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  • FIFTH COMMUNITY PHARMACY AGREEMENT CONSULTATION

    Current as at 30 June 2014

    FIFTH COMMUNITY PHARMACY AGREEMENT: OVERVIEW OF STAKEHOLDER CONSULTATION ACTIVITIES TO 30 JUNE 2014

    5CPA component Consultation activity With whom Timeframe Action taken in response 5CPA programmes Consumer views on the services

    and advice provided by pharmacies to consumers;

    The location of pharmacies; Issues relevant to competition

    between pharmacies; and Increased accountability of

    pharmacy owners for the professional pharmacy services provided to consumers.

    CHF December 2009 December 2010

    Advice provided informed policy options and negotiations for 5CPA.

    Medication Use Reviews (MedsCheck) and Diabetes Medication Management Service (Diabetes MedsCheck)

    Advice sought on patient eligibility for the MedsCheck and Diabetes MedsCheck pilots

    PRG

    December 2010 June 2012

    Inclusion of improved adherence to the aims of the programme.

    Use of broad patient eligibility criteria initially for the pilot that could be refined to inform the national roll-out.

    Added significant medical event and complexity/type of administration as an additional indicator to number of drugs included.

    The interim evaluation report was provided to the PRG on 1 February 2012 for comment. Further consultation may be undertaken following finalisation of the evaluation in April 2012.

    Two stage testing functionality of the Assessment Tool

    PSA AACP Guild Practising Community

    Pharmacists

    June 2011 and July 2011

    Feedback incorporated into Assessment Tool.

    Consultation on community pharmacy software requirements

    MSIA Finalised mid 2012 Developing vendor resource documents to inform possible open source software solutions linking dispense and claiming functions of the planned system.

  • Current as at 30 June 2014 2

    5CPA component Consultation activity With whom Timeframe Action taken in response Home Medicines Review (HMR)

    Development of new direct referral pathway to HMR

    PSA Guild AACP Other stakeholder

    consultations under 4CPA HMR research project

    December 2008 October 2011

    Implementation of a new direct referral pathway to HMR from 1 October 2011.

    Update of existing professional practice guidelines to incorporate the new referral pathway by PSA.

    Home Medicines Review (HMR)

    Development a hospital referral pathway for HMRs. HMR hospital referral pathway stakeholder consultation workshop 29 June 2012

    PRG Guild AACP State and Territory

    health departments RACP APHA ACSQHC SHPA AGPN Public consultation

    December 2008 Ongoing

    A consultation paper was released on 9 December 2011 and submissions closed on 20 January 2012. This paper was developed with input from PRG, and 75 submissions were received.

    Summary of the consultation responses provided to PRG for information on 19 April 2012.

    Further stakeholder consultations will be undertaken prior to finalisation of a HMR Hospital Referral Pathway.

    . Two hospitals selected (in Hobart and Melbourne) with the Department ready to commence, pending agreement on a commencement date with the Guild. A staggered national implementation is planned, which will be informed by data from the two initial sites.

    HMR (and other MMR programmes) changes

    PRG April 2013- ongoing Provide advice to inform options to restructure the HMR (and other MMR Programmes fee structure) to support programme sustainability and integrity.

    HMR research project to collate and assess evidence in order to recommend better targeting of HMR patient eligibility criteria

    SHPA PSA Guild PRG

    March 2013 ongoing

    Joint involvement in development of RFT Ongoing input into project outcomes.

    Residential Medication Management Review (RMMR)

    Development of requirement for RMMR services to be collaborative (referred by a general practitioner)

    PSA Guild Other stakeholder

    consultations under 4CPA RMMR research project

    May 2010 October 2011

    The change to require all reviews to be collaborative was implemented on 1 October 2011.

  • Current as at 30 June 2014 3

    5CPA component Consultation activity With whom Timeframe Action taken in response Development of policy changes to separate RMMR services from Quality Use of Medicines services. PRG members asked to seek views from their members/organisations regarding unforeseen impacts from 1 October 2011 changes to RMMR programme

    PSA Guild Other stakeholder

    consultations under 4CPA RMMR research project

    PRG

    May 2010 October 2011 August 2012

    Splitting payments for RMMR and QUM services from 1 October 2011.

    Update of the existing professional practice guidelines to incorporate changes to the RMMR programme.

    Provide feedback as it arises.

    Rural Pharmacy Workforce

    Eligibility changes to a number of elements of RPWP resulting from PhARIA update and restrictions to PhARIA 2-6

    ARHEN PSA Guild Pharmacy academics

    from various universities

    2011 Ongoing Consultation with AHREN, PSA and PRG undertaken.

    Changes resulting from update to PhARIA classification implemented in July 2012.

    Exceptional circumstance criteria under development by Guild for 1) Rural and Remote Continuing Education

    Allowance 2) Rural Intern Training Allowance 3) Intern Incentive Allowance for Rural

    Pharmacies. 4) Rural Student Placement Allowance.

    Advice on programme implementation, transitional arrangements and exceptions for the Rural Pharmacy Continuing Professional Education Allowance and the Rural Pharmacy Student Placement Allowance

    PRG December 2011 January 2012

    Consultation undertaken over mid 2011 - January 2012.

    Advice provided to PRG on 19 April 2012 regarding changes to RPWP.

    Rural Pharmacy Maintenance Allowance

    Development of an updated model, in the context of a changing rural index

    Guild DHS University of Adelaide

    Late 2010 July 2012

    Implementation complete and pharmacy owners advised where RPMA eligibility has not continued.

    An exceptional circumstance process is being managed by the Guild.

  • Current as at 30 June 2014 4

    5CPA component Consultation activity With whom Timeframe Action taken in response Section 100 Support Allowances to Remote Area Aboriginal Health Services (AHS)

    Consultation on potential changes to programme arrangements

    PRG Guild Other stakeholder

    consultations under 4CPA evaluation of Indigenous pharmacy programmes

    Over 250 attendees at the Indigenous Joint Forum

    2010-11 Ongoing

    Indigenous Joint Forum held in Melbourne on 26/27 March 2012 provided opportunities for further consultation with all delegates (over 250 delegates attended).

    Joint Forum outcomes have been collated, consolidated and considered by QUMAX Reference Group and the 5CPA PRG. No final decisions regarding programme changes have been made.

    Consultation on the recommendations from the Senate inquiry into the supply arrangements of PBS medicines to remote area AHSs (which included consideration of support arrangements)

    PRG

    November 2011 - ongoing

    Government is in the process of finalising its response to the Senate inquiry recommendations.

    QUM Framework to support rural and urban Aboriginal Health Services

    Consultation on potential changes to programme arrangements

    PRG Guild Other stakeholder

    consultations under 4CPA evaluation of QUMAX programme Over 250 attendees at the Indigenous Joint Forum

    2010-11 Ongoing

    Updated programme arrangements have been implemented.

    Indigenous Joint Forum held in Melbourne on 26/27 March 2012 provided opportunities for further consultation with all delegates (over 250 delegates attended).

    Joint Forum outcomes have been collated, consolidated and considered by QUMAX Reference Group and the 5CPA PRG.

    Taking into account the findings from the 4CPA evaluation of QUMAX, consultation on changes to the QUMAX programme

    QUMAX Programme Reference Group, made up of: DoHA Guild NACCHO PSA

    Ongoing The new QUMAX programme model has been developed in the context of input from all stakeholders and implemented.

    QRG met on 14 February 2012 and 8 March 2012 to discuss QUMSP and NACCHO State Affiliate support arrangements post 30 June 2012.

    QRG met on 22 June 2012 QUMSP and NACCHO State Affiliate support arrangements extended to 31 December 2012.

    From 1 Jan 2013, online education and training resources are being implemented to assist participating Aboriginal Health Services with their application, workplan and reporting requirements. Further assistance will also be available through Guild and NACCHO telephone hotlines.

  • Current as at 30 June 2014 5

    5CPA component Consultation activity With whom Timeframe Action taken in response Pharmacy Practice Incentive (PPI) and Accreditation PPI: Clinical

    Interventions by Pharmacists

    Consultation regarding priorities for programme funding under 5CPA

    Broad stakeholder input through PPSAC 4CPA Research & Development Steering Committee and 4CPA Research & Development project (PROMISe).

    October 2008 May 2010

    Inclusion of Clinical Interventions as a priority programme area in 5CPA.

    Activities to support the roll-out of the PPI Programme under 5CPA

    PSA, with Expert Reference Group involvement, including Guild, SHPA, APESMA, ACP, APC, AACP, PDL,

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