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Professionalism in pharmacy practice
The role of a pharmacist
Professionalism in pharmacy practice
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To many people all a pharmacist does is count pills or dispense medication. But the profession of pharmacy has moved tremendously beyond just dispensing medications to providing more patient oriented services. Pharmacists think it is time for a change and are coming together to fight for what many believe should already be considered a responsibility of a pharmacist. As healthcare professionals many pharmacists are not recognized as health care providers and consequently are limited in scope of practice, as well as compensation.1 However, this is not a universal or federal responsibility.1 With this being said pharmacists cannot be reimbursed by Medicare Part B under Section 1861 of the Social Security Act like many other healthcare providers.1 …show more content…
With pharmacists incorporated into the healthcare team this allows pharmacists to utilize their specialized knowledge/skill and ease of access in order to help optimize patient care.4 So how can pharmacists gain provider status? To accomplish this mission the Patient Access to Pharmacists’ Care Coalition (PAPCC) was founded in 2014 in order to represent the collective effort to help pharmacist gain provider status so that they could provide patients with even greater quality service by broadening the access to service.1 This coalition consists of approximately 22 different organizations (pharmacy chains, associations as well as other stakeholders) who have actively helped advance these efforts since the introduction of the initial bill, H.R. 4190, by representatives Guthrie, Butterfield and Young, to amend the SSA.1,14 Federally the interest of this united effort is to provide patients service, within the scope of practice, in areas that are medically underserved.5 Currently, there are a lot people with limited access to healthcare in the rural areas this is where pharmacist will most benefit in their crusade for provider status.6 With this small step pharmacists can prove their value as healthcare providers and make a statement that will resonate with physicians as well as other healthcare providers of their importance to the team. The bill was recently reintroduced to the house in January of 2015 with …show more content…
Currently, there are approximately 16 states without provider status, including Massachusetts.8Since January 2013, two bills, HB 2060 and SB 484, have been under review in Massachusetts which proposes to include pharmacist in the definition of healthcare provider and what services pharmacists can benefit from under the collaborative practice agreement.9,15 In efforts to advocate for the passing of this bill into law there will be an opportunity for individuals to vote on the bill on November 17, 2015, in addition to sending letters in support of the bill.10 While this is definitely a step in the right direction there is still so much more that must be done. Hopefully this will be one of many positive milestones in the effort to progress into provider
The current health care landscape has been characterized by large scale consolidation and vertical integration of payers and providers. This has led to a handful of dominate players with substantial influence, and an increasing overlap in responsibilities between payers and providers. Although payers and providers have traditionally been on opposing sides, battling each other about quality of care versus cost-effective care, they are shifting to working together to achieve better value.
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
(II) The enacting of Medicare Part D in 2006 only helped to fuel America’s hunger for prescription medication. In 2003, President George W. Bush announced and signed the Medicare Prescription Drug, Improvement, and Modernization Act (also known as the Medicare Modernization Act, or MMA) on December 8th. The roughly $400 billion dollar measure was marketed to the American public as something that will provide care for the millions of senior citizens who, at the time, were struggling to afford prescription medication. This was the largest development of Medicare since 1965, which is when the program was initially created, and gave hope to those wishing for positive medical reform. According to title XI of the “Medicare Prescription Drug, Improvement, and Modernization Act of 2003”, the most significant change will be the affordability of prescription drugs by implementing the importation of drugs from Canada, along with necessary safety measures, in order to lessen the cost (United States Congress, 832). For those who were in retirement homes and lacked a steady income, the affordability of drugs was often a deciding factor in the decision to seek medical attention and the idea that those individuals ceased to live simply because they lacked the funds tugged at the heartstrings of many Americans.
In December 2011, Texas Health and Human Services Commission (HHSC) received federal approval of a Medicaid Section 1115(a) Demonstration Waiver, entitled “Texas Healthcare Transformation and Quality Improvement Program,” for the period starting with December 12, 2011 through September 20, 2016. The main objective of the 1115 Waiver is to improve access to and quality of health care by expanding Medicaid managed care programs and promoting health care delivery system reforms while containing cost growth. Specifically, the Waiver created two new pools of funding—Uncompensated Care (UC) and Delivery System Redesign and Innovation Payment (DSRIP) pools—by redirecting funds that were available under the old Upper Payment Limit (UPL) payment methodology. DSRIP funding is used to offer financial incentives to health care providers that develop and implement projects aimed at improving how care is delivered to low-income populations. Specifically, the providers (often referred to as the “performing providers” or “performers”) propose and execute projects like programs, strategies, and investments designed to enhance access to health care, quality of health care, cost-effectiveness of services, and health of the patients and families served.
Within the previous four years, the number of uninsured Americans has jumped to forty five million people. Beginning in the 1980’s, the American Academy of Family Physicians (AAFP) has been trying to fix this problem of health insurance coverage for everyone with a basic reform. The AAFP’s plan imagined every American with insured coverage for necessary improved services that fall between the crucial health benefits and the surprising costs. (Sweeney) They expect by fostering prevention, and early prevention, with early diagnosis with treatment, the program would result in decreased health system costs and increased productivity through healthier lives. The way to achieve health care coverage for all is pretty simple. This country needs the United States congress to act out legislation assuring essential health care coverage for all.
... for every pharmacist. This ratio dictates that pharmacists can not oversee every aspect of technicians’ jobs. It is this singular fact that very few people realize. The pharmacy technician who receives no formal training is responsible for not just the delivery of a patient’s medication, but also for their bill, their confidential information, and their life. The question now is, how can an uneducated individual be given so much responsibility? Technicians are granted these responsibilities because a pharmacist can not do the job alone. Pharmacists strive to mold each new technician into an employee that will realize what technicians really do. Pharmacists and technicians provide patients with safe and accurate medication in a timely manner. This is not a task for pharmacists or technicians alone; it is task that requires both personnel in order to be accomplished.
(W. Lease, personal communication, July 23, 2010), the “unknown” of the recent health care reform legislation is an external influence that is most relevant to our organization, stated by William Lease, senior vice president of clinical support services. Mr. Lease states, that health care reform legislation will impact our organization in many ways; especially after 2014. While more employees will have health insurance coverage and there will be more patients to treat; the need for controlling costs and improving efficiency is i...
Affordable health care law or Patient Protection and Affordable Care Act (PPACA) is the novel commandment that touches the practice of public health or community health nursing. PPACA, also known as the Affordable Care Act, (ACA) is a united State federal decree signed into law by President Barack Obama on March 23, 2010. The ACA proposal emphasizes three foremost approaches: 1). Dropping costs and increasing productivity so the organization works. 2). Proposing inexpensive, manageable coverage for everybody. 3). Accentuating deterrence agendas in the public health setting (Anderson, K. 2009).
A very notable goal is to make healthcare affordable for all Americans and at the same, improving the quality and efficiency in which healthcare is conducted. Many look at this act and notice the key benefits that are provided for all Americans, and are interested to find other improvements that help everyday ...
In 2009, President Obama signed the Patient Protection and Affordable Care Act (ObamaCare) and former ANA President Rebecca M. Patton, MSN, RN, CNOR witnessed this historical moment. American nurses celebrate with satisfaction, because their hard work paid off, enacting historical health care reform legislation that benefits not only nurses but their patient as well. Despite that the health care reform is now a reality, is important to keep working in order to make sure that the reform is implemented effectively (Routson, 2010).The ANA has been in favor of a health care reform that would provide high quality medical services for all. ANA believe that with Patient Protection and the Affordable Care Act, millions of American will be protected against the lost or denied health insurance coverage and improved access to primary and preventive care. (ANA, 2011)
“Medicare and the New Health Care Law — What it Means for You.” (2010). Medicare Publications, http://www.medicare.gov/Publications/Pubs/pdf/11467.pdf
As I’m coming to the twilight of my undergraduate degree at Charter Oak Stat College, I’ve chosen to write about the Affordable care act so I can better understand the reality of today’s healthcare system from the facilities, providers and patients point of view. I feel understanding this information will help me create an environment that can adapt and accelerate through the transition due to the affordable healthcare act’s broad impact on healthcare as it was once known and practiced. I feel whether I move forward as a nurse, provider or administrator, this information will be invaluable.
Between 1997 and 2005, the average number of prescriptions each American filled rose by 4.5 prescriptions per year (Healy). The responsibility of a patient’s health should lie between a doctor and a patient. Product-specific
First, here is some important background information about Pharmacists. A Pharmacist is someone who is trained and licensed to distribute medicinal drugs and to advise on their use. According to the Occupational Outlook Handbook Pharmacists do all of the following: "Fill prescriptions, verify proper amounts of medication to give to patients, check whether the prescription will interact negatively with other drugs that a patient is taking or conditions the patient has, instruct patients on how to and when to take a prescribed medicine, Advise patients on potential side effects they may experience from taking the medicine, Advise patients about general health topics, such as diet, exercise, managing stress, and on other issues, such as what equipment or supplies would be best for a health problem, Keep records and do other administrative tasks, Complete insurance forms and work with insurance companies to be sure that patients get the medicine they need, Teach other healthcare practitioners about proper medication therapies for patients, and lastly oversee the work of pharmacy technicians and pharmacists training."() Some pharmacists participate in compounding, where they create medications by mixing ingredients themselves. Pharmacists tha...
Pharmacists often work together in a team with other healthcare professional like physicians and nurses. In the process, pharmacists will give advice to them on the selection of medication, by providing the evidences based on the dosage form, the side effects and possible interaction with food of the medication. On the other hand, pharmacists also take part in research and clinical studies. Recently, pharmacists are recruited to conduct pharmacy-based research in pharmacies. (Swanson, 2005)