Pharmacy 5in5

Outline

• Evolution of pharmacy practice
• Building 5in5
• Designing information

Pharmacy practice is changing.

It's hard to keep up

Dispensing

Information

Advice

Injections & Immunizations

Medication reviews & reconciliation

Prescribing

Monitoring & Liability

But we still seem to be held back.

Not enough time

Not enough money

Not enough overlap

Not enough knowledge

But there's more to it than that

We can also lack confidence and defer
(i.e. "Please advise")

We can fear and thus avoid our new responsibilities

We can be paralyzed by the ambiguity of clinical practice

We can get stuck worrying what others think of us

And this can all lead us to be risk averse

What makes people change?

Individual: Self efficacy (believe you can do it)

Behavioural: Observing that there is a benefit to a new skill or behaviour

Environmental: Getting good support

Modelling: Watching others perform the new skill or behaviour

In other words, we need to build change

Starting 5in5

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How do you build an idea?

Advice 1: Validate your good idea. Sketch it out and test it for free.

Can you?

Are you allowed?

Is (Susan the totally competent pharmacist you don't know) allowed?

Lesson: It's easier to imagine change for someone else.

Yes. It's a good idea but...

Advice 2: Now get a bit of money and build something cheap

Phew. Still a good idea...but not quite right...

What would you do?

What have you been doing?

Lesson: Helps to reflect on your own practice.

Did everyone else do this poorly?

Lesson: Helps to see where you stand in a group.

Advice 3: Now get more money, hire some talent and build a minimally viable product.

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Lesson: You get better buy-in with an MVP than with an idea.

Advice 4: Use your MVP and test it with your users

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Example: Shana picked up an amoxicillin suspension for her son's ear infection. He has taken 2 of 7 days. She just spilled the bottle. Can David renew the prescription to provide Shana with a new bottle to cover the remaining 5 days?

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Interpretation in the manual

Actual regulations

Adaptation Flashcard: Ontario College of Pharmacists

Example: Jason currently takes quetiapine 300mg daily, methadone 130mg daily. The physician wants to start citalopram 10mg daily. There is no ECG available.

Infographics: Jeff Nagge

Infographics: Tejal Patel, Jamie Kellar, Ai-Leng Foong

Ramadan: Wasem Alsabbagh

Ramadan Flashcard: Wasem Alsabbagh

Ramadan: Wasem Alsabbagh

Infographics--Region of Waterloo Public Health

Naloxone video: CPhA

Naloxone Facts: Mike Beazely

Next steps: Apps in Fall 2018

Take home: If we're going to change we're going to do it together.

Take home: Find a good idea and think it through step-by-step.

Take home: Play to your strengths. Seek out others who are different.

Take home: You never know where it will lead.

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