Kondic Anne Marie Sesti, Trygstad Troy, McDonough Randy, Osterhaus Matt
Community Pharmacy Foundation, Chicago, Illinois.
Pharmacy and Provider Partnerships, Community Care of North Carolina.
Innov Pharm. 2020 Jul 31;11(3). doi: 10.24926/iip.v11i3.3399. eCollection 2020.
The rising costs of healthcare, increased chronic illnesses, and healthcare provider burnout has led to an environment desperate for scalable solutions to ease practice burdens. With a projected shortage in the number of primary healthcare providers available to provide team-based care, community-based pharmacy practitioners are accessible and eager to assist. In order to provide enhanced patient care services to aid their clinician colleagues, community-based pharmacists will have to transform their practices to support the provision of enhanced services and medication optimization in value-based payment models. The purpose of this article is to define how multiple factors in pharmacy, healthcare, technology and payment models aligned to create an opportunity for the Community Pharmacy Foundation and CPESN® USA to implement a nationwide community pharmacy practice model called 'Flip the Pharmacy'. This new model aims to scale community pharmacy practice transformation and move beyond filling prescriptions at a moment-in-time to caring for patients over time through a 24-month step-wise program paired with in-person pharmacist coaching. Preliminary observations from the first six months of the program highlight community pharmacy as a site of care with community-based pharmacist practitioners providing and documenting targeted patient care interventions.
医疗保健成本的不断上升、慢性病的增加以及医疗保健提供者的职业倦怠，导致了一种迫切需要可扩展解决方案以减轻执业负担的环境。预计提供团队式护理的初级医疗保健提供者数量将短缺，社区药房从业者触手可及且渴望提供帮助。为了向临床医生同事提供强化的患者护理服务，社区药剂师将不得不转变其执业方式，以支持在基于价值的支付模式中提供强化服务和优化药物治疗。本文的目的是确定药房、医疗保健、技术和支付模式中的多个因素如何相互协调，为社区药房基金会和美国社区药房卓越服务网络（CPESN® USA）创造机会，实施一种名为“翻转药房”的全国性社区药房执业模式。这种新模式旨在扩大社区药房执业转型的规模，从即时配药转变为通过一个为期24个月的逐步计划以及面对面的药剂师指导，长期护理患者。该计划前六个月的初步观察结果凸显了社区药房作为一个护理场所，社区药剂师从业者在此提供并记录有针对性的患者护理干预措施。
