Pharmacists as Immunizers

1. Pharmacists as Immunizers Health Care Systems Group 7 10/05/2005 Dawn Wasik Kim Chu Erin Blair Jeremy German Ben Smith Hiren Patel Jennifer Leverett

2. Overview States allowing pharmacists to immunize The Pharmacists� Role Training Benefits Concerns Conclusions

3. Case Study Kaitlin = Pharmacist Moved from FL to GA FL does not allow Pharmacists to immunize, GA does Reciprocated her license

4. States Allowing Pharmacists to Immunize 43 states allow pharmacists to provide immunizations as of 09/2005 Some states allow Pharmacy Interns to immunize under Pharmacist supervision Only some require interns to be certified  Search state boards of pharmacy for individual state rules Currently 43 states allow pharmacists to immunize, some even allow 3rd or 4th year pharmacy interns to perform vaccinations with appropriate supervision. Each state differs in their rules� so if you�re planning on getting certified in other states check with their boards of pharmacy for requirements. Currently 43 states allow pharmacists to immunize, some even allow 3rd or 4th year pharmacy interns to perform vaccinations with appropriate supervision. Each state differs in their rules� so if you�re planning on getting certified in other states check with their boards of pharmacy for requirements.

5. States Allowing Pharmacists to Immunize NY is 1 of 7 states not allowing pharmacists to immunize 2004 PSSNY Bills of Interest Legislative Inserts �Public health officials in New York and nationally at the Centers for Disease Control support pharmacists as immunizers�� �Nationally in 2004, 4,000 pharmacists authorized to immunize administered more than 500,000 doses of vaccine to adults. States where immunizing pharmacists placed vaccine orders did not experience the same degree of vaccine shortage as states such as New York�� �Immunization rates for adults in New York are statistically near the bottom when compared to other states. We rank 40th for flu and 46th for pneumococcal. Minority populations fare even worse. Pharmacists in minority neighborhoods who are allowed to immunize can make a considerable difference in the health of New Yorkers�� NY is one example of states that do not allow pharmacists to immunize, however there is strong support in favor of letting us immunize. In the Pharmacists Society of the State of NY 2005 Bulletin they show their support for allowing pharamcists to immunize� examples As more states push for allowing pharmacists to vaccinate, the need for pharmacists will increase and allow us to establish ourselves in the health care field and perform adequate pharmaceutical care.NY is one example of states that do not allow pharmacists to immunize, however there is strong support in favor of letting us immunize. In the Pharmacists Society of the State of NY 2005 Bulletin they show their support for allowing pharamcists to immunize� examples As more states push for allowing pharmacists to vaccinate, the need for pharmacists will increase and allow us to establish ourselves in the health care field and perform adequate pharmaceutical care.

6. States Allowing Pharmacists to Immunize GA does allow pharmacists to immunize You MUST be certified Must work under a protocol GA is a state that does allow immunizations by pharmacists. You have to be certified no matter if the physician gives you consent or not!! Ben will talk more about the certification later and you must work under a physician protocol� the physicians must specify what vaccine for who!GA is a state that does allow immunizations by pharmacists. You have to be certified no matter if the physician gives you consent or not!! Ben will talk more about the certification later and you must work under a physician protocol� the physicians must specify what vaccine for who!

7. States Allowing Pharmacists to Immunize Pretty mapPretty map

8. Pharmaceutical Care �Pharmaceutical care is the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient's quality of life.� Administering vaccinations are related to the outcomes of pharmaceutical care: cure of a disease elimination or reduction of a patient's symptomatology slowing of a disease process prevention of a disease Administering a vaccination could take about as long as filling a Rx! Movie: As we talked about in class, pharmaceutical care is all about the patient� improving the outcome and quality of life. Although we currently perform areas of pharmaceutical care, administering vaccines will continue our push for absolute pharmaceutical care as Hepler and Strand saw it by actually curing or preventing a disease which would eliminate symptoms a patient might experience.As we talked about in class, pharmaceutical care is all about the patient� improving the outcome and quality of life. Although we currently perform areas of pharmaceutical care, administering vaccines will continue our push for absolute pharmaceutical care as Hepler and Strand saw it by actually curing or preventing a disease which would eliminate symptoms a patient might experience.

9. Pharmacists� Role in Immunizations Focus of health care shifting toward prevention Pharmacists are thought to be the most accessible health care provider to the public Pharmacists vaccinating provides convenience to patient & physician Vaccination opens communication concerning other beneficial services, such as patient counseling With the onset of Medicare D, the shift in health care is toward prevention. It only makes sense that a pharmacist that works in a pharmacy that stays open on aver gage 30hrs longer than a doctors office is an excellent choice for vaccinating. It also frees up time in the doctors office to take care of sicker people and opens a door to pharmacist/physician relations. It also allows another door to be opened for patient counseling and allows the patient to take an active interest in learning about their health. It�s relatively fast to complete a vaccine� about the time it takes to completely fill a prescription. Administering a drug = administering a vaccine! If we have time, watch the movie later.With the onset of Medicare D, the shift in health care is toward prevention. It only makes sense that a pharmacist that works in a pharmacy that stays open on aver gage 30hrs longer than a doctors office is an excellent choice for vaccinating. It also frees up time in the doctors office to take care of sicker people and opens a door to pharmacist/physician relations. It also allows another door to be opened for patient counseling and allows the patient to take an active interest in learning about their health. It�s relatively fast to complete a vaccine� about the time it takes to completely fill a prescription. Administering a drug = administering a vaccine! If we have time, watch the movie later.

10. Pharmacists� Role in Immunizations Prevention- Immunizer Education - patient education Collaboration - contact with physicians I�ve touched on these areas of prevention, education, and collaboration in the previous slides, but now Ben will discuss more in depth the roles that we as pharamcists will play in immunizing.I�ve touched on these areas of prevention, education, and collaboration in the previous slides, but now Ben will discuss more in depth the roles that we as pharamcists will play in immunizing.

11. Prevention Pharmacists should focus their immunization efforts on influenza, pneumococcal, and hepatitis B infections Pharmacists should routinely determine the immunization status of patients Pharmacists should identify high-risk patients in need of targeted vaccines and develop an appropriate immunization schedule Pharmacists should be appropriately immunized themselves Most Common diseases still seen to have affect on the american public If needed they can refer their patients to another provider for immunization Along with physician they can devise an appropriate immunization schedule Best sale if you�ve already been immunized!!� also protect themselves and their patientsMost Common diseases still seen to have affect on the american public If needed they can refer their patients to another provider for immunization Along with physician they can devise an appropriate immunization schedule Best sale if you�ve already been immunized!!� also protect themselves and their patients

12. Education Patients should be educated on the risks and benefits of immunizations Pharmacists can educate patients about the importance of keeping track of immunization and medication records for themselves and for other family members can provide patients with these documentation materials Pharmacists may be able to provide patients with additional take-home materials including information about clinics or local health departments where they can follow up for vaccinations if necessary

13. Collaboration Pharmacists should support immunization advocacy goals and other educational programs Pharmacists should collaborate with physicians consult with and report immunization delivery to primary-care providers Report adverse events following immunization to any appropriate primary-care provider and to the Vaccine Adverse Event Reporting System (VAERS) w/in their city, state� more push towards immunizations Best care for patient!!! No immunizations of infants/ young children� pediatrician should be primary immunizer. Recent Survey other health care providers (nurse, physicians) were asked how they felt about pharmacists immunizing� over 90% felt comfortable and thought it was appropriate that we provide this service w/in their city, state� more push towards immunizations Best care for patient!!! No immunizations of infants/ young children� pediatrician should be primary immunizer. Recent Survey other health care providers (nurse, physicians) were asked how they felt about pharmacists immunizing� over 90% felt comfortable and thought it was appropriate that we provide this service

14. Immunization Training APhA- Pharmacy-based Immunization Delivery Certificate Program Self Study and Training Seminar CDC- �You Call the Shots� Online Training Interactive Online Training Elective Class by Dr. E. Evans Limited to 30 people (first come, first serve) Will be licensed at end of course Class = $95, if student through the APhA = $200, if graduated through the APhA = $400� so do as a student!!! Also keep up-to-date with vaccine recalls, new techniques� best care for the patient is the ultimate goal.Class = $95, if student through the APhA = $200, if graduated through the APhA = $400� so do as a student!!! Also keep up-to-date with vaccine recalls, new techniques� best care for the patient is the ultimate goal.

15. Benefits to Pharmacists Increases Rx volume Improves relationships with other health care providers Increases job satisfaction Increases OTC drug sales

16. Concerns For Pharmacists Compromise patient safety Adverse reactions, Lack of emergency training Lack of confidential setting for administration Legality/Accountability issues Availability of time In case someone has an adverse reaction, proper mechanical and emergency training might not be available Easy to overhear what Mr. Jones is getting� against HIPAA regulations; depending on vaccination patient might feel uncomfortable Already very busy with other duties: compounding, insurance, consults� is there really extra time for vaccinating?In case someone has an adverse reaction, proper mechanical and emergency training might not be available Easy to overhear what Mr. Jones is getting� against HIPAA regulations; depending on vaccination patient might feel uncomfortable Already very busy with other duties: compounding, insurance, consults� is there really extra time for vaccinating?

17. Conclusions As awareness in prevention increases, the role of a pharmacist will continue to expand. Due to the pharmacist and patient relationship, immunizations in the pharmacy are likely to increase. As pharmacies gain recognition as a site for immunizations, the need for pharmacists will increase.

18. For more Information please refer to Group 7�s brochure: �Pharmacists as Immunizers� A Supplemental Guide� Visit our Webpage at: http://bellsouthpwp2.net/b/e/benpsmith Brochure= Vaccine fun facts, what a vaccine is and how it works, local flu vaccine sites, and a detachable adult immunization card to keep in your wallet to help you remember which vaccines you�ve already in case of emergency Webpage contains links to our references, the ppt presentation, the brochure, a quiz from the cdc, and other extras!!Brochure= Vaccine fun facts, what a vaccine is and how it works, local flu vaccine sites, and a detachable adult immunization card to keep in your wallet to help you remember which vaccines you�ve already in case of emergency Webpage contains links to our references, the ppt presentation, the brochure, a quiz from the cdc, and other extras!!

19. Questions