30 september 2016 professor stephen king chair pharmacy ... of hospital pharmacy services that ......

Download 30 September 2016 Professor Stephen King Chair Pharmacy ...  of Hospital Pharmacy Services that ... for patients to professional pharmacy services, an expansion of the ... community retail pharmacy setting must be

Post on 07-May-2018

215 views

Category:

Documents

3 download

Embed Size (px)

TRANSCRIPT

  • The Society of Hospital Pharmacists of Australia PO Box 1774 Collingwood Victoria 3066 Australia 03 9486 0177

    http://shpa.org.au - shpa@shpa.org.au ABN: 54 004 553 806

    30 September 2016

    Professor Stephen King Chair Pharmacy Remuneration and Regulation Review Department of Health Australian Government

    Via pharmacy.review@health.gov.au

    Dear Professor King,

    Submission to the Pharmacy Remuneration and Regulation Review

    Thank you for the opportunity for the Society of Hospital Pharmacists of Australia (SHPA) to make a submission to the Pharmacy Remuneration and Regulation Review.

    For nearly 80 years SHPA has represented and advocated for pharmacists working in hospitals and other healthcare settings to ensure the best possible care for patients.

    SHPA members lead the Pharmacy Departments at all 29 of the principal referral hospitals in Australia, as well as the vast majority of both Public Acute A and Public Acute B hospitals. Furthermore, 75% of all hospitals (public and private) have their Pharmacy Departments led by a SHPA member. SHPA members are also employed in a range of innovative outreach and liaison services in community healthcare settings.

    As leaders in pharmacy innovation our members are keenly interested in the outcomes of the Review. We hope that this submission, which outlines our belief that pharmacy should be directed by patient outcomes, and remunerated in line with other health professions, is of interest to the panel.

    Should you wish to discuss any of our comments we would welcome the opportunity to provide more information. Please feel free to contact Johanna de Wever, General Manager Advocacy and Leadership.

    Yours sincerely,

    Professor Michael Dooley Federal President

    Review of Pharmacy Remuneration and Regulation Submission #497; 30-Sep-2016; Society of Hospital Pharmacists of Australia

    http://shpa.org.au/mailto:shpa@shpa.org.aumailto:pharmacy.review@health.gov.au

  • Submission to:

    Pharmacy Remuneration and Regulation Review

    Professor Michael Dooley Federal President

    The Society of Hospital Pharmacists of Australia

    23 September 2016

    For further information email: shpa@shpa.org.au

    mailto:shpa@shpa.org.au

  • SHPA submission to Pharmacy Remuneration and Regulation Review (September 2016)

    2 | P a g e

    Contents Foreword ............................................................................................................................... 3

    Recommendations ................................................................................................................ 5

    About Pharmacist Contribution to Care ................................................................................. 7

    Definition of Pharmacy Services ........................................................................................... 9

    Pharmacy and Pharmaceutical Services in Australia........................................................... 10

    Regulatory Landscape ........................................................................................................ 11

    Pharmacy Remuneration for Dispensing ............................................................................. 16

    Regulation ........................................................................................................................... 33

    Hospital Pharmacies ........................................................................................................... 38

    Aboriginal Health Services .................................................................................................. 43

    Wholesaling, Logistics and Distribution Arrangements ........................................................ 48

    Accountability and Regulation ............................................................................................. 52

    Consumer Experience ......................................................................................................... 56

    Chemotherapy Arrangements ............................................................................................. 65

    Bibliography ........................................................................................................................ 69

    Index of Table and Figures Figure 1. Medicines Management Plan Pathway ...7

    Figure 2. Overview of Hospital Pharmacy Services that support MMP Pathway...8

    Figure 3. SHPA Model of Care ................................................................................................................................ 8

    Table 1. Dispensing fee remuneration- current vs proposed ..17

    Table 2. Example of implementation of proposed dispensing remuneration model ...18

    Table 3. Contrast of current CPA PBS medication funding model with uniform ..22

    Table 4. Model for MBS payment and tiered PBS payment for pharmacists. ..28

    Table 5. Risk categories that guide service selection ..31

    The Society of Hospital Pharmacists of Australia (SHPA) is the national professional organisation for more than 4000 pharmacists, pharmacists in training, pharmacy technicians and associates working across Australias health system. SHPA is the only professional pharmacy organisation with a core base of members leading pharmacy practice in public and private hospitals and other health service facilities. SHPA is committed to facilitating the safe and effective use of medicines, which is the core business of pharmacists, especially in hospitals. SHPA supports pharmacists to meet medication and related service needs, so that both optimal health outcomes and economic objectives are achieved for Australians, as individuals, for the community as a whole and for healthcare facilities within our systems of healthcare.

  • SHPA submission to Pharmacy Remuneration and Regulation Review (September 2016)

    3 | P a g e

    Foreword In todays dynamic health landscape the role played by pharmacists in supporting patient outcomes through management of medicines and the provision of professional pharmacy services is drawing increasing interest and attention from health policymakers. Managing medicines remains a substantial challenge for contemporary society. Even as community expectations of health and medical treatments grow, the sub-optimal management of medicine contributes to life-shortening outcomes for vulnerable populations, evidenced by the 230,000 medication related hospital admissions each year (ACSQHC, 2013). With almost half of Australians experiencing a chronic health condition (AIHW, 2016) requiring regular medicine use, a consensus is growing around the benefit of greater access for patients to professional pharmacy services, an expansion of the role of pharmacists in a variety of healthcare settings to assist other health and medical professionals, and a recognition of the valuable role played by pharmacists as key members of the multi-disciplinary healthcare team. In 2016 hospital pharmacists continue to lead innovation in the provision of professional pharmacy services for people taking the most complex and expensive medicines, including those listed on the PBS. Twenty per cent of PBS expenditure is managed by pharmacists based in public or private hospitals, so The Society of Hospital Pharmacists of Australia (SHPA), Australias fastest growing professional pharmacy organisation welcomes the opportunity to make a submission to the Pharmacy Remuneration and Regulation Review. For nearly 80 years SHPA has represented and advocated for pharmacists working in hospitals and other healthcare settings in relation to ensuring the best possible care for patients. Whilst not as numerous as pharmacists in community pharmacy hospital pharmacists operate at the highest levels of pharmacy and healthcare, and represent the greatest expertise in the design and development of professional pharmacy services to support positive patient health outcomes. SHPA members lead the Pharmacy Departments at all 29 of the principal referral hospitals in Australia, as well as the vast majority of both Public Acute A and Public Acute B hospitals. This includes the largest and most highly regarded hospitals in the country including the Alfred Hospital, Royal Brisbane & Womens Hospital, Prince of Wales Hospital, Monash Medical Centre, Royal Perth Hospital, Austin Hospital, Royal Hobart Hospital, Westmead Hospital, Concord Repatriation General Hospital, Canberra Hospital and Townsville Hospitals and many others. Furthermore, 75% of all hospitals (public and private) have their Pharmacy Departments led by a SHPA member. SHPA members are also employed in a range of innovative outreach and liaison services in community healthcare settings. The Review of the Pharmacy Remuneration and Regulation Discussion Paper provides a welcome opportunity for pharmacists who work in healthcare settings including hospitals to draw on their expertise in providing patient-centred care. Often dispensing the same medicines, facing some of the same challenges and utilising many of the same bureaucratic structures, pharmacists working in hospitals provide care for people at their sickest. The expertise of our members in the development, provision and prioritisation of pharmacy services in constrained fiscal environments, including the funding of medicines is extremely relevant to the remuneration and regulation of Australias pharmaceutical landscape and broader healthcare system. In Australia pharmacy services have traditionally been divided into largely separate spheres of pharmacy activity: those within a community retail pharmacy; and those in institutional setting such as hospitals. Despite many shared elements

Recommended

View more >