3/30/2012 AS OF TODAY I HAVE NO FINANCIAL DISCLOSURES TO DECLARE

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1 Trey Wynn, BS Pharm, MBA, MHA Program # Credit: 1.0 hours (0.1 CEUs) April 14, 2012 AS OF TODAY I HAVE NO FINANCIAL DISCLOSURES TO DECLARE In November 2010 approximately 100 ASHP members were invited to attend the ASHP/ASHP Foundation Pharmacy Practice Model Summit held in Dallas, Texas Practice models should be futuristic and reflect the evolution of numerous aspects of pharmacy practice in hospitals and health systems over the last 50 years 1

2 4 Major Categories: A. Imperatives for New Pharmacy Practice Models B. Optimal Pharmacy Practice Models: Characteristics, Requirements, and Challenges C. Advancing the Application of Information Technology in the Medication-Use Process D. Advancing the Use of Pharmacy Technicians *Our focus today will be on Pharmacy Technicians* D1. Appropriately trained, educated, credentialed pharmacy technicians to be used more extensively to free pharmacists D2. Assign med distribution tasks to Tech and redeploy Pharmacists to drug therapy management activities D3. 14 Tasks a Technician can do with appropriate education and training D4. ASHP to define scope of practice, core competencies for hospital/health system tech D5. Apply uniform national standards to education and training of techs D6. Certify tech by the Pharmacy Tech Certification Board to support optimal pharmacy practice models D7. By 2015, the Pharmacy Tech Cert Board to require completion of accredited training program to take certification exam D8. To support optimal PPM, tech must be licensed by state boards of pharmacy D9. All distributive functions w/o clinical judgment should be assigned to tech D10. Opportunities for technician specialization should be developed 2

3 D3a.. Initiation of medication reconciliation including obtaining and documenting patients medication information for pharmacists review. D3b.. Reviewing patient charts to identify medication allergies that require pharmacist follow up. D3c.. Checking dispensing by other technicians (i.e., tech check tech ). D3d.. Compounding routine sterile preparations in conformance with well documented procedures. D3e.. Dispensing medications with remote video supervision by pharmacists. D3f.. Scheduling patient outpatient clinic drug therapy management visits. D3g.. Criteria based screening of medical records to identify patients who may require pharmacist intervention. D3h.. Preparing clinical monitoring information (e.g., International Normalized Ratios) for pharmacist review. D3i.. Inspecting and replenishing medication storage devices. D3j.. Managing controlled substances systems. D3k.. Managing medication assistance programs. D3l.. Conducting aspects of quality improvement programs. D3m.. Managing pharmacy department information technology systems, including routine database management and billing systems. D3n.. Supervising other pharmacy technicians. Question 1 Question 2 What innovative roles do pharmacy technicians serve in your institution (ie MTM, clinical data collection, etc.)? Would your department consider a re-structure to adopt PPMI recommendations and utilize technicians in advance roles? If not, what is stopping from doing so? 3

4 Q1. Are you aware of the recommendations of the PPMI related to pharmacy technicians? Q2. To what degree do you agree with the PPMI recommendations regarding pharmacy technicians? Q3. Which of the following activities do pharmacy technicians perform at your institution? Q4. What level of knowledge and skill does your organization require when hiring pharmacy technicians? 52% of those 368 who answered this question answered YES they were aware!! Question Strongly Disagree Disagree Neither Agree Strongly Agree Response s D1. 1% 3% 5% 45% 47% 372 D2. 2% 3% 5% 47% 44% 371 D4. 1% 1% 3% 34% 60% 372 D5. 1% 2% 5% 33% 59% 372 D6. 2% 5% 11% 33% 50% 372 D7. 4% 11% 18% 28% 38% 371 D8. 2% 7% 11% 26% 54% 371 D9. 2% 5% 10% 42% 41% 369 D10. 2% 3% 13% 38% 44% 372 4

5 Answer Responses % 9. Inspecting and replenishing medication storage devices % 15. Inventory management or procurement % 4. Compounding routine sterile preparations in conformance with well-documented procedures % 10. Managing controlled substances systems % 13. Managing pharmacy department information technology systems, including routine database management and billing systems % 14. Supervising other pharmacy technicians % 3. Checking dispensing by other technicians (i.e., tech check tech ) 87 24% Answer Responses % 4. High school diploma % 8. Registration through Board of Pharmacy % 5. Licensure through Board of Pharmacy % 7. PTCB Certification only % 6. Previous experience as a pharmacy technician 95 26% 3. Completion of any pharmacy technician training program 93 26% 1. Any Certification 48 13% 9. Other 30 8% 2. Completion of an ASHP accredited technician training program 24 7% Licensure Registration The granting of permission by a competent authority (usually a government agency) to an organization or individual to engage in a practice or activity that would otherwise be illegal." Another definition of licensure stresses that licensure is intended to protect the public by stating that it is the "process by which an agency of government grants permission to an individual to engage in a given occupation upon finding that the applicant has attained the minimal degree of competency necessary to ensure that the public health, safety, and welfare will be reasonably well protected." The minimal acknowledgement of individuals who practice a particular profession. It is defined as "the recording of professional qualification information relevant to government licensing regulations" and as "the process of making a list or being enrolled in an existing list." ASHP's definition states that the purpose of registration is to keep track of individuals and that it can be used to prevent those "with documented problems from serving as pharmacy technicians." 5

6 3/30/2012 Question 3 Question 4 What level of involvement do pharmacy technicians have in making operational decisions in your work environment? How are pharmacy technicians involved in ensuring patient safety in your work environment? Sylvia Banzon, BA, CPhT, CQIA, PMP * Megan Sheahan, Pharm.D. Regional Quality Coordinator Director of Professional Affairs Sutter Health, HIS Department PTCB Sacramento, CA Washington, DC Helen Calmes, Pharm.D., M.B.A. Clinical Pharmacist Bob Sobolik, R.Ph. Quality Advisor LSU Health Sciences Center McKesson Pharmacy Optimization New Orleans, LA Great Falls, MT Brian Benson, PharmD Executive Director of Pharmacy Iowa Health Systems Des Moines, IA Camtu Ho, Pharm.D. Infectious Disease Specialist Tulane University New Orleans, LA Cindy Jeter, CPhT, CPP Supply Chain Management Consultant McKesson Pharmacy Optimization Springdale, AR Barbara Lacher, RPh, CPhT Assistant Program Director / Associate Professor North Dakota State College of Science Wahpeton, ND Winona Thomas, CPhT Coordinator Pharmacy Technician Program Ayers Career College Shreveport, LA Trish Wegner, B.S. Pharm, Pharm.D., FASHP * Vice-President, Professional Services Illinois Council of Health-System Pharmacists Loves Park, IL Moderator Trey Wynn, RPh, MBA, MHA * Pharmacy Manager Omnicare of Houston Houston, TX * PSS SAG Networking Session Coordinators Featured in Article in Pharmacy Practice Newshttp:// %2BManagement&d_id=53&i=February+2012&i_id=810&a_id=