Clinical Pharmacist Integration into Family Practice
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CLINICAL PHARMACIST INTEGRATION INTO FAMILY PRACTICE Jason Min and Larry Leung, B.Sc.(Pharm.), RPh Clinical Pharmacists | Directors | Clinicare Pharmacists Inc. Lecturers | Faculty of Pharmaceutical Sciences, UBC [email protected] | [email protected]
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Presented at the Optimizing Medications Workshop in Vancouver by Jason Min and Larry Leung
Transcript of Clinical Pharmacist Integration into Family Practice
CLINICAL PHARMACIST INTEGRATION INTO FAMILY PRACTICE
Jason Min and Larry Leung, B.Sc.(Pharm.), RPh
Clinical Pharmacists | Directors | Clinicare Pharmacists Inc.
Lecturers | Faculty of Pharmaceutical Sciences, UBC
Program Overview
• Clinical Pharmacist working collaboratively with family Physicians since 2012
• Family practice clinics in Vancouver
• Goals: 1. Enhance the level of care provided to patients with clinical pharmacist
support
2. Develop opportunities for unique experiential learning for health professional students
Assessment of
presenting complaint
Medication history
Interpret Lab
values
Order and interpret
Lab values
Make diagnosis
Pharmacist relies on the
correct/working diagnosis
Plan treatment options for
medications
Plan treatment
options
Flow Sheet for Collaboration between Pharmacist (left side) and Physician (right side)
Flow Sheet for Collaboration between Pharmacist (left side) and Physician (right side)
Initiate treatment
plan
Initiate medication treatment
plan
Patient education
Patient education
Monitor response
to treatment
Monitor response to medication treatment
Resolution or chronic disease
management
Resolution or chronic disease
management
Model of Care
Patient
Physician
Pharmacist
Family Specialists
Other Clinicians
Services Provided
We work at the desired level of collaboration with each Physician
• Complex Medication Management • Natural Health Product and Non-Prescription Management • Diabetes Management • Cardiovascular Disease Management • Osteoporosis & Falls Prevention Management • Asthma/COPD Management • Pain Management • Smoking Cessation Program • Sleep Hygiene and Management • Palliative Care
Pharmacist Appointment Types
1. 30 - 60 min Pharmacist visit only
1. 30 – 60 min Pharmacist visit followed by a Physician visit
2. Pharmacist follow-up by phone or in-person
Pharmacist Appointments
• Each Physician receives: • Medication reconciliation and EMR update
• Completion of CDM flow sheets
• Recommendations to the Physician
• Academic detailing to team
• Drug information services
• Each patient receives: • Medication reconciliation and medication review
• Medication and disease education
• Monitor and support compliance
• A review of blood work
• An opportunity to get refills and lab requisitions
Referral to Pharmacist
• Criteria: • ANY patient on at least 1 medication
• Best candidates: • CDM
• Patients who need greater education on disease or medications
• Patients with medication or supplement-related questions
• Other suspected medication-related issues
Patient Feedback
“I'm so glad you're a part of my team….(after speaking with you) it is such a relief to have the two medication options and know how to safely use them! Thanks so much for all your expertise!”
“I just want to say how incredibly impressed I am with this service. He has followed up with me consistently every week and
it has really helped me knowing that someone is following through with my care. I am officially off opiates now!”
Physician Feedback
“They have been a great asset to the team. Particularly useful is possible drug interactions between pharmaceuticals and natural
supplements/remedies. I hope we continue this service to patientts and support to clinicians.”
“My patients have been absolutely thrilled with the services. I am hearing words like ‘brilliant’ and ‘fantastic’. They are continually
finding ways to benefit our clinic and push the boundaries of pharmacy practice.”
