Disclosure Statement ASHP Update: I have no conflict of interest or - PDF document

1/11/2018 Disclosure Statement ASHP Update: • I have no conflict of interest or financial disclosures relative to this presentation Current Issues in Pharmacy Practice Julie L. Webb, R.Ph. Senior Vice President Office of Professional Development Pharmacists’ Objectives Technicians’ Objectives • Explain the pharmacy profession’s efforts in pursuing • Explain how provider status impacts pharmacy provider status at the national level technicians’ role in the profession • Describe the areas of focus for ASHP related to opioid • Discuss the trend of opioid use in the United States over overuse the last decade • Describe the tenants of the Standardize for Safety • Describe the tenants of the Standardize for Safety Initiative Initiative • Discuss the market place information on the pharmacy • Summarize the current marketplace of the pharmacy workforce, growth in residency training programs, and BPS credentialing and how the Practice Advancement workforce as it relates to credentialing Initiative (PAI) can impact future pharmacy practice • Describe the emerging roles for technicians based on • Summarize the emerging roles of pharmacy technicians the impact of the Practice Advancement Initiative (PAI) Provider Status is About Patients Current Issue Topics • Provider Status • Opioid Overuse Achieving provider status is about giving patients access to care that improves: • Standardize 4 Safety Patient safety • Workforce Issues/Opportunities Healthcare quality • Question & Answer Outcomes Decreases costs 1

1/11/2018 Why is provider status important Who Has Provider Status? for pharmacists? • Physicians • Certified nurse • Pharmacists are not recognized under the Social anesthetists • Nurse practitioners Security Act as health care providers • Speech-language • Physician assistants • New payment systems emphasize quality and pathologists • Certified nurse outcomes • Audiologists midwives – Accountable Care Organizations • Registered dietitians • Psychologists – Medical Homes • Physical therapists • Clinical social workers • Social Security Act determines eligibility Projected Physician Shortage Access to Primary Health Care • Growing number of Medicare beneficiaries • Increasing patients with one or more chronic conditions • Newly covered patients via Affordable Care Act • Projected shortage of physicians – Projected shortfalls in primary care range between 14,900 and 35,600 physicians by 2025 – If currently underserved populations utilized health care at the same rate as the rest of the population, up to an additional 96,000 physicians would have been needed in 2014 Source: AAMC Center for Workforce Studies, June 2010 Source: AAMC Center for Workforce Studies, April 2016 Analysis Analysis Patient Access to Focus on Medically Underserved Pharmacists’ Care Coalition (PAPCC) Communities • Formed January 2014 • Help meet unmet healthcare needs • Organizations representing patients, – Increase patients’ access to care pharmacists, pharmacies and other interested – Improve quality stakeholders – Decrease costs • Drafted legislation in 2014 and 2015 • Strategy follows similar successful paths taken • Facilitated reintroduction of H.R. 592 and S. 109 by other healthcare professionals to gain bills in 2017 provider status 2

1/11/2018 PAPCC Objectives Multi-Stakeholder, Interdisciplinary • Mission: To develop and help enact a federal Healthcare Distribution Albertson’s LLC and New National Consumers League Management Association policy proposal that would enable Medicare Albertson’s Inc. National Patient Advocate Healthcare Leadership American Association of Foundation beneficiary access to, and payment for, Medicare Council Colleges of Pharmacy National Pharmaceutical Hematology/Oncology American Pharmacists Part B services by state-licensed pharmacists in Association Pharmacy Association Association National Rural Health International Academy of medically underserved communities American Society of Association Compounding Pharmacists Consultant Pharmacists Kroger Omnicell American Society of Health- League of United Latin Pediatric Pharmacy Advocacy System Pharmacists American Citizens Group • Primary Goal: To improve medically underserved AmerisourceBergen Association of Clinicians for McKesson Rite Aid Pharmacy seniors’ access to pharmacists’ services the Underserved National Alliance of State Safeway Pharmacy Associations SUPERVALU Pharmacies BI-LO Pharmacy consistent with state scope of practice laws and National Association of Chain Target Cardinal Health Drug Stores Thrifty White Pharmacy regulations CVS Health Walgreens National Center for Food Marketing Institute WalMart Farmworker Health fred’s Pharmacy Winn-Dixie Pharmacy National Community Fruth Pharmacy Pharmacists Association The Pharmacy and Medically The Pharmacy and Medically Underserved Areas Enhancement Act Underserved Areas Enhancement Act (Continued) (H.R. 592/S. 109) • H.R. 592 • S. 109 • Increases access to healthcare for patients in – Introduced January 12, – Introduced January medically underserved areas 2017 12, 2017 – Rep. Brett Guthrie lead – Sen. Grassley lead • Promotes cost-effective healthcare by increasing sponsor (R-KY) sponsor opportunities for early interventions – Introduced with 107 – Introduced with 26 original cosponsors cosponsors • Allows pharmacists to provide services – Maintained bill number – Currently 51 senators authorized by state scope of practice from last year cosponsoring bill – Currently 241 cosponsors The Pharmacy and Medically How Does Provider Status Underserved Areas Enhancement Act Impact Pharmacy Technicians? • Services • Overall impact: • As the clinical role of pharmacists grows, more • Managing chronic diseases • Improved health outcomes will need to be done on the pharmacy operations • Medication management • Reduced hospital side readmissions • Manage care as patients • The role of pharmacy technicians could be • Reduced emergency transition from hospital to elevated due to provider status home department visits • Health and wellness testing • Would expect a robust demand for pharmacy • Administering technicians going forward immunizations 3

1/11/2018 Specific State Affiliate and State Provider Status Individual Actions • ASHP will work with state affiliates to • Write to your senators and representative move state legislation to recognize • Recruit individual health system support of pharmacists as providers H.R. 592/S. 109 • Expanding state scope of practice so • Solicit other state-level health profession pharmacists can practice at the top of their organizations support of H.R. 592/S. 109: • Visit elected officials/staff in Washington DC or license district offices Assessment Assessment ASHP is part of the Patient Access to ASHP is part of the Patient Access to Pharmacists’ Care Coalition whose goal is to Pharmacists’ Care Coalition who's goal is to improve medically underserved seniors’ access improve medically underserved seniors’ access to pharmacists’ services consistent with state to pharmacists’ services consistent with state scope of practice laws and regulations scope of practice laws and regulations • True • True • False • False Opioid Abuse Epidemic • Opioid prescriptions have increased 175% in past 20 years OPIOID ABUSE EPIDEMIC • ED visits due to nonmedical use of opioids more than doubled between 2006 and 2010 • National Institute on Drug Abuse (NIDA) estimates overall cost of opioid abuse is $700 billion annually 4