Room 1 by Victoria Groth Kroeger

2023-11-02 18:06:02 UTC

Residencies made a difference in hospital; fellowships in industry. We need Walgreens to create more residencies especially in specialty pharmacy.

2023-11-02 18:06:40 UTC

Expansion of technician ratios and technician scopes of practice.

Need interoperability for EMRs to allow community pharmacy to have access to the data they need to improve outcomes

2023-11-02 18:07:52 UTC

2023-11-02 18:07:53 UTC

Have more community based practitioners on staff in pharmacy schools.

What gets paid for gets done

shannaoconnor — 2023-11-02 18:08:06 UTC

We have to have a different payment model

2023-11-02 18:08:07 UTC

There is a tremendous opportunity to accelerate digital experience for requesting services , submitting questions and engaging opportunities with pharmacists .

2023-11-02 18:08:09 UTC

Credentialing and required educational updates.

2023-11-02 18:08:11 UTC

How to communicate with and motivate our constituents to encourage them to be agents of change

2023-11-02 18:08:11 UTC

The regulatory environment for retail chain pharmacy is a big challenge

2023-11-02 18:08:14 UTC

While it’s important to learn from the past, I think it’s also good to reimagine the future. The challenges of healthcare system are different today than they were in the 60’s when the inpatient clinical evolution occurred.

2023-11-02 18:08:16 UTC

We need expanded roles for technicians.

2023-11-02 18:08:27 UTC

Focusing on the quality of patient care, integrating techology.

Provide co-funded or fully funded faculty positions in community care

2023-11-02 18:08:28 UTC

Ambulatory models

2023-11-02 18:08:53 UTC

How can an am care model cross into community? Even without a payment connection.

2023-11-02 18:09:18 UTC

Remote work and flexible telehealth opportunities

Provision of high level community practice sites with clinical services for APPE rotations

2023-11-02 18:09:27 UTC

2023-11-02 18:09:29 UTC

The interactions between pharmacists and other healthcare providers isn’t necessarily innovative, but it advances patient care significantly. The trust physicians and other providers have in us based upon what we bring to the table is immense. We need this in the community settings.

2023-11-02 18:10:34 UTC

Pharmacists to have more time for patient counseling opportunities. Building relationship with patients based on their needs (indiferent pharmacy es thirige on this)

Do we need a higher level of pharmacy licensure similar to nurse practitioner and RNs?

2023-11-02 18:10:35 UTC

2023-11-02 18:10:38 UTC

Educational support from employers so that pharmacists can get specialty certifications.

2023-11-02 18:11:53 UTC

Need to command more “respect” which can be done through increased cognitive services than commodity delivery.

Visibility

shannaoconnor — 2023-11-02 18:14:09 UTC

Connection to care teams as way to build rapport

Separation from the product

shannaoconnor — 2023-11-02 18:15:42 UTC

Hospital pharmacists were able to differentiate from the dispensing workflow and be recognized for cognitive contributions

Learn from medicine and nursing!

shannaoconnor — 2023-11-02 18:19:05 UTC

Get away from bright line, shift to scope of practice regulatory approach

2023-11-02 18:19:23 UTC

It would be nice to have a board certification (BPS) in community pharmacy practice.

2023-11-02 18:19:35 UTC

Get rid of regulations, move to standard of care.

2023-11-02 18:19:57 UTC

Too many regulations pigeonholes us into a box

2023-11-02 18:20:00 UTC

Increase the roles of techs so that pharmacists can do different types of work.

2023-11-02 18:20:02 UTC

Transition to standard of care regs

2023-11-02 18:20:08 UTC

Tech ratio expansion

Centralized service expansion

Allowing remote pharmacist work

Payments

2023-11-02 18:20:11 UTC

We need to bill for current services, not just chase new ones.

2023-11-02 18:20:12 UTC

Eliminate language that limits the pharmacist ability to use their clinical knowledge and training to take care of patients

Increase the scope of pharmacy practice at the community setting.

2023-11-02 18:20:28 UTC

2023-11-02 18:20:41 UTC

Allow universal licensing vs state specific

2023-11-02 18:20:52 UTC

Reimbursement for pharmacist services across all sectors

2023-11-02 18:21:04 UTC

Remove the redtape to regulate the central fill. Maximize the potential for technology.

2023-11-02 18:21:14 UTC

We need to be paid for all our services.

We also need to allow more tech enabled solutions , virtual counseling via video on phone in all states . Providing new services with reimbursements that correspond

2023-11-02 18:21:30 UTC

Expand the central fill process that Walgreens has initiated.

2023-11-02 18:21:31 UTC

Expanding role of technicians, such a product verification, to free up pharmacists to provide more clinical services.

2023-11-02 18:21:38 UTC

Reimbursement and scope of practice issues

Alignment of tests and practice

shannaoconnor — 2023-11-02 18:22:19 UTC

Regulatory approach aligned with practice needs to follow alignment of NAPLEX with educational standards…we can’t shift away from what we teach (therapeutics) without shift in licensure exam

2023-11-02 18:23:03 UTC

Boards of pharmacy need more progressive thinking. Board appointments need to be less politically influenced.

Interstate compacts for licensure

2023-11-02 18:23:07 UTC

2023-11-02 18:29:21 UTC

Shift the skills training that goes on. Get rid of the mock pharmacies and switch to small office/clinic training settings that can be incorporated inside community pharmacies.

Think differently about licensure and licensure exams

shannaoconnor — 2023-11-02 18:29:54 UTC

National law exam
Law exam as an application-based exam

2023-11-02 18:31:23 UTC

Support community pharmacists to transition to a more clinical care model so that they can precept students and give the reinforcement of the skills taught in class, and help them see examples of how patient care can be integrated into real life as a pharmacist.

2023-11-02 18:32:28 UTC

Communicate more effectively

2023-11-02 18:32:36 UTC

Building state level working coalitions comprised of academia, boards of pharmacy, and pharmacy associations to craft and execute legislative strategies.

Provide retooling programs for already licensed community pharmacists

2023-11-02 18:32:36 UTC

2023-11-02 18:32:57 UTC

Unite to create a sustainable model for community practice. We need to unite that pharmacists are paid for their value and their services to the healthcare system.

Modify model practice act to reflect modern practice

2023-11-02 18:33:00 UTC

2023-11-02 18:33:03 UTC

Provide teaching opportunities.

Invite for CE presentations and professional development events.

2023-11-02 18:33:10 UTC

Create and offer elective course offerings at schools that prepare graduates for work in your community pharmacy model

Educate/train

shannaoconnor — 2023-11-02 18:33:17 UTC

Provide tailored training to help practicing pharmacists overcome barriers to providing non-dispensing services (need to go well beyond immunizations/MTM and think about practical skill build)

Find measurable shared goals

2023-11-02 18:33:19 UTC

We all want similar things for (sometimes) different reasons. What can we only do together? It can’t be “everything”.

Are we even teaching students what they will ultimately be doing?

2023-11-02 18:33:28 UTC

Better experience for IPPE and APPE students during community rotation.

More community based pharmacists involved in academia

More robust soft skills courses in the curriculum

We need to change the image of community pharmacy. They should be a provider instead of dispenser.

2023-11-02 18:33:29 UTC

2023-11-02 18:33:37 UTC

Work with preceptors, it is a privilege to mentor students can we have more clear expectations?

2023-11-02 18:33:47 UTC

Provide retooling program/training for already licensed community pharmacists

2023-11-02 18:33:51 UTC

The pharmacist needs to be interacting with patients. Use technology and technicians for the technical aspects of providing care.

2023-11-02 18:34:02 UTC

Better align legislative advocacy efforts.

Increase efforts toward meaningful practice change/innovations dialogue and action plans.

Use students differently

shannaoconnor — 2023-11-02 18:34:19 UTC

Steal Megan Smith’s model from UAMS and intentionally use APPE students to implement practice change programs at community pharmacies

2023-11-02 18:34:22 UTC

Three groups work together to modify model practice act to reflect modern practice

2023-11-02 18:34:38 UTC

Co-funded faculty positions/specialist in community pharmacy

2023-11-02 18:34:56 UTC

Hiring more community practice faculty in pharmacy schools by crafting smooth promotion and tenure policies for these faculty members

2023-11-02 18:35:59 UTC

Teach students to be agents of change

Address the elephant

shannaoconnor — 2023-11-02 18:36:04 UTC

Intentionally tackle the negative perception of faculty/academia towards community practice

2023-11-02 18:36:10 UTC

Have more faculty presence in community practice settings.

Create more opportunities for PGY1 community pharmacy positions

2023-11-02 18:36:16 UTC

Standard of care not “bright line” regulations.

2023-11-02 18:36:56 UTC

Develop core expectations and heuristic examples for the use of AI as related to patient care (ie therapy, insurance, future roles/functions needed)

2023-11-02 18:37:19 UTC

Get rid of the state law exam.

2023-11-02 18:37:38 UTC

Provide them with cutting edge information that they may not be getting in practice. For example how many practicing community pharmacists know the potential impact of AI, we are teaching these aspects already to our students.

Lean into ACT programs with intention

shannaoconnor — 2023-11-02 18:42:32 UTC

2023-11-02 18:50:20 UTC

As Walgreens rolled out new technology, consider sharing it with schools to incorporate into practice labs. This saves schools money and keeps our curricula current.

2023-11-02 18:51:21 UTC

We need to create “excitement” about community practice that has gone away and recent stories do not help the cause. Central fills and how pharmacists can be used with their lower workload for other cognitive services can be one solution towards this.

Change the negative language around dispensing-centric positions

shannaoconnor — 2023-11-02 18:51:36 UTC

Change agent training for students

shannaoconnor — 2023-11-02 18:51:54 UTC

2023-11-02 18:52:00 UTC

Need for better ambassadors of the practice setting

2023-11-02 18:52:05 UTC

Exposing students to the various roles for pharmacists by thinking strategically about IPPE and APPE placements.

2023-11-02 18:52:15 UTC

Increase preceptor development so that they can integrate the newest models of practice in their pharmacies, so that students can continue their skills training off campus on rotations.

2023-11-02 18:52:37 UTC

improve the experience they have as experiential education students in community settings. It is a workplace satisfaction issue!

Increase implementation training to encourage students/new pharmacists to be change agents and not accept the status quo

2023-11-02 18:52:40 UTC

2023-11-02 18:52:42 UTC

Support community based residency program.

Keep students updated about the emerging practice models at community setting. Increase community practice pharmacist presence in the classroom

2023-11-02 18:52:49 UTC

2023-11-02 18:52:52 UTC

Soft skills training such as leadership and change management

Problem solving within a finite time

2023-11-02 18:52:54 UTC

Positive messaging on community practice and the impact pharmacists have . Many students think their institutions think community practice isn’t good enough and they need specialized training and specialized residencies

2023-11-02 18:53:00 UTC

Reevaluate how we teach interdisciplinary approach. What does it look like to be prepared to practice in a community single market setting?

We need our standards to be more flexible so we can be creative with education…curricular bloat is driven by the standards and results in us not being able to add instruction on things critical to community (especially practice advancement)

shannaoconnor — 2023-11-02 18:53:02 UTC

2023-11-02 18:53:18 UTC

We need to remove the negative stigma associated with community pharmacy. All the negative press has applicants asking more and more about how to become a “clinical” pharmacist rather than a community pharmacist. We all need to work together to change that stigma.

Showing successful practice models

2023-11-02 18:53:33 UTC

Making the contemporary and advanced practice models visible (in classroom settings and experiential) and more widespread so that it is the norm and not a niche.

2023-11-02 18:54:06 UTC

Expose more clinical faculty to community pharmacy practice through exposure/professional development and enrichment programs.

Create more opportunities for collaborative research projects between academia and community pharmacies involving students.

2023-11-02 18:54:11 UTC

Tell more exciting stories of the unsung heroes in community pharmacy. Create more community pharmacy services, such as health fairs.

2023-11-02 18:54:42 UTC

Sharing the strategic thinking (that was presented to us this morning) with students. Collectively we need to get students thinking about owning their practice rather than being just an employee.

2023-11-02 18:55:12 UTC

See answer regarding implementation training under question 3

Make the community residency program standards more realistic and less time/paperwork intensive

shannaoconnor — 2023-11-02 18:55:30 UTC

2023-11-02 19:06:44 UTC

Thinking about the diversity scholarships that Walgreens offers, could you consider modifying the program to be a Walgreens Scholars Program and work with the recipients to offer various IPPEs and APPEs and paid internships to expose a few students to the multiple roles pharmacists can play at Walgreens

APPEs exclusively in high quality sites that have advanced nondispensing services so students learn best practice

shannaoconnor — 2023-11-02 19:16:05 UTC

2023-11-02 19:16:33 UTC

there needs space to be able to innovate.

Train students in advocacy and standard of care regulation

shannaoconnor — 2023-11-02 19:16:48 UTC

2023-11-02 19:16:53 UTC

They need examples (models) of clinical practice in the community that faculty are engaged in.

2023-11-02 19:17:21 UTC

More IPPEs, APPEs and residencies

2023-11-02 19:17:33 UTC

Expose them to this type of environment, both in their technician duties and on IPPE and APPE

Provide collaborative CEs and professional development opportunities

2023-11-02 19:17:54 UTC

We are already training them well…need to change practice

shannaoconnor — 2023-11-02 19:18:32 UTC

2023-11-02 19:18:42 UTC

More longitudinal APPE rotation to allow the student to find ways to improve the practice setting

2023-11-02 19:19:01 UTC

Teach and encourage students to build relationships with high value patients , building connections on a different level with a select group in their practice setting

2023-11-02 19:19:18 UTC

The two entities can partner on workshops or electives that showcase career paths within the industry. Get students in the mindset that their first position within Walgreens won’t be their only position.

In Village MD sites have interns take the prescription into the exam room to educate the patient (with the preceptor) rather than having the patients come over to the pharmacy.

Operationalize the practice model

2023-11-02 19:19:41 UTC

The students need to see the longitudinal aspects of care. Could a model of care exist throughout school for some regular patient interaction over years/months in a community practice site? (Patient volunteers or an existing chronic care program.)

Encourage adequate staffing models that support non dispensing services

shannaoconnor — 2023-11-02 19:21:12 UTC

2023-11-02 19:22:09 UTC

Empathy, de-escalation and soft skills training

Have employment hours worked in community pharmacy count as IPPE

2023-11-02 19:22:38 UTC

More community residencies and co-funded faculty positions.

More collaborative research projects to demonstrate the value proposition for clinical pharmacy practice.

More legislative advocacy collaborations.

2023-11-02 19:25:07 UTC

partner to encourage more clinical faculty appointments to boards of Pharmacy

Boards: Work to change regulatory approach from bright line to standard of care

shannaoconnor — 2023-11-02 19:35:58 UTC

Walgreen's: change the practice model to reflect more clinical practice.

2023-11-02 19:39:16 UTC

Academia: build relationships to help close the knowledge gap for the pharmacists and educate students to meet the changing community practice needs.

2023-11-02 19:43:36 UTC

Employers need to provide more resources to pharmacy schools to promote the community practice aspect of the profession, especially under current circumstances where interest in community has waned.

2023-11-02 19:55:03 UTC

Create a Walgreens elective on the cool initiatives and technology implemented in community pharmacy. Change the concept of community pharmacy to community care.