Empowering the Pharmacist with Telepharmacy
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World Journal of Advanced Research and Reviews
World Journal of Advanced Research and Reviews, 2020, 07(02), 218–226 World Journal of Advanced Research and Reviews e-ISSN: 2581-9615, Cross Ref DOI: 10.30574/wjarr Journal homepage: https://www.wjarr.com (RESEARCH ARTICLE) Implementation and evaluation of telepharmacy during COVID-19 pandemic in an academic medical city in the Kingdom of Saudi Arabia: paving the way for telepharmacy Abdulsalam Ali Asseri *, Mohab Mohamed Manna, Iqbal Mohamed Yasin, Mashael Mohamed Moustafa, Fatmah Mousa Roubie, Salma Moustafa El-Anssasy, Samer Khalaf Baqawie and Mohamed Ahmed Alsaeed Associate Professor Imam Abdulrahman Bin Faisal University; Director of Pharmacy services at King Fahad University Hospital, KSA. Publication history: Received on 07 July 2020; revised on 22 August 2020; accepted on 25 August 2020 Article DOI: https://doi.org/10.30574/wjarr.2020.7.2.0250 Abstract King Fahad University Hospital, a leading public healthcare institution in the Eastern region of KSA, implemented a disruptive innovation of Telepharmacy in pursuit of compliance with the National COVID-19 Response Framework. It emerged and proved to be an essential and critical pillar in suppression and mitigation strategies. Telepharmacy innovation resulted in Pharmacy staffing protection and provided uninterrupted access and care continuum to the pharmaceutical services, both for COVID-19 and Collateral care. This reform-oriented initiative culminated in adopting engineering and administrative controls to design the workflows, practices, and interactions between healthcare providers, patients, and pharmaceutical frontline staff. Pharmaceutical services enhanced its surge capacity (14,618 OPD requests & 10,030 Inpatient orders) and improved capability (41,242 counseling sessions) to address the daunting challenge of complying with the inpatient needs and robust outpatient pharmaceutical consumer services. -
Clinical Pharmacy Specialist
SAMPLE JOB DESCRIPTION Clinical Pharmacist Specialist I. JOB SUMMARY The Clinical Pharmacist Specialists are responsible and accountable for the provision of safe, effective, and prompt medication therapy. Through various assignments within the department, they provide support of centralized and decentralized medication-use systems as well as deliver optimal medication therapy to patients with a broad range of disease states. Clinical Pharmacist Specialists proficiently provide direct patient-centered care and integrated pharmacy operational services in a decentralized practice setting with physicians, nurses, and other hospital personnel. These clinicians are aligned with target interdisciplinary programs and specialty services to deliver medication therapy management within specialty patient care services and to ensure pharmaceutical care programs are appropriately integrated throughout the institution. In these clinical roles, Clinical Pharmacist Specialists participate in all necessary aspects of the medication-use system while providing comprehensive and individualized pharmaceutical care to the patients in their assigned areas. Pharmaceutical care services include but are not limited to assessing patient needs, incorporating age and disease specific characteristics into drug therapy and patient education, adjusting care according to patient response, and providing clinical interventions to detect, mitigate, and prevent medication adverse events. Clinical Pharmacist Specialists serve as departmental resources and liaisons to other -
Mayo Clinic Alix School of Medicine
Transforming Medical Education through the Science of Health Care Delivery Learning Environment Science of Health Care Delivery Faculty Development Mayo Clinic Alix School of Medicine Consortium projects Curricular Framework Need/Gap Addressed Learning environment Mayo Clinic Alix School of Medicine - ASU framework for the Science of Learning environment Health Care Delivery, longitudinal, four-year medical student curriculum: Brief description: Develop a robust learning environment evaluation A supportive learning environment is critical to achieving desired learning program that incorporates measures relevant to health systems science, outcomes. Existing measures of the learning environment (such as those triangulates feedback from multiple stakeholders, is feasible to track over included in the Association of American Medical Colleges Year Two and time, and enables continuous improvement. Graduation Questionnaires) provide valuable and important data, but incompletely assess aspects of the learning environment relevant to Integration of health systems science into clinical settings SHCD competencies. Furthermore, combining feedback from medical students with the perspectives of other stakeholders may provide valuable Brief description: Develop and pilot new models for integrating health insights and help galvanize improvement efforts. systems science into clinical practice settings to demonstrate the relevance of SHCD to practice, engage students in authentic, workplace- Integration of health systems science into clinical settings based SHCD skill development, and support the development of a team- based, systems-oriented professional identity. This will require faculty Our SHCD curriculum exists in all four years of the Mayo Clinic Alix development to achieve desired student outcomes. School of Medicine (MCASOM) curriculum, but current learning experiences are primarily in non-clinical settings (blended learning with classroom and simulation activities). -
Patient Care Through Telepharmacy September 2016
Patient Care through Telepharmacy September 2016 Gregory Janes Objectives 1. Describe why telepharmacy started and how it has evolved with technology 2. Explain how telepharmacy is being used to provide better patient care, especially in rural areas 3. Understand the current regulatory environment around the US and what states are doing with regulation Agenda ● Origins of Telepharmacy ● Why now? ● Telepharmacy process ● Regulatory environment ● Future Applications Telepharmacy Prescription verification CounselingPrescription & verification Education History Origins of Telepharmacy 1942 Australia’s Royal Flying Doctor Service 2001 U.S. has first state pass telepharmacy regulation 2003 Canada begins first telepharmacy service 2010 Hong Kong sees first videoconferencing consulting services US Telepharmacy Timeline 2001 North Dakota first state to allow 2001 Community Health Association in Spokane, WA launches program 2002 NDSU study begins 2003 Alaska Native Medical Center program 2006 U.S. Navy begins telepharmacy 2012 New generation begins in Iowa Question #1 What was the first US state to allow Telepharmacy? a) Alaska b) North Dakota c) South Dakota d) Hawaii Question #1 What was the first US state to allow Telepharmacy? a) Alaska b) North Dakota c) South Dakota d) Hawaii NDSU Telepharmacy Study Study from 2002-2008 ● 81 pharmacies ○ 53 retail and 28 hospital ● Rate of dispensing errors <1% ○ Compared to national average of ~2% ● Positive outcomes, mechanisms could be improved Source: The North Dakota Experience: Achieving High-Performance -
Preventive Health Care
PREVENTIVE HEALTH CARE DANA BARTLETT, BSN, MSN, MA, CSPI Dana Bartlett is a professional nurse and author. His clinical experience includes 16 years of ICU and ER experience and over 20 years of as a poison control center information specialist. Dana has published numerous CE and journal articles, written NCLEX material, written textbook chapters, and done editing and reviewing for publishers such as Elsevire, Lippincott, and Thieme. He has written widely on the subject of toxicology and was recently named a contributing editor, toxicology section, for Critical Care Nurse journal. He is currently employed at the Connecticut Poison Control Center and is actively involved in lecturing and mentoring nurses, emergency medical residents and pharmacy students. ABSTRACT Screening is an effective method for detecting and preventing acute and chronic diseases. In the United States healthcare tends to be provided after someone has become unwell and medical attention is sought. Poor health habits play a large part in the pathogenesis and progression of many common, chronic diseases. Conversely, healthy habits are very effective at preventing many diseases. The common causes of chronic disease and prevention are discussed with a primary focus on the role of health professionals to provide preventive healthcare and to educate patients to recognize risk factors and to avoid a chronic disease. nursece4less.com nursece4less.com nursece4less.com nursece4less.com 1 Policy Statement This activity has been planned and implemented in accordance with the policies of NurseCe4Less.com and the continuing nursing education requirements of the American Nurses Credentialing Center's Commission on Accreditation for registered nurses. It is the policy of NurseCe4Less.com to ensure objectivity, transparency, and best practice in clinical education for all continuing nursing education (CNE) activities. -
COVID-19 and Your Mental Health Worries and Anxiety About COVID-19 and Its Impact Can Be Overwhelming. Social Distancing Makes I
COVID-19 and your mental health Worries and anxiety about COVID-19 and its impact can be overwhelming. Social distancing makes it even more challenging. Learn ways to cope during this pandemic. By Mayo Clinic Staff The COVID-19 pandemic has likely brought many changes to how you live your life, and with it uncertainty, altered daily routines, financial pressures and social isolation. You may worry about getting sick, how long the pandemic will last and what the future will bring. Information overload, rumors and misinformation can make your life feel out of control and make it unclear what to do. During the COVID-19 pandemic, you may experience stress, anxiety, fear, sadness and loneliness. And mental health disorders, including anxiety and depression, can worsen. Learn self-care strategies and get the care you need to help you cope. Self-care strategies are good for your mental and physical health and can help you take charge of your life. Take care of your body and your mind and connect with others to benefit your mental health. Take care of your body Be mindful about your physical health: Get enough sleep. Go to bed and get up at the same times each day. Stick close to your typical schedule, even if you're staying at home. Participate in regular physical activity. Regular physical activity and exercise can help reduce anxiety and improve mood. Find an activity that includes movement, such as dance or exercise apps. Get outside in an area that makes it easy to maintain distance from people — as recommended by the U.S. -
Pharmacist-Physician Team Approach to Medication-Therapy
Pharmacist-Physician Team Approach to Medication-Therapy Management of Hypertension The following is a synopsis of “Primary-Care-Based, Pharmacist-Physician Collaborative Medication-Therapy Management of Hypertension: A Randomized, Pragmatic Trial,” published online in June 2014 in Clinical Therapeutics. What is already known on this topic? found that the role of the pharmacist differed within each study; whereas some pharmacists independently initiated and High blood pressure, also known as hypertension, is a changed medication therapy, others recommended changes major risk factor for cardiovascular disease, the leading to physicians. Pharmacists were already involved in care in all cause of death for U.S. adults. Helping patients achieve but one study. blood pressure control can be difficult for some primary care providers (PCPs), and this challenge may increase with After reviewing the RCTs, the authors conducted a randomized the predicted shortage of PCPs in the United States by 2015. pragmatic trial to investigate the processes and outcomes that The potential shortage presents an opportunity to expand result from integrating a pharmacist-physician team model. the capacity of primary care through pharmacist-physician Participants were randomly selected to receive PharmD-PCP collaboration for medication-therapy management (MTM). MTM or usual care from their PCPs. The authors conducted MTM performed through a collaborative practice agreement the trial within a university-based internal medicine medical allows pharmacists to initiate and change medications. group where the collaborative PharmD-PCP MTM team Researchers have found positive outcomes associated included an internal medicine physician and two clinical with having a pharmacist on the care team; however, the pharmacists, both with a Doctor of Pharmacy degree, at least evidence is limited to only a few randomized controlled 1 year of pharmacy practice residency training, and more than trials (RCTs). -
Hospital Clinic Visits by Cindy C
PROFESSIONAL OPPORTUNITIES PROFESSIONAL OPPORTUNITY | Billing and Coding | T Hospital Clinic Visits by Cindy C. Parman,T CPC, CPC-H, RCC hen a physician performs a three years prior to the current visit, be based on hospital facil- patient visit in an office or or an established patient visit (codes ity resources. The guidelines Wfreestanding center where 99211-99215) for an individual who should not be based on physician the doctor ownsACCC and/or rents the has been registered as an inpatient or resources (67 FR 66792). space, employsMember and/or contracts with outpatient within the past three years. 3. The coding guidelines should Pall staff,R andO bears allF operatingILE costs, According to the Medicare be clear to facilitate accurate payers make a single payment for Claims Processing Manual, Chapter payments and be usable for this encounter. This physician pay- 2: “The term ‘encounter’ means a compliance purposes and audits ment includes both the professional direct personal contact in the hos- (67 FR 66792). service and the technical service (in pital between a patient and a physi- 4. The coding guidelines should other words, the practice expenseACCC cian, or other person who is autho- meet the HIPAA requirements component). When the patient visit is rized by State law and, if applicable, (67 FR 66792). AperformedC in theT hospitalI ONoutpatient by hospital staff bylaws to order 5. The coding guidelines should department setting, however, the phy- or furnish services for diagnosis or only require documentation that sician bills and receives reimbursement treatment of the patient…When a is clinically necessary for patient for only the professional service. -
Medicare Modernization Act Final Guidelines
MEDICARE MODERNIZATION ACT FINAL GUIDELINES -- FORMULARIES CMS Strategy for Affordable Access to Comprehensive Drug Coverage Guidelines for Reviewing Prescription Drug Plan Formularies and Procedures 1. Purpose of the Guidance This paper is final guidance on how CMS will review Medicare prescription drug benefit plans to assure that beneficiaries receive clinically appropriate medications at the lowest possible cost. Two key requirements in the Medicare Modernization Act (MMA) are to assure that drug plans provide access to medically necessary treatments for all and do not discriminate against any particular types of beneficiaries, and to encourage and support the use of approaches to drug benefit management that are proven and in widespread use in prescription drug plans today. The goal is for plans to provide high-quality cost-effective drug benefits by negotiating the best possible prices and using effective drug utilization management techniques. This goal can be achieved through a CMS drug benefit review strategy that facilitates appropriate beneficiary access to all medically necessary Part D covered drugs along with plan flexibility to develop efficient benefit designs, thus bringing drug benefit strategies that are already providing effective coverage to millions of seniors and people with a disability to the Medicare population. Our formulary review process focuses on three areas: 1. Pharmacy and Therapeutics (P&T) committees. CMS will require P&T committees to rely on widely-used best practices, reinforced by MMA standards. CMS oversight of these processes will assure that plan formularies are designed to provide appropriate, up-to-date access for beneficiaries and give plans the flexibility to offer benefit designs that provide affordable access to medically necessary drugs. -
Telepharmacy: How One Wyoming Pharmacy Makes It Work
Telepharmacy: How One Wyoming Pharmacy Makes it Work Panel: Scot Schmidt, PharmD with Kevin Smith, Telehealth Cord. Wyoming Telehealth Network November 29, 2017 cheyenneregional.org Telepharmacy: How One Wyoming Pharmacy Makes it Work Why Telepharmacy? Increase access and extend availability. We may have clinics with providers and/or utilize telemedicine – then how do those being treated obtain any prescribed medicines timely and conveniently. In this case study, CRMC’s Foundation helped raise funding for building the new clinic, which included carrying forward the telepharmacy available in the original clinic in Pine Bluffs. The facility was built with floor plan to accommodate a dispensing area; adjoined by a private, secure consultation room - both with real-time data, video and audio communications. As part of CRMC’s CMS Healthcare Innovation Award, through its division, The Wyoming Institute of Population Health, the parent pharmacies, currently NorthStar Pharmacy & Infusion have been assisted with Polycom desktop software, webcams and networking via an encrypted videoconferencing bridge. cheyenneregional.org Telepharmacy in Pine Bluffs The current Pine Bluffs Health Clinic providers and management is with Kimball Health Services, Kimball, NE. Entering the Clinic, the Telepharmacy is in the front area, exam rooms and offices in the rear area of the building. To the right of the shelving is the door to the consultation room (behind dispensing). Consultation room, equipped with real-time encrypted (military grade) videoconferencing to the pharmacist in the parent pharmacy. This view is from the consultation room door out to the back counter of the dispensing area. (*Interior photos taken during ribbon cutting, used so as not display actual inventory.) cheyenneregional.org Wyoming Pharmacy Act Wyo. -
Oklahoma Primary Care Health Care Workforce Gap Analysis
Oklahoma Primary Care Health Care Workforce Gap Analysis DRAFT Prepared by OSU Center for Rural Health OSU Center for Health Sciences Tulsa, Oklahoma June 2015 Table of Contents Table of Figures ..................................................................................................................................................... ii Tables........................................................................................................................................................................ iii Introduction ............................................................................................................................................................ 1 Background & Data Acquisition ...................................................................................................................... 2 Methodology ........................................................................................................................................................... 2 Primary Care Provider Supply ......................................................................................................................... 3 Primary Care Provider Demand ................................................................................................................... 10 Conclusions .......................................................................................................................................................... 12 Limitations ........................................................................................................................................................... -
Primary Care Network Listing | Healthpartners
DHS-6594C-ENG HealthPartners® Minnesota Senior Health Options (MSHO) (HMO SNP) Network April 2018 – September 2018 PRIMARY CARE NETWORK LISTING Minnesota Counties: Anoka, Benton, Carver, Chisago, Dakota, Hennepin, Ramsey, Scott, Sherburne, Stearns, Washington, Wright HealthPartners 8170 33rd Ave S. P.O. Box 1309 Minneapolis, MN 55440-1309 Member Services: 952-967-7029 or 1-888-820-4285 (TTY/TDD 711) Oct. 1 – Feb. 14 8 a.m. to 8 p.m. CT, seven days a week Feb. 15 – Sept. 30 8 a.m. to 8 p.m. CT, Monday – Friday healthpartners.com/msho HealthPartners is a health plan that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in HealthPartners depends on contract renewal. HealthPartners MSHO Plan 16697_Print April 2018 H2422 108677 DHS Approved 1/25/2018 1-888-820-4285 Attention. If you need free help interpreting this document, call the above number. ያስተውሉ፡ ካለምንም ክፍያ ይህንን ዶኩመንት የሚተረጉምሎ አስተርጓሚ ከፈለጉ ከላይ ወደተጻፈው የስልክ ቁጥር ይደውሉ። مﻻحظة: إذا أردت مساعدة مجانية لترجمة هذه الوثيقة، اتصل على الرقم أعﻻه. သတိ။ ဤစာရြက္စာတမ္းအားအခမဲ့ဘာသာျပန္ေပးျခင္း အကူအညီလုုိအပ္ပါက၊ အထက္ပါဖုုန္းနံပါတ္ကုုိေခၚဆုုိပါ။ kMNt’sMKal’ . ebIG~k¨tUvkarCMnYyk~¬gkarbkE¨bäksarenHeday²tKit«f sUmehATUrs&BÍtamelxxagelI . 請注意，如果您需要免費協助傳譯這份文件，請撥打上面的電話號碼。 Attention. Si vous avez besoin d’une aide gratuite pour interpréter le présent document, veuillez appeler au numéro ci-dessus. Thov ua twb zoo nyeem. Yog hais tias koj xav tau kev pab txhais lus rau tsab ntaub ntawv no pub dawb, ces hu rau tus najnpawb xov tooj saum toj no.