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Pharmacy Practice Model Initiative Empowering Students to Become Empowering Students to Become Agents of Change

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Page 1: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Pharmacy Practice Model Initiative

Empowering Students to BecomeEmpowering Students to BecomeAgents of Change

Page 2: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Shhhhhhh…

For event updates:www.twitter.com/ASHPMidyear/ y

#ashpmidyear

Page 3: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Session AgendaSession Agenda 

• PPMI Overview 

• Practitioners Prospective 

• Interactive Session 

• Important Resources 

Page 4: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Goal:

Develop and disseminate a futuristic practice model 

that supports the effective use of pharmacists as 

direct patient care providers

www.ashp.org/PPMI

Page 5: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Pharmacy Has Come a Long way… 

2002 2008 2003 2008

1960’s

Unit Dose1990

Surfactant

1993

Pharmaceutical

Care

1.5% 21.5%

Bedside 

5.9% 11.4%

CPOE Barcode with CDS

Page 6: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Historical PerspectiveHistorical Perspective 

ASHP Hilton Head Conference, 1985

“ To bring about change within a diverse profession such as pharmacy one needs a large number ofsuch as pharmacy, one needs a large number of 

people pulling in the same direction. Before one can get folks pulling in the same direction, one needs g f p g ,

general agreement about the best direction in which to move.”

-William A. Zellmer

www.ashp.org/PPMI

Page 7: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Vision

The initiative and summit will create passion, pcommitment, and action among hospital and health‐system pharmacy practice leaders to significantly advance the health and well being of patients by 

optimizing the role of pharmacists in providing direct patient carepatient care. 

www.ashp.org/PPMI

Page 8: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Initiative and SummitInitiative and Summit

• Invitational Summit• Invitational Summit

• Social Marketing CampaignCampaign• Raise awareness 

• Stimulate discussionStimulate discussion 

• Disseminate the findings 

• Initiative Grants

Page 9: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

5 PPMI Focus Areas

1. Create a Framework 

2. Determine Services 

Id if E i T h l i3. Identify Emerging Technologies

4. Develop a Template p p

5. Implement Change 

www.ashp.org/PPMI

Page 10: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

PPMI Summit, Dallas, Texas, ,November 7 – 9, 2010

• Two‐day invitational event that included approximately 150 pharmacist participants

• Issue Briefings commissioned

• Plenary presentations and work groups followed y p g pby a consensus process to address key outcomes to develop a new pharmacy practice model

Page 11: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

PPMI Pre‐Summit Survey ResultsPPMI Pre‐Summit Survey Results

i id d i iDivided into Sections:

1. Overarching Principles

2. Services

3. Technology

4. Technicians

5. Implementing Change and Responding to Challenges5. Implementing Change and Responding to Challenges

Page 12: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Section 1:  Overarching Principles g p

• Consensus on the following principles:Opportunity to advance the health and well being of patients by changing the practice model

Financial press res ill force changes in hoFinancial pressures will force changes in how resources are used 

Every pharmacy department should identify drug‐y p y p y gtherapy management services provided consistently by pharmacists

I th i th ill b i i d dIn the coming years, there will be increasing demand among new pharmacy graduates for residency training

Page 13: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Section 2: ServicesSection 2: Services 

• Essential services should include:Tracking and trending pharmacist interventions

Medication reconciliation at transitions in care 

All patients deserve the care of a pharmacist. It is recognized that resources will need to be allocatedrecognized that resources will need to be allocated according to the complexity of patients and organizational needs. 

Page 14: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Section 3: TechnologySection 3: Technology 

• Technology priority order of importance:

Electronic medical record systems

Use of barcode technology during medication administration

Real‐time monitoring systems that provide a work queue of patients needing review and possible intervention

• Pharmacy residency programs should provide informatics training 

Page 15: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Section 4: TechniciansSection 4: Technicians 

Pharmacy technicians who have appropriate d i i i d d i l h ld b deducation, training, and credentials should be used to free pharmacists from drug distribution activities

Assigning medication distribution tasks to techniciansAssigning medication distribution tasks to technicianswould make it possible to deploy pharmacists to drug‐therapy management services

f l d d h ld l hUniform national standards should apply to the education and training of pharmacy technicians

To support optimal pharmacy practice models,To support optimal pharmacy practice models, technicians must be licensed by state boards of pharmacy

Page 16: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Section 5: Implementing ChangeSection 5: Implementing Change 

• Further support for the requirement of residency training 

• Support from health care executives, pharmacy department and clinical pharmacy leadership

Page 17: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Practitioners ProspectivePractitioners Prospective

Influencing others to buy into f g ychange…

Page 18: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

• Implementing the futuristic practice model will require incremental changes

Embracing change, not resisting change

Change management requires careful g g qplanning

• Addressing the conceptual, psychosocial, and g p , p y ,methodological aspects to change

• Examples of change in pharmacyp g p y

Page 19: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

• Experience with influencing others to buy into changechange 

Department

OrganizationalOrganizational

State

NationalNational

• How you will implement the outcomes of the summit in your own practice y p

Hold your own summit

Debate the hot topicsp

Residency training

Mentoring

Page 20: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

PPMI Case RoundtablesPPMI Case Roundtables

How are you going to be an y g gagent of change?

Page 21: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Timeline of SessionTimeline of Session• 10 minute10 minute brainstorming session

• 5 PPMI cases to discuss

• 3 groups will be g pchosen to present their case

• Wrap‐up and closing at 3:55 PM

Page 22: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

PPMI Case RoundtablesPPMI Case Roundtables

• Case #1Case #1Create a Framework

• Case #2D i S iDetermine Services

• Case #3Identify Emerging Technologies

• Case #4Develop a Template

• Case #5• Case #5Implement Change

Page 23: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

iliiliResources to Facilitate Resources to Facilitate InvolvementInvolvementInvolvementInvolvement

Arming you with tools to help g y padvance practice 

Page 24: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

How can YOU get involved?How can YOU get involved?

Page 25: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Virtual Participants Tweeted Group Pictures of their Sites

University of Cincinnati SSHP

John Hopkins Hospital Pharmacy

University of Cincinnati SSHP

Harding College of Pharmacy Henry Ford Pharmacy

Page 26: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Summit MaterialsSummit Materials

Page 27: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Perspectives and ResourcesPerspectives and Resources

Page 28: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Pharmacy SpotlightPharmacy Spotlight

Page 29: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Summit Webcast Archiveshttp://prestonevents.com/reg/ppmi/

Page 30: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

What’s Next?What s Next?

• Consensus Statements• Resources

Summit Proceedings (Spring 2011)Briefing Documents (Spring 2011)Self Assessments/Practice Based Tools

• Demonstration Grants• SSHP Recognition Projects• SSHP Recognition Projects

http://www.ashp.org/Import/MEMBERCENTER/StudentForum/StudentSocieties/Tools/Empowering‐Students.aspx

• Upcoming Meetings• Upcoming MeetingsSummer Meeting 2011 and MCM 2011 

Page 31: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Major ThemesMajor Themes

M i th h i t l t th ti t• Moving the pharmacist closer to the patient 

• Greatly expanding the role of a qualified technician workforce and the use of technologytechnician workforce and the use of technology

• Ensuring that pharmacy departments are accountable for the development andaccountable for the development and implementation of medication use policy to ensure safe and effective use of medications

• Working to assure pharmacists are accountable for patient outcomes. 

Page 32: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

Igniting your Passion for Change:Igniting your Passion for Change: 3 Take Home Points 

• Be Bold 

• Think Outside the Box 

• Hit the Ground Running 

Page 33: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care

For more information:

www ashp org/PPMIwww.ashp.org/PPMI

Email: [email protected] g

Page 34: Pharmacy Practice Model Initiative - ASHP Media · 2015-09-11 · Pharmacy Has Come a Long way… 2002Æ2008 2003Æ2008 1960’s Unit Dose 1990 Surfactant 1993 Pharmaceutical Care