CLINICAL PHARMACIST
INTEGRATION INTO FAMILY PRACTICE
Jason Min and Larry Leung, B.Sc.(Pharm.), RPh
Clinical Pharmacists | ...
Program Overview
• Clinical Pharmacist working collaboratively with family

Physicians since 2012
• Family practice clinic...
Flow Sheet for Collaboration between Pharmacist (left side) and Physician (right side)

Medication
history

Assessment
of
...
Flow Sheet for Collaboration between Pharmacist (left side) and Physician (right side)
Initiate
medication
treatment
plan
...
Model of Care

Physician

Other
Clinicians

Pharmacist

Patient

Specialists

Family
Services Provided
We work at the desired level of collaboration with each Physician
• Complex Medication Management
• Natu...
Pharmacist Appointment Types
1.

30 - 60 min Pharmacist visit only

1.

30 – 60 min Pharmacist visit followed by a Physici...
Pharmacist Appointments
• Each Physician receives:
• Medication reconciliation and EMR update
• Completion of CDM flow she...
Referral to Pharmacist
• Criteria:
• ANY patient on at least 1 medication
• Best candidates:
• CDM
• Patients who need gre...
Patient Feedback
“I'm so glad you're a part of my team….(after speaking with you)
it is such a relief to have the two medi...
Physician Feedback
“They have been a great asset to the team. Particularly useful is
possible drug interactions between ph...
QUESTIONS?
Email:

Jason.Min@ubc.ca
Larry.Leung@ubc.ca
Upcoming SlideShare
Loading in …5
×

Clinical Pharmacist Integration into Family Practice

751 views
393 views

Published on

Presented at the Optimizing Medications Workshop in Vancouver by Jason Min and Larry Leung

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
751
On SlideShare
0
From Embeds
0
Number of Embeds
21
Actions
Shares
0
Downloads
10
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Clinical Pharmacist Integration into Family Practice

  1. 1. CLINICAL PHARMACIST INTEGRATION INTO FAMILY PRACTICE Jason Min and Larry Leung, B.Sc.(Pharm.), RPh Clinical Pharmacists | Directors | Clinicare Pharmacists Inc. Lecturers | Faculty of Pharmaceutical Sciences, UBC Jason.Min@ubc.ca | Larry.Leung@ubc.ca
  2. 2. Program Overview • Clinical Pharmacist working collaboratively with family Physicians since 2012 • Family practice clinics in Vancouver • Goals: 1. 2. Enhance the level of care provided to patients with clinical pharmacist support Develop opportunities for unique experiential learning for health professional students
  3. 3. Flow Sheet for Collaboration between Pharmacist (left side) and Physician (right side) Medication history Assessment of presenting complaint Interpret Lab values Pharmacist relies on the correct/working diagnosis Plan treatment options for medications Order and interpret Lab values Make diagnosis Plan treatment options
  4. 4. Flow Sheet for Collaboration between Pharmacist (left side) and Physician (right side) Initiate medication treatment plan Initiate treatment plan Patient education Patient education Monitor response to medication treatment Monitor response to treatment Resolution or chronic disease management Resolution or chronic disease management
  5. 5. Model of Care Physician Other Clinicians Pharmacist Patient Specialists Family
  6. 6. Services Provided We work at the desired level of collaboration with each Physician • Complex Medication Management • Natural Health Product and Non-Prescription Management • Diabetes Management • Cardiovascular Disease Management • Osteoporosis & Falls Prevention Management • Asthma/COPD Management • Pain Management • Smoking Cessation Program • Sleep Hygiene and Management • Palliative Care
  7. 7. Pharmacist Appointment Types 1. 30 - 60 min Pharmacist visit only 1. 30 – 60 min Pharmacist visit followed by a Physician visit 2. Pharmacist follow-up by phone or in-person
  8. 8. Pharmacist Appointments • Each Physician receives: • Medication reconciliation and EMR update • Completion of CDM flow sheets • Recommendations to the Physician • Academic detailing to team • Drug information services • Each patient receives: • Medication reconciliation and medication review • Medication and disease education • Monitor and support compliance • A review of blood work • An opportunity to get refills and lab requisitions
  9. 9. Referral to Pharmacist • Criteria: • ANY patient on at least 1 medication • Best candidates: • CDM • Patients who need greater education on disease or medications • Patients with medication or supplement-related questions • Other suspected medication-related issues
  10. 10. Patient Feedback “I'm so glad you're a part of my team….(after speaking with you) it is such a relief to have the two medication options and know how to safely use them! Thanks so much for all your expertise!” “I just want to say how incredibly impressed I am with this service. He has followed up with me consistently every week and it has really helped me knowing that someone is following through with my care. I am officially off opiates now!”
  11. 11. Physician Feedback “They have been a great asset to the team. Particularly useful is possible drug interactions between pharmaceuticals and natural supplements/remedies. I hope we continue this service to patientts and support to clinicians.” “My patients have been absolutely thrilled with the services. I am hearing words like ‘brilliant’ and ‘fantastic’. They are continually finding ways to benefit our clinic and push the boundaries of pharmacy practice.”
  12. 12. QUESTIONS? Email: Jason.Min@ubc.ca Larry.Leung@ubc.ca

×