Studied by 0 people
Looks like no one added any tags here yet for you.
● To tailor and meet the needs of the patients/clients
that we serve
● To expand the business and maintain sustainability
through a variety of service, aside from the goods
sold
● To encourage more clients, which improves
business outcomes
WHY OFFER PHARMACY SERVICES
Point of care services, Monitoring and screening services, Wellness/Health Promotion programs, Disease-state management, Case management
TYPES OF PHARMACY SERVICES
Point of care services
pharmacy services that are directly
given to the patients such as in the dispensing
or prescription processing. (e.g. allergy testing)
Monitoring and screening services
Require drug visits (e.g. blood glucose, blood sugar monitoring)
Wellness/Health Promotion programs
Non-pharmacologic services (e.g. smoking cessations, weight
reduction programs)
Disease-state management
the pharmacist can optimize medication therapy for a long term (e.g. diabetes)
Case management
Involves assessment and planning and care
coordination of the needs of the patients. (e.g. malaria)
● Data collection
● Pharmacy-based laboratory screening or monitoring
services
● Medication management
● Patient education
● Outcomes measurement
COMPONENTS OF PHARMACY SERVICES
Product-centered → Patient-centered
Provision of medicines does not always equate to effective treatment outcomes
Distribution of medicines to ensure safe and efficacious use
ROLE OF THE PHARMACIST
demographics, socio-economic situation, technological situation, health scenario
factors involved in SITUATIONAL ANALYSIS for BUSINESS CONCEPT AND STRATEGY
FDA License to Operate as Drugstore (took a month to obtain)
Certificate of Business Name Registration (either DTI/SEC)
Barangay Clearance
Mayor’s Business Permit
Sanitary Permit
Fire Safety Inspection Certificate
BIR Registration Certificate
LEGAL REQUIREMENTS FOR AN INDEPENDENT PHARMACY
Accomplished e-Application Form with Declaration of Undertaking. Include the following:
○ Location plan
○ GPS coordinates
○ Name of Qualified Person
For pharmacist: PRC ID and cert for seminars
Proof of Business Name Registration;
Proof of Income (Latest Audited Financial Statement
with Balance Sheet)
Payment of Fees
AO 2020-0017, the following are the
requirements for initial LTO application:
1. Overall
management
and operations
of the pharmacy
2. Dispenses Rx
drugs
3. Supervises staff
4. Creates SOPs
5. Fulfills regulatory
compliance
activity
6. Purchases
pharmacy
inventories
7. Supervises
inventory
management
8. Handles human
resource
activities
9. Manages
security in the
establishment
10. Manages patient
profiles and
conducts patient
counseling
11. Marketing plan
and activities
12. Pricing
Pharmacist-owner roles in a chain or independent drugstore
1. Implements
SOPs
2. Cashier
3. Manages
security in the
establishment
4. Assists the
pharmacist-
owner in
dispensing
activities
5. Performs
inventory
management
6. Performs
marketing
activities
7. Performs
other activities
as assigned
by
pharmacist-owner
Store manager roles in a chain or independent drugstore
1. Assists in the
dispensing of
medicines
2. Housekeeping
3. Performs
inventory
count
4. Performs
other activities
as assigned
by
pharmacist-owner
Pharmacy assistant roles in a chain or independent drugstore
Philippine Drug Price Reference Index
Margin the owners would want to generate as the
net profit + (OPEX) + (CAPEX)
Consider the following when deciding for the price of
products:
OPEX
estimated or projected expenses from operating expense; includes:
➢ Salaries
➢ Monthly rent
➢ Electricity and water bills.
➢ Supplies
➢ Taxes.
➢ Inventory
➢ Traveling expenses
➢ Meal allowance
CAPEX
the amortization of the capital expenditure
includes
➢ Rent for space (Advance and deposit) /
➢ Renovation
➢ Marketing (Panaflex signage)
➢ Fixtures and Equipment.
➢ Supplies
➢ Licenses
➢ Inventories
➢ Others
PROFESSIONAL REGULATORY BOARD OF
PHARMACY RESOLUTION NO. 05
SERIES OF 2021
Accrediting Philippine Pharmacists Association,
Inc (PPhA) as the Training Provider to Conduct
the “IMMUNIZING PHARMACIST CERTIFICATION
PROGRAM”
as training provider
accredit the program entitled “Immunizing Pharmacist Certification Program”
to issue a Certificate of
Training to every pharmacist
to submit a list of
pharmacists who were conferred with a
Certificate of Training within ten (10) days
after the end of the program - submit the list of participants w/in 10 days
a list of Certified
Immunizing Pharmacists
The PRC Board hereby recommends PPhA to be the ff:
w/in FDA-license pharmaceutical outlet
only outside when: 1) during public health emergencies, 2) vaccination programs initiated by the government
when to administer adult vaccines?
public health emergency
within 3 yrs from conferment
accreditation of PPhA shall be valid when:
● Prescription for Vaccine
● Verification of Patient Identity
● Patient Screening Vaccine Information Statement
(VIS)
● Consent Form
● Vaccine Preparation
● Patient Identity Verification Vs Vaccine
Requested
● Vaccine administration
● Used syringe disposal
● Aftercare Instructions
● AEFI monitoring
THE IMMUNIZATION PROCESS
Vaccine Information Statement (VIS)
pieces of information that the patient
should know before the patient could get the
vaccine; these include:
allergies
why does the patient need the vaccine
precautions
Adverse Events Following Immunization (AEFI)
procedure in which patient is given instructions to remain in the
pharmacy for at least 15 mins so that you would
know the condition of the patient after the
administration of the vaccine
● Educator
● Advocate
● Facilitator
● Supply and storage
● Vaccine Administration
● Vaccine Records
WHAT A COMMUNITY PHARMACIST IS IN
IMMUNIZATION
● Gather: px info
● Evaluate: vaxx needs
● Provide: px education and vaxx info statement
● Administer: obtain px consent and adminsiter
● Document: vaccine that was adminstered
● Follow-up: AEFI monitoring
WHAT A COMMUNITY PHARMACIST DOES IN
IMMUNIZATION
● Patient/Parent Education
● Medical and Office Protocols
● Vaccine Preparation
● Administering Vaccines
● Records Procedures
COMPETENCIES OF AN IMMUNIZING PHARMACIST
Communication skills, Crtical thinking and decision-making, Organizational skills, Personal responsibility, Technical Skills
PATIENT PARENT EDUCATION comprises of the ff:
VACCINE PREPARATION SKILLS
Observe of aseptic techniques, including proper
hand hygiene for immunization
● Communication skills
● Vaccine administration skills
● Waste management
● Critical Thinking and Decision-making
VACCINE ADMINISTRATION/ ADMINISTERING VACCINES comprises of the ff:
RECORDS AND PROCEDURES
Documentation and record keeping that includes maintaining the documents of the ff:
■ SOPS
■ VIS
■ Vaccine Administration Forms
SCREEN (px), PREPARE (vaxx), INJECT, DOCUMENT
(SPID)
how to vaccinate
RA 11036: Mental Health Act of 2017
Law based on PHARMACIST’S ROLE IN PROVIDING MENTAL HEALTH SERVICES
RA 11036: Mental Health Act of 2017
An Act Establishing a National Mental Health Policy
for the Purpose of Enhancing the Delivery of
Integrated Mental Health Services, Promoting and
Protecting the Rights of Persons Utilizing
Psychosocial Health Services, Appropriating Funds
Therefore and Other Purposes
The Philippine Council for Mental Health
herein referred to as the Council, is hereby established as a policy-making planning, coordinating and advisory
body, attached to the DOH to oversee the
implementation of this Act. (Mental Health Act of 2017)
mental health
“state of well-being in
which an individual realizes his or her own
abilities, can cope with the normal stresses of life,
can work productively and is able to make a
contribution to his or her community”
Diagnostic and Statistical Manual of Mental Disorders – 5th Edition (DSM-5)
Mental health disorders are
defined by the ?
Mental health disorders
“a syndrome characterised by clinically significant
disturbance in an individual’s cognition, emotion
regulation, or behaviour that reflects a dysfunction
in the psychological, biological, or developmental
processes underlying mental functioning.”
Substance Abuse and Mental Health
Services Administration (SAMHSA)
An organization that defined the 10 Essential Values for
Responding to A Mental Health Crises
● Avoiding harm
● Intervening in person-centered ways
● Shared responsibility
● Addressing trauma
● Establishing feelings of personal safety: sense of security
● Based on strengths
● The whole person
● The person as credible source : do not be dismissive
● Recovery, resilience and natural supports
● Prevention
10 Essential Values for
Responding to A Mental Health Crises (SAMHSA)
safe, effective, patient-centered, timely, efficient, equitable
Institute of Medicine’s six domains of health care
quality (SEPTEE)
Safe
Avoiding harm to patients from the care that
is intended to help them
Effective
Providing services based on scientific
knowledge to all who could benefit and
refraining from providing services to those not
likely to benefit (avoiding underuse and
misuse, respectively).
Patient-Centred
Providing care that is respectful of and
responsive to individual patient preferences,
needs, and values and ensuring that patient
values guide all clinical decisions.
Timely
Reducing waits and sometimes harmful
delays for both those who receive and those
who give care
Efficient
Avoiding waste, including waste of
equipment, supplies, ideas and energy.
Equitable
Providing care that does not vary in quality
because of personal characteristics such as
gender, ethnicity, geographic location and
socioeconomic status.
● Relationship-based culture
● Coordinated infrastructure
● Bi-directional communication
● Ongoing needs assessment
● Responsive solutions
ICSI (Institute for Clinical Systems Improvement)
identified five foundational elements for supporting
the well-being of the healthcare workforce: (RCBOR)
Institute for Clinical Systems Improvement
ICSI is known as
Relationship-based culture
Foster a culture where positive relationships
between staff at all levels are the cornerstone
of the organization.
Coordinated infrastructure
Coordination of expertise and services that
may traditionally operate in silos with the aim
of supporting staff.
Bi-directional communication
Develop a strong internal communications
strategy that enables direct and frequent
“top-down” as well as “bottom-up”
engagement to support your staff. (top-down communication, bottom-up engagement)
Ongoing needs assessment
Continually evaluate the needs of staff,
paying attention to particular stressors of
different work units.
Responsive solutions
Offer systems-driven interventions (e.g.,
policies, protocols, and programmes) and
staff self-directed interventions (e.g.,
podcasts, apps), and have an ongoing plan
for evaluation.
Limited time
Remuneration
Lack of access to medical records
Privacy concerns
Models of care
BARRIERS AND FACILITATORS TO PROVIDING
MENTAL HEALTH CARE SERVICES
Medicine Access Program for Mental Health (MAP-MH)
based on AO 2021-0012;
started in 2012 by the Pharmaceutical
Division and operationalized by the National Center
for Mental Health was designed to ensure availability
of mental health drugs in the community.
Pharmacotherapeutic Guidelines
under the MAP-MH and will serve as
the basis for clinical intervention in the primary and
secondary health facilities in the community.
Anxiety Disorders,
Mood Disorders, Psychosis, Dementia, Epilepsy
and Substance Abuse Disorders.
The guideline (Pharmacotherapeutic Guidelines) focuses on 6
mental health disorders, namely:
Access site
refers to a health facility where needed
essential medicines for MNS disorders are being
provided for enrolled service users.
Enrolled service user
refers to a service user with
any MNS disorder who 1s in the community and is
seeking regular consultation in an identified access
site as a beneficiary of the MAP-MH.
Medicine Access Program for Mental Health
(MAP-MH)
refers to a medicine access program
designed to provide needed essential medicines for
all enrolled service users with MNS disorders who are
in the community and are seeking regular
consultation in an identified access site.
Mental Health Gap Action Programme (mhGAP)
refers to a training program developed by the World
Health Organization (WHO) for primary care
practitioners in nonspecialized settings as an
intervention guide in the treatment and management
of MNS disorders and adapted for use in the
Philippine context.
National Drug Policy Compliance Officer (NDPCO)
refers to pharmacists under CHDs or MOH-BARMM
that are designated to oversee the implementation of
all programs and activities
National Mental Health Program (NMHP)
program offering a wide range of promotive,
preventive, curative, and rehabilitative services for
persons who suffer from MNS disorders.
Wellness of Daily Living, Extreme
Life Experience, Mental Disorders, Neurologic
Disorders, and Substance Abuse and other Forms of
Addiction.
NMHP has five (5) components:
6 months
Near expiry medicine refers to a medicine that is
_____ prior to expiration date.
Starter kit
refers to a set of essential medicines
provided initially to a health facility whose primary
care physician has been newly trained in mhGAP.
Pharmaceutical Division (PD)
National Drug Policy Compliance Officer (NDPCO)
these are responsible for provide technical assistance and monitoring support to NMHP in the procurement, distribution, and utilization of procured essential medicines for MAP-MH.
Knowledge Management and Information Technology Service (KMITS)
in collaboration with the NMHP shall develop a functional electronic
information management system for MAP-MH.
Philippine Health Insurance Corporation (PhilHealth)
shall develop and implement an outpatient benefit package for MNS disorders.
a. Identify health facilities to be identified as access
sites for MAP-MH.
b. Monitor and supervise the implementation of
MAP-MH in the identified access
sites in their regions.
c. Collect, consolidate, and analyze the reports from
access sites.
d. Prepare a summary of reports collected from
access sites and submit this to NVHP with
recommendations on improving the implementation.
e. Resolve issues and other concerns needing
actions on the operationalization of the program.
f. Enforce a mechanism of moving stocks of
medicines among access sites with low
levels of utilization in coordination with other access
sites.
Centers for Health Development (CHDs) shall:
a. Receive the goods from the local suppliers
according to the quantity and
specification stated in the Purchase Order.
b. Prepare reports such as Arrival Report to End-user,
Request of Inspection and Acceptance to End-User,
Notice of Delivery to COA, Request of Inspection to
FDA, and Request of Inspection.
c. Oversee the inspection of medicines together with
the end-user.
d. Manage the warehousing, packaging, and
distribution of medicines to the identified access sites
The Supply Chain Management Service (SCMS)
shall:
Ordinance No. 3158 S-2022
An Ordinance Institutionalizing the Quezon City
Comprehensive Mental Health Programs and
Services and for Other Purposes, in which pharmacists are
included in the health professionals trained on
basic mental health.
○ Benzodiazepines
○ Zolpidem
○ Esketamine
○ Methylphenidate
FOUR psych meds/classes need S2 (BZEM)
