pharmacy practice includes patient centere services that are?....
harmonized
scalable and sustainable
pharmacy services ideal state
-adapted for each province
-funded approprately by payers with an acceptable ROI (return on investment)
-value demonstrated thru innovative services
-enhanced health outcomes for canadians.
-desired by patients
-implemented by pharmacists
-integrated technology solutions
-enhanced interprofessional collaboration
-coordinated with educators and researchers.
creating a framework for pharmacy services
-enhanced medication related services
-expanded patient care services
-core dispensing services
patient centered care is enabled by regulations that support the delivery of expanded services and provide access to info ie......
pharmacist prescribing (initiate, adjust,discontinue)
-medication injection
ordering lab tests
enhancing medication related services
phc services
-additional prescribing intervention if required
-personal medication record-medication reconciliation
medication injection
factors
-workflow adjustment required
-reimbursement: fee for service.
may lead to referral to other healthcare professionals
-toolkit required- to facilitate implementation
what factors do you have to consider for PHc expanded scope.
-interprofessional collaboration and documentation.
-workflow adjustment
-may lead to referral to other healthcare professionals.
-reimbursement: resource based relative vlue scale and fee for service.
-tool kit required -to facilitate implementation.
distribution of pdt +provision of pt care services =
Pharmacy
Practice
Dispensing Profits
Revenue
• Drug cost (MLP, MRP for public insurance)
•
Mark-up
• Rebate or Professional allowance
• Dispensing
Fee
Expense
• Drug cost (AAC)
• Distribution/wholesale
costs
• Fixed and variable expenses (including labor and premises)
Service Profits
Revenue
-included with the product (counselling on
medications)
-fee for service (immunization, MA prescribing,
adapting Rx)
-fee per hour (home visits for medication
review)
-fee per patient (subscription/flat fee –long term
care)
Expenses
-no cost of goods
-fixed and variable
expenses (including labor and premises)
survey results reveal that 61.2% of pharmacists report
experiencing
a high level of burnout in practice, which is one of
the highest rates
among healthcare professionals. This rate is
higher than that found in
surgeons, oncologists, and
emergency-medicine practitioners.
true