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Being selective in employment

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Common positive language messaging

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Practice in a standard of care model

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Our profession needs to consistently articulate the roles of a pharmacist. Nurses and physicians are able to do this. Pharmacists can be challenged by this given the practice setting.

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Federal provider status

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Collaboration across health practitioners

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Provide staff support and focus less on metrics

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It takes a team. We must work with other stakeholders not just pharmacy alone.

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How pharmacists are integrated into care teams

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Collaborative practice - provider

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It is about relationships. Get to know people.

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NP got provider status through rural need. Pharmacy can do the same in rural/urban health care deserts

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How pharmacists are reimbursed for clinical services

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Federal and state provider status but more importantly that payors get on board

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Service vs product reimbursement

Amb care…Collaborative practice agreements

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Provider status

Expansion of scope of practice

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Patience. Doesn’t happen overnight.

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Stronger association lobbying as a profession

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Provider status and clear scope of work related to medication management in a standard care model

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Understanding what barriers of access patients face as they are coming out of other practice settings that can be leveraged at community-based settings.

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Need to start with restoring pride in being a community pharmacist. Pharmacy students and pharmacists need to keep in mind the value of community pharmacy and being a pharmacist in the community.

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Work the other disciplines to ensure we are all talking the same language. Also work with them to ensure all receive equitable reimbursement. Need access to records across practice.

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Collaboration (CPAs) and Interprofessional practice

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It’s all clinical

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Develop innovative practice models that reduce workload and allow better collaboration

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Other practice settings or professions don’t spend decades talking about the same challenges…they make things happen with a consistent voice and presence.

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How different practice settings advocate for the profession

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Not ever pharmacist and practice setting is the same. We need to intentionally put people into positions they are good at and they are passionate about.

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The scope of practice in the nursing profession is extensive

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Coordinated education/lobbying efforts like medicine and nursing have

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Set up real world practice models, initiate, monitor, and evaluate 

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Set up real world practice models, initiate, monitor, and evaluate 

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emphasis on clinical

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Teamwork and payment model

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Ways to leverage or create innovation in technology use that may help to bridge gaps in care.

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Models of care delivery - service only vs hybrid

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Integrated care models ability to manage low acuity to high acuity patients (ie from general practice care to oncology) allows those providers to have a full view of the patient profile. Pharmacy can’t be successful in expanding responsibilities unless we are able to share data and information in a similar capacity. Otherwise we are just duplicating effort.

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communication

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Accelerated pathway to community pharmacy practice

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Accelerated pathway to community pharmacy practice

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Interoperability is critical to ennhance shared risk and patient accountability outcomes. Currently most other clinicians operate in similar reimbursement platforms.

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Interoperability is critical to ennhance shared risk and patient accountability outcomes. Currently most other clinicians operate in similar reimbursement platforms.

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Need to have actual practice opportunities in the pharmacy 

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Need to have actual practice opportunities in the pharmacy 

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Acceleration of tech responsibilities

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We need provider status- simply stated

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Standards of Practice (like Idaho)

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A reimbursement model that pays for the assessments/services.

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Return to reasonable gross margins on prescriptions. Reimbursement for enhanced services.

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Provider status, practice without need for collaborative agreements, changes in reimbursement processes

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Not a new CE or certification for every type of practice service a pharmacist provides.

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More authority for delegation of certain tasks to technicians

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removing obstacles to technology that will allow administrative work to be moved offsite

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Allow certain medications to be prescribed by a pharmacist in the community setting.

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Have curricular content related to real world applications

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Force shared risk contracting between pharmacists and prescribers. Attach MTM onto their clinical outcomes,  and thus their reimbursement. 

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Force shared risk contracting between pharmacists and prescribers. Attach MTM onto their clinical outcomes,  and thus their reimbursement. 

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Expansion of technician scope to allow them to perform administrative tasks so rphs can focus on patient care

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Support centralized filling and technicians filling and checking to allow pharmacists to expand role of practice

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Consideration of Standards of Care model

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Need to somehow realign state rules and regulations across the country based on best practices. Necessary for care across state lines.

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Empowering community practice settings to perform expanded scope services.

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PBM reform to free up resources to support clinical services and either provider status or increased payer contracts for patient care

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Professional organizations come together with a collective voice for pharmacy where the roles and responsibilities of the pharmacists are well established.

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While I agree with the need to change practice act to support provider status and expand scope of practice, I do not believe expansion of clinical services is reliant on regulatory changes. We had employer sponsored reimbursement for clinical service prior to Part D. We need more out of box thinking and innovation rather than a need to wait for regulatory changes

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CPAs must not have components that hinder use

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CPAs must not have components that hinder use

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Telehealth

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We need to win reimbursement from govt payors of ether full scope of service to build momentum

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Work with State Boards and NABP to improve the licensure process and improve the MPJE so that pharmacists can get licensed sooner.

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Through collaborative forums. The more dialogue and information sharing we have, the greater the impact will be.

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Residencies

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Shared faculty positions

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Work collaboratively to manage self fulfilling prophecies - to either minimize or maximize accordingly - to make community pharmacy more attractive by expanding the scope of service and reduce the profit crunch associated with rx reimbursement that makes chain pharmacy so challenging

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Schools can act as convener of community pharmacists, clinicians, payers and health systems to create clinical practice contracts to improve population health pain points.

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Work together to offer collective opportunities to create innovative practice sites, place faulty and students, and together advocate to change and regulation.

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Self discovery, mentorship, support. Provide resources to assist pharmacists. Just like we make things about patients which is the right thing to do. It must be clear to pharmacists in the trenches that is also about them. They matter. This needs to be culture change.

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Messaging that community pharmacy is as important as clinical, ambulatory, etc specialties.

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Coordinate messaging to encourage students to invest in the future of pharmacy. We are experiencing a very disruptive transformational change and need to let the public know that we will come out well as a profession on the other side of it. 

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Coordinate messaging to encourage students to invest in the future of pharmacy. We are experiencing a very disruptive transformational change and need to let the public know that we will come out well as a profession on the other side of it. 

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Create coalitions to establish shared priorities

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Arrange legislator visits to community pharmacies working with clinicians to enhance patient care - show models that are working but highlight the pain points that prevent full engagement.

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Be present and contribute outside our areas of expertise for the benefit of the profession

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Better open communication about collaboration efforts. Don’t just do behind close doors. Make people aware of it, otherwise to society and pharmacists it’s not happening.

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Campaigns for unified pharmacist promotions/brand messaging for image/recognition

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Explain the value and importance of community pharmacy to patients and communities.

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Introduce community-based residencies (partly) supported by industry through sponsorships

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Collaborate more with academic institutions. The B2B model should include the business of academia

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Need the space (literally!)

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Help us understand what changes would resonate with students 

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Help us understand what changes would resonate with students 

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Promote the good of the profession with everyone. Prospective students, high school counselors, patients, social media, payers, etc.

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Increase number of faculty and residents in community pharmacies 

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Increase number of faculty and residents in community pharmacies 

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Collective voice from prof organizations

Coordinated efforts across states - share best practices of what worked to move the needle for others to follow suit

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Create pragmatic reimbursement models that we can teach in our pgms.

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Create pragmatic reimbursement models that we can teach in our pgms.

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Make time for each other and ask questions when we do

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Increase number of faculty and residents in community pharmacy 

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Increase number of faculty and residents in community pharmacy 

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Develop innovative experiential programming that allows students to have responsibilities to help advance practice related initiatives