10/10/2017. Telepharmacy: Opportunity or Threat? (Expanding Opportunities) Adam Chesler, PharmD + Brett Barker, PharmD

Transcription

1 Telepharmacy: Opportunity or Threat? (Expanding Opportunities) Adam Chesler, PharmD + Brett Barker, PharmD 1

2 Disclosures Adam Chesler, PharmD is Director, Regulatory Affairs, Cardinal Health. The conflict of interest was resolved by peer review of the slide content. Brett Barker, PharmD is Vice President of Operations, NuCara Management Group. The conflict of interest was resolved by peer review of the slide content. Learning Objectives Compare telehealth, telemedicine, and telepharmacy and discuss the impact of these models on community pharmacy. Discuss regulatory issues that apply to telepharmacy, including those from the DEA and state boards of pharmacy. Analyze the strengths, weaknesses, opportunities, and threats of telepharmacy for your community pharmacy. 2

3 What is tele health/pharmacy? The Four Types of Telepharmacy INPATIENT OUTPATIENT 3

4 Telepharmacy Workflow History of Telepharmacy 4

5 Need for Alternative Delivery Source: Update: Independently Owned Pharmacy Closures in Rural America, ; RUPRI Center for Rural Health Policy Analysis, Rural Policy Brief June 2014; Fred Ullrich, BA; Keith J. Mueller, PhD North Dakota Telepharmacy Project Information of the North Dakota Telepharmacy Program provided by North Dakota State University School of Pharmacy Source: The North Dakota Experience: Achieving High Performance Health Care Through Rural Innovation And Cooperation. May

6 North Dakota Telepharmacy Project RESULT: Positive outcomes, mechanisms could be improved Source: The North Dakota Experience: Achieving High-Performance Health Care Through Rural Innovation And Cooperation. May 2008 North Dakota Economic Development 81 locations over 6 years $26.5 million in economic development new jobs created Source: North Dakota Telepharmacy Project Rural Economic Technical Assistance Center (RETAC) in Macomb, IL; Economic impacts of a pharmacy for Deiterich, Illinois, June

7 Telepharmacy Regulations, 2008 Source: Telepharmacy project expands across country; 9/12/2008; Dave Kolpack, Associated Press Telepharmacy Regulations, 2017 Source: Quarles & Brady LLP analysis & report, July

8 Most Common Questions Fill Accuracy Safety (staff & location) Diversion Internet outage Typical Regulations Pharmacy technician certification Hours and/or years of experience Limits on number of remote sites or technicians Special rules around Controls Mileage restrictions Security requirements Technology requirements Signage in the telepharmacy location 8

9 Creating Patient Relationships Telepharmacy helps create a new patient pharmacist relationship that wasn t possible before. Angela Falk, Pharm.D. Interior of a telepharmacy 9

10 Telepharmacy in a Community Health Center In clinic telepharmacy providing 340B 10

11 A Telepharmacy Story Brett Barker, PharmD Why Telepharmacy? Pharmacist Services Improved Access Patient Care 11

12 Regulatory Process Slide Statutory Authority Draft rules Public notice Public comment Rules review Implement Telepharmacy Pilot 12

13 Telepharmacy Pilot Telepharmacy reviving main street 13

14 This image cannot currently be displayed. 10/10/2017 Converting telepharmacy equipment Telepharmacy brings services back 14

15 Opening the Telepharmacy Marketing Hiring Main Challenges Benefits of Telepharmacy How are stores performing now? How did it affect other pharmacies? What are the next steps to opening more? 15

16 What did I learn? What went well? What didn t go well? What would I do differently? Question 1 Remote Pharmacy Technician Supervision can be defined as: 1. Telepharmacy : Internet Pharmacy 2. Telemedicine : Free Drugs for All 3. Telepharmacy : Remote Technician Supervision 4. Teleradiology : Remote Radiology Interpretation 5. Telepsychology : RocketMan A. 1, 2, 4 B. 1 only C. 2, 3 D. 3, 4 E. None of the Above 16

17 Question 2 According to a Study by North Dakota State University: Telepharmacy Creates Jobs A.True B.False C.They did but all the jobs went to China D.Let s make pharmacy great again. Question 3 Telepharmacy is being adopted in more states every year A.True B.False C.Answering this question is a slippery slope D.I can neither confirm or deny this 17

18 Adam Chesler, PharmD Director, Regulatory Affairs (319) Brett Barker, PharmD VP Pharmacy Operations, NuCara (641) ) 18