1. Presentation title Presenter name State-wide adoption of a Competency Framework for Pharmaceutical Review Coombes I, Coombes J, Cardiff L, Bettenay K, Chuan F, Stowasser D Safe Medication Practice Unit, Queensland Health S M P U afe edication ractice nit

2. “Welcome to the hospital”, “You have been allocated the general surgical ward, Off you go then !!!!!

3. Pharmaceutical Review Definition [Health Ministers commitment 04/04] A minimum standard of systematic appraisal of all aspects of patients’ medication management within an institution Conducted (or supervised) by a qualified and suitably trained health professional (ideally a pharmacist) acting as part of a multidisciplinary team. It includes objective review of medication prescribing, dispensing, distribution, administration, monitoring of outcomes and documentation of medication related information in order to optimise the Quality Use of Medicines.

4. How well do your pharmacists perform? (Percentage patients “reviewed”)

6. Cumulative % of Pre-regs competent by number of stations No. of Stations 8/87/86/85/84/83/82/81/80/8 Feb/Jul 2006 N=44 0203955809198 100 Nov 2006 N=22 033528195100

7. Why develop and implement a competency framework? Optimising individual practice and systems of care Identify areas of unknown behaviour, knowledge or skill to assist practitioner development Identify training requirement’s for the workforce Put into operation national standards and deliverables

8. Mapping Standards to Actions APAC Guidelines Cont QUM QH Service Capability Framework for Pharmacy Services SHPA Clinical Pharmacy Standards PSA/ Guild/ SHPA Competency Standards QH Pharmaceutical review Activities Individual behaviors – combined to competencies Guiding principle – linked to Pharmace- utical reform ADRs History Review Evaluation 8 Activities/ procedures link to MAP History Review Plan Provide information Patient selection to discharge Patient Care Problem solving Professional competencies

9. 20 in June 2007 now 27 sites utilise GLF, proposal for National GLF

13. Pharmacist feedback n =154 (median score) Fair765 s 321Unfair Positive experience7654321Negative experience Non-Taxing7654321Taxing Was helpful to me7654321Was unhelpful Fair reflection of what I usually “do” 7654321Unfair reflection Useful7654321Useless Evaluated my skills7654321Did not evaluate skills Evaluated my knowledge 7654321 Did not evaluate knowledge Evaluated my attitudes 7654321 Did not evaluate attitudes Practical7654321Theoretical Inspiring7654321Crushing

14. 8 18 32 5 2 7 2 3 2 8 7 5 1 7 17 1 2 15 12 8 1 7 8

15. Conclusion Acceptance Practitioner development Reflection of service delivery Sustainability Progression