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Descrip(ve	
  Elements	
  of	
  Pharmacist	
  Interven(on	
  Characteriza(on	
  Tool	
  -­‐	
  DEPICT	
  2	
  (2013)
Instruc(ons
Examples:
0.00 Who	
  the	
  pharmacist	
  contacts	
  as	
  part	
  of	
  the	
  service
1.	
  CONTACT	
  WITH	
  RECIPIENT:	
  How	
  the	
  contact	
  with	
  the	
  recipient	
  occurs	
  
1.01 One-­‐on-­‐one	
  contact
1.02 Contact	
  with	
  group
2.	
  SETTING:	
  where	
  the	
  recipient	
  received	
  the	
  service
2.01 Community	
  pharmacy
2.02 Hospital	
  bedside
2.03 Emergency	
  department
2.04 Hospital	
  pharmacy
2.05 Ambulatory	
  /	
  Primary	
  care	
  seGng
2.06 HCP	
  office
2.07 Recipient's	
  home
2.08 Nursing	
  home	
  /	
  Long-­‐term	
  care	
  facility
2.09 Public	
  places	
  /	
  Classrooms
2.10 Other	
  seGng	
  clearly	
  stated,	
  not	
  previously	
  included	
  
3.	
  FOCUS	
  OF	
  INTERVENTION:	
  characteris7cs	
  of	
  the	
  pa7ent	
  who	
  benefits	
  indirectly	
  or	
  directly	
  from	
  the	
  interven7on
3.01 On	
  a	
  specific	
  medical	
  condiSon
3.02 On	
  a	
  specific	
  medicaSon	
  or	
  pharmacological	
  class	
  or	
  dosage	
  form
3.03 On	
  a	
  pre-­‐specified	
  paSent	
  sociodemographic
3.04 Without	
  any	
  disease,	
  pharmacological	
  or	
  sociodemographic	
  restricSon
4.	
  CLINICAL	
  DATA	
  SOURCES:	
  where	
  the	
  pharmacist	
  obtains	
  the	
  informa7on	
  for	
  assessment
4.01 Drug	
  prescripSon	
  orders
4.02 Pharmacy	
  records	
  /	
  Pharmacy	
  computer	
  system
4.03 Point-­‐of-­‐care	
  tesSng
4.04 MedicaSon	
  list	
  or	
  brown	
  bag	
  data
4.05 PaSent	
  self-­‐monitoring	
  data
4.06 Adherence	
  measuring	
  tools
4.07 Physical	
  /	
  FuncSonal	
  assessment	
  procedure	
  or	
  test
4.08 CogniSve	
  /	
  Mental	
  assessment	
  test
4.09 Laboratory	
  tests	
  /	
  TherapeuSc	
  drug	
  monitoring
4.10 PaSent	
  interview	
  (not	
  including	
  assessment	
  procedures	
  or	
  tests)
4.11 Medical	
  records
4.12 Discharge	
  or	
  referral	
  leZer
4.13 Direct	
  contact	
  with	
  HCP
4.14 Aggregated	
  clinical	
  databases	
  /	
  Alert	
  systems
4.15 Other	
  clearly	
  stated	
  clinical	
  data	
  sources,	
  not	
  previously	
  included
5.	
  VARIABLES	
  ASSESSED:	
  parameters	
  evaluated	
  by	
  pharmacist	
  to	
  construct	
  interven7on	
  
5.01 Drug	
  selecSon	
  	
  (Rx,	
  OTC	
  or	
  other)
5.02 MedicaSon	
  /	
  Therapy	
  effecSveness
5.03 MedicaSon	
  safety
5.04 PaSent	
  /	
  Caregiver	
  educaSonal	
  needs	
  /	
  Beliefs
5.05 HCP	
  informaSon	
  needs
5.06 MedicaSon	
  adherence
5.07 MedicaSon	
  list	
  /	
  History	
  accuracy
5.08 PaSent	
  nutriSon	
  or	
  lifestyle
5.09 Screening	
  results
5.10 Costs	
  of	
  treatment
5.11 MedicaSon	
  accessibility	
  /	
  Availability
5.12 Expired	
  or	
  improperly	
  stored	
  medicaSon
5.13 Dispensing	
  or	
  administraSon	
  errors
5.14 Laboratory	
  tests	
  requirements
5.15 Legal	
  or	
  administraSve	
  requirements
5.16 Other	
  clearly	
  stated	
  variable(s)	
  assessed
DEPICT	
  is	
  licensed	
  under	
  a	
  CreaSve	
  Commons	
  AZribuSon-­‐NonCommercial-­‐NoDerivs	
  3.0	
  Unported	
  License.
RECIPIENT
A.	
  PATIENT	
  /	
  
CAREGIVER
B.	
  HEALTH	
  CARE	
  
PROFESSIONAL
Pa7ent	
  Counseling Academic	
  Detailing
Instruc(ons:	
  Check	
  the	
  cells	
  that	
  correspond	
  to	
  the	
  components	
  of	
  the	
  pharmacist's	
  interven(on.	
  A	
  checked	
  cell	
  represents	
  
"Yes".	
  An	
  empty	
  cell	
  represents	
  "No	
  or	
  Not	
  Reported".	
  HCP=	
  Health	
  Care	
  Professional	
  
Descrip(ve	
  Elements	
  of	
  Pharmacist	
  Interven(on	
  Characteriza(on	
  Tool	
  -­‐	
  DEPICT	
  2	
  (2013)
Instruc(ons
Examples:
RECIPIENT
A.	
  PATIENT	
  /	
  
CAREGIVER
B.	
  HEALTH	
  CARE	
  
PROFESSIONAL
Pa7ent	
  Counseling Academic	
  Detailing
Instruc(ons:	
  Check	
  the	
  cells	
  that	
  correspond	
  to	
  the	
  components	
  of	
  the	
  pharmacist's	
  interven(on.	
  A	
  checked	
  cell	
  represents	
  
"Yes".	
  An	
  empty	
  cell	
  represents	
  "No	
  or	
  Not	
  Reported".	
  HCP=	
  Health	
  Care	
  Professional	
  
6.	
  ACTION(S)	
  TAKEN	
  BY	
  PHARMACIST:	
  What	
  is	
  done	
  to	
  address	
  the	
  iden7fied	
  problems
6.01 Structured	
  EducaSonal	
  Program
6.02 Drug	
  informaSon	
  or	
  paSent	
  counseling
6.03 Reminders	
  /	
  NoSficaSon	
  about	
  non-­‐compliance
6.04 Referral	
  to	
  other	
  HCP	
  or	
  service
6.05 Change	
  or	
  suggesSon	
  for	
  change	
  in	
  therapy	
  /	
  Lab	
  tests	
  order
6.06 Update	
  of	
  paSent's	
  medicaSon	
  list
6.07 Monitoring	
  results	
  report
6.08 Other	
  clearly	
  stated	
  acSon(s),	
  not	
  previously	
  included
7.	
  TIMING	
  OF	
  ACTION(S)	
  when	
  the	
  ac7on	
  takes	
  place	
  for	
  each	
  recipient
7.01 On	
  or	
  during	
  paSent	
  admission
7.02 On	
  paSent	
  discharge
7.03 First	
  weeks	
  acer	
  paSent	
  discharge
7.04 Inter	
  /	
  Intra	
  paSent	
  health	
  care	
  facility	
  transfer
7.05 Acer	
  an	
  acute	
  paSent	
  event	
  or	
  exacerbaSon
7.06 MedicaSon	
  dispensing
7.07 Scheduled	
  appointment
7.08 At	
  any	
  Sme
7.09 New	
  or	
  changed	
  prescripSon
8.	
  MATERIALS	
  THAT	
  SUPPORT	
  ACTION(S):	
  Items	
  developed	
  or	
  provided	
  as	
  part	
  of	
  the	
  service
8.01 Discharge	
  or	
  referral	
  leZer
8.02 EducaSonal	
  materials	
  /	
  Leaflets	
  /	
  WriZen	
  acSon	
  plan
8.03 MedicaSon	
  compliance	
  device/	
  AdministraSon	
  aid	
  device
8.04 MedicaSon	
  list	
  /	
  MedicaSon	
  schedule	
  /	
  MedicaSon	
  report
8.05 PaSent	
  diary	
  /	
  Health	
  diary
8.06 Guidelines	
  /	
  Clinical	
  procotols	
  /	
  Evidence	
  chart
8.07 Self-­‐monitoring	
  device
8.08 Auxiliary	
  labels	
  /	
  Pictorial	
  instrucSons	
  /	
  WriZen	
  reminders
8.09 AcSons	
  does	
  not	
  include	
  development	
  or	
  provision	
  of	
  any	
  material
9.	
  REPETITION:	
  Recurrence	
  and	
  frequency	
  of	
  ac7ons	
  and	
  contacts	
  with	
  recipient
Ac(on	
  recurrence
9.01 AcSon(s)	
  described	
  in	
  item	
  6	
  performed	
  in	
  one	
  contact
9.02 AcSon(s)	
  described	
  in	
  item	
  6	
  performed	
  in	
  mulSple	
  contacts
Frequency	
  of	
  contacts
9.03 Number	
  of	
  contacts	
  with	
  recipient	
  during	
  service
9.04 IntervenSon	
  duraSon	
  per	
  recipient	
  (in	
  days)
10.	
  COMMUNICATION	
  WITH	
  RECIPIENT
Method
10.01 Face-­‐to-­‐face
10.02 WriZen	
  (including	
  web-­‐based)
10.03 Telephone
10.04 Video	
  conference
Distribu(on	
  of	
  contacts	
  during	
  interven(on
10.05 Only	
  in	
  person
10.06 Mainly	
  in	
  person	
  with	
  some	
  remote	
  contact
10.07 Equally	
  in	
  person	
  and	
  remotely
10.08 Mainly	
  remotely	
  with	
  some	
  contact	
  in	
  person
10.09 Only	
  remotely
11.	
  CHANGES	
  IN	
  THERAPY	
  AND	
  LAB	
  TESTS
11.01 Not	
  applicable	
  (Check	
  if	
  item	
  A.6.05	
  was	
  not	
  selected)
Medica(on	
  and	
  Lab	
  tests
11.02 Autonomy	
  to	
  start	
  medicaSon	
  (Rx,	
  OTC	
  or	
  other)
11.03 Autonomy	
  to	
  	
  suspend	
  medicaSon	
  (Rx,	
  OTC	
  or	
  other)
11.04 Autonomy	
  to	
  	
  change	
  medicaSon	
  dosage	
  (Rx,	
  OTC	
  or	
  other)
11.05 Autonomy	
  to	
  	
  order	
  laboratory	
  tests
Capability	
  to	
  make	
  changes	
  in	
  prescrip(on	
  medica(on	
  or	
  lab	
  tests
11.06 Changes	
  or	
  lab	
  tests	
  orders	
  with	
  restricSons	
  (dependent	
  prescribing	
  model)
11.07 Changes	
  or	
  lab	
  tests	
  orders	
  without	
  restricSons	
  (independent	
  prescribing	
  model)
DEPICT	
  is	
  licensed	
  under	
  a	
  CreaSve	
  Commons	
  AZribuSon-­‐NonCommercial-­‐NoDerivs	
  3.0	
  Unported	
  License.
PHARMACIST	
  AUTONOMY

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  • 1. Descrip(ve  Elements  of  Pharmacist  Interven(on  Characteriza(on  Tool  -­‐  DEPICT  2  (2013) Instruc(ons Examples: 0.00 Who  the  pharmacist  contacts  as  part  of  the  service 1.  CONTACT  WITH  RECIPIENT:  How  the  contact  with  the  recipient  occurs   1.01 One-­‐on-­‐one  contact 1.02 Contact  with  group 2.  SETTING:  where  the  recipient  received  the  service 2.01 Community  pharmacy 2.02 Hospital  bedside 2.03 Emergency  department 2.04 Hospital  pharmacy 2.05 Ambulatory  /  Primary  care  seGng 2.06 HCP  office 2.07 Recipient's  home 2.08 Nursing  home  /  Long-­‐term  care  facility 2.09 Public  places  /  Classrooms 2.10 Other  seGng  clearly  stated,  not  previously  included   3.  FOCUS  OF  INTERVENTION:  characteris7cs  of  the  pa7ent  who  benefits  indirectly  or  directly  from  the  interven7on 3.01 On  a  specific  medical  condiSon 3.02 On  a  specific  medicaSon  or  pharmacological  class  or  dosage  form 3.03 On  a  pre-­‐specified  paSent  sociodemographic 3.04 Without  any  disease,  pharmacological  or  sociodemographic  restricSon 4.  CLINICAL  DATA  SOURCES:  where  the  pharmacist  obtains  the  informa7on  for  assessment 4.01 Drug  prescripSon  orders 4.02 Pharmacy  records  /  Pharmacy  computer  system 4.03 Point-­‐of-­‐care  tesSng 4.04 MedicaSon  list  or  brown  bag  data 4.05 PaSent  self-­‐monitoring  data 4.06 Adherence  measuring  tools 4.07 Physical  /  FuncSonal  assessment  procedure  or  test 4.08 CogniSve  /  Mental  assessment  test 4.09 Laboratory  tests  /  TherapeuSc  drug  monitoring 4.10 PaSent  interview  (not  including  assessment  procedures  or  tests) 4.11 Medical  records 4.12 Discharge  or  referral  leZer 4.13 Direct  contact  with  HCP 4.14 Aggregated  clinical  databases  /  Alert  systems 4.15 Other  clearly  stated  clinical  data  sources,  not  previously  included 5.  VARIABLES  ASSESSED:  parameters  evaluated  by  pharmacist  to  construct  interven7on   5.01 Drug  selecSon    (Rx,  OTC  or  other) 5.02 MedicaSon  /  Therapy  effecSveness 5.03 MedicaSon  safety 5.04 PaSent  /  Caregiver  educaSonal  needs  /  Beliefs 5.05 HCP  informaSon  needs 5.06 MedicaSon  adherence 5.07 MedicaSon  list  /  History  accuracy 5.08 PaSent  nutriSon  or  lifestyle 5.09 Screening  results 5.10 Costs  of  treatment 5.11 MedicaSon  accessibility  /  Availability 5.12 Expired  or  improperly  stored  medicaSon 5.13 Dispensing  or  administraSon  errors 5.14 Laboratory  tests  requirements 5.15 Legal  or  administraSve  requirements 5.16 Other  clearly  stated  variable(s)  assessed DEPICT  is  licensed  under  a  CreaSve  Commons  AZribuSon-­‐NonCommercial-­‐NoDerivs  3.0  Unported  License. RECIPIENT A.  PATIENT  /   CAREGIVER B.  HEALTH  CARE   PROFESSIONAL Pa7ent  Counseling Academic  Detailing Instruc(ons:  Check  the  cells  that  correspond  to  the  components  of  the  pharmacist's  interven(on.  A  checked  cell  represents   "Yes".  An  empty  cell  represents  "No  or  Not  Reported".  HCP=  Health  Care  Professional  
  • 2. Descrip(ve  Elements  of  Pharmacist  Interven(on  Characteriza(on  Tool  -­‐  DEPICT  2  (2013) Instruc(ons Examples: RECIPIENT A.  PATIENT  /   CAREGIVER B.  HEALTH  CARE   PROFESSIONAL Pa7ent  Counseling Academic  Detailing Instruc(ons:  Check  the  cells  that  correspond  to  the  components  of  the  pharmacist's  interven(on.  A  checked  cell  represents   "Yes".  An  empty  cell  represents  "No  or  Not  Reported".  HCP=  Health  Care  Professional   6.  ACTION(S)  TAKEN  BY  PHARMACIST:  What  is  done  to  address  the  iden7fied  problems 6.01 Structured  EducaSonal  Program 6.02 Drug  informaSon  or  paSent  counseling 6.03 Reminders  /  NoSficaSon  about  non-­‐compliance 6.04 Referral  to  other  HCP  or  service 6.05 Change  or  suggesSon  for  change  in  therapy  /  Lab  tests  order 6.06 Update  of  paSent's  medicaSon  list 6.07 Monitoring  results  report 6.08 Other  clearly  stated  acSon(s),  not  previously  included 7.  TIMING  OF  ACTION(S)  when  the  ac7on  takes  place  for  each  recipient 7.01 On  or  during  paSent  admission 7.02 On  paSent  discharge 7.03 First  weeks  acer  paSent  discharge 7.04 Inter  /  Intra  paSent  health  care  facility  transfer 7.05 Acer  an  acute  paSent  event  or  exacerbaSon 7.06 MedicaSon  dispensing 7.07 Scheduled  appointment 7.08 At  any  Sme 7.09 New  or  changed  prescripSon 8.  MATERIALS  THAT  SUPPORT  ACTION(S):  Items  developed  or  provided  as  part  of  the  service 8.01 Discharge  or  referral  leZer 8.02 EducaSonal  materials  /  Leaflets  /  WriZen  acSon  plan 8.03 MedicaSon  compliance  device/  AdministraSon  aid  device 8.04 MedicaSon  list  /  MedicaSon  schedule  /  MedicaSon  report 8.05 PaSent  diary  /  Health  diary 8.06 Guidelines  /  Clinical  procotols  /  Evidence  chart 8.07 Self-­‐monitoring  device 8.08 Auxiliary  labels  /  Pictorial  instrucSons  /  WriZen  reminders 8.09 AcSons  does  not  include  development  or  provision  of  any  material 9.  REPETITION:  Recurrence  and  frequency  of  ac7ons  and  contacts  with  recipient Ac(on  recurrence 9.01 AcSon(s)  described  in  item  6  performed  in  one  contact 9.02 AcSon(s)  described  in  item  6  performed  in  mulSple  contacts Frequency  of  contacts 9.03 Number  of  contacts  with  recipient  during  service 9.04 IntervenSon  duraSon  per  recipient  (in  days) 10.  COMMUNICATION  WITH  RECIPIENT Method 10.01 Face-­‐to-­‐face 10.02 WriZen  (including  web-­‐based) 10.03 Telephone 10.04 Video  conference Distribu(on  of  contacts  during  interven(on 10.05 Only  in  person 10.06 Mainly  in  person  with  some  remote  contact 10.07 Equally  in  person  and  remotely 10.08 Mainly  remotely  with  some  contact  in  person 10.09 Only  remotely 11.  CHANGES  IN  THERAPY  AND  LAB  TESTS 11.01 Not  applicable  (Check  if  item  A.6.05  was  not  selected) Medica(on  and  Lab  tests 11.02 Autonomy  to  start  medicaSon  (Rx,  OTC  or  other) 11.03 Autonomy  to    suspend  medicaSon  (Rx,  OTC  or  other) 11.04 Autonomy  to    change  medicaSon  dosage  (Rx,  OTC  or  other) 11.05 Autonomy  to    order  laboratory  tests Capability  to  make  changes  in  prescrip(on  medica(on  or  lab  tests 11.06 Changes  or  lab  tests  orders  with  restricSons  (dependent  prescribing  model) 11.07 Changes  or  lab  tests  orders  without  restricSons  (independent  prescribing  model) DEPICT  is  licensed  under  a  CreaSve  Commons  AZribuSon-­‐NonCommercial-­‐NoDerivs  3.0  Unported  License. PHARMACIST  AUTONOMY