Pharmacists: The X-Factor in ACO’s

If you’ve ever played volleyball before, you know that the best way to typically score a point is to bump…set….and spike the ball.  You simply defend the ball with a bump, and then set it up for an eye-popping spike.  It’s a great feeling to spike the ball, but it’s utterly dependent on the setup shot by your teammate.  A perfectly placed ball from the setter position allows you to place all of your power into the ball, ensuring a point each time.  Pharmacies have been ‘defending’ themselves in about every area, and rightfully so.  In the case of ACO’s, we have been set up with an awesome opportunity to set ourselves up for the ‘spike’ of a generation.

 ACO’s essentially hold the healthcare system ‘accountable’ in several ways.  One such way is by encouraging discharge planning and continuity of care upon discharge by reducing (or even eliminating) payments if the patient is readmitted to the hospital for the same condition in a relatively few amount of days.  Therefore, an incredible amount of focus is being placed on improving the process by which patients are sent home from the hospital.  As a pharmacist myself, I see the inherent issues that arise from the current process of patient discharge from the hospital.

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PharmacyForward.com: The Future of Pharmacy Practice

More pharmacists than ever before are going beyond the prescription counter to partner with their patients in incredible ways.  After all, pharmacists are found in the smaller arteries of America that large health entities can’t reach. A landmark August 2010 New York Times article, “In Health Shift, Patients Make Pharmacist’s Appointment,” covered this trending new topic and began a dramatic shift; pharmacists are improving healthcare by scheduling appointments with their patients for a variety of needs.  PharmacyForward.com is the newest creation from the CreativePharmacist.com labs that aims to help pharmacists in this emerging market.

The site is the first searchable database of clinical services offered within the pharmacy space and allows patients to make an online appointment with the pharmacist. Offering online scheduling will make it easier for the members of every community to know the clinical services that pharmacists provide and give them an easy way to make an appointment.   Continue reading

‘Hitting the Wall’: A pharmacist’s guide to beginning classes

As a practicing pharmacist myself, I began offering diabetes classes at an independent pharmacy in Augusta, GA, around 2005.  We tried different times of the day and different days of the week in effort to find the best time that would grab the most patients.  Unfortunately, I began with one patient during our first class.  Instead of being discouraged, however, I began to use my influence as a pharmacist to grow the classes.  While I had only meager success the first few classes (even one month in which no one showed up), we began to quickly grow approximately 6 to 9 months after our first class.

Believe me…I was ready to give up after just a few months of meager success.  It reminds me of a common expression that long distance runners use:  ‘hitting the wall.’  If you’re a runner like myself, you know that almost every runner experiences a time during their run in which they become tired and are ready to give up.  However, runners who work through this time eventually feel much more rejuvenated and are able to complete the course.  This same principle can be easily applied to pharmacists attempting to launch the Sweet Spot program in their store(s).  Pharmacists who push through the time of ‘hitting the wall’ usually experience great success down the line.

I have several thoughts on why pharmacies working through early struggles tend to be more successful, but I believe it ultimately boils down to patients and physicians seeing consistency in the program.  Physicians, for example, weren’t willing to forward patients to our class until they saw consistency in our program.  One physician remarked, ‘I just assumed you were having a few ‘Diabetes Days,’ but I realized you actually have a great service you can provide to my diabetes patients on a consistent basis.

If you’re currently ‘hitting the wall,’ be encouraged!  Keep your classes consistent.  Let your area physicians know you don’t plan on quitting any time soon.  If you’re ‘hitting the wall,’ be sure let us know…we’re full of ideas to break through the wall!’

David D. Pope, PharmD, CDE

Editor-in-Chief, CreativePharmacist.com

 

David can be contacted at david@CreativePharmacist.com, or 706.210.9087

Antidepressant Drug Compliance: Reduced Risk of MI and Mortality in Depressed Patients

Summary by Annie Isaac, UGA PharmD Candidate (’12), Jason M. VanLandingham, PharmD, BCPS

Depression is associated with an increased risk for coronary heart disease in healthy patients and cardiac morbidity and mortality in patients with coronary heart disease.   However, little research has been done to determine the role antidepressants play in this risk.    This study was conducted among patients with a diagnosis of depression, to determine the long term risk of myocardial infarction (MI) in patients who have taken antidepressants compared with those who have not.

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CreativePharmacist.com in the NY Times

Just in case you haven’t seen it yet, CreativePharmacist.com was featured on the cover of the NY Times in August 2010.  It is exciting to see how pharmacists are showing how you can operate ‘clinical pharmacy’ in the retail setting!  I’d love to hear your thoughts on the article.  Also, what clinical services are you offering in your practice?

Here’s the link to the article: http://www.nytimes.com/2010/08/14/health/14pharmacist.html?_r=1

Daily aspirin in diabetes patients: Who do I recommend it to again???

Recently, the American Diabetes Association (ADA) published their updated Standards of Medical Care in Diabetes document and one of the major changes this year was in regards to aspirin recommendations in primary prevention patients (patients who have no prior history of cardiovascular disease such as heart attack or stroke).  If you’ve heard about this change or been asked about it by your patients, you might be feeling a little confused or uncomfortable with the information.  It was quite a shift from what we had been recommending! Continue reading

“Clinical Pharmacy” in the Community Setting

A quick Google search of the phrase “Clinical Pharmacy” led me to Wikipedia’s definition which states “Clinical Pharmacy is the branch of pharmacy where pharmacists and pharmaconomists provide patient care that optimizes the use of medication and promotes health, wellness, and disease prevention.”  I work at D-REX Pharmacy in Jonesville, NC where my title is “Director of Clinical Pharmacy Services” and my lab coat reads “Clinical Pharmacist.”  Continue reading