pharmacy

1. Enriched Pharmacy Services
Mount Carmel Pharmacy
Pharmacist Clinic
Professional Detailing
Medication Therapy Co-Management

2. Pharmacist Collaboration
● Work more closely with primary health
● Contribute pharmacy skills
● Increased job satisfaction
● Enhance patients' outcomes
● Adhere to practice guidelines

3. Pharmacy is Changing
● Mount Carmel Pharmacy wants to be a
provider of choice
● Word of Mouth reputation, be first choice for
patients, their family members and
partnering facilities. (within our market area)
● To deliver safe, effective, co-ordinated
medication services

4. Who decides what medication to
take?
● Prescriber?
● Pharmacist?
● Payer?
● Patient's family and friends?
● Patient?

5. Pharmacy is changing
● More practicioners, more prescribers
● More self treatment options over the counter
and pt infomercials in the media
● Complex regimens, pre-filled syringes,
biologicals
● Self testing options
● Independent living disabled, mentally
challenged and aging population.

6. Potential Benefits of Enriched
Pharmacy Services
● Pharmacist can take responsibility for
certain aspects of care
● Fill in the gaps in medication information
● Reinforce plan of care
● Follow up changes
● Convenience: pharmacists may see patients
more frequently than physicians

7. What can a pharmacist do?
● Can discuss use of otc's, natural products
and prescribed medications with familiarity
● Have access to provincial pharmacy
database
● Detect adherence (compliance) issues first
● Receive information re pt's visits to
hospitals and walk-in's before family
physician.
● Unbiased up to date info on new
medications

8. What can pharmacists do?
● Determine what can safely be self treated
and suggest self treatment or warn when to
call for appt.
● Continued care prescribing, extend chronic
medications until next physician
assessment
● Can adapt prescriptions to a certain extent
where the ordered medication is not
available
● Advise immunizations

9. Following Up
● Quit smoking
● Weight loss
● Depression
● Pain control
● Anti-coagulation
● Sleep problems
● Allergies

10. Follow up
● BP monitors
● Meter teaching
● Inhalation device teaching
● Minor eye/ear infections
● Gastointestinal distress
● Minor skin ailments eg. Rashes, dry skin

11. Knowledge
● Pharmacokinetics
● Pharmacodynamics as related to aging and
genetics
● Lifestyle measures
● Drugs of choice
● Problems of medications: side effects,
withdrawal, addiction

12. How could this be enabled?
● Agreement from primary health and
pharmacy management to make this a
priority
● Confidential teaching/interview room
● Full pharmacy staff
● Guidance re documentation
● Method of evaluating process in future
● Billing via special services on insurance, as
we can do for bubble packs

13. What can't a Pharmacist do?
● Physical assessment
● Diagnosis
● Order tests
● Do treatments
● Therapeutic counseling

14. Status in Mount Carmel Pharmacy
● Fully staffed for holiday coverage
● Prescription numbers are falling
● Line-ups on Main Street to access walk-in
clinics and pharmacies
● Provider of choice, for those who cannot pay
● There is a need for a full-service pharmacy