PPF- Atlantic Summit on Healthcare and Drug Cost Sustainability Perry Eisenschmid
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Transcript of PPF- Atlantic Summit on Healthcare and Drug Cost Sustainability Perry Eisenschmid
PPF- Atlantic Summit on Healthcare and Drug Cost Sustainability
Perry EisenschmidCEO, Canadian Pharmacists Association
October 30, 2014
Introduction
Healthcare in Canada at a crossroad
The role of pharmacists
The benefits of pharmacists being involved in managing chronic disease
What is holding pharmacy back?
Status of Health Care in Canada
16 million Canadians live with chronic disease
Indirect costs alone - $122 billion in 2010
PHAC – 58% of annual spending is for chronic diseases
15% of Canadians do not have a family physician
61% of Canadians do not receive preventative care reminders
Canada is ranked LAST out of 11 countries on how readily patients can get an appointment with their regular family physician
RESULT: more Canadians in emergency rooms instead of being managed in the primary care sector
Managing Chronic Disease
Leveraging Accessibility
The 9000 Points of Care Report highlighting how better use of pharmacists could impact our healthcare system: 1.3 million ER visits and 500,000 hospitalizations
could be prevented 6.3 million hours of physician time freed up over 3
years $7-9 billion can be saved through improved access
and use of cost-effective medications
Health Care Innovation Working Group
Enhanced use of pharmacists
Minor Ailments
Medication Reviews
Immunization
Chronic Disease Management
The Role of Pharmacists
Prevention and Screening Services
High Cholesterol (in pharmacy testing)
Diabetes- in pharmacy A1C testing
High Blood Pressure-in pharmacy monitoring and follow-up
The Role of Pharmacists
Immunization Services
Monitoring important disease markers
Initiate, modify and monitor drug therapy
The Role of Pharmacists
Performing Comprehensive Medication Reviews
Patient assessment Appropriateness, effectiveness, safety and
convenience Drug therapy problems Care planning Collaborating and communicating with HCP Evaluating, documenting and following up
Is There Evidence for the Effectiveness of Pharmacists?
Recent research article in CMAJ: hypertension management by pharmacists was
superior to the usual care provided by physicians and nurse practitioners. (Ross Tsuyuki et al)
Numerous studies are available that demonstrate that pharmacists management of chronic disease are cost effective and produce positive patient outcomes
Value for Services Toolkit
Wellness services
Medication reviews
Minor Ailments
Prescription-related services
Comprehensive medication management
What is holding pharmacy back?
Fee for dispensing main source of revenue for pharmacists
Reimbursement mechanisms are short-term focused and not linked to outcomes
Payment for non-dispensing services
Public and private drug plans