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Enriched Pharmacy Services
Mount Carmel Pharmacy
Pharmacist Clinic
Professional Detailing
Medication Therapy Co-Management
Pharmacist Collaboration
● Work more closely with primary health
● Contribute pharmacy skills
● Increased job satisfaction...
Pharmacy is Changing
● Mount Carmel Pharmacy wants to be a
provider of choice
● Word of Mouth reputation, be first choice ...
Who decides what medication to
take?
● Prescriber?
● Pharmacist?
● Payer?
● Patient's family and friends?
● Patient?
Pharmacy is changing
● More practicioners, more prescribers
● More self treatment options over the counter
and pt infomerc...
Potential Benefits of Enriched
Pharmacy Services
● Pharmacist can take responsibility for
certain aspects of care
● Fill i...
What can a pharmacist do?
● Can discuss use of otc's, natural products
and prescribed medications with familiarity
● Have ...
What can pharmacists do?
● Determine what can safely be self treated
and suggest self treatment or warn when to
call for a...
Following Up
● Quit smoking
● Weight loss
● Depression
● Pain control
● Anti-coagulation
● Sleep problems
● Allergies
Follow up
● BP monitors
● Meter teaching
● Inhalation device teaching
● Minor eye/ear infections
● Gastointestinal distres...
Knowledge
● Pharmacokinetics
● Pharmacodynamics as related to aging and
genetics
● Lifestyle measures
● Drugs of choice
● ...
How could this be enabled?
● Agreement from primary health and
pharmacy management to make this a
priority
● Confidential ...
What can't a Pharmacist do?
● Physical assessment
● Diagnosis
● Order tests
● Do treatments
● Therapeutic counseling
Status in Mount Carmel Pharmacy
● Fully staffed for holiday coverage
● Prescription numbers are falling
● Line-ups on Main...
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  1. 1. Enriched Pharmacy Services Mount Carmel Pharmacy Pharmacist Clinic Professional Detailing Medication Therapy Co-Management
  2. 2. Pharmacist Collaboration ● Work more closely with primary health ● Contribute pharmacy skills ● Increased job satisfaction ● Enhance patients' outcomes ● Adhere to practice guidelines
  3. 3. Pharmacy is Changing ● Mount Carmel Pharmacy wants to be a provider of choice ● Word of Mouth reputation, be first choice for patients, their family members and partnering facilities. (within our market area) ● To deliver safe, effective, co-ordinated medication services
  4. 4. Who decides what medication to take? ● Prescriber? ● Pharmacist? ● Payer? ● Patient's family and friends? ● Patient?
  5. 5. Pharmacy is changing ● More practicioners, more prescribers ● More self treatment options over the counter and pt infomercials in the media ● Complex regimens, pre-filled syringes, biologicals ● Self testing options ● Independent living disabled, mentally challenged and aging population.
  6. 6. Potential Benefits of Enriched Pharmacy Services ● Pharmacist can take responsibility for certain aspects of care ● Fill in the gaps in medication information ● Reinforce plan of care ● Follow up changes ● Convenience: pharmacists may see patients more frequently than physicians
  7. 7. What can a pharmacist do? ● Can discuss use of otc's, natural products and prescribed medications with familiarity ● Have access to provincial pharmacy database ● Detect adherence (compliance) issues first ● Receive information re pt's visits to hospitals and walk-in's before family physician. ● Unbiased up to date info on new medications
  8. 8. What can pharmacists do? ● Determine what can safely be self treated and suggest self treatment or warn when to call for appt. ● Continued care prescribing, extend chronic medications until next physician assessment ● Can adapt prescriptions to a certain extent where the ordered medication is not available ● Advise immunizations
  9. 9. Following Up ● Quit smoking ● Weight loss ● Depression ● Pain control ● Anti-coagulation ● Sleep problems ● Allergies
  10. 10. Follow up ● BP monitors ● Meter teaching ● Inhalation device teaching ● Minor eye/ear infections ● Gastointestinal distress ● Minor skin ailments eg. Rashes, dry skin
  11. 11. Knowledge ● Pharmacokinetics ● Pharmacodynamics as related to aging and genetics ● Lifestyle measures ● Drugs of choice ● Problems of medications: side effects, withdrawal, addiction
  12. 12. How could this be enabled? ● Agreement from primary health and pharmacy management to make this a priority ● Confidential teaching/interview room ● Full pharmacy staff ● Guidance re documentation ● Method of evaluating process in future ● Billing via special services on insurance, as we can do for bubble packs
  13. 13. What can't a Pharmacist do? ● Physical assessment ● Diagnosis ● Order tests ● Do treatments ● Therapeutic counseling
  14. 14. Status in Mount Carmel Pharmacy ● Fully staffed for holiday coverage ● Prescription numbers are falling ● Line-ups on Main Street to access walk-in clinics and pharmacies ● Provider of choice, for those who cannot pay ● There is a need for a full-service pharmacy

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