The Excellence of Pharmacy Practice (original) (raw)
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The Excellence of Pharmacy Service: Past, Present and Future
2019
Pharmacy education continues to evolve to better prepare pharmacists for their roles and responsibilities in an increasingly complex health care environment with advanced patient health needs. Another important factor is the pharmacists themselves. Over the past 50 years, the role of pharmacists has evolved along with the health care needs of our population. In addition to dispensing medications and ensuring patient safety, today's pharmacists are taking a larger role as medical counselors, educators and advocates. They are integral part of the health care team, and are among the most trusted and accessible health care professionals. This accessibility allows them to perform more patient care activities, including counseling, medication management, and preventive care screenings. Beyond the care provided to individual patients, pharmacists have expanded their reach to influence the public health of communities. A pharmacist is uniquely positioned to provide disease state management through appropriate medication therapy management that has been demonstrated to improve patient outcomes and decrease overall health care costs. This role is more important than ever as the environment is demanding new practice and payment models that are required to further optimize care and outcomes while addressing the unsustainable increases in health care costs. All people who take medications are at risk of actual or potential drug therapy problems. These problems are a significant source of morbidity and mortality when left undetected and unresolved and drive huge costs across the health system. As drug therapy experts, pharmacists provide drug therapy management services built around a partnership between the pharmacist, the patient (or his or her caregiver), physicians and other members of a patient's health care team.
An Opportunity for Pharmacists to Help Improve Coordination and Continuity of Patient Health Care
Pharmacy, 2018
Pharmacist workforce researchers are predicting a potential surplus of pharmacists in the United States that might result in pharmacists being available for engagement in new roles. The objective for this study was to describe consumer opinions regarding medication use, the health care system, and pharmacists to help identify new roles for pharmacists from the consumer perspective. Data were obtained from the 2015 and 2016 National Consumer Surveys on the Medication Experience and Pharmacist Roles. Out of the representative sample of 36,673 respondents living in the United States, 80% (29,426) submitted written comments at the end of the survey. Of these, 2178 were specifically about medicines, pharmacists or health and were relevant and usable for this study. Thematic analysis, content analysis, and computer-based text mining were used for identifying themes and coding comments. The findings showed that 66% of the comments about medication use and 82% about the health care system w...
The New Era of Pharmacists in Ambulatory Patient Care
INNOVATIONS in pharmacy, 2019
Ambulatory care pharmacy practice is defined as the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. This is accomplished through direct patient care and medication management for ambulatory patients, long-term relationships, coordination of care, patient advocacy, wellness and health promotion, triage and referral, and patient education and self-management. The ambulatory care pharmacists may work in both an institutional and community-based clinic involved in direct care of a diverse patient population. A variety of specialty clinics are available for allergy and immunology, pulmonology, endocrinology, cardiology, nephrology, neurology, behavioral health, and infectious disease. Such services for this population may exist as a primary care clinic or an independent specialty clinic, typically in a PCMH, wh...
THE ROLE OF THE PHARMACIST IN PATIENT CARE
Handbook for the Hospital and Community Pharmacists, 2020
® The book solely focuses on job responsibilities of patient care pharmacists, separated from those of doctors and nurses, with the most recent information. ® Various aspects of pharmacist-led patient care services are incorporated in a single book. ® Career-focused discussions in every chapter with structured guidelines provided for the pharmacists. ® Content is mostly based on recent pharmacists’ activities in the healthcare arena of developed countries. ® Chapter outline, abbreviations, synopsis, learning outcomes, cases, key terms and further references are added like a textbook. ® Possible errors during the patient dealing and measures to be taken in all aspects are thoroughly discussed. ® The future prospect of patient care pharmacists in different areas of health care elaborately discussed. ® Discusses patient relationship management with a caring and compassionate touch which is a very demanding approach to many high-profile healthcare settings. ® Along with professionals, undergraduate students can utilize this book as a reference for their courses like hospital and community pharmacy and pharmaceutics. ® Scholars from countries around the world are giving their recommendation about the book. PubMed: https://www.ncbi.nlm.nih.gov/nlmcatalog/101766397 Sample Copy: http://www.bookpump.com/upb/pdf-b/7343083b.pdf
Health affairs (Project Hope), 2013
In the past thirty to forty years, new clinically oriented roles have emerged for pharmacists, commensurate with their training and consistent with national goals to improve the safety of, access to, and cost of health care. Pharmacists in all settings spend an increasing portion of their time filling these roles, as evidenced more recently in the community pharmacy sector by the success of pharmacy-based immunization programs and such new venues as retail pharmacy clinics. Pharmacy technicians are also assuming new roles and responsibilities, providing services previously delivered only by pharmacists. However, both trends are hindered by current policy. Of particular concern are inconsistent state-level scope-of-practice laws, the lack of mechanisms to reimburse pharmacists for services provided, the need to recognize pharmacists as health care providers, and the need to establish national standards for the preparation of pharmacy technicians. The optimal deployment of the pharmac...
Pharmacists in Federally Qualified Health Centers: Models of Care to Improve Chronic Disease
Preventing Chronic Disease
What is already known on this topic? Evidence shows that pharmacist-provided medication management can improve chronic disease outcomes; however, pharmacists are not consistently considered integral members of health care teams. What is added by this report? It provides an example of how collaboration among state public health, clinical, and academic partners can catalyze expansion of models of care that include pharmacists and that inclusion of pharmacists on care teams has the potential to improve chronic disease outcomes. What are the implications for public health practice? Findings can provide guidance to public health, clinical, and academic partners in their efforts to expand care models that include pharmacists, to help improve chronic disease outcomes.
Journal of Experimental & Clinical Medicine, 2012
Objectives: The role of the pharmacist within the U.S. healthcare system has shifted beyond that of dispensing prescription medications and now includes the provision of a variety of cognitive services, including medication therapy management (MTM). The focus of such services is to place emphasis on a patient-centered approach to ensure optimal medication use. Continued advancement relies both on the commitment of current pharmacists to these services, as well as preparing future pharmacists to succeed in this role. The purpose of this article is to describe the approaches of three MTM sites to providing patient care, conducting research, completing efforts focused on service, and educating future pharmacists. Methods: The article offers a pharmacist-provided description of three distinct MTM sites that have been established in cooperation with the University of Minnesota. Pharmacists describe three unique approaches to implementation of pharmacist-provided MTM services. Site 1 provides a description of care in a stand-alone clinic, which places the pharmacist and patient separate from patients' other healthcare providers. Site 2, which is an embedded clinic, describes pharmacists' provision of cognitive services within a health system that also delivers other healthcare services. Site 3 is a unique setting that acts as a stand-alone clinic when offering general health services, and like an "embedded" clinic when treating mental health needs. Results: The description of each site explains the similarities and differences of each clinic and how it impacts the pharmacists' approaches to delivery of care, research, service, and education. The sites described in this article offer three pharmacist-provided MTM service implementation approaches, each with its own set of advantages and challenges. Conclusion: Future pharmacists' ability to observe the direct impact of MTM services helps to inspire the next generation of pharmacists to expand pharmacist-delivered patient care services.
New era of Community Pharmacists in patient problem solving and preventive care
2019
Background: Medications are powerful tools that, if used correctly, can prevent or treat disease. If used incorrectly, there is potential to cause great harm to people who take them. These unintended effects, called adverse effects, can occur from any medication. As health care teams, which include physicians, pharmacists, and other health care providers, are making decisions about using specific medications to treat an individual patient, they must weigh the potential risks against the desired benefit of each medication to minimize the chance of harm to the patient. As important members of the health care team, pharmacists work collaboratively with patients' other health care providers in all types of patient care settings ranging from community pharmacies to hospitals and long-term care facilities. Across these settings, pharmacists take specific actions that regularly contribute to improving patient safety. In addition to training on medications, pharmacist education and training includes assessing health status of patients, providing education and counseling, managing diseases, and using health care technologies. Pharmacists use this education and training to prevent medication errors, drug interactions, and other adverse medication events from reaching patients. With the expanding number and complexity of medications, pharmacists' roles and responsibilities have expanded broadly beyond medication distribution. Pharmacists are providing patient care in almost all health care settings to help people of all ages get the most from the medications that are prescribed to them. Examples of pharmacists' patient care services include providing health and wellness screenings, managing chronic diseases, assisting patients with medication management, administering immunizations, and working with hospitals and health systems to improve patient care and reduce the number of patients who are readmitted to the hospital following their hospital stay.