I’ve been a pharmacist since 1997. The profession of pharmacy, and therefore the basic principals of the practice, haven’t changed in that time. During my career I’ve worked in six different hospitals (1 in operations, 2 as a clinician, 2 general practice, 1 informatics), one long-term care pharmacy, once as a consultant pharmacist in long term care, in retail for two different retail chains, one community pharmacy and as a relief pharmacist for about a year. Looks pretty bad when I put it in writing. What can I say, I get bored.
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Why pharmacy continues to fail
Webinar: Effective Pharmacy Interactions with ‘The C-Suite’
I think a key for the future of pharmacy will be for pharmacy leaders to learn how to engage the C-Suite within their own healthcare system. That makes the content of this webinar from Pharmacy OneSource particularly interesting.
Wednesday, December 14th: "Effective Pharmacy Interactions with ‘The C-Suite’"
Jim Jorgenson, RPh, MS, FASHPReserve your Webinar seat now at:
https://www2.gotomeeting.com/register/340160290
Jim Jorgenson, Chief Pharmacy Officer and Vice President of Indiana University Health, will provide the pharmacist with background information about the current healthcare environment, with an emphasis on how the hospital/health-system and priorities of the C-Suite are affected. The overall goal is to enable the pharmacist to gain knowledge and confidence in preparation to present to the C-Suite on topics affecting pharmacy and the medication use process. Specific case examples of presentations that worked and did not work will be provided.
Effective Pharmacy Interactions with ‘The C-Suite’
Date: Wednesday, December 14, 2011
Time: 12:00 PM – 1:00 PM ET
Register: https://www2.gotomeeting.com/register/340160290
Why regulatory compliance is killing innovation in healthcare
Anyone that’s worked in healthcare knows about regulatory compliance. If not, then they should because it takes up about 50% of everyone’s time, energy and effort. I understand the theory behind regulations, i.e. protect the patient, but I think most of the time all additional regulations do is is create work for people that are already over burdened.
Ask a nurse how much time they spend documenting and double documenting things to meet some arbitrary rule or regulation. You’ll be surprised by the answer. Now ask a pharmacist or a physician. You’ll get the same ugly responses. I know a lot of my time as a clinician was spent generating documentation to cover my ass rather than helping care for a patient.
Unfortunately the need to comply with government agencies and silly rules inside the walls of healthcare has generated an unwanted side effect – lack of innovation. Why? Because all that innovative energy is spent on regulatory compliance instead of other, more useful things.
I’ve been involved in several conversations over the last month dealing with how to best use pharmacy automation and technology to increase efficiency and solve problems. Would you like to venture a guess as to what most of those conversations centered on? Yep, how to automate some documentation process or create technology to meet some new regulatory compliance. None of the discussions have been about providing better, safer, more complete patient care.
If you don’t think this is a major problem, think again. I was reading a blog by John Halamka last night in which he discusses the ‘Burden of Compliance’. In the blog John states that “[a]s we draft new regulations that impact healthcare IT organizations, we need to keep in mind that every regulation has a cost in dollars, time, and complexity.” Just remember, there is a finite amount of dollars and time floating around in healthcare these days. If a majority of those dollars and time are gobbled up by regulatory compliance, what does that leave for innovation to actually improve medication distribution, safe administration and better patient care? Precious little if you ask me.
The ASHP Summer Meeting 2011 continues … (#ashpsm)
I had planned on blogging daily during the Summer Meeting, but obviously that didn’t happen. Perhaps it was the big dinner I had yesterday evening followed by the insanely good gelato that put me into a food comma, or then again maybe it was just laziness. Regardless, I skipped a day.
The Summer Meeting continues to roll on with some great sessions and lots of interesting conversation. All-in-all between yesterday and today I’ve attended the following:
The ever expanding role of pharmacists
Lately I’ve found myself thinking about how pharmacists are involved in healthcare. Despite popular belief pharmacists do more than simply work in the pharmacy.
Throughout my career I’ve become accustomed to people viewing pharmacists as the stereotypically person behind the counter at the drug store “counting pills”. While that’s not all pharmacists do, I’ve learned to live with the general publics simplistic view. I don’t think most people realize that pharmacists are involved in every aspect of a patient’s care. If you’ve ever been in a hospital, received a prescription medication, had a loved one in a long term care facility, received intravenous medications at home like total parenteral nutrition (TPN) or antibiotics, received an albumin or intravenous immunoglobulin (IVIG) infusion in an outpatient infusion center or met with a pharmacist in a clinic setting for a medication therapy management (MTM) session, then you’ve been touched by a pharmacist.
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Another opportunity for pharmacist$
Reuters: “During the current study, 21 percent of the 1506 participants said they had previously not taken medications because of money concerns. Another 5 percent said they were worried they might not be able to pay for drugs.
The researchers, who published their results in the journal Academic Emergency Medicine, considered both groups to be “at risk” of nonadherence with future prescriptions.
Looking at the responses to other questions on the survey, Rhodes and her team found that people were more likely to be at risk of nonadherence if they had money issues – for instance, they worried about money, didn’t have enough food, reported housing problems, and had inadequate health insurance. But they were also more likely to be at risk of nonadherence if they smoked, used illegal drugs, or experienced domestic violence, as either the victim or perpetrator.”
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Hey, don’t forget about the technology in the central pharmacy
The February 1, 2011 issue of the American Journal of Health-System Pharmacy (AJHP) has an interesting article on page 202 in a section called Management Consultation. The article is titled “Redesigning the workflow of central pharmacy operations”1. I’d like to have everyone read this article, but unfortunately access requires a ASHP membership or an AHJP subscription.
The article discusses the process involved in redesigning the workflow within an acute care central pharmacy, but fails to mention the use of technology.
So let’s break it down a bit, shall we?
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Death of intellectual curiosity, due diligence and our profession
Over the weekend I read a tweet from a friend and colleague @kevinclauson. The tweet shared a link to an article titled “Young Adults’ Credibility Assessment of Wikipedia”. I don’t have a problem with the article. On the contrary, it just reinforces my dislike of Wikipedia as a healthcare reference source.
From the abstract: “This paper found that a few students demonstrated in-depth knowledge of the Wikipedia editing process, while most had some understanding of how the site functions and a few lacked even such basic knowledge as the fact that anyone can edit the site. Although many study participants had been advised by their instructors not to cite Wikipedia articles in their schoolwork, students nonetheless often use it in their everyday lives.” Kevin also links to the pre-print version of the article here (PDF).
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The next big thing in pharmacy informatics? Hint: IDK
RxInformatics: “The following was a list serv question from Monica Puebla, PharmD, MBA, BCPS for a HIS course. Here is my response to the Question. I would add State Boards of Pharmacy to the list of those to present this as well.
“If you were given the opportunity to present to your DOP, VP and CFO a project that you deem would have the greatest impact on the pharmacy department as well as the health-system in general from any point of view, clinical, financial, operational, without regards to costs, what would it be?”"
John’s response was to “Study under what circumstances pharmacist order review (perfection) could be taken over by automated clinical decision support while increasing quality and safety” in addition to including a nice list of references related to ‘perfection’ (listed at the bottom of this post). I highly recommend looking at the references John provides because they’re informative and enlightening. You can also read more about the ‘perfection’ idea at one of John’s older posts here. It’s amazing that this discussion has been going on for well over a year and to the best of my knowledge has yet to make much headway.
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