Minor Ailments the Nova Scotia experience Allison Bodnar B.A., LL.B Jane Gillis B.Sc.(Pharm), Pharm.D. Disclosure Background • 2001 Legislation passed in NS enabling pharmacist prescribing (including minor ailments) • 2010 Pharmacists Prescribing Regulations passed • 2011 Pharmacists Prescribing Standards Passed • 2013 PANS Minor Ailments Study • 2014 New Tariff Agreement includes $2M for pharmacy demonstration projects, including a year demonstration project to evaluate the economic benefit of minor ailment services to health care system • May 2015 Minor Ailments Demonstration Project kicks off • ????? Public Funding of Minor Ailments Minor Ailment Prescribing How do I fit this into my already busy workflow? How long does this take? Will patients pay? Will there be a demand for this service? How does this “fit” into the delivery of health care in NS? Do I have the knowledge to do this? What will physician’s think? How is this different from what we do already when recommending OTCs? Evaluation of the Provision of Minor Ailment Services in the Pharmacy Setting Pilot Study 2013 Q: What are the measurable benefits of pharmacists lead minor ailment services to patient, the pharmacy and the health system as a whole? Evidence to help – Support the implementation of these service – Demonstrate the value of these service – Educate public and other health care providers of the role of the pharmacist Study Timeline January –September 2013 • January & February – study design and background research • March –pharmacy recruitment (27) • April & May – study set-up and preparation • May 21- Aug 16 –study duration • Aug 16- Sept 30 – data evaluation Study implementation Geographic Distribu1on of Par1cipa1ng Pharmacies 52% urban : 52% independent/banner : 48% large chain 48% rural Pharmacy Preparation and Support • Training session – Process and workflow – Documentation and data collection materials (study protocol) – Website and online form, online references – Promotional material – public/physician • Regular teleconferences and access to research team for help
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