Pharmacists Roles in Patient Care Pharmacists as drug therapy managers Assessing, counseling and monitoring drug therapy Dealing with medication misadventures: $177 billion drug morbidity/mortality Ernst F, Grizzle A JAPhA 2001; 192-200. Overseeing medication management systems Delivering pharmaceutical care: could save over $105 billion annually if universally available Johnson JA, Bootman JL AJHP 1997 54: 554-558.
What Hasn’t Sunk in Yet... The baby boomers are not yet 60!--But they will be soon! A boomer will turn 65 every 10 seconds beginning in 2011 Everyday in the US, 6000 people reach the age of 65 The over-65 population will DOUBLE by 2030— they use 3 times the number of medicines Other special need populations, such as pedicatric patients or chronic disease sufferers, may influence demand
Drug Therapy Management Needs Forecast: Summary Conference forecasts a need for almost 300,000 pharmacists to meet drug therapy management needs of patients in 2020. –Ambulatory patient care: 165,000 –Hospital-based patient safety, policy: 10,000 –Hospital-based patient care: 100,000 –Long term patient care settings: 18,750
Actions Required By The Profession Embrace responsibility for drug therapy management Commit to obtaining and maintaining the knowledge, skills and abilities required by patient care Achieve provider status for pharmacists under Medicare Obtain a supporting payment mechanism Expand the size of the profession in order to meet unmet societal needs Fully utilize technology & technicians for order fulfillment
Hospital Use of Technology Computerized Prescriber Order Entry (CPOE) –3.5% of hospitals use CPOE Use of Automated Storage and Distribution Devices (ASDDs) –58% have some ASDDs Bar Code Point-of-Care Technology –1.3% verify medication, patient id, and nurse at the bedside Pharmacy Robots –8% use robot filling devices Source: 2002 ASHP National Survey of Pharmacy Practice in Hospitals