Traversing the Quality Chasm: Revisiting the Framework for Pharmacy Services Quality Improvement.

DISCLOSURES: No funding supported the writing of this reflection. The authors have nothing to disclose.

Implications for pharmacy from the Institute of Medicine's report on Health Care Workforce and an Aging America.

The Institute of Medicine's report "Retooling for an Aging America: Building the Health Care Workforce" concluded that the US health care workforce will require significant overhaul to care for the estimated 70 million adults 65 years and older by 2030. No profession trains the numbers of geriatric specialists needed to maintain the current provider to patient ratio. Pharmacy is no exception; currently less than 1% of pharmacists are certified or have specialty training in geriatrics. Schools of pharmacy, accrediting and professional organizations, and boards of pharmacy will need to collaborate to ensure that pharmacists have the core competencies to care for older adults.

Pharmacists in the Omaha Metropolitan Medical Response System.

PURPOSE: The role of pharmacists in the Metropolitan Medical Response System (MMRS) for Omaha, Nebraska, is described. SUMMARY: Pharmacists have been involved in the Omaha MMRS since its inception in 2000. The Omaha MMRS has a pharmacy committee composed of pharmacists from local hospitals, community pharmacies, and two pharmacy schools. The pharmacy committee oversees the stock of pharmaceuticals available to Omaha in an emergency by continuously monitoring hospital inventories and working with state and federal planners. Pharmacists are responsible for planning for the receiving, staging, storing, distributing, and dispensing of the large quantities of pharmaceuticals that might be required in a disaster. Pharmacists also educate other health care professionals and the public about threats. CONCLUSION: Pharmacists play a major role in emergency preparedness in the Omaha metropolitan area and would be active participants in the community's response to a disaster.

Examining pharmacy workforce issues in the United States and the United kingdom.

OBJECTIVE: To examine available data and actions surrounding current pharmacy workforce issues in the United States and United Kingdom. METHODS: Published pharmacy workforce data from the United States and United Kingdom were gathered from various sources, including PUBMED, Internet search engines, and pharmacy organization websites. Data was collated from additional sources including scientific literature, internal documents, news releases, and policy positions. RESULTS: The number of colleges and schools of pharmacy has expanded by approximately 50% in both the United States and United Kingdom over the previous decade. In the United States, continued demand for the pharmacy workforce has been forecasted, but this need is based on outdated supply figures and assumptions for economic recovery. In the United Kingdom, workforce modeling has predicted a significant future oversupply of pharmacists, and action within the profession has attempted to address the situation through educational planning and regulation. CONCLUSION: Workforce planning is an essential task for sustaining a healthy profession. Recent workforce planning mechanisms in the United Kingdom may provide guidance for renewed efforts within the profession in the United States.

Integrating family medicine and pharmacy to advance primary care therapeutics.

The prevalence of suboptimal prescribing of medications is well documented. Patients are often undertreated or not offered therapeutic treatments that are likely to confer benefit. As a result, drug-related hospital admissions are common and often preventable. Improvements to the health-care system are clearly needed in order to maximize the benefits that can be derived from medications. Many countries are changing their primary health-care systems to improve the quality of health-care delivery. One main transformation is the use of multidisciplinary care teams to provide care in a coordinated manner often from the same location or by using the common medical record of the patients. It has been demonstrated that pharmacists can improve prescribing, reduce health-care utilization and medication costs, and contribute to clinical improvements in many chronic medical conditions, such as cardiovascular disease, diabetes, and psychiatric illness. However, the effect of integrating a pharmacist providing general services into a primary care group has not been extensively studied. The Integrating Family Medicine and Pharmacy to Advance Primary Care Therapeutics (IMPACT) project was designed to provide a real-world demonstration of the feasibility of integrating the pharmacist into primary care office practice. This article provides a description of the IMPACT project participants; the IMPACT practice model and the concepts incorporated in its development; some initial results from the program evaluation; sustainability of the model; and some reflections on the implementation of the practice model.

Pharmacist perceptions of new competency standards

Objective: To suggest revisions to the Thai pharmacy competency standards and determine the perceptions of Thai pharmacy practitioners and faculty about the proposed pharmacy competency standards. Methods: The current competency standards were revised by brainstorming session with nine Thai pharmacy experts according to their perceptions of society’s pharmacy needs. The revised standards were proposed and validated by 574 pharmacy practitioners and faculty members by using a written questionnaire. The respondents were classified based on their practice setting. Results: The revision of pharmacy competency standard proposed the integration and addition to current competencies. Of 830 distributed questionnaires, 574 completed questionnaires were received (69.2% response rate). The proposed new competency standards contained 7 domains and 46 competencies. The majority of the respondents were supportive of all 46 proposed competencies. The highest ranked domain was Domain 1 (Practice Pharmacy within Laws, Professional Standards, and Ethics). The second and third highest expectations of pharmacy graduates were Domain 4 (Provide pharmaceutical care) and Domain 3 (Communicate and disseminate knowledge effectively). Conclusion: The expectation for pharmacy graduates’ competencies were high and respondents encouraged additional growth in multidisciplinary efforts to improve patient care (AU)

Objetivo: Sugerir revisión a los estándares de competencia de farmacia tailandeses y determinar las percepciones de los facultativos farmacéuticos tailandeses sobre los estándares de competencia propuestos. Métodos: Se revisaron los estándares de competencia actuales en una sesión de brainstorming con nueve expertos farmacéuticos tailandeses de acuerdo a sus percepciones de las necesidades de la sociedad sobre los farmacéuticos. Los estándares revisados fueron propuestos y validados por 574 farmacéuticos en ejercicio mediante un cuestionario escrito. Se clasificó a los respondentes según su lugar de ejercicio. Resultados: La revisión de los estándares actuales de competencia propuso la integración y adición de nuevas competencias. De los 830 cuestionarios distribuidos, se recibieron 574 cuestionarios completos (69,2% tasa de respuesta). Los nuevos estándares de competencia propuestos contenían 7 dominios y 46 competencias. La mayoría de los respondentes apoyaron todas las 46 competencias. El dominio más valorado fue el Dominio 1 (Ejercicio de Farmacia en Leyes, Estándares profesionales, y Ética). Los segundo y tercero con más expectativas entre los graduados en farmacia fueron el Dominio 4 (Provisión de atención farmacéutica) y Dominio 3 (Comunicar y diseminar conocimientos efectivamente). Conclusión: Las expectativas de las competencias de los graduados en farmacia fueron altas y los respondentes valoraban un crecimiento adicional de los esfuerzos multidisciplinarios para mejorar la atención al paciente (AU)