speaker template...pharmacy technician stakeholder consensus conference zellmer wa, et al. am j...

8/21/2020

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PLEASE JOIN US IN USING POLL EVERYWHERE

How to Structure a Pharmacy Technician Advancement Program

Kelsey Bridgeman, PharmD

PGY-2 Health-System Pharmacy Administration & Leadership Resident

Northwestern Memorial Hospital

Elise Wozniak, PharmDPharmacy Manager

Northwestern Memorial Hospital

Conflict of Interest

• The speaker and project advisor have nothing to disclose in relation to this presentation.

Learning Objectives

• Recognize the current framework for pharmacy technician training for advanced roles

• Describe examples of successful implementation of technician advancement programs

Pharmacy Technician Training & Certification

The 2020 ASHP Pharmacy Forecast predicts pharmacy technicians will be required to take on advanced roles

and distributive tasks

Additional education and training is necessary to

prepare technicians to take on more advanced roles

The requirements for pharmacy technician

training and education vary from state to state

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Pharmacy Technician Education & Training

• There are currently no uniform education and training requirements for pharmacy technicians– No requirements for any formal training beyond GED

– Formal training/certification required

• Each state board of pharmacy responsible for defining the standards and qualifications needed to practice as a technician– Technicians are not required to be registered in all states

• Several national pharmacy organizations have released statements advocating for the adoption of entry-level education and training requirements

Mattingly AN. Am J Healthy-Syst Pharm. 2018;75(14):1057-1063.Zellmer WA, et al. Am J Health-Syst Pharm. 2017;74:1321-1332.

Entry-level practice requirements of pharmacy technicians across the United States: A reviewMattingly AN. Am J Health-SystPharm. 2018;75:1057-63.

• To determine the entry-level requirements for U.S. pharmacy technicians across the 50 states and the District of Columbia in terms of education, training, and certification Purpose

• American Society for Health-System Pharmacists (ASHP), American Pharmacists Association (APhA), National Association of Boards of Pharmacy, and the Council on Credentialing in Pharmacy advocate for the standardization of entry-level requirements for pharmacy technicians

Background

• Google search to locate the board of pharmacy website for each state and the District of Columbia statutes and regulations identifiedDesign

• Of the 50 states and the District of Columbia, 86% of jurisdictions (44 states) required board registration to practice as a technician

Results

Pharmacy Technician Training Education requirements

Mattingly AN. Am J Healthy-Syst Pharm. 2018;75(14):1057-1063.

No certification or education/training

41%

Certification only10%

Education/training only8%

Certification or education/training

13%

Certification and education/training

14%

No registration or licensure14%

Illinois Licensure Requirements

• Registered Pharmacy Technician– Age 16 years or above

– Currently attending or graduated from an accredited high school

• Registered Certified Pharmacy Technician – Within 2 years after initial licensure as registered technician, licensee must meet requirements

to become licensed as registered certified technician

– Age 18 years or above

– Graduate from pharmacy technician training

– Successfully pass examination by the National Commission for Certifying Agencies

• Continuing Education (ACPE approved CE credit hours)– 20 hours during 24 months preceding expiration date of certificate

– 1 hour must be in subject of pharmacy law, one hour must be in subject of patient safety

IDFPR. Pharmacy Technician New Application Checklist. Available at: http://www.idfpr.com/Forms/Online/PharmacyTechnician. Accessed April 24, 2020.

Standardizing the practice of pharmacy technicians Pharmacy Technician Stakeholder Consensus Conference

Zellmer WA, et al. Am J Health-Syst Pharm. 2017;74:1321-1332.

• Conference sponsored by the Pharmacy Technician Certification Board

• Hosted in 2017 in collaboration with the Accreditation Council for Pharmacy Education (ACPE) and ASHP

Description

• To provide recommendations regarding the definition, education, entry-level requirements, advanced practices, certifications, and regulation of pharmacy technicians

• Stakeholder attendees were polled on their level of agreement regarding various statements associated with unresolved pharmacy technician topics

Purpose

• >60% agreed that the variability of state regulations regarding pharmacy technicians should be minimized

• >70% agreed that state boards of pharmacy should require technicians to complete continuing education or other professional development activities for continued registration or licensure

State laws and regulations for pharmacy technicians

• 75% agreed that state boards of pharmacy should require new pharmacy technicians to obtain national certification for registration or licensure

• 60% agreed state boards of pharmacy should require technicians to maintain national certification for continued registration or licensure

Pharmacy technician certification



http://www.idfpr.com/Forms/Online/PharmacyTechnician

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• >65% agreed that the pharmacy profession should clearly articulate and communicate the vision for advanced pharmacy technician practice and disseminate the vision to appropriate stakeholders

• >65% agreed that specific advanced-level educational programming for technicians is needed, available, and will continue to evolve as needs within the profession are identified

Advanced pharmacy technician practice



Pharmacy Technician Certification Programs


Certified Pharmacy

Technician (CPhT)

Billing and reimbursement

certificate

NHA CPhT(ExCPT exam)

Compounded sterile preparation certificate

Hazardous drug management

certificate

PTCB CPhT(PTCE exam)

Controlled substance diversion prevention

Technician product verification certificate

Medication history certificate

Advanced pharmacy technician

certification(CPhT-Adv)


Certified Pharmacy

Technician (CPhT)


certificate




certificate







PTCB Certified Pharmacy Technician (CPhT)

• Eligibility criteria for earning Pharmacy Technician Certification Board (PTCB) CPhT certification:– Completion of a PTCB-recognized education/training program (>1,400 recognized

programs) OR equivalent work experience as a pharmacy technician (≥500 hours)

– Full disclosure of all criminal and State Board of Pharmacy registration or licensure actions

– Passing score on the Pharmacy Technician Certification Exam (PTCE)

• PTCB-recognized education/training program directory available on PTCB website

Pharmacy Technician Certification Board. Certified Pharmacy Technician . Available at: http://www.ptcb.org/credentials/certified-pharmacy-technician. Accessed April 19, 2020.


Certified Pharmacy

Technician (CPhT)


certificate




certificate







http://www.ptcb.org/credentials/certified-pharmacy-technician

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NHA Certified Pharmacy Technician (CPhT)

• Eligibility criteria for earning National Healthcareer Association (NHA) CPhTcertification:– Possess high school diploma or the equivalent

– Completion of NHA recognized education/training program within the last five years OR completion of at least 1,200 hours of supervised pharmacy related work experience within any one year in the last three years

– Passing score on the ExCPT pharmacy technician certification examination

• NHA-recognized education/training program directory available in the Candidate Handbook on the NHA website

National Healthcareer Association. Pharmacy Technician Certification. Available at: http://www.nhanow.com/certification/pharmacy-technician. Accessed April 22, 2020.


Certified Pharmacy

Technician (CPhT)


certificate




certificate







PTCB Certified Compounded Sterile Preparation Technician (CSPT)

• Eligibility criteria for earning PTCB CSPT certification:– Completion of a PTCB-recognized education/training program for the CSPT program

AND one year of full-time continuous compounded sterile preparation work experience

OR

– Three years of full-time continuous compounded sterile preparation work experience

– Passing score on the CSPT exam

• PTCB-recognized education/training program directory available on PTCB website

Pharmacy Technician Certification Board. Certified Compounded Sterile Preparation Technician . Available at: http://www.ptcb.org/credentials/certified-compounded-sterile-

preparation-technician. Accessed April 19, 2020.

Assessment-Based Certificate Programs

• Eligibility criteria: Active PTCB CPhT and completion of a PTCB-recognized education/training program

Technician product verification (tech-check-tech)

Medication history



Controlled substance diversion prevention*

Immunizations*

*coming soonPharmacy Technician Certification Board. Medication History Certificate . Available at:

http://www.ptcb.org/credentials/medication-history-certificate. Accessed August 9, 2020.


Certified Pharmacy

Technician (CPhT)


certificate




certificate







Advanced Certified Pharmacy Technician (CPhT-Adv)

• Certification coming soon

• Eligibility criteria for earning CPhT-Adv certification:

– Active PTCB CPhT certification

– Completion of at least four of the certificate programs

– 3 years of work experience

• Will require additional CE hours to maintain certification

Pharmacy Technician Certification Board. PTCB Credentials. Available at: http://www.ptcb.org/credentials. Accessed August 9, 2020.



http://www.ptcb.org/credentials/

http://www.ptcb.org/credentials

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Which of the following is true related to pharmacy technician certification & training for advanced roles?

A. The same eligibility criteria apply for earning CPhT certification through PTCB and NHA

B. Advanced pharmacy technician certification (CPhT-Adv) is available through PTCB and NHA

C. NHA and PTCB provide examinations that, if passed, award the title of certified pharmacy technician

D. One must complete at least two of the PTCB-offered certification programs to attain advanced pharmacy technician certification status (CPhT-Adv)

Advanced Pharmacy Technician Roles

Benefits of Advanced Technician Roles

• Evidence supports the safe and effective performance of pharmacy technicians in advanced practice

• Additional education and training of technicians for advanced roles provides increased job satisfaction and structure for career advancement/pay scale

• The expansion of pharmacy technician roles to include non-clinical roles traditionally carried out by pharmacists allows for increased pharmacist time to engage in clinical activities

• Potential for increased revenue through expanded clinical services

Adams AJ, et al. Ann Pharmacother. 2019;53(5):545-547.Newby B. Am J Health-Syst Pharm. 76(6):398-402.

Advancements in Pharmacy Technician Roles

Pharmacy Technician

Tech-check-tech

Kit check

Decentralized technicians

Patient care advocates

Medication Reconciliation

Discharge technician

Informatics technician

Pharmacy purchasing

Sterile compounding coordinator

ASHP. Advanced Pharmacy Technician Roles. Available at: http://www.ashp.org/Pharmacy-Tachnician/About-Pharmacy-Technicians Accessed April 19, 2020.

Technician-led Medication History Programs

• Ensure position activities in alignment with what technicians are allowed to carry out

• Consider documentation workflow; documentation on paper or directly into the EHR

• Consider staffing structure; align technician coverage with peak admissions

• Consider all points of admission, including the ED, surgical direct admits, clinic direct admits, and transfers from other systems

• Take multidisciplinary approach; involve all disciplines in the process

• Identify metrics for tracking outcomes of program

ASHP Tips for implementation

ASHP. Tip List for Implementing a Pharmacy Technician Medication History Program. Available at: http://www.ashp.org/Pharmacy-Tachnician/About-Pharmacy-

Technicians/Advanced-Pharmacy-Technician-Roles-Toolkits. Accessed April 23, 2020.

Technician-led Medication Histories in the Emergency Department

• Goals of ED technician position– Provide an opportunity for an advanced pharmacy technician role to expand the

scope of services provided by technicians

– Increase the capacity for obtaining medication histories while patients are in the ED

– Enhance the accuracy of medication histories through the provision of dedicated pharmacy staff

• Anticipated benefits– Increased capture & accuracy of admission medication histories

– Increased visibility of pharmacy staff to patients and healthcare team

– Increased technician job satisfaction

Advanced pharmacy technician role in development at NMH

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Technician Advancement Programs &Career Ladder Development

Pharmacy Technician Career Ladder

• Establishing a pharmacy technician career ladder engages and empowers the pharmacy technician workforce

• Sample structure from the MD Anderson Cancer Center:

Entry-level technician

Hire date to 6 months

Pharmacy technician

6 months to 2 years

Advanced technician

2 years to 5 years

Analyst/Educator technician role

5+ years

Franz N. Pharmacy Technician Workforce: Advanced Credentials Support Innovative Roles. Oral Presentation at: ASHP Midyear Clinical Meeting; December, 2020; Las Vegas, NV.

Pharmacy Technician Career Ladder NMH Model & Future Directions


“Technician 3”

Specialized technician

“Hazardous Compounding Technician

3”

Advanced technician

“Technician Specialist”


“Technician 3”


“Sterile Compounding Technician 3”


“Hazardous Compounding Technician

4”

Advanced technician

“Technician Specialist”

Some of the benefits of implementing advanced pharmacy technician roles that are cited in literature include:

A. Increased pharmacy technician job satisfaction

B. Time alleviation for pharmacists to engage in more clinical/direct patient care activities

C. Opportunities for technician career ladder/advancement & structure for increased wages

D. All of the above

Acknowledgements

Ana Fernandez, CPhTPharmacy Technician ManagerNorthwestern Memorial Hospital

Elise Wozniak, PharmDPharmacy ManagerNorthwestern Memorial Hospital

References• Adams AJ, Desselle A, Austin Z, Fenn T. Pharmacy technicians are people, too! Let’s consider their personal outcomes along with other pharmacy outcomes.

Ann Pharmacother. 2019;53(5):545-547.

• ASHP. Advanced Pharmacy Technician Roles. Available at: http://www.ashp.org/Pharmacy-Technician/About-Pharmacy-Technicians Accessed April 19, 2020.

• ASHP. Tip List for Implementing a Pharmacy Technician Medication History Program. Available at: http://www.ashp.org/Pharmacy-Tachnician/About-Pharmacy-Technicians/Advanced-Pharmacy-Technician-Roles-Toolkits. Accessed April 23, 2020.

• Franz N. Pharmacy Technician Workforce: Advanced Credentials Support Innovative Roles. Oral Presentation at: ASHP Midyear Clinical Meeting; December, 2020; Las Vegas, NV.

• IDFPR. Pharmacy Technician New Application Checklist. Available at: http://www.idfpr.com/Forms/Online/PharmacyTechnician. Accessed April 24, 2020.

• Mattingly AN. Entry-level practice requirements of pharmacy technicians across the United States: a review. Am J Healthy-Syst Pharm. 2018;75(14):1057-1063.

• National Healthcareer Association. Pharmacy Technician Certification. Available at: http://www.nhanow.com/certification/pharmacy-technician. Accessed April 22, 2020.

• Newby B. Expanding the role of pharmacy technicians to facilitate a proactive pharmacist practice. Am J Health-Syst Pharm. 76(6):398-402.

• Pharmacy Technician Certification Board. Certified Pharmacy Technician . Available at: http://www.ptcb.org/credentials/certified-pharmacy-technician. Accessed April 19, 2020.

• Pharmacy Technician Certification Board. Certified Compounded Sterile Preparation Technician . Available at: http://www.ptcb.org/credentials/certified-compounded-sterile-preparation-technician. Accessed April 19, 2020.

• Pharmacy Technician Certification Board. PTCB Credentials. Available at: http://www.ptcb.org/credentials. Accessed April 19, 2020.

• Zellmer WA, McAllister EB, Silvester JA, Vlasses PH. Toward uniform standards for pharmacy technicians” Summary of the 2017 Pharmacy Technician Stakeholder Consensus Conference. Am J Health-Syst Pharm. 2017;74:1321-1332.




http://www.ptcb.org/credentials

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