Big news recently hit the email inbox. Pharmacists are now able to administer medications, including vaccinations.
I’ll let you read that again to let it sink in…
This puts us on brand-new footing because we are now able to lawfully prescribe, dispense AND administer medication. The possibilities stemming from this announcement have not even begun to be explored, however, we should back up for a second.
HOW do we convey these changes to the public? HOW do we create demand and value for our time? HOW can we leverage this in our dealings with other health professionals?
The actual performing of these new tasks is fairly academic; we receive the proper training or direction, do some repetition to iron out the kinks, and gain confidence with our own clinical styles. It’s the buy-in from other stake-holders that often drive the promotion and uptake of these services. The mere availability of a service means nothing if the consumer doesn’t know to ask for it. If we don’t have support in our practice areas from other sectors of the healthcare system, ultimately patient care may suffer.
As a couple of examples, I point to minor ailments and flu shots. Both are necessary and in many ways overdue. In the case of the former, it will significantly cut down on waiting room visits and allow for more resources to be allocated to major ailments. In the latter, the hope is that more people will have access to the vaccination causing infection rates to drop among the collective. The issue I personally have is in the messaging or ‘talking points’. I’ll try a multiple choice quiz:
1) A patient is exposed to the media promotion for minor ailments, either through the provincial announcements, print or tv advertisements. He/she seeks out a pharmacist with what expectation?
a) a review of their medication profile (for free) to see what options they have.
b) a refill on an expired or finished prescription (with applicable copay).
c) a prescription of their choosing because they self-diagnosed through one of the internets and know exactly what they need (with applicable copay)
d) an assessment of their condition and recommendation (assessment fee regardless of referral, OTC, or Rx therapy)
2) A patient hears that pharmacists will be able to give flu shots in the fall through a media release. Which scenario best describes the reaction?
a) Great news, now I don’t have to wait at a doctor’s office.
b) How much will it cost me compared to a doctor’s office or flu clinic?
c) No thank you, I don’t believe in vaccinations. I’ve heard they cause autism.
d) Wow, now my pharmacist can screen appropriateness of my medication and give it to me in one visit! If I have questions, the drug expert is able to answer them immediately while I get the shot!
Sadly, I reckon the d) answers are few and far between at this moment but hopefully the tide will turn. The point is, the opportunity is so much broader than simply minor ailments and flu shots. We are now able to assess and take responsibility for patients’ health. Any further services that fall under our scope, be it therapeutic substitution, adaptations, emergency fills, performing lab requisitions, etc, all require ASSESSMENTS as a foundation. Similarly, the ‘flu shot‘ is only one small benefit of the fact that we are now able to ADMINISTER medications. This could grow to include all injectable meds (travel vaccines, biologics) or even oral meds down the road (in institutional settings).
If we are able to promote our expanded scope properly, with long-term potential mixed in with short-term wins, we have a shot to be among the most accessible AND versatile health professionals out there. As a consumer, I want to believe that our value to the healthcare system is more than ever before.
Are we sending the right message?
PharmAspire 