Pharmacy, Practice and Policy: Conducting and Translating OPEN Research Welcome We will begin shortly. Please ensure your computer speakers are

Transcription

1 Pharmacy, Practice and Policy: Conducting and Translating OPEN Research Welcome We will begin shortly. Please ensure your computer speakers are turned on.

2 Before we begin Welcome! Housekeeping Notes Polls Speaker Introduction

3 Fostering innovation and evaluating the effectiveness of Ontario pharmacist-led medication management programs Nancy Waite, PharmD, FCCP Co-Principal Investigator, OPEN Ontario College of Pharmacists Professor in Pharmacy Innovation Associate Director, Practice-Based Education and Professional Outreach Associate Professor School of Pharmacy, University of Waterloo Kelly Grindrod, BScPhm, PharmD, MSc Co-Lead, Knowledge, Translation and Exchange Theme, OPEN Assistant Professor, School of Pharmacy University of Waterloo

4 OPEN Ontario Pharmacy Research Collaboration What is OPEN? What will OPEN do? How can OPEN contribute to the future of pharmacy and patient outcomes? OPEN s website

5 OPEN overview An umbrella organization Formed to support pharmacy practice research in Ontario Liaise with like-minded individuals across Canada and in other countries

6 Acknowledgements OPEN s current support Government of Ontario School of Pharmacy, University of Waterloo Department of Family Medicine, McMaster University The views expressed in this presentation are those of the presenter and do not necessarily reflect those of the funders.

7 OPEN Fostering innovation and evaluating the effectiveness of Ontario pharmacist-led medication management programs This first grant from the government of Ontario is for $5.77 million over 3 years Ministry of Health and Long-Term Care, Health System Research Fund Program Multi-institutional, interdisciplinary, knowledge-user engaged research

8 OPEN s research sites Approximately 50 interdisciplinary researchers, staff and students from four Ontario universities and one research institution University of Waterloo McMaster University University of Toronto Western University Bruyère Research Institute

9 OPEN s leadership OPEN led by two co-principal Investigators Nancy Waite, School of Pharmacy, University of Waterloo Lisa Dolovich, Departments of Family Medicine, Clinical Epidemiology and Biostatistics, and Medicine, McMaster University Responsible for OPEN program s conceptual, scientific and administrative aims

10 Why this research is important now In the midst of healthcare system change and transformation Need to better understand value, not just in economic terms but also social Need to increase efficiency and coordination of healthcare system and health services Inclusion of pharmacy and pharmacists essential to health system integration efforts

11 Why this research is important now Provide evidence base for medication management policy decisions Improve quality of existing services Provide a platform to bring diverse stakeholders together Contribute expertise to local, regional, provincial, national and international initiatives

12 OPEN s objectives 1. Provide evidence of the quality, outcomes and value of recent and emerging medication management services provided by pharmacists 2. Train students and researchers in health services research 3. Foster knowledge translation and exchange between project members, knowledge users and public 4. Improve healthcare of Ontarians, including healthcare needs with respect to gender and vulnerable populations

13 OPEN Personnel OPEN researchers 29 OPEN research and administrative staff 19 and growing OPEN students 16 and growing

14 OPEN s MOHLTC-funded research projects 1. Develop and assess a pharmacist services evaluation framework 2. Evaluate existing primary care pharmacist services 3. Evaluate emerging pharmacist services 4. Applied health research questions

15 1. Develop and assess pharmacist services evaluation framework Project lead Lisa Dolovich Develop using Delphi panel and stakeholder consensus Produce framework and toolkit to measure pharmacist services outcomes To date: literature review, interviews almost complete, related AHRQ question underway

16 2. Evaluate existing primary care pharmacist services a) MedsCheck, MedsCheck Diabetes and Pharmaceutical Opinion programs Project lead Linda MacKeigan, U of T, co-lead Lisa Dolovich, McMaster Primary question: Impact What has been the quality and impact of MedsCheck (annuals and diabetes) and Pharmaceutical Opinion programs on patients, physicians, pharmacies and pharmacists? Secondary question: Access Are these services reaching those most likely to benefit and what are the determinants of service uptake?

17 2. Evaluate existing primary care pharmacist services To date: REB approvals for stakeholder interviews, ICES descriptive database analysis, collaboration with other MedsCheck projects, literature search

18 2. Evaluate existing primary care pharmacist services b) Pharmacist renewal and adaptation of prescriptions Project lead Lisa McCarthy, U of T Establish estimates of early uptake of pharmacist authority to renew and adapt prescriptions Inform future health system planning and associated costs Currently conducting provincial and national reviews to inform research questions

19 2. Evaluate existing primary care pharmacist services c) Pharmacists as immunizers Project lead Eric Schneider, co-lead Nancy Waite, UW Findings applied to increase uptake of influenza immunization Pharmacist survey in March, ICES data analysis process started, literature review for patient survey and health care prof focus group, AHRQs started

20 3. Evaluate emerging pharmacist services a) Developing deprescribing guidelines for the elderly Project co-leads Barbara Farrell and James Conklin, Bruyère Research Institute Evaluate development and implementation of deprescribing guidelines in longterm care and family health teams Development of first guideline for PPI s in progress, Wikipedia

21 3. Evaluate emerging pharmacist services b) Chronic disease management, with a focus on chronic pain Project co-leads Feng Chang and Tejal Patel, uwaterloo; Beth Sproule, U of T Train and evaluate community and family health team pharmacist provision of chronic pain management Stakeholder engagement workshop held, pharmacist survey Mar/April

22 3. Evaluate emerging pharmacist services c) Pharmacists as prescribers for minor ailments Project co-leads Lisa McCarthy, U of T; Nancy Waite, uwaterloo Summit with Ontario stakeholders to gain understanding of perspectives with respect to pharmacist prescribing

23 4. Applied health research questions AHRQ lead Lisa Dolovich, McMaster 25% of program budget available for AHRQs Address emerging research questions generated by knowledge users and vetted by Ministry of Health and Long-Term Care Questions relevant to a variety of practice settings A number of new projects will develop based on AHRQs More info about AHRQ protocol and procedures at open-pharmacy-research.ca/research-projects/ahrq

24 Applied health research questions The role of outreach/practice facilitation in pharmacy services Knowledge user: Ned Pojskic, OPA Lead: Lisa Dolovich Pan-Canadian medication management planning Knowledge user: Brent Fraser, MOHLTC Lead: Lisa Dolovich Smoking cessation Knowledge user: Ned Pojskic, OPA Lead: Suzanne Cadarette Other AHRQs being developed and finalized

25 Cross-cutting program themes OPEN research is conducted in tandem with three cross-cutting themes Knowledge translation and exchange Capacity building Gender and vulnerable populations

26 Knowledge translation & exchange KTE leads Kelly Grindrod, uwaterloo; James Conklin, Bruyère Research Institute Supporting OPEN researchers put research findings into action through dynamic and iterative KTE strategy Develop KTE tools: toolkits, presentations, publications, newsletters, press releases, stakeholder meetings and conferences

27 Knowledge translation & exchange Inquire into facilitators and barriers to KTE using OPEN as a natural laboratory Examine impact of OPEN KTE components of Advisory Committee, and AHRQ process Encourage and help construct KTE research components of projects Work with other cross cutting theme groups to optimize impact

28 OPEN s knowledge users Representatives of Ontario organizations that seek research evidence to inform their planning, provision of services, policy and/or program development in the health and healthcare system Ministry of Health and Long-Term Care Ontario College of Pharmacists Ontario Pharmacists Association Ontario College of Family Physicians Canadian Society of Hospital Pharmacists Ontario Branch List of knowledge users will expand over time

29 Potential knowledge user activities Partners in OPEN s research projects Input incorporated into project design Assist OPEN researchers in project implementation Recruit practice sites into research studies Assist with survey development and delivery Make suggestions to strengthen transferability of findings Discuss policy and program planning implications Suggest and implement strategies to disseminate results Interpret results Members of OPEN Advisory Committee

30 Capacity building: Training & mentoring Capacity-building leads Nancy Waite, uwaterloo, Beth Sproule, U of T Undergraduate and graduate students (9 current and 7 previous), postdoctoral fellows, research staff (19) and investigators (29) Online modules on orientation, health care systems, GVP and pharmacy practice research Webinars Experiential opportunities

31 Gender & vulnerable populations GVP leads Martin Cooke and Nancy Waite, uwaterloo Support and measure the impact of the incorporation of sex/gender, rural/urban, age, ethnicity/race considerations into data collection and analysis Lit review of sex/gender in pharmacy practice research Recommended GVP survey questions

32 OPEN s administrative and operational structure

33 More information Nancy Waite (519) OPEN program (519) Lisa Dolovich (905) , ext Kelly Grindrod

34 Questions Please type your questions into the Q&A pod on the right-side of your screen. Please contact Kristina Allsopp at

35 Upcoming Pharmacy Research Webinars Spring 2014 Title, Date and Speaker: TBA

36 Thank you! This presentation will be available on the Canadian Pharmacists Association s website at Thank you to Canadian Pharmacy Practice Research Group (CPPRG) Executive Committee for hosting this pharmacy research webinar series.