Logan Hospital - Chastina Hack

2. Declaration
 Any opinions expressed in this presentation are my own
and may not be representative of those of Logan Hospital,
the Pharmaceutical Society of Australia or the National
Aboriginal Community Controlled Health Organisation
(NACCHO)
 Permission has been granted by the members of the
PSA/NACCHO Pharmacist Leadership Group to share
achievements and success to date – these are collective
efforts

3. PSA/ NACCHO Pharmacist
Leadership group
 Convened in 2017
 Collaboration between NACCHO and PSA and membership
of the group needs to be approved by both organisations
 Covers all states and territories of Australia
 Time is volunteered
 Members may be working within Aboriginal medical
services or have specialist knowledge in the provision of
pharmacuetical care and services to Aboriginal and Torres
Strait Islander people.

4. Problem:
Restricted access to medications
needed for optimal care
 Medications not listed on the Medications for Aboriginal and
Torres Strait Islanders on the PBS special list
 Eg. a multivitamin supplement with
the recommended amounts of both iodine and
folic acid to support a healthy pregnancy
 Traditionally, lack of a platform for individual pharmacists/
services to raise these issues to a suitable forum in a co-ordinated
way that will result in any meaningful action
 Formulation of a “wish list” with suggested indications and
evidence and convened a special meeting in Canberra to further
discuss prioritisation of applications through PBAC submissions

5. Other Achievements
 Cultural mentoring
 Knowledge sharing and problem solving
 Encouragement of working in collaboration within health service
environments
 Eg liaison with local hospitals
 Sharing of local hospital lists to align with imprest lists of AMS
 Advise on optimal individual patient medicines list
 Review and support of two pharmacy trials funded through the
6th Community Pharmacy Agreement: IPAC & IMeRSe Study

6. Case Study: Logan Hospital & the
Institute for Urban Indigenous Health

7. Building relationships
 Education opportunities
 Both IUIH and Logan Hospital Pharmacy staff
 Invited to general pharmacy meetings
 In house CPD opportunities of Indigenous health service
provision
 IUIH work experience
 Problem solving
 Avoiding shame and providing culturally appropriate healthcare
eg provision of meds when unable to afford
 Out of hours “CTG” medication supply arrangements
 Patient handover

8. Sharing resources
 For information about the local healthcare environment
 Brochures about clinic locations and phone numbers
 CTG medication brochure
 Very handy for patient’s newly diagnosed with medical
conditions requiring medication for the first time

9. Sharing information
 Local immunisation programs
 Shared with maternity and special care pharmacists and team
leaders RE: whooping cough vaccinations for pregnant mother
and partner
 Influenza (prev gap in National Immunisation Program 5-
15years)

10. Keys to Success
 Buy in from management
 Positive culture and acknowledgement of the importance of
delivering culturally safe care
 Acknowledgement of barriers that policy places and the real effect
this has on service provision and relationships with individuals &
the wider community
 - both immediate and chronic
 Cultural champions
 Utilisation of current Australian Health Care and Quality
Standards for hospitals aka “accreditation” as a driving factor of
why a culturally safe and appropriate service is a must