Community Pharmacy Transformation with the ‘Flip the Pharmacy’ Implementation Model: Program Origins

2020 ◽  
Vol 11 (3) ◽  
pp. 22
Author(s):  
Anne Marie Kondic ◽  
Troy Trygstad ◽  
Randy McDonough ◽  
Matt Osterhaus
Keyword(s):  
Community Pharmacy ◽  
Patient Care ◽  
Healthcare Providers ◽  
Pharmacy Practice ◽  
Community Based ◽  
Care Community ◽  
Implementation Model ◽  
Care Services ◽  
Community Pharmacy Practice ◽  
Payment Models

The rising costs of healthcare, increased chronic illnesses, and healthcare provider burnout has led to an environment desperate for scalable solutions to ease practice burdens. With a projected shortage in the number of primary healthcare providers available to provide team-based care, community-based pharmacy practitioners are accessible and eager to assist. In order to provide enhanced patient care services to aid their clinician colleagues, community-based pharmacists will have to transform their practices to support the provision of enhanced services and medication optimization in value-based payment models. The purpose of this article is to define how multiple factors in pharmacy, healthcare, technology and payment models aligned to create an opportunity for the Community Pharmacy Foundation and CPESN® USA to implement a nationwide community pharmacy practice model called ‘Flip the Pharmacy’.  This new model aims to scale community pharmacy practice transformation and move beyond filling prescriptions at a moment-in-time to caring for patients over time through a 24-month step-wise program paired with in-person pharmacist coaching. Preliminary observations from the first six months of the program highlight community pharmacy as a site of care with community-based pharmacist practitioners providing and documenting targeted patient care interventions.    Article Type: Commentary

Sudanese community pharmacy practice and its readiness for change to patient care

2014 ◽  
Vol 23 (4) ◽  
pp. 266-273 ◽  
Author(s):  
Sumia S.E. Mohamed ◽  
Adil A. Mahmoud ◽  
Abdulazim A. Ali
Keyword(s):  
Community Pharmacy ◽  
Patient Care ◽  
Pharmacy Practice ◽  
Readiness For Change ◽  
Community Pharmacy Practice

The Redesign of a Community Pharmacy Internship Program

2015 ◽  
Vol 29 (3) ◽  
pp. 224-227 ◽  
Author(s):  
Anthony J. Pattin ◽  
Sarah E. Kelling ◽  
Jim Szyskowski ◽  
Michelle L. Izor ◽  
Susan Findley
Keyword(s):  
Community Pharmacy ◽  
Patient Care ◽  
Personal Growth ◽  
Screening Program ◽  
Clinical Skills ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Community Pharmacy Practice ◽  
Assessment Measures ◽  
Practical Experiences

Background: Pharmacy internships provide students with practical experiences that lead to enhancement of clinical skills and personal growth. Objective: To describe the design and implementation of a structured 10-week summer pharmacy internship program in a supermarket chain pharmacy. Methods: The pharmacy leadership team developed and piloted a new format of the pharmacy internship during the summer of 2013. Pharmacy students in professional year 1 (P1), 2 (P2), and 4 (P4) were invited to apply for a paid internship. Pharmacy students were recruited from all colleges of pharmacy in the state of Michigan. The goal of the new program was to create a focused learning opportunity that encouraged students to develop knowledge, skills, and abilities about patient care, pharmacy management, and working within a team. Results: A total of 19 interns were recruited (P1 = 7, P2 = 7, and P4 = 5). Students practiced 40 hours per week and participated in the medication dispensing process and employee biometrics screening program. Interns provided approximately 500 assessments on pharmacy employees and all P1 and P2 interns completed a patient care project. Conclusions: The restructured internship program provided pharmacy students with a 10-week program that exposed them to many aspects of community pharmacy practice. The program needs future refinement and assessment measures to verify interns improve skills throughout the program.

scholarly journals The Role of the Pharmacist in Patient Care (Book Review)

2021 ◽  
Vol 2 (1) ◽  
pp. 01-18
Author(s):  
B.K Khanam
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Pharmacy Practice ◽  
Pharmacy Education ◽  
Care Process ◽  
Education Standards ◽  
Care Community ◽  
Care Services ◽  
Patient Care Process

Most people on the outside of the health care profession are not familiar with this new role of the pharmacist. The general public has created a stereotypical pharmacist's picture as being a person who stands behind a counter, dispenses medicine with some instructions to the respective consumer. Pharmacy practice has changed substantially in recent years. Today’s pharmacists have unique training and expertise in the appropriate use of medications and provide a wide array of patient care services in many different practice settings. As doctors are busy with the diagnosis and treatment of patients, the pharmacist can assist them by selecting the most appropriate drug for a patient. Interventions by the pharmacists have always been considered as a valuable input by the health care community in the patient care process by reducing the medication errors, rationalizing the therapy and reducing the cost of therapy. The development and approval of the Pharmacists’ Patient Care Process by the Joint Commission of Pharmacy Practitioners and incorporation of the Process into the 2016 Accreditation Council for Pharmacy Education Standards has the potential to lead to important changes in the practice of pharmacy, and to the enhanced acknowledgment, acceptance, and reimbursement for pharmacy and pharmacist services. As an author, it is my heartiest believe that the book will adjoin significant apprehension to future pharmacists in patient care as most of the portion created from recently published articles focusing pharmacists in patient care settings.

Pharmacist and Technician Perceptions of Tech-Check-Tech in Community Pharmacy Practice Settings

2017 ◽  
Vol 31 (2) ◽  
pp. 190-194 ◽  
Author(s):  
Timothy P. Frost ◽  
Alex J. Adams
Keyword(s):  
Community Pharmacy ◽  
Pharmacy Practice ◽  
Community Based ◽  
Practice Model ◽  
Data Synthesis ◽  
Common View ◽  
Community Pharmacy Practice ◽  
The Common ◽  
Pharmacy Technicians ◽  
Perceptions Of Safety

Objective: Tech-check-tech (TCT) is a practice model in which pharmacy technicians with advanced training can perform final verification of prescriptions that have been previously reviewed for appropriateness by a pharmacist. Few states have adopted TCT in part because of the common view that this model is controversial among members of the profession. This article aims to summarize the existing research on pharmacist and technician perceptions of community pharmacy–based TCT. Data Sources: A literature review was conducted using MEDLINE (January 1990 to August 2016) and Google Scholar (January 1990 to August 2016) using the terms “tech* and check,” “tech-check-tech,” “checking technician,” and “accuracy checking tech*.” Data Synthesis: Of the 7 studies identified we found general agreement among both pharmacists and technicians that TCT in community pharmacy settings can be safely performed. This agreement persisted in studies of theoretical TCT models and in studies assessing participants in actual community-based TCT models. Pharmacists who had previously worked with a checking technician were generally more favorable toward TCT. Conclusion: Both pharmacists and technicians in community pharmacy settings generally perceived TCT to be safe, in both theoretical surveys and in surveys following actual TCT demonstration projects. These perceptions of safety align well with the actual outcomes achieved from community pharmacy TCT studies.

scholarly journals Tech-Check-Tech in Community Pharmacy Practice Settings

2016 ◽  
Vol 33 (2) ◽  
pp. 47-52 ◽  
Author(s):  
Timothy P. Frost ◽  
Alex J. Adams
Keyword(s):  
Community Pharmacy ◽  
Patient Care ◽  
Relevant Literature ◽  
Pharmacy Practice ◽  
Direct Patient Care ◽  
Community Settings ◽  
Practice Model ◽  
Term Care ◽  
Institutional Settings ◽  
Community Pharmacy Practice

Objective: The benefit of a tech-check-tech (TCT) practice model in institutional settings has been well documented. To date, few studies have explored TCT beyond institutional settings. This article summarizes the existing evidence in community pharmacy–based TCT research with respect to dispensing accuracy and pharmacist time devoted to direct patient care. Data Sources: A literature review was conducted using MEDLINE (January 1990 to August 2016), Google Scholar (January 1990 to August 2016), and EMBASE (January 1990 to August 2016) using the terms “tech* and check,” “tech-check-tech,” “checking technician,” and “accuracy checking tech*”. Bibliographies were reviewed to identify additional relevant literature. Study Selection and Data Extraction: Studies were included if they analyzed TCT and were conducted in a community pharmacy practice site, inclusive of chain, independent, mass merchant, supermarket, and mail order pharmacies. Studies were excluded if the TCT practice model was conducted in an institutional or long-term care setting. Survey data on theoretical models of TCT in community pharmacy practice settings were also excluded. Data Synthesis: Over the past 14 years, 4 studies were identified indicating TCT has been performed safely and effectively in community settings. The studies demonstrate that trained community technicians perform as accurately as pharmacists and that TCT increased the amount of pharmacist time devoted to clinical activities. In the 2 studies that reported accuracy rates, pharmacy technicians performed at least as accurately as pharmacists (99.445 vs 99.73%, P = .484; 99.95 vs 99.74, P < .05). Furthermore, 3 of the studies reported gains in pharmacist time, with increases between 9.1% and 19.18% of pharmacist time for consultative services. Conclusions: The present studies demonstrate that TCT can be safe and effective in community pharmacy practice settings, with results similar to those found in institutional settings. It is anticipated more states will explore TCT in community settings in the years ahead as a strategy to improve patient care.

scholarly journals Comparing the Research Contributions of Community Pharmacy Foundation Funding on Practice Innovation Between Non-Academics and Academics

2017 ◽  
Vol 8 (3) ◽  
pp. 3 ◽  
Author(s):  
Anthony W Olson ◽  
Brian Isetts ◽  
Anne Marie Kondic ◽  
Jon Schommer
Keyword(s):  
Community Pharmacy ◽  
Patient Care ◽  
Quantitative Data ◽  
Qualitative Data ◽  
A Priori ◽  
Pharmacy Practice ◽  
Threshold Level ◽  
Original Research ◽  
Continuous Quality ◽  
Community Pharmacy Practice

Objective: Evaluate and compare the research contributions of Community Pharmacy Foundation (CPF) funding on community pharmacy practice innovation between non-academic and academic principal investigators (PIs) with respect to the following measurements: 1) “Pharmacy Practice Activity Classifications” (PPAC); 2) CPF “Coordinated Use of Medications”; and 3) CPF Investigator Impact. Methods: Quantitative data for all 124 CPF-funded grants awarded from 2002-2016 were obtained from the CPF website and personnel, while ethnographic qualitative data was generated from queries of PIs. Grant categorization was conducted by researchers serving as judges trained on the rules and procedures for coding. A threshold level of 90% agreement in scores of independent judging was established a priori. Findings were summarized and groups were compared using descriptive statistics for quantitative data and a thematic analysis of PI ethnographic reflections for qualitative data. Results: There were no differences between non-academic and academic PI groups for Coordinated Use of Medications and PPAC domains, but non-academics contributed more to two dispensing-related PPAC subclasses: ‘Preparing the Product’ (10% vs. 2%) and ‘Delivering the Medication or Device’ (13% vs. 2%). Analysis of investigator reflections revealed similarities between groups regarding impact on practice innovations, expanded collaborations, new practice tools, and patient-care financing models. Conclusions: CPF funding contributed new knowledge and resources for expanding and enhancing practice innovations as shown by quantitative (PPAC & Coordinated Use of Medications) and qualitative (PI impact) measures. Similarities between PI groups suggest that the CPF has established a funding niche with unique diversity of practice innovation opportunities. This investigation’s findings may be useful to the CPF’s continuous quality improvement efforts, as well as future grant applicants to assess research gaps in the medication use process and develop sustainable, transferable, and replicable patient-care innovations in community pharmacy practice. Conflict of Interest This program evaluation analysis was funded by the Community Pharmacy Foundation (CPF). Co-author Anne Marie Kondic is Executive Director and Grants Administrator for the Community Pharmacy Foundation. The ideas articulated in the manuscript are those of the authors to characterize historical CPF grant funding and do not necessarily indicate or impact future funding priorities.   Type: Original Research

scholarly journals Practice Change in Community Pharmacy: A Case Study of Multiple Stakeholders' Perspectives

2012 ◽  
Vol 3 (3) ◽  
Author(s):  
Shara Elrod ◽  
Margie E. Snyder ◽  
Deanne Hall ◽  
Melissa A. Somma McGivney ◽  
Randall B. Smith
Keyword(s):  
Community Pharmacy ◽  
Patient Care ◽  
Participant Observation ◽  
Pharmacy Practice ◽  
Practice Change ◽  
Care Practice ◽  
Structured Interviews ◽  
Community Pharmacy Practice ◽  
Multi Stakeholder

Objective: To obtain a multi-stakeholder perspective of community pharmacy practice change. Design: Qualitative study. Setting: Community pharmacy in rural Mississippi. Participants: Fourteen key stakeholders of the patient care practice including pharmacists (n=4), support staff (n=2), collaborating providers (n=4), patients (n=3), and a payer (n=1). Intervention: Semi-structured interviews and participant-observation techniques were used. Main outcome measures: Description of the community pharmacy's practice and business model and identification of practice change facilitators. Results: Change facilitators for this practice included: a positive reputation in the community, forming solid relationships with providers, and convenience of patient services. Communication in and outside of the practice, adequate reimbursement, and resource allocation were identified as challenges. Conclusions: This case study is a multi-stakeholder examination of community pharmacy practice change and readers are provided with a real-world example of a community pharmacy's successful establishment of a patient care practice.   Type: Case Study

scholarly journals Community-Based Pharmacy Practice Innovation and the Role of the Community-Based Pharmacist Practitioner in the United States

Pharmacy ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 106 ◽  
Author(s):  
Jean-Venable Goode ◽  
James Owen ◽  
Alexis Page ◽  
Sharon Gatewood
Keyword(s):  
United States ◽  
Health Care ◽  
Patient Care ◽  
Pharmacy Practice ◽  
The United States ◽  
Community Based ◽  
Care Services ◽  
Patient Health

Community-based pharmacy practice is evolving from a focus on product preparation and dispensing to becoming a health care destination within the four walls of the traditional community-based pharmacy. Furthermore, community-based pharmacy practice is expanding beyond the four walls of the traditional community-based pharmacy to provide care to patients where they need it. Pharmacists involved in this transition are community-based pharmacist practitioners who are primarily involved in leading and advancing team-based patient care services in communities to improve the patient health. This paper will review community-based pharmacy practice innovations and the role of the community-based pharmacist practitioner in the United States.

Sign in / Sign up

Export Citation Format

Share Document