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Make DIR fees illegal. Allow for pharmacists to have a compact so they can cross state lines easier.

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Residencies made a difference in Hospital; fellowships in industry. We need Walgreens to invest more funding into residencies, esp the specialty pharmacy market.

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we need to change the mantra that community is the backup plan.

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More residencies at Walgreens. We can help!

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Look to academia for existing training programs that allow for pharmacists to provide expansion of services, especially for pharmacists without residency training

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Hospital pharmacists are most often a part of the care team, more involved in the care of patients and need to bring the same approach and integrated model to primary care and community pharmacy.

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Health systems, in a sense, forced physicians to use pharmacists because we are necessary to improve outcomes. Legislation or payer pressure could lead to similar requirements in community settings.

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The importance of documenting the pharmacist’s intervention and connecting that to improved patient outcomes to advance the pharmacist’s role.

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An agreed upon set of standards/skills/competencies that other providers AND the public can understand

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Need to have prescriptive authority.

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Look at academic medical centers that have partnerships w community pharmacy that allow pharmacists access to EHR data

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We heard a lot about how medical/hospital facilities have integrated pharmacist into their care team. How do we expand the same collaboration to the community pharmacy setting when the physician may not be in the same bldg as the pharmacist/pharmacy?

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There are decades’ worth of data from the VA showing pharmacists can practice at the same level as NPs and PAs.

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Recognize we need to match patients where and when they need us - while creating predictable work for the pharmacy teams. When 50-80% of work is predicable, there is calm for the people who do the work and the patients. Med sync, appointments, etc - can all make an impact. Learn from Family Medicine that 100% appointment model doesn’t work - there is a need for urgent care needs and predictable care needs.

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Allow community pharmacists to practice under CDTM models often utilized in health system settings in all states

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More acceptance of the knowledge base and training of the practitioners.

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Remove the vernacular of “clinical” that refers to hospital practice. All pharmacy practice is clinical

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Public health medical directors could provide collaborative practice agreements that enable pharmacists statewide to practice in whatever ways the public health department sees fit. This doesn’t address payment but does eliminate scope of practice barriers. CPAs don’t have to be one-offs.

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Clinical services in health systems often have physician champions to advocate for the need for pharmacists. It is difficult to make that direct interdisciplinary connection in community practice.

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Colleges and schools of pharmacy must dispel the notion that you cannot provide cognitive services or enhanced patient care in a community setting and create excitement around prospects of entering community pharmacy

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We need to market ourselves better.

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Advocate for legislation change to include community pharmacists in legislation.

Share more data showing success of integrating community pharmacists into clinical initiatives.

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Increase availability and ease of pharmacists’ test and treat services

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Train pharmacy students in such a way that they graduate with a mindset of confidence similar to physicians (and PAs).

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Prescriptive authority

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Broader prescriptive authority

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Removing barriers to collaborative practice or similar agreements for community pharmacists.

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ensure students have a meaningful experience while at sites

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Change the narrative regarding community pharmacy with students. Describe the opportunities with examples of how patients’ lives have been changed.

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Company to pay for pharmacist to engage in advocacy. paid shift to attend pharmacist day at the state house for example

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More collaborative meetings (similar to this one). 

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More collaborative meetings (similar to this one). 

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Incentivize your pharmacists to be part of different organizations.

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Ensure students going to sites are ready to share innovations and support practice transformation

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Very public marketing campaign demonstrating all the roles a pharmacist plays in the day of the life of a patient’s journey through healthcare.

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Identify community practitioner leaders and make them known to the local schools to come in and speak, share, and inspire students.

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Partner with schools to advocate and also travel/participate in associations.

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Developing independent practitioner mindset

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Build time for advocacy into jobs at all levels included in the 40-hour work week.

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Real world decision making; conflict resolution, being a change agent, handling difficult situations/people.

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Make the work environment more conducive for pharmacists.

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Academia can adopt if the work environment is made to be a desirable endpoint.

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Training students as agents of change and leaders. Show students they can be leaders in the community

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Change ACPE standards to allow work experience in pharmacy to meet IPPE hour requirements.

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Teach all students how to be a leader in the pharmacy. Many times they have good clinical knowledge but lack leadership skills to help guide and coach technicians to make sure patients are taken care of. (Eg too much, I am not the pharmacy manager here. The pharmacist is the leader in the pharmacy and should know how to lead effectively.)

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Model pharmacy education more like medical education with team-based learning in two didactic years and two fully experiential years.

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Teach students how to be leaders. Too many times we hear “I am not the pharmacy manager.” When they are on site they are the leader in the pharmacy and should know how to leader, coach , handle difficult conversations to make sure patients are taken care of.

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Walgreens identify sites that meet criteria of excellence or have innovative services and actively informing colleges of these sites to help with placement into transformative experiences.

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Track APPEs where one is community then the next is corporate level

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Student APPE placement at sites where this practice model is emphasized (and not sending to sites where transactional model is prominent).

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Invest and recreate the Corporate Internship Program to develop our future community pharmacy leaders.

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Foster the development of model pharmacies next to as many schools of pharmacy as possible. Inspire the next generation by showing them the future.

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Provide co-funded faculty positions or pay schools for the time invested by a pharmacy practice faculty member to implement clinical services in Walgreens locations.

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Host students to meet regional and corporate leadership at as many schools of pharmacy as possible.

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Support schools to bring students to legislative advocacy days in each state.

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Pay pharmacy interns to cover dispensing needs and get ACPE to allow that to count for IPPE hours to free up time for Walgreens pharmacists to provide cognitive services. Pay for the time of pharmacy faculty to guide pharmacists in providing community-based clinical services.

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Create/Invest in leadership training that can be deployed in schools nationwide

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Help unite pharmacy corporations, pharmaceutical industry, and academia to do a nationwide PR campaign on the integral role of a pharmacist in the community. Help middle school and high school students visualize the important role of a pharmacist.

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Host listening sessions with students and interns. Give them an opportunity to share and give them a problem to solve. They are creative and eager to make a difference.

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There is a great gap bw what we hear from Walgreens leadership and what we hear from the boots on the ground pharmacists. It is a night and day difference so we need to figure out where in the middle management th Le disconnect is happening.