Drug store Manpower 2020: Meeting Needs of Patients Implications for Educators, Practitioners and Regulators Slide Library 2003 Â© 2003 Pharmacy Manpower Project, IncSlide 2
Todayâs Objective Provide understanding into the drug specialist deficiency and anticipated development in solution use by US populace Describe variables prompting extended patient consideration parts as medication treatment supervisors by drug specialists Present discoveries of Conference gathered to estimate professionally decided requirement for drug specialists in 2020 Discuss ramifications of the anticipated, critical setback of drug specialists in 2020 to drug store training, practice and regulation Â© 2003 Pharmacy Manpower Project, IncSlide 3
Section One Is There a Pharmacist Shortage?, How Are They Currently Deployed? Â© 2003 Pharmacy Manpower Project, IncSlide 4
Are We Experiencing a Pharmacist Shortage? Boss point of view: Staffing issues Job opening in group and institutional practice, industry, the scholarly world and government Escalating compensations Customer/tolerant viewpoint: Inconvenience Decreased access Published ADI investigation: 92% US populace lived in territories where drug specialist interest surpassed supply 1999-2001 Â© 2003 Pharmacy Manpower Project, IncSlide 5
US Population and ADI July 2001 Â© 2003 Pharmacy Manpower Project, IncSlide 6
Are We Experiencing a Pharmacist Shortage? Drug specialist point of view: Increased workload/push Longer living up to expectations hours Education Perspective: Formation of new drug store schools 12 since 1987 Government Perspective: HRSA Report Federal enactment on advance pardoning Bush activities to extend 340B qualified centers and add drug store administrations to address developing number of uninsured Â© 2003 Pharmacy Manpower Project, IncSlide 7
So we have a lack of drug specialists â¦ A deficiency of drug specialists to do what?? Â© 2003 Pharmacy Manpower Project, IncSlide 8
Assure Safe & Accurate Medication Distribution Community Pharmacy, 2001: 3,000,000,000 solutions 132,000 group drug specialists 22,727 Rx/drug specialist/year One medicine each 5 Â½ minutes Â© 2003 Pharmacy Manpower Project, IncSlide 9
Hospital Pharmacy, 2001: 1,898,000,000 medication orders 50,000 healing facility drug specialists 37,960 requests/drug specialist/year One medication arrange at regular intervals Â© 2003 Pharmacy Manpower Project, IncSlide 10
What About Tomorrow? Â© 2003 Pharmacy Manpower Project, IncSlide 11
Section Two Common Vision for Pharmacists: Helping People Make the Best Use of Their Medicines Â© 2003 Pharmacy Manpower Project, IncSlide 12
Common vision of drug store work on: assisting patients with making the best utilization of their solutions. Â© 2003 Pharmacy Manpower Project, IncSlide 13
Pharmacists as medication treatment directors Assessing, advising and observing medication treatment Dealing with pharmaceutical misfortunes: $177 billion medication dismalness/mortality Ernst F, Grizzle A JAPhA 2001; 192-200. Administering solution administration frameworks Delivering pharmaceutical consideration: could spare over $105 billion every year if all around accessible Johnson JA, Bootman JL AJHP 1997 54: 554-558. Drug specialists Roles in Patient CareSlide 14
These new parts are not simply guaranteeing sheltered and exact medicine distributionâ¦.what about tomorrow? Â© 2003 Pharmacy Manpower Project, IncSlide 15
2020 Rx and Order Projections Outpatient medicines: 7,500,000,000 (+5%/yr) Hospital medication orders: 3,000,000,000 (+2.5%/yr) Â© 2003 Pharmacy Manpower Project, IncSlide 16
Pharmacist Supply 2001: 200,000 dynamic drug specialists 2020 projection: 260,000 dynamic pharmacists Based on new graduates, balanced for those leaving; accept 20% enlistment development existing schools and 3 new ones notwithstanding those slated to open Â© 2003 Pharmacy Manpower Project, IncSlide 17
If Nothing Changesâ¦.. Group Pharmacy, 2020: 7,500,000,000 solutions 172,000 group drug specialists 43,604 Rx/drug specialist/year One medicine each 2 Â¾ minutes Â© 2003 Pharmacy Manpower Project, IncSlide 18
If Nothing Changesâ¦.. Doctor\'s facility Pharmacy, 2020: 3,000,000,000 requests 65,000 healing center drug specialists 46,154 Rx/drug specialist/year One request at regular intervals Â© 2003 Pharmacy Manpower Project, IncSlide 19
These figures mirror a supply/request model that just spotlights on request satisfaction. Something must change. Â© 2003 Pharmacy Manpower Project, IncSlide 20
How Does Need Fit Into Workforce Projections? Needs Demands Supply Professionally-decided needs Â© 2003 Pharmacy Manpower Project, IncSlide 21
What We Are Unsure About... Part of medications in future social insurance Role of genomics and biotech as a subordinate, substitution, or expansion to current medication treatment Organization and financing of medications and drug store administrations Extent of reception of new drug specialist parts Â© 2003 Pharmacy Manpower Project, IncSlide 22
What Hasnât Sunk in Yet... The people born after WW2 are not yet 60!- - But rather they will be soon! A boomer will turn 65 like clockwork starting in 2011 Everyday in the US, 6000 individuals achieve the age of 65 The more than 65 populace will DOUBLE by 2030âthey utilization 3 times the quantity of pharmaceuticals Other uncommon need populaces, for example, pedicatric patients or constant sickness sufferers, may impact requestSlide 23
Their medication utilization has not yet been figured into the workforce equationâ¦ Â© 2003 Pharmacy Manpower Project, IncSlide 24
One could as of now contend we require 150,000 more drug specialists now to help patients with their prescription and tackle the $177 billion in yearly medication related dreariness and mortality. Barbara Wells 2002-2003 AACP President Â© 2003 Pharmacy Manpower Project, IncSlide 25
Section Three Manpower Conference: Why, What, How Â© 2003 Pharmacy Manpower Project, IncSlide 26
Led to: Conference on Professionally Determined Need for Pharmacy Services Convened by the Pharmacy Manpower Project, Inc. Held in Baltimore, MD October 29-31, 2001 Carried out by the University of Maryland School of Pharmacy Â© 2003 Pharmacy Manpower Project, IncSlide 27
Conference Goals Identify the future requirement for drug store administrations from a wellbeing proficient perspective Describe âbest practiceâ attributes for giving these administrations Suggest the quantity of drug specialists to address anticipated issues in 2020 Â© 2003 Pharmacy Manpower Project, IncSlide 28
Participants and Process Two dozen specialists: All portions of drug store Medicine Economics Workforce authorities Three days of thoughts â all dialogs; no speakers Â© 2003 Pharmacy Manpower Project, IncSlide 29
Forecasting Need: Criteria for Best Practices IOMâs Quality Chasm Report points are that practices must be: Safe Effective Patient-focused Timely Efficient Equitable Â© 2003 Pharmacy Manpower Project, IncSlide 30
External Trends Examined Population 325 million by 2020 Older More assorted People Healthier More Internet clever Therapy More focused on (biotech) More costly Health care association Managed consideration Community drug store Institutional drug store Reimbursement techniques Drug item related Other Technology Â© 2003 Pharmacy Manpower Project, IncSlide 31
Technology Changes Influencing Pharmacy Electronic information handling and data exchange: Electronic request passage Expert frameworks to assess medication requests Improved electronic correspondence frameworks Improvements in computerized request satisfaction frameworks for both outpatient and institutional utilization Â© 2003 Pharmacy Manpower Project, IncSlide 32
Summary A 3-day gathering of 25 chose members assessed the requirement for drug specialists in 2020 Best practice criteria were created and connected to request satisfaction, drug treatment administration (patient consideration), and different capacities Estimates of professionally decided need were made and contrasted and the evaluated supply of drug specialists A lack of drug specialists with huge extent was gauge: 157,000 conservatively Next steps were proposed Â© 2003 Pharmacy Manpower Project, IncSlide 33
Strengths of Approach Knowledgeable members Balance of perspectives Rapid engagement with issues Global viewpoint Highly engaged Substantial pre-meeting arrangement Analysis in light of âbest practiceâ case cases Â© 2003 Pharmacy Manpower Project, IncSlide 34
Weaknesses of Approach Short 3-day meeting Small, chose gathering of members Broad-brush examinations Quantitative appraisals are harsh Many suppositions about outer environment, human services association and financing, uptake of innovation in interchanges and apportioning, and administrative issues Â© 2003 Pharmacy Manpower Project, IncSlide 35
Section Four Conference Outcomes, Projections and Assumptions Â© 2003 Pharmacy Manpower Project, IncSlide 36
Current and Projected Need for Pharmacists Â© 2003 Pharmacy Manpower Project, IncSlide 37
Order Fulfillment Functions Will Require 100,000 FTE Pharmacists Defined barely to incorporate just request satisfaction capacities (âbottlingâ) Best practices concentrate singularly on guaranteeing that a remedy is finished and conveyed exactly as requested Assumes that medication requests entering the administering framework have been surveyed, cleared up and confirmed Pharmacist need will be to plan, actualize and supervise request satisfaction frameworks Pharmacists won\'t need to investigate each request by and by Assumes that post-administering drug store administrations, for example, directing and checking will be refined as patient consideration capacities Â© 2003 Pharmacy Manpower Project, IncSlide 38
Best Practices for Order Fulfillment Concentration of satisfaction of greatest number of requests in advanced focal fill offices Current
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