Transcript HYPERCHOLESTEROLEMIA:

Pharmacists in
Primary Health Care:
An Evolving Interprofessional Role
Derek Jorgenson, BSP, PharmD
IPASS 2010
Does the PHC system
NEED a pharmacist role
that is more
interprofessional??
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Assessed 1017 random ER visits to VGH ER
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12% of all ER visits were caused by drugs
-- 68% of were PREVENTABLE
-- 74.6% were of moderate severity
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Most common causes of drug-related visits:
-- ADRs (39.3%) and non-adherence (27.9%)
Pharmacists in PHC: The Future
Pharmacists on PHC teams
Patient
Pharmacists in
community
pharmacies
Other team
members
(MD, RN, NP, etc.)
Pharmacists in specialty clinics
Pharmacist as Member of a
Primary Health Care Team
West Winds Primary
Health Centre
West Winds Primary Health Centre
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Partnership between the University of
Saskatchewan and the Saskatoon Health Region
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Integrated, interprofessional PHC model:
o
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Family medicine, nurse practitioner, diabetes
educator, dietician, PT/OT, public health nurse,
social worker, addictions, researchers, etc.
‘2 days per week’ pharmacist was part of this team
from the start (now ~4 days per week)
Pharmacists on
Primary Health Care Teams
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•
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Becoming common across Canada in last 5
years (esp. AB. ON, SK)
No dispensing role (and no dispensary)
Office based consultant
Co-located with the primary health team at the
point of prescribing
Generally working on a salary from the health
region (like the hospital pharmacists)
What does the pharmacist do?
1.
Direct patient care
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Medication assessments by referral
o assessments sometimes done with
other team members
o participate in follow-up/monitoring
Hallway consults
Attending family medicine rounds
What does the pharmacist do?
2.
Drug info support for the team
3.
Policy development / team
enhancements
4.
Patient group education
5.
Teaching (to team)
An expanding role in Sask.
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23 central primary health care teams across
Saskatchewan now have access to a team
based pharmacist about 1 days per week
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In Saskatoon we now have two pharmacists
and we cover West Winds PHC, PHC South
East, Borden PHC and Deslisle PHC
Pharmacists in PHC…more
examples of interprofessionalism
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Home Care in SHR
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Academic Detailing (The RxFiles)
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Asthma Educators / Diabetes Educators
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Renal Clinic in SHR
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HIV Clinic in SHR
QUESTIONS
Dr. Derek Jorgenson
966-2009
[email protected]