Newsseptember / October 2012
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newsSeptember / October 2012 IN THIS ISSUE... Are “points” good for Quality Pharmacy Practice 3 n How 3 pharmacists are ADAPTing the profession? their practices 5 n New pharmacy licence? Update your website I think inducements 6 n Finding and fixing common degrade our profession pharmacy deficiencies and take away from 8 n Best practices for compliance packaging the value of services. 9 n New form streamlines drug error reviews 10 n Assigning beyond-use dates to Reward non-sterile compounds points improve patients’ 11 n What to expect when you’re expecting a student compliance with their 12 n Are you in The Link? medications. The points n Adapting: What would you do? motivate them to pick up Partners in Practice their initial prescription 12 n Thank you, preceptors and refills. 18 n In memory 19 n Naturopath profession recognized under HPA n OSCE Assessors needed These two comments represent ends of Therefore, it is an issue that council has n 20 Prescription validity FAQs the spectrum ACP heard over the past marked as a priority. month in registrant surveys, stakeholder When we talk about inducements and interviews and public focus groups. pharmacy, the conversation is Thank you to everyone who took time to complex. ACP council is taking steps share their opinions. to better understand the issues and its ACP’s job is to optimize the health of options for dealing with inducements. Albertans and the work environments First, council commissioned a report for pharmacy practitioners. In the past to examine policies and legal year, we have observed changes in the precedent in other jurisdictions. forms, quantities, and frequency of Across the country, regulations and inducements and the targeting of opinions vary. vulnerable populations that have In Alberta, physicians, dentists, and Healthy Albertans heightened our concern that these physiotherapists all have some type of through excellence programs are not conducive to the best inducement prohibition in place. in pharmacy practice patient or pharmacy practice. continued on page 2 news aφnews is published six times per year by the Alberta College of Pharmacists. Send submissions for publication to Are “points” good for the profession? continued from page 1 [email protected] The deadline for submissions for the Pharmacy and inducements: a pan-Canadian view Nov/Dec 2012 issue is October 6. Alberta College of Pharmacists 1100, 8215 - 112 Street NW Province Status Edmonton AB T6G 2C8 780-990-0321 / 1-877-227-3838 British Columbia Inducements and loyalty programs are prohibited on Fax: 780-990-0328 government-insured prescriptions, services and supplies President: Kaye Moran Alberta Prohibition if potential harm to patients (Code of Ethics, President Elect: Kelly Olstad Principles 1.13 and 7) Vice President: Krystal Wynnyk Past President: Anjli Acharya Saskatchewan Silent Councillors: Manitoba Inducements to transfer pharmacies prohibited Brad Willsey, District 1 Clayton Braun, District 2 Ontario Prohibits inducements and loyalty programs Rick Hackman, District 3 Quebec Prohibits advertising of inducements and loyalty programs Ahmed Metwally, District 3 Krystal Wynnyk, District 3 New Brunswick Silent Kelly Olstad, District 4 Nova Scotia Silent Kamal Dullat, District 5 Kaye Moran, District 5 Newfoundland Prohibits advertising of inducements and loyalty programs Kelly Boparai, Pharmacy Technician NWT/Nunavut Silent Public members: Vi Becker Yukon Silent Bob Kruchten Pat Matusko Pharmacy technician observer: When ACP surveyed the public in 2010 Robin Burns and stakeholders in 2011, we found that Inducements You can contact council members by email 51% of the public and 65% of via our website under About ACP/ Council, or by using the search feature to locate stakeholders considered it inappropriate [in’du:smǝnts] n. them by name. to receive points, rewards or incentives Inducements include programs, Staff Directory in return for products or services promises, or rewards that create All staff are available at 780-990-0321 received from a health professional. an incentive for a patient to fill or 1-877-227-3838 or by fax at prescriptions or to obtain services 780-990-0328. What happens next? from a specific pharmacy. Their email addresses are available on our website at pharmacists.ab.ca under Council will review the information Inducements in the pharmacy Contact Us. gathered from the research of the past profession have historically Registrar: Greg Eberhart month and discuss it at their September focused on loyalty programs (e.g., Deputy Registrar: Dale Cooney meeting. We will also share highlights of Air Miles, “point” collector cards). Complaints Director: James Krempien the research results and any council However, inducements can Practice Development Director: decisions with you in future editions of Debbie Lee encompass a range of incentives Professional Practice Director: Shao Lee The Link and acpnews. for consumers to change Pharmacy Practice Consultants: Tom pharmacies, or to stay with a Curr, Monty Stanowich, Jennifer Voice How can you be involved? company, or to buy more of a Operations and Finance Director: Lynn Paulitsch If you have not yet had the opportunity product. Inducements could Registration and Competence Director: to provide your views on inducements, include in-store coupons, gift Heather Baker it’s not too late. You can: certificates, or bonus products. Registration Manager: Linda Hagen n Communications Director: Karen Mills Contact your councillor – contact In general, an inducement is information is available on the ACP anything that may persuade an website under About ACP/council. individual to act in a particular n Email Karen Mills, ACP way. The inducement is meant to Communications Director push an individual to make a ([email protected]). change or to behave differently. She is collating the information for council’s review. pharmacists.ab.ca 2 Quality Pharmacy Practice How 3 pharmacists are ADAPTing their practices Pharmacy practice in Alberta has n Medication assessment hours a week), but found that the more changed a lot over the last five years n Collaboration they put into it, the more they got out and it can be a challenge to keep up. n Patient interviewing and assessment of it. Some units required more time, To stay on the top of their games, n Making evidence-based clinical depending on the subject and the several Alberta pharmacists are decisions pharmacist’s experience. “The patient enrolling in the ADAPT program. n Documentation cases were all based on adult medicine – ADAPT is a 19-week course designed n Developing and implementing patient my practice has been in paediatrics, specifically for practising pharmacists. care plans neonatology ... the only experience I have It was developed by the Canadian with adult medicine is working in the We spoke with three pharmacists who Pharmacists Association (CPhA) and dispensary,” explained Christy Gilkes. the Canadian Society of Hospital have completed the ADAPT program to “I had to teach myself a lot.” Pharmacists (CSHP). Using interactive find out about their experiences and seek online learning, supportive advice for prospective participants. As you might expect, given their different moderators and plenty of peer All three pharmacists agreed that the practice experiences, their opinions interaction, ADAPT helps pharmacists course required a significant time differed when it came to other aspects of master skills and build confidence in: commitment (an average of about eight ADAPT. We’ll let them explain. Christy Gilkes ... Ryan Stempfle ... Maryann Chmilar ... practices in general paediatrics at Alberta maintains a community practice and works in a small hospital in Redwater. In Children’s Hospital. She has been in works in long-term care and assisted her 29 years of practice, she has worked practice for 20 years. “We precept a lot of living in Edmonton. He has only been in both retail and hospital settings. “I had pharmacy students and residents,” out of school for three years, but been puzzled by our changing scope – Christy notes. “I felt like I needed to enrolled in ADAPT because, “I wanted why did we have to change? An email update my skills to better reflect what is to integrate better into multidisciplinary from CPhA describing the ADAPT pilot being taught in pharmacy school now.” teams, and learn a standardized course caught my eye. The subject matter format for relaying critical information of Module 1 (a review of the background about clients.” of healthcare in Canada, and how it has led to our expanded and changing scope of practice) really caught my interest.” continued on page 6 aφnews – September / October 2012 3 3 Pharmacists continued from page 3 Maryann: It’s hard to narrow it to one What is the most valuable area. I feel that the skills I gained in thing you learned in ADAPT? Did you learn anything new ADAPT have helped almost all aspects Christy: The last module, where you or surprising? of my practice. I am finding it so put all the pieces together to make a rewarding to be discussing medication Christy: Adult medicine was new to complete patient care plan, was the choices with the physicians when they me. I didn’t have a lot of experience in most valuable. It takes you through are deciding on the patients’ care, and evidence-based medicine; I often use the whole process so you can see how the skills and confidence I gained from journal articles, but the idea of all the skills work together, and makes the course have really helped me in this evidence-based medicine was new – it more realistic as it applies to your new role. this wasn’t taught when I was in own practice. school. Other than that, it builds on Can you describe a scenario Ryan: How to document thoroughly, existing skills and knowledge. where you used the skills the patient interview process, and how Ryan: I’m a fairly recent graduate, so learned in ADAPT to provide to build rapport with patients (and I think it mostly built on what I already better patient care? keep tangential patients focused).