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Want to be a Farmer for New Pharmacy Technician Services?

“Out of the Silo – Into the Fields” Anthony Webber, Pharm.D , BCPS DVA Pharmacy Informatics Conference San Diego, California April 27-29, 2010. Want to be a Farmer for New Pharmacy Technician Services?. What “crops” do you prefer to plant, nurture and harvest?

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Want to be a Farmer for New Pharmacy Technician Services?

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  1. “Out of the Silo – Into the Fields”Anthony Webber, Pharm.D, BCPSDVA Pharmacy Informatics ConferenceSan Diego, California April 27-29, 2010

  2. Want to be a Farmer for New Pharmacy Technician Services? • What “crops” do you prefer to plant, nurture and harvest? • What are your facility’s identified needs that remain unmet? • How can you position yourself in win/win situations? • What “farming” opportunities are on the horizon (e.g., VA Home Care Model)?

  3. Factors to Consider Before Planting • Seasonal Weather and Expected Forecasts • Political Culture & Fiscal Status at Your Facility • Anticipated Needs For Your Product and Suppliers • Resources Available & Stakeholders Involvement • Amount of Attention Your Crop May Need To Thrive • Time and Effort………….. • Profitability of The Yield • Tangible/Objective Outcome Measures • Mechanisms to Market Successes • Drive and Desire to “toot your own horn”

  4. Phoenix VA Pharmacy “Plantings” • Clinical Technician Positions Approved (GS 7) – 1998 • Pioneered the Classification and Hiring of This Position Within VHA • Initial Crop: (2 ACS & 2 ICS) • Two Additional in Both 2000 & 2002

  5. Phoenix VA Pharmacy “Plantings”Example Functions (ICS) • Inpatient Care Support – Current Emphasis on Discharges • Maintain Same Day/Anticipated Discharge Patient List(s) • Review/Evaluate Pertinent Provider Discharge Guidance • Medicine/Hospitalist/Pharmacist Note(s) Plan etc. • EPRP Indicators (Example – CHF Indicator) • Medication/Disease Specific Discharge Packets • Med/Disease Specific Care Notes etc. • Routes/Reviews Medications Filled For Discharge • Remote Data Comparison Where Applicable • Enters Discharge Med List Template (CPRS) – Pharmacist Cosigner • Medication Reconciliation Processes • Others as Opportunities/Needs Present

  6. Phoenix VA Pharmacy “Plantings”Example Functions (ACS) • Ambulatory Care Clinic Support • Disease Management Clinic Support (Ex. HTN Clinic) • Zoladex® Clinic Medication Coordination • Medication Conversion Assistance (Ex. Too many to count!) • Medication Box Fill Clinic • Triaging Resource (phone as well as in clinic) • Others as Opportunities/Needs Arose

  7. Phoenix VA Pharmacy “Plantings”Example Functions (ACS) - Cont’d • Anticoagulation Clinic Support • Direct Patient Care/Provider Communication • Phone Interviewing • Running/Reporting Laboratory Results • Communicating Clinical Pharmacist Change Recommendation • Facilitate medication renewals and lab numbers • Documents via CPRS Progress Notes Patient Interview Results/ Findings / Change Communications • (2 FTE Clinical Technicians) + (2FTE Clinical Pharmacists) • Manages ~ 2400 patients • (1 FTE Clinical Pharmacy Specialist Recently Approved)

  8. Profits of the Yield • Team Committees • Pharmacy & Hospital-Wide • Regional Technician Board • State-Wide & National Poster/Lecture Presentations • Publications • Weber EW, Cohn-Oswald L, Hepfinger C, et al. • Clinical Pharmacy Technicians: A Valuable Resource • For Clinical Pharmacists. Fed Pract. 2004;21(11);22-32 • Individual Professional Growth / Satisfaction • Individual Fiscal Growth

  9. Future Crops?VA Home Care Model?

  10. What Are Your Facility Crop Needs? • Medical Home Care Model • Is there a role to Incorporate Clinical Pharmacy Technicians Into This Care Model? • Medication Reconciliation (Both Inpatient/Ambulatory Care)? • Triaging Support (In Clinic/House, Telephone Opportunities? • Pharmacoeconomic Opportunities (Medication Conversions)? • Direct Patient Care/Patient Focused Care Needs • Overall Enhancing Operational Functions Which Would Optimize Clinical Functions/Interactions for Clinical Pharmacists ( MTM Services/Disease Specific Clinics)

  11. VHA Technician’sSource: https:/vssc.med.va.gov 6% 27% 56% 10% 1%

  12. Evaluate Seasonal Weather and Forecasts(Facility Needs/Priorities) Establish What Farming Equipment You Have(What Resources/Time/Staff Available to Utilize)Identify Stakeholders and Seek Buy In(What Crops are Likely to Yield Profits)Plant – Nurture/Mentor – HarvestExperience the Profitability of The Yield

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