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The Medication Use Review service               (MUR)   A case study for identifying e-      learning opportunities in  ph...
Master ThesisHealth Science CentreUniversity of CanterburyAcknowledgements:Assoc. Prof. Ray KirkDr. Arindam BasuPharmacy G...
The Model of a Healthcare                Training Environment                                         Funder: DHB         ...
Why will e-learning be used?The need for vocational training from onecentralised location creates a demand for coursedeliv...
The Research ResultsFaxed out invitations to over 640 dispensaries in over 11DHBs and had 5 DHB pharmacy coordinators forw...
The Model of a Healthcare Training                  Environment                                         Funder: DHB       ...
The Medication Use Review                                     http://www.skillsformurs.co.uk/com/aboutTheCourse.actionA ph...
The Model of a Healthcare Training                  Environment                                         Funder: DHB       ...
The pharmacyas a businessA pharmacist is employed in a community pharmacy●   needs to maintain registration and seeks    a...
The Model of a Healthcare Training                 Environment                                        Funder: DHB         ...
Who pays for the MUR service?    Publically funded through -One of the 20 District Health Boards (DHB)or   a Primary Healt...
The Model of a Healthcare                Training Environment                                         Funder: DHB         ...
Who provides the MUR training? ●New Zealand College of Pharmacists (NZCP) is the only provider of training. ●Weekend semin...
The Model of a Healthcare Training                  Environment                                         Funder: DHB       ...
Why the MUR as a Case-study?●   Not all regions had funding for the service.●   Some pharmacists completed the training bu...
The Research Tool            Two on-line questionnaires using Qualtrics●   Outcomes and principles of service.●   Reasons ...
The Model of a Healthcare Training                 Environment                                         Funder: DHB        ...
Environmental Factors             driving e-learning●    Stakeholders in a pharmacy healthcare service –     promoting con...
E-learning – an easy option?            The need for input from educators.           ‘Developing effective instructional  ...
Examples of Applications of              ModelEnvironmental factors identified for -●   MUR training providers    –   fund...
RecommendationsWhat support can be offered for pharmacists’ forpotential e-learning?●   identify how to access and evaluat...
Summary                                         Funder: DHB           Programme Planning       Business                   ...
Examples of comments           supporting the Model●   ‘It is an important service for our largely elderly customer base. ...
Reference ListReferencesAnderson, T. (2008). Theory and practice of online learning. AU PressLee, E., Braund, R., & Tordof...
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Identifying e-Learning Opportunities for a Pharmacist- led Healthcare Service: The Medication Use Review (MUR)

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Michael Bronlund
Health Science Centre, University of Canterbury
(Friday, 10.00, General 2)

Published in: Health & Medicine
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Identifying e-Learning Opportunities for a Pharmacist- led Healthcare Service: The Medication Use Review (MUR)

  1. 1. The Medication Use Review service (MUR) A case study for identifying e- learning opportunities in pharmacists’ on-going training. By Michael Bronlund
  2. 2. Master ThesisHealth Science CentreUniversity of CanterburyAcknowledgements:Assoc. Prof. Ray KirkDr. Arindam BasuPharmacy Guild of New Zealand(Canterbury)
  3. 3. The Model of a Healthcare Training Environment Funder: DHB Programme Planning Business Environment Environment or PHO Employer: Pharmacy Course Provider: NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  4. 4. Why will e-learning be used?The need for vocational training from onecentralised location creates a demand for coursedelivery to be flexible and localised.An example - ADHB staff training‘The advantages of staff, as learners being able to access course material at different times and places, is being acknowledged by both funders and employers. (Paterson, 2010)
  5. 5. The Research ResultsFaxed out invitations to over 640 dispensaries in over 11DHBs and had 5 DHB pharmacy coordinators forwardemails to their networks as an invitation and reminder. Questionnaire Received Dispensary 51 responses with 45 completed. Service 19 responses of which 14 were deemed to be Course completed. Total 250 free text comments
  6. 6. The Model of a Healthcare Training Environment Funder: DHB Programme Planning Business Environment Environment or PHO Employer: Pharmacy Course Provider: NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  7. 7. The Medication Use Review http://www.skillsformurs.co.uk/com/aboutTheCourse.actionA pharmacist -● interviews patient about medications they are taking● can offer advice on how to make this more effective● can liaise with other healthcare professionals to change medications● In New Zealand this service can be arranged in different ways.
  8. 8. The Model of a Healthcare Training Environment Funder: DHB Programme Planning Business Environment Environment or PHO Employer: Pharmacy Course Provider: NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  9. 9. The pharmacyas a businessA pharmacist is employed in a community pharmacy● needs to maintain registration and seeks accreditation to provide services.● when in charge of dispensary – has input into decisions to offer services – supports staff training
  10. 10. The Model of a Healthcare Training Environment Funder: DHB Programme Planning Business Environment Environment or PHO Employer: Pharmacy Course Provider: NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  11. 11. Who pays for the MUR service? Publically funded through -One of the 20 District Health Boards (DHB)or a Primary Healthcare Organisation (PHO) which● sets health goals for region● prioritizes spending● negotiates, monitors and evaluates services● funds training
  12. 12. The Model of a Healthcare Training Environment Funder: DHB Programme Planning Business or PHO Environment Environment Employer: Course Provider: Pharmacy NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  13. 13. Who provides the MUR training? ●New Zealand College of Pharmacists (NZCP) is the only provider of training. ●Weekend seminar based course in regional centres. ● A case study completed before accreditation. ●Still offering MUR course and additional focus courses.
  14. 14. The Model of a Healthcare Training Environment Funder: DHB Programme Planning Business Environment Environment or PHO Employer: Pharmacy Course Provider: NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  15. 15. Why the MUR as a Case-study?● Not all regions had funding for the service.● Some pharmacists completed the training but were left with no opportunity to practise.By early 2010 :● eight regions had a form of the service in operation.● 746 completed the course. 239 had been accredited through a competency process.
  16. 16. The Research Tool Two on-line questionnaires using Qualtrics● Outcomes and principles of service.● Reasons for the decision not to offer the MUR service.● Descriptions of how the service is organised if provided.● Obstacle to putting the MUR service into practice.● Internal and External support for MUR training.● Skills needed for an MUR case.● Training method preferences.
  17. 17. The Model of a Healthcare Training Environment Funder: DHB Programme Planning Business or PHO Environment Environment Employer: Course Provider: Pharmacy NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  18. 18. Environmental Factors driving e-learning● Stakeholders in a pharmacy healthcare service – promoting convergence of technology • Health IT Board – build information management skills into training programmes. http://www.ithealthboard.health.nz/ • Focus on the Future: Ten Year Vision for Pharmacists in New Zealand – Use of technology in service delivery and the need to support pharmacist education● Availability of on-line tools and Reusable Learning Objects (RLO)
  19. 19. E-learning – an easy option? The need for input from educators. ‘Developing effective instructional materials depends on a great deal of planning and collaboration, and concerted efforts from many people skilled at using the rights tools. These requirements are even more crucial in online multimedia and course development, which is highly dependent on ever-changing computer technologies.’ Caplan from Anderson 2008
  20. 20. Examples of Applications of ModelEnvironmental factors identified for -● MUR training providers – funding changes – e.g. a more prescriptive service – Primary healthcare team - e.g. training to encourage collaboration● MUR potential course participants and funders – need for pharmacists to be strategic in acquiring support for value added services – supporting Continuing Professional Development, either for registration issues or for quality of service delivered
  21. 21. RecommendationsWhat support can be offered for pharmacists’ forpotential e-learning?● identify how to access and evaluate e-courses before being used in training.● standards of courses set and communicated.● survey of skills and equipment.● sharing what has worked via peer support.● real case studies as a basis of course content.
  22. 22. Summary Funder: DHB Programme Planning Business or PHO Environment Environment Employer: Course Provider: Pharmacy NZ College of Service Possible Pharmacy contract funding Work Relationship Registration Training Environment of contract Employee: professional Pharmacist standards Pharmacy Council of NZKEYStakeholderAn Environment
  23. 23. Examples of comments supporting the Model● ‘It is an important service for our largely elderly customer base. It also utilizes our professional skills, rather than just counting tablets. It is also the way of the future with technicians taking over more of the dispensing functions and pharmacists doing more counseling , problem solving and medicine management’● ‘Until general practice understands and collaborates with this service provision it is never going to reach its full potential. I dont need training in this area (I already work in a practice and for a GP organisation). General practice teams however need to be sold the benefit’● when the MUR process is about communication I STRONGLY believe that moving aspects of the course or training follow ups/support to an on-line environment will NOT benefit the need for continuing communication development.
  24. 24. Reference ListReferencesAnderson, T. (2008). Theory and practice of online learning. AU PressLee, E., Braund, R., & Tordoff, J. (2009). Examining the first year of Medicines Use Review services provided by pharmacists in New Zealand: 2008. The New Zealand Medical Journal, 122(1293), 3566.Paterson, C, Implementing Online Learning: Use of a ‘Shared Service’ Model , Health Care and Informatics Review Online, 2010, 14(4), pg 26-33, Published online at www.hinz.org.nzWise, G (2009) The Continuous Learning Environment: Surviving Learning Solution Discovery,Education & Training - Learning Architecture,http://www.ithealthboard.health.nz/content/national-health-it-plan (p. 31)http://psnz.org.nz/public/home/documents/10_year_plan.pdf

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