June G. Javier, PharmD, BCPS Friday, April 17, 2015

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1 June G. Javier, PharmD, BCPS Friday, April 17, 2015

2 June Javier declares no conflicts of interest, real or apparent, and no financial interests in any company, product, or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria.

3 Review the state of Virginia law requirements for pharmacy technician registration Review the Pharmacy Technician Certification Board s current requirements for national certification Describe the criteria for ASHP-accredited pharmacy technician education programs and the role of the PTAC committee

4 Evaluate the curriculum of several nonaccredited and accredited pharmacy technician training programs in the state of Virginia Discuss the future requirements of pharmacy technician training programs as mandated by ASHP, the impact on the future of pharmacy practice, and the financial impact on pharmacy technicians Discuss the future requirements of pharmacy technician training programs, how current technician roles will change with expanded training and resources, and the financial impact of standardized training

5 Number of Active Pharmacist and Pharmacy Technician Licenses Pharmacist to Technician Ratio PHARMACIST TECHNICIANS

6 Inventory Maintenance Computer data input Purchasing/inventory control Billing/insurance Assisting in outpatient prescription dispensing Prepackaging/repackaging Compounding nonsterile products Assisting in inpatient prescription dispensing Holding leadership and/or supervisory roles Compounding sterile products/i.v. admixtures

7

8 Regulated by the Virginia Board of Pharmacy Eligible candidates are granted a technician license Criteria Evidence that individual is of good moral character Satisfactorily completed* a training program A passing score on a board-approved examination OR Evidence of current PTCB certification *A technician can practice for no more than 9 consecutive months from the first day of enrollment into a board-approved technician training program

9 Board-Approved Training Program Objectives Prescription order entry and recordkeeping Prescription label preparation Inventory requirements Counting, measuring, or compounding of drugs Packaging, labeling and repackaging of drugs Stocking and loading of automated dispensing devices Refill authorization approvals

10 Board-approved exams SMT 50 questions Cost: $75.50 Registration renewal Annually by Dec. 31 st 5 CEUs ExCPT 120 questions Cost: $105 $25 fee

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12 Regulated by the Pharmacy Technician Certification Board (PTCB) Eligible candidates are granted National Certification Criteria High school diploma or equivalent Full disclosure of all criminal and State Board of Pharmacy registration or licensure actions Compliance with all applicable PTCB Certification policies Passing score on the Pharmacy Technician Certification Examination (PTCE)

13 Initial PTCE 90 questions PTCB Renewal Every 2 years 2 hours 20 CEU Cost: $129 Cost: $40 More than 500,000 technicians have been certified by PTCB in the US

14 PTCE Blueprint Domains Domain Description % Pharmacology Pharmacy Law/Regulations Sterile/Non-sterile Compounding 8.75 Medication Safety Pharmacy Quality Assurance 7.50 Medication Order Entry and Fill Process Inventory 8.75 Billing and Reimbursement 8.75 Information Systems

15 C.R.E.S.T. Initiative Consumer Awareness, Resources, Education, State Policy, and Testing C.R.E.S.T. Summit Recommendations PTCB Certification Program requirements PTCB recertification requirements Creation of new specialty certification programs C.R.E.S.T. Initiative Steering Committee 10 leaders in pharmacy Launched a profession-wide survey on above recommendations PTCB 2011 C.R.E.S.T. Summit:

16 Pre-Summit On-line Survey of Pharmacists and Pharmacy Technicians PTCB 2011 C.R.E.S.T. Summit:

17 Pre-Summit On-line Survey of Pharmacists and Pharmacy Technicians Support for regulatory or statutory requirements for CPhT designation establishment Agree that technicians have involvement in JCPP 2015 Vision implementation Identified pharmacy technicians performing tasks to free pharmacists for other tasks PTCB 2011 C.R.E.S.T. Summit:

18 March 2012 Survey of Pharmacists and Pharmacy Technicians 90 day online comment period through May 2013 Cross country open forums during 2013 CA, SC, WI, ND, TX

19 New Certification Criminal background check by 2014* ASHP-accredited pharmacy technician education program by 2020 *No longer a requirement as of 1/15/15 Re-Certification 1 hour of medication safety CE effective hours of pharmacy technician-specific CE by 2015 Allowable CE from college courses reduced from by 2016 No allowable in-service hours by

20 Certification The process by which a non-governmental association or agency grants recognition to an individual who has met certain predetermined qualifications specified by that association or agency Accreditation A system for declaring that a program or institution meets established quality standards to provide assurance and confidence to the public

21

22 Not currently mandated by any national organization Required per state regulations (if applicable) for technician training Training time can vary from 50 hours to over 1000 hours Training length can occur over a few weeks to years Program can be sponsored by employer or learning institution Curricular requirements of program are broad and generic Hands-on training is not required

23 Contact Hours 120 Program Length 6 months Cost $1025 Completion Objectives Certificate Dispensing prescriptions Compounding medications Stocking medications Repackaging medication Pharmacy law Brand/generic Calculations

24 Contact Hours 50 Program Length 10 weeks Cost $950 Completion Objectives Certificate Medical and pharmaceutical terminology Math calculations Pharmacy law and ethics Aseptic techniques Pharmacology

25 ASHP American Society of Health-System Pharmacists Accredits pharmacy technician programs and pharmacy residencies ACPE Accreditation Council for Pharmacy Education Accredits Doctor of Pharmacy degree programs and continuing education programs for pharmacists and pharmacy technicians

26 Began work in Fall 2014 Replaces previous accrediting agency, Commission on Credentialing Will consists of 9 voting members and 3 non-voting members Will grant accreditation based on the Accreditation Standards for Pharmacy Technician Education and Training Programs Tasked with assuring and advancing the quality of pharmacy technician education and training programs

27 Will conduct document reviews, site surveys, and advise ASHP and ACPE boards of directors Review applications for accreditation of training programs Evaluate programs for accreditation status Make recommendations related to PTAC activities and services Solicit and receive input from stakeholders

28 Accredited by ASHP and ACPE Minimum 600 hours of training time Training must include: Didactic minimum of 160 hours Laboratory minimum of 80 hours Experiential minimum of 160 hours Minimum of 15 weeks of training Experiential activities in at least 2 different practice settings Must have physical contact experience

29 Program may be conducted by health care organization, proprietary organization, or academic institution Trainee must be provided with information related to salary expectations and regulatory issues A program director must be designated Pharmacist CPhT Pharmacy technician who has completed an ASHPaccredited training program An advisory committee

30 Model Curriculum for Pharmacy Technician Training Published at no charge by ASHP Nationwide project to standardize programs Consists of 4 components Goal statements, objectives, and instructional objectives Curriculum map Instruction modules with descriptors Tracking document Am J Health-Syst Pharm-Vol 58 June 1, 2001

31 Ethical Conduct Professional Image Communication Respectful Attitude Self-Management Interpersonal Skills Critical Thinking Health Care Delivery Wellness Promotion Disease Prevention Commitment to Excellence Science Skills Calculations Medication-use Process Pharmacy Trends Non-traditional Roles Emerging Therapies Medication-use Review Order Entry Identify Counseling Needs Stock Medications Distribute Medications Infection Control Special Handling

32 Medication Therapy Monitoring Maintain Facilities MSDS Sterile Compounding Non-sterile Compounding Hazardous Compounding Process Billing Claims Purchasing Products Reimbursement Procedures Medication Safety Tech-Check-Tech BLS Emergency Preparedness Medication Reconciliation Medication Therapy Management Current Technology Pharmacy Compliance Patient Confidentiality Quality Assurance Product Recall, Shortage, Error

33 Must be attending high school, possess high school equivalency, or be a high school graduate Be at least 18 years of age Evidence of commitment (to profession) Certificate/diploma must be awarded for successful completion only

34 Program Length 8 months Cost $17,796 Completion Objectives Certification Pharmacy administration Pharmaceutical calculations Anatomy and physiology Digestive, respiratory and reproductive systems Nutrition Medical terminology Pharmacology Health care systems

35 Program Length 65 weeks Cost $23, Completion Objectives Certification Anatomy Medical records and inventory control Medical Terminology Compounding Pharmacy ethics and law Computer operating systems Problem solving and critical thinking Job search coordination

36

37 The demand for pharmacists and pharmacy technicians continues to grow. It is projected that by 2022, the work force for pharmacists will be 14% larger than it is today. For technicians, it is anticipated to be 20% larger. ww.bls.gov

38 JCPP is the Joint Commission of Pharmacy Practitioners The vision: Pharmacists will be the health care professionals responsible for providing care that ensures optimal medication therapy outcomes The C.R.E.S.T. survey respondents identified current pharmacy technician roles and the anticipated roles forecasted to support JCPP 2015 aacp.org

39 Pre-Summit Results on Innovative Roles with Implementation of JCPP 2015 Community Pharmacy Setting Responses Current Technician Roles Increased Roles with JCPP 2015 Computer data input Inventory maintenance Billing/insurance Purchasing/inventory control Outpatient prescription dispensing Medication safety/quality positions Leadership/supervisory roles Pharmacy administrative support Maintaining/optimizing technology Tech-check-tech Health-System Pharmacy Setting Responses Current Technician Roles Increased Roles with JCPP 2015 Prepackaging/repackaging Compounding sterile/iv products Inpatient prescription dispensing Inventory maintenance Compounding non-sterile products Medication safety/quality positions Tech-check-tech Purchasing/inventory control Leadership/supervisory roles Med reconciliation participation

40 Advantages for Pharmacists More time working directly with patients Greater confidence and trust in delegating tasks when working with a certified technician Certification advantages Supports proper drug preparation and distribution Reduces the number of medication errors Improves patient safety

41 Need for national standard of certification Pharmacists and pharmacy technicians working together to accomplish JCPP 2015 Vision Innovative pharmacy technician roles to enhance practices such as MTM State and national recognition of pharmacy technicians Utilize pharmacy technicians in the transition of patient care model Create new specialty exams for pharmacy technicians Establish an advanced certified pharmacy technician designation

42 PHARMACY TECHNICIAN Median Salary: $29,320 Before Beyond ON-SITE TRAINING NON- ACCREDITED TRAINING ACCREDITED TRAINING No Cost $500-$5000 $2500-$30,000

43 Training Site Cost of accreditation Facility upgrades Faculty Pharmacy Technicians Cost of program Employers Tuition reimbursement Enhanced/innovative roles

44 A pharmacy technician must be nationally certified to practice in the state of Virginia. True False Slide #8 A technician can register after taking an approved program and state exam OR have national certification.

45 Which national pharmacy related organization is involved in pharmacy technician accreditation? ACPE ASHP PTAC A and B Slide #28 ASHP and ACPE have collaborated to establish accreditation guidelines for pharmacy technician programs.

46 The demand for pharmacy technicians is growing at a faster pace than the demand for pharmacists. True False Slide #37 It is projected that the need for pharmacists and pharmacy technicians in the year 2022 will be 14% and 22%, respectively.

47 Pharmacy Technician Certification Board PTBC 2011 Crest Summit PTCB Certification Program Changes JCPP Vision turevisionofpharmacypracticefinal.pdf Model Curriculum for Pharmacy Technician Training

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