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Ann Privett

09c19beebf28d6c65c941b72a542e693?s=47 Lung Foundation NZ
November 11, 2015

Ann Privett


Lung Foundation NZ

November 11, 2015


  1. Ann Privett FPS The Emerging role of Pharmacists

  2. • Community • Hospital • Clinical eg: PHO’s, Prescribing Pharmacists

    • Drug Company • Government eg: Pharmac, Ministry of Health, DHB’s PHARMACISTS ROLES

  4. Information, Advice , Medications and no appointment needed.

  5. Cough, Colds and all manner of minor aliments

  6. Dispensing, medications, pills and potions

  7. A lot goes on behind the scenes

  8. • Patient is Registered with a pharmacy – patients are

    encouraged to use the ONE pharmacy for dispensing • Pharmacy develops a management plan which detail the actions that the pharmacist and the patient will work together on to address the adherence issues • Send a report to their GP ( in the future) • Document all interactions with the patient • Re- assess every year to make sure that the patient still meets LTC criteria LTC : Long Term Condition Service
  9. • LTC identifies adherence problems and provides practical Aids to

    help improve adherence • LTC manages the dispensing . Making sure that they stay synchronised , taking the prescribed medication at the correct time, Provides organisation for their medications ( repeat reminders ) • Happens while patient is in pharmacy as part of the dispensing process • LTC – highlights the problems and increases the need of higher level medication management services in pharmacy LTC : Long Term Condition Service
  10. Medico Packs, blister packs, compliance packs etc…

  11. Counselling

  12. Consulting Rooms

  13. • Visiting health professionals eg :Asthma Nurse Educator. • Personal

    consultations eg ECP , UTI , • Blood Pressure Monitoring • Weight loss • First Aid • Opens up doors to new services: vaccinations and CPAMS Consulting Rooms
  14. • Uses the CoaguChek meter using a finger prick to

    obtain blood for testing • Records clinical information relevant to Warfarin treatment. • Provides automatic dosing using a unique dosing algorithm. • Records all results in tabular and graphical format. • Provides a scheduling system and automatic e-mail reminders for patients. • Results are sent via email into the GP’s computer CPAMS – Community Pharmacy Anticoagulation Management service
  15. CPAMS

  16. Provides a printed dosing calendar to aid compliance Patient comes

    into the pharmacy
  17. CPAMS : Community Pharmacy Anticoagulation Management Service • “Better Sooner

    More Convenient” Patient Care
  18. • Working to their level of expertise • Working with

    Doctors • New opportunities CPAMS
  19. • MUR :Medication Use Review • It’s a sit down

    ,face to face could be up to an hour discussion on their beliefs about their medications reasons for taking or not taking their medication , and solving their issues • MUR finds out the reason why the patient is not adherent • May involve some clinical solutions • Pharmacist needs to be accredited • Providing them through community pharmacy since 2004 • “ information gained from the pharmacist is extremely helpful” “ the fact that a patient has had a review enables me to make more informed clinical decisions on their medication Medication Management Reviews
  20. • MTA : Medication therapy assessment • Takes place in

    consultation with other healthcare providers • Pharmacist needs information from the Prescriber • It asks the question “Is this the most appropriate medication” • Provides a report with recommendations on medications issues • Rest Home • Pharmacists needs Post Graduate Qualifications Medication Management Reviews
  21. Vaccinations

  22. • Pharmacists need to be accredited • Flu, Whooping cough,

    Shingles and Meningococcal • Access • Comments “ no appointment needed” “ Great information, learnt a lot” Vaccinations
  23. • Prescribing Pharmacists: Independent, work alongside GP’s • PHO Pharmacists

    : Visit GP’s, advise on prescribing , can do medication reviews Clinical Roles
  24. • Minor Ailments Service • Funded Smoking Cessation • Medication

    Reviews • Prescribing Pharmacists • Clinical Hospital Services (evidence-based -reduced mortality) • Immunisation Services • Point-of-Care Monitoring Services e.g. Clozaril • IT platform that enables communication between GP and hospital and pharmacy THE FUTURE
  25. None
  26. › Ann Privett FPS Miramar Unichem Pharmacy › 58 Miramar

    Ave › Miramar › Ph 04 3888516 › miramarpharmacy@xtra.co.nz › annprivett@xtra.co.nz Thankyou