scholarly journals Building Community Pharmacy Work System Capacity for Medication Therapy Management

2012 ◽  
Vol 3 (3) ◽  
Author(s):  
Jon C. Schommer ◽  
Katerina Goncharuk ◽  
Andrea L. Kjos ◽  
Marcia M. Worley ◽  
James A. Owen

Questions within and outside of the pharmacy profession frequently arise about a community pharmacy's capacity to provide patient-care services and maximize contributions to public health. It is surmised that community pharmacy locations must possess specific attributes and have identifiable resources within the location to effectively initiate and optimize their capacity to deliver patient care services in conjunction with medication distribution and other services. The purpose of this paper is to describe three research domains that can help pharmacies make the transition from "traditional" business models to "patient care centered" practices: (1) Work System Design, (2) Entrepreneurial Orientation, and (3) Organizational Flexibility. From these research domains, we identified 21 Work System Design themes, 4 dimensions of Entrepreneurial Orientation, and 4 types of Organizational Flexibility that can be used in combination to assist a practice location in transforming its business model to a "patient care centered" practice. The self-assessment tools we described in this paper could help realign an organization's activities to initiate and optimize capacity for patient care.   Type: Idea Paper

Author(s):  
Haneen Amawi ◽  
Sayer Alazzam ◽  
Tasnim Alzanati ◽  
Neveen Altamimi ◽  
Alaa Hammad ◽  
...  

Background: The use of health-related applications (apps) on smartphones has become widespread. This is especially of value during the ongoing SAR-COV-2 pandemic, where the accessibility for health care services has been greatly limited. Patients with free access to apps can obtain information to improve their understanding and management of health issues. Currently, there are cancer-related apps available on iPhones and androids. However, there are no guidelines to control these apps and ensure their quality. Furthermore, these apps may significantly modify the patients’ perception and knowledge toward drug-related health services. Objective: The aim of this study was to assess the convenience, quality, safety and efficacy of apps for cancer patient care. Methods: The study was conducted by searching all apps related to cancer care on both Google Play Store and Apple iTunes Store. A detailed assessment was then performed using the mobile application rating scale (MARS) and risk assessment tools. Results: The results indicated that on a scale from 1-5, 47% of the apps were rated ≥ 4. The MARS assessment of the apps indicated an overall quality rating of 3.38 ± 0.9 (mean ± SD). The visual appeal of the app was found to have a significant effect on app functionality and user engagement. The potential benefits of these apps come with challenges and limitations. Patents related to smartphone applications targeting patients were also discussed. Conclusion: We recommend a greater emphasis toward producing evidence-based apps. These apps should be rigorously tested, evaluated and updated by experts, particularly clinical pharmacists. Also, these may alter patient attitudes toward services provided by physicians and pharmacists. Finally, these apps should not replace in-person interactive health services.


2015 ◽  
Vol 55 (6) ◽  
pp. 642-648 ◽  
Author(s):  
Jennifer L. Rodis ◽  
Timothy R. Ulbrich ◽  
Brandon T. Jennings ◽  
Betsy M. Elswick ◽  
Rebekah Jackowski McKinley

2015 ◽  
Vol 11 (2) ◽  
pp. 241-252 ◽  
Author(s):  
Nicole L. Olenik ◽  
Jasmine D. Gonzalvo ◽  
Margie E. Snyder ◽  
Christy L. Nash ◽  
Cory T. Smith

2006 ◽  
Vol 46 (3) ◽  
pp. 378-384 ◽  
Author(s):  
Kelly A. Brock ◽  
Kristin A. Casper ◽  
Tara R. Green ◽  
Craig A. Pedersen

2011 ◽  
Vol 2 (1) ◽  
Author(s):  
Amie Jo Digatono

Objective: To describe Medication Therapy Management (MTM) services in Minnesota, quantifying how many patient encounters occur per week and compiling provider and practice site characteristics. Design: Cross-sectional study. Setting: Minnesota practice sites surveyed in June and July 2010. Participants: MTM providers in Minnesota who are registered users of the Assurance™ documentation system or are members of the Minnesota Pharmacists Association MTM Academy. Intervention: Self-administered online questionnaire completed by study participants. Main Outcome Measures: The number of patient encounters per week, practice site location, practitioner length of time as a MTM service provider, and the motivating factors for providing direct patient care services. Results: There were 56 respondents, reporting a median of 5 MTM patient encounters per week (range 0 to 35) and a median length of service of 4 years (range15). Clinic-based practices were reported by 66% of providers and community pharmacy-based practices by 30%. Eighty-five percent practice in an urban setting, 9% in a large rural town and 6% in a small rural town. Nearly half (46%) of providers are the sole practitioner at their site. The most commonly cited motivation for providing direct patient care services was to improve patient outcomes. Conclusion: MTM service providers in Minnesota were more likely to report practicing in an urban area and in a clinic. Many practices were low-volume or newly established, with half of all respondents reporting 5 or fewer MTM patient encounters per week and a length of service of four years or less. Type: Student Project


2013 ◽  
Vol 53 (2) ◽  
pp. e125-e131 ◽  
Author(s):  
Jon C. Schommer ◽  
James A. Owen ◽  
Gina M. Scime ◽  
Marsha K. Millonig

2020 ◽  
Vol 11 (3) ◽  
pp. 22
Author(s):  
Anne Marie Kondic ◽  
Troy Trygstad ◽  
Randy McDonough ◽  
Matt Osterhaus

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


2014 ◽  
Vol 5 (2) ◽  
Author(s):  
Corey A. Lester ◽  
Jennifer L. Helmke ◽  
Tana N. Kaefer ◽  
Leticia R. Moczygemba ◽  
Jean-Venable R. Goode

Objective: The objective of this study was to develop and evaluate a process for integrating components of medication therapy management services into a community pharmacy workflow. Secondary objectives were to evaluate outcomes as well as patient and pharmacist satisfaction with this change. Methods: This prospective, 3-month observational study took place in a small, independent community pharmacy. This intervention included a redesigned work system that included a seated private desk area and focus on the pharmacist, rather than the technician, being the first contact when patients entered the pharmacy. Pharmacists participated in a focus group before and after the implementation of the new workflow to better understand the delivery of the intervention and assess satisfaction. Process outcomes included time spent with the patient, the number of medication-related problems identified and recommendations made, the type of disease education provided, type and number of immunizations administered, and health monitoring tests performed. Patient satisfaction surveys were distributed after completing the intervention during the third month of the study. Results: A total of 56 patients were enrolled in this study resulting in 82 encounters. Forty medication-related problems, including experiencing an adverse drug reaction and ineffective therapy, were identified with recommendations made to patients or prescribers. Disease education, such as goals of therapy, was provided 46 times. Health monitoring tests, such as blood pressure, were performed 16 times and eight immunizations were administered. The revised workflow incorporating components of MTM services was successful in that 39% of encounters were less than two minutes and 49% of encounters were between two and five minutes in length. Only 12% of encounters were greater than five minutes. Overall, patients were very satisfied with the intervention. Pharmacists responded positively, but expressed concern that the changes to the work system prevented them from overseeing technician functions. Conclusion: Pharmacists in community practice are able to provide components of medication therapy management services during a brief, face-to-face interaction with patients. Overall, patients and pharmacists were satisfied with the changes to the pharmacy work system and that additional work system changes are needed to further expand the role of the community pharmacist and facilitate patient-pharmacist interactions.   Type: Original Research


2007 ◽  
Vol 15 (5) ◽  
pp. 271-275
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