Role of the Community Role of the Community Pharmacy in Early Pharmacy in Early Detection of COPDDetection of COPD

Walgreens Health InitiativesWalgreens Health Initiatives

Tim Buckley, RRTTim Buckley, RRT

Tucson, ArizonaTucson, Arizona

GoalsGoals

• Increase early detection and Increase early detection and awareness of COPDawareness of COPD

• Introduce RT and Homecare to the Introduce RT and Homecare to the Walgreen Drug StoresWalgreen Drug Stores

Combined EffortCombined Effort

• AARCAARC– Kelli HagenKelli Hagen

• NLEHPNLEHP– Dr Paul EnrightDr Paul Enright– Dr Tom PettyDr Tom Petty– Louise NettLouise Nett

• ALA of Az.ALA of Az.– Jennifer JonesJennifer Jones

• Tyco Puritan Tyco Puritan BennettBennett– Johnny Drake– Chris Graceffa

• AZ Society for AZ Society for Respiratory CareRespiratory Care– Mike GammieMike Gammie

• WHI HomecareWHI Homecare

Market SelectionMarket Selection

• Tucson, Arizona selectedTucson, Arizona selected– Walgreens mid-sized market Walgreens mid-sized market

• 36 stores36 stores

– Innovative programs welcomedInnovative programs welcomed• Managers are used to experimentsManagers are used to experiments

– March is the end of a long cold winterMarch is the end of a long cold winter

PlanningPlanning

• Conference Call Conference Call with AARC and with AARC and NLHEPNLHEP

• Contacted Dr. Contacted Dr. EnrightEnright

• Contacted AZ Contacted AZ Society for Society for Respiratory CareRespiratory Care

• Contacted Tyco Contacted Tyco PBPB

• Contacted ALA of Contacted ALA of AZAZ

• Walgreens Health Walgreens Health ServicesServices

• Walgreens Walgreens Marketing Marketing DepartmentDepartment

AdvertisingAdvertising

• RadioRadio– Targeted to over Targeted to over

45 population45 population– Tucson was Tucson was

inexpensiveinexpensive

• Newspapers (roto Newspapers (roto ad)ad)– It goes out every It goes out every

SundaySunday

• TV, PSA’sTV, PSA’s– AARC Developed AARC Developed

PSA, added Tag-PSA, added Tag-lineline

– ALA InterviewALA Interview

• In-Store PostersIn-Store Posters– To stores in To stores in

Tucson Market 30 Tucson Market 30 days aheaddays ahead

Training Training • Half Day SessionHalf Day Session

– All volunteersAll volunteers– Overview of Overview of

ProjectProject– Hands-on with Hands-on with

Spirometer & Spirometer & PrinterPrinter

– Interpretation of Interpretation of resultsresults

– CounselingCounseling– Review of Review of

education education materials in materials in packetpacket

InformationInformation

• Patient PacketPatient Packet– Test resultsTest results– Recommendation Recommendation

to bring them to to bring them to their MDtheir MD

– Explanation of Explanation of results (Spanish)results (Spanish)

– Information on Information on COPD from AARCCOPD from AARC

– RT Propaganda RT Propaganda from AARCfrom AARC

– Resources for Resources for Smoking Smoking CessationCessation• AZ AirwaysAZ Airways• ALA ProgramALA Program

Screenings

• March 5th - March 17th, 2001

• 3 hours each• 2 per day• Morning,

afternoon, and evening

• 10 high traffic stores, 2 each

StaffingStaffing

• AZSRCAZSRC– Mike GammieMike Gammie– RTsRTs– PMI StudentsPMI Students– PCC StudentsPCC Students

• WHIWHI– Homecare RTs for Homecare RTs for

each screeningeach screening

• ALA of ArizonaALA of Arizona– sponsored two sponsored two

sessions providing sessions providing volunteers to fully volunteers to fully staff each sessionstaff each session

• Tyco Puritan Tyco Puritan BennettBennett– Chris GraceffaChris Graceffa– Johnny DrakeJohnny Drake

SessionsSessions

• Set up in Set up in Pharmacy areaPharmacy area

• 4 to 6 spirometers4 to 6 spirometers• 1 printer1 printer• PacketsPackets• Chairs and Card Chairs and Card

TableTable

ResponseResponse

• Typically there Typically there were 30-35 were 30-35 people per three people per three hour sessionhour session

• One evening One evening session tested 75 session tested 75 people in three people in three hourshours

ResultsResults

• We tested 929 We tested 929 patients in 20 patients in 20 screeningsscreenings

• Over 30% had Over 30% had some indication of some indication of Obstructive Obstructive Airway DiseaseAirway Disease

• Some obviously Some obviously had COPDhad COPD

What We LearnedWhat We Learned

• 6 to 9 month lead 6 to 9 month lead timetime– Advertising scheduleAdvertising schedule

• Pick good Pick good partnerspartners

• Need someone to Need someone to championchampion

• Native Spanish Native Spanish SpeakersSpeakers

• Need more Need more experienced RTsexperienced RTs– Students did not have Students did not have

experienceexperience

• Store Managers Store Managers need to be more need to be more involved in involved in planningplanning

Future PlansFuture Plans

• Examining future possibilitiesExamining future possibilities– New leadershipNew leadership– Marketing focusMarketing focus

• Coordinate with current WHI Coordinate with current WHI homecare locationshomecare locations

• Multiple Markets at once, are hard Multiple Markets at once, are hard with our resourceswith our resources