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    10.8.2013 - Advocacy in Pharmacy Lecture

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    Mi Bui
    The document defines advocacy in pharmacy and outlines ways for pharmacists to become advocates for the profession. It discusses how advocacy has traditionally meant arguing in favor of a cause or policy but now refers more broadly to supporting a cause. The document reviews New York legislation that expanded pharmacists' roles in areas like immunizations, collaborative drug therapy management, and technician licensing due to advocacy efforts. It provides advocacy tips and identifies state and national organizations that advocate for pharmacy issues.

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    10.8.2013 - Advocacy in Pharmacy Lecture

    Uploaded by

    Mi Bui
    90 views6 pages
    The document defines advocacy in pharmacy and outlines ways for pharmacists to become advocates for the profession. It discusses how advocacy has traditionally meant arguing in favor of a cause or policy but now refers more broadly to supporting a cause. The document reviews New York legislation that expanded pharmacists' roles in areas like immunizations, collaborative drug therapy management, and technician licensing due to advocacy efforts. It provides advocacy tips and identifies state and national organizations that advocate for pharmacy issues.

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    Pharmacy advocacy

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    The document defines advocacy in pharmacy and outlines ways for pharmacists to become advocates for the profession. It discusses how advocacy has traditionally meant arguing in favor of a cause or policy but now refers more broadly to supporting a cause. The document reviews New York legislation that expanded pharmacists' roles in areas like immunizations, collaborative drug therapy management, and technician licensing due to advocacy efforts. It provides advocacy tips and identifies state and national organizations that advocate for pharmacy issues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    90 views6 pages

    10.8.2013 - Advocacy in Pharmacy Lecture

    Uploaded by

    Mi Bui
    The document defines advocacy in pharmacy and outlines ways for pharmacists to become advocates for the profession. It discusses how advocacy has traditionally meant arguing in favor of a cause or policy but now refers more broadly to supporting a cause. The document reviews New York legislation that expanded pharmacists' roles in areas like immunizations, collaborative drug therapy management, and technician licensing due to advocacy efforts. It provides advocacy tips and identifies state and national organizations that advocate for pharmacy issues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

    Advocacy in Pharmacy

    Mary Choy, PharmD, CGP Associate Professor, Touro College of Pharmacy Clinical Pharmacist, Metropolitan Hospital President, New York City Society of Health-Systems Pharmacists

    Objectives
    Define advocacy in the traditional sense versus the current definition Link leadership and advocacy Review the consensus statement for advocacy in pharmacy and the core competencies Discuss the current legislation Identify how pharmacists can become involved as advocates of the profession

    Traditionally.

    Advocacy 101
    What is advocacy?
    Textbook definition: The act of pleading or arguing in favor of something, such as a cause, idea, or policy; active support Current definition: act or process of supporting a cause. Student pharmacists: develop the skills and desire to create positive change in practice Advocacy does NOT always require legislative involvement

    Advocacy 101
    Who can advocate? Why is advocacy important?

    Leadership
    If the right leadership is applied to an objective, sometimes the right movement can accelerate when seemingly modest steps are taken Malcolm Gladwell Medication safety and effectiveness
    Drug Distribution Systems Processing of Prescriptions

    Leadership and Advocacy


    Leaders are advocates Vision driven Advocacy
    Externally focused activity Messages are crafted and communicated to influence the thinking of others

    Reasons for Not Advocating


    Difficult to see tangible and immediate results Rare, especially at the federal level, to see advocacy efforts translated into a piece of legislation passed by both House and Senate, and signed into law by President Telephone call, health screening?

    Leadership
    Internal and external focus Motivate a group to accomplish its goals

    Why do we still advocate then?


    Shared vision Contribute to shared vision those contributing can consider their work to be effective Initiative should have clear objectives
    Effort to mobilize student pharmacists to send email or letters to the state legislature or board of pharmacy

    Consensus Statement
    Advocacy for the Profession of Pharmacy An ongoing commitment to advancing the awareness of the value that a pharmacist provides to the health and wellbeing of society by actively supporting and communicating that vision concisely to opinion leaders, elected ofcials, decision makers, potential partners and any other audience in order to inuence their perspective and ultimately have them speak and/or act on your behalf

    Bzowyckyj AS, Janke KK. A consensus definition and core competencies for being an advocate for pharmacy. Am J Pharm Educ. 2013 Mar 12:77(2); 24.

    Core Competencies
    1. Engagement & Involvement
    Demonstrate the importance of engagement and involvement within the profession. Interact with others

    Core Competencies
    3. Research & Preparation
    Analyze issues and demonstrate comprehension Evaluate the values/perspectives of those with competing ideas to bolster ones argument

    2. Communication Skills
    Identify and communicate key talking points Engage stakeholders both within and outside of the profession to advocate on ones behalf

    4. Experience
    Establish credibility from acquired knowledge, prior experience and credentials Be professional at all times and portray a favorable image

    Core Competencies
    5. Legislative
    Describe the overall legislative process Demonstrate how to find your legislator and access their record of voting on past bills

    Tips for Advocacy


    Know the facts: To gain and maintain credibility, it is critical that you have all of the facts on both sides of any issue. Use the facts: Any position you take should be grounded in the facts. It is often helpful to put your facts into one-pagers that you can distribute. Have clear and concise message: To the point conversations, avoid jargon and acronyms used in the pharmacy field

    6. Communication Outlets/Media
    Assess and utilize public relations, buzz marketing, and other communications methods Discuss the principles of social marketing

    Tips for Advocacy


    Nurture relationships and work collaboratively: Advocacy is a joint venture Engage the public: Use the media, social media, petitions, letters, e-mails Make your voice heard! Advocacy is not the place for being shy.
    Meetings, press conferences, letters, petitions, rallies, phone calls

    Pharmacy Advocacy on the State and National Level


    Pharmacists as Immunizers Collaborative Therapy Drug Management (CDTM) Medication Therapy Management (MTM) Tobacco-Free Pharmacies Compounding in Pharmacy Pharmacies Taking Back Controlled Substances

    Say thank you: Time is valuable. When your advocacy is a success, always thank everyone who helped you achieve your victory!

    Pharmacists as Immunizers
    Effective February 12, 2013, Governor Cuomo issued Executive Order No. 93 which permits pharmacists who are already authorized to administer vaccinations against seasonal influenza to individuals 18 years of age and older also to administer vaccinations against seasonal influenza to individuals between six months and 18 years of age.

    Pharmacists as Immunizers
    Pharmacists wishing to administer immunizing agents must obtain a separate certification to administer influenza, pneumococcal and acute herpes zoster vaccinations to adults 18 years of age and older. To become certified, a pharmacist must:
    be currently licensed and registered in NY provide evidence that an approved immunization course has been completed within the past three years provide evidence they are currently certified in Cardio Pulmonary Resuscitation (CPR) or Basic Life Support (BLS)

    Collaborative Therapy Drug Management (CDTM)


    On May 17, 2011 Governor Andrew Cuomo signed into law a bill authorizing certain pharmacists to engage in CDTM within New Yorks teaching hospitals and affiliated clinics. The new law, and required regulations, took effect on Thursday, September 14, 2011.
    Result of 20 years of lobbying

    CDTM
    In accordance with the required written agreement or protocol, a pharmacist may adjust or manage a drug regimen of a patient who is being treated by the participating physician for a specific disease or disease state. Such adjustment or management shall be done only pursuant to a patient specific written order or protocol made by the patients physician, and may include adjusting:
    a. drug strength; b. frequency of administration; or c. route of administration.

    CDTM Impact
    Asthma Lipids Anticoagulation Immunizations Smoking Cessation Heart Failure Hypertension Pain Nutrition Support

    A Day in CDTM
    Review lab values Review medication profile Participate in daily rounds Adjust doses of medications, order labs Counsel patients Develop order sets

    Technician Licensing
    Emilys Story: March 1, 2006
    Technician did not use a standard prepared bag of sodium chloride solution (with less than 1% of sodium chloride solution). Compounded a concentrated sodium chloride solution of 23.4% Outcome: ?

    Outcomes of Advocacy
    Engaging pharmacists more deeply in improving patient outcomes and continuity of care Fostering pharmacist participation on patientcare teams Building pharmacist accountability for medication therapy outcomes Documenting how the pharmacy dept. contributes to achieving institutional priorities Pharmacy involvement in programs to improve the health of the community served by the hospital

    NYS Status

    Question
    Advocacy initiatives have led to the following outcomes in NYS: A. Pharmacists as Immunizers B. CDTM C. Tobacco-Free Pharmacies D. A and B only E. All of the above

    Student Pharmacists
    Student organizations Numerous channels for outreach, service, and leadership development
    Volunteering for a committee Coordinating an event Seeking an elected position

    Freeloading

    American Society of HealthSystem Pharmacists


    Advocate for changes in laws, regulations, and standards that will improve patient care Pharmacy technician licensure in all states Leverage key provisions in the Affordable Care Act and educate members on the implementation of pharmacy-related provisions, including accountable-care organizations, medical homes

    ASHP Advocacy Goals


    Payment - Paying pharmacists for patient care services Quality & Safety - Preventing harm, applying evidence, improving outcomes Residencies - Expanding funding for pharmacy residency training Technicians - Achieving standardized education, training, certification, and registration Workforce - Solving the challenges of staffing, credentialing, and leadership

    New York State Council of Health-System Pharmacists (NYSCHP)


    CDTM became law on May 18, 2011 Supports legislation that expands the role of pharmacists as immunizers Registration and certification of technicians For more information, www.nyschp.org

    NYSCHP
    How can you help?
    Talk among your peers about the need to pass pharmacy legislation (student organization meetings, etc.) Meet with local assembly member or senator Come to Albany for Pharmacy Day and NYSCHP Lobby Day Make a personal donation to the NYSCHP Political Action Committee (PAC) Fund Organize a fundraiser for PAC

    Year-round Advocacy Efforts


    October: American Pharmacists Month Write a letter or email Make a phone call Visit a legislator

    Advocacy is the responsibility of ALL pharmacists to improve the profession.

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