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PPF- Atlantic Summit on Healthcare and Drug Cost Sustainability Perry Eisenschmid CEO, Canadian Pharmacists Association October 30, 2014. Challenge. Opportunity. Enigma. Help from Pharmacists. Obstacles. Success Factors. Introduction. Healthcare in Canada at a crossroad
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PPF- Atlantic Summit on Healthcare and Drug Cost Sustainability Perry Eisenschmid CEO, 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
Managing Chronic Disease • 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
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
Moving Forward • Pharmacists as a primary care provider • Formal referral system • Multi-sectoral discussions need to continue, that incorporate interests of patients, health care providers and employees