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What You Need to Know About Telepharmacy

Thursday, December 15, 2016(9:00AM HAST, 10:00AM AKST, 11:00AM PDT, 12:00PM MDT, 1:00PM CDT, 2:00PM EDT)

Greg Janes

TelePharm

First Impressions

What is your first thought

when you hear telepharmacy?

Remote Order Entry

Review

Retail Telepharmacy

(Remote Dispensing)

Remote CounselingIV Admixture

Agenda

1. Utilize technology to improve patient adherence

2. Allow pharmacist access in rural towns

3. Increase pharmacist outreach (urban)

Brief History

Where did telepharmacy come from and why?

Rural independent pharmacies closed

2003-2013

Mar 2003 - Dec 2013

independent rural

pharmacies closed

924

Source: Update: Independently Owned Pharmacy Closures in Rural America, 2003-2013;

RUPRI Center for Rural Health Policy Analysis, Rural Policy Brief June 2014; Fred Ullrich, BA; Keith J. Mueller, PhD

490rural communities lost

their only pharmacy

North Dakota

Telepharmacy

Project

North Dakota Telepharmacy Project

2002-2008

81pharmacies

28hospitals

53retail

Study

Result

<1%

DISPENSING ERRORS

National

Average

~1.7%

Source: The North Dakota Experience: Achieving High-Performance Health Care Through Rural Innovation And Cooperation. May 2008

Australia Alaska

U.S. NavyMinnesota

Source: Telepharmacy project expands across country; 9/12/2008; Dave Kolpack, Associated Press

2008

Source: Quarles & Brady LLP analysis & report, July 2016

2016

Patient Adherence

How can telepharmacy help improve

medication adherence with patients?

Source: Osterberg, L., Blaschke, T. (2005). Adherence to medication. N Engl J Med, 353(5), 487-497.

187 millionAmericans take 1+ prescriptions

Source: Thinking Outside the Pillbox, A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease; A NEHI Research Brief – August 2009

13%

healthcare expenses directly related

to non-adherence avoidable costs

$290 billion

100

Source: IMS Health Data, March 2011

50-70 48-66 25-30 15-20new

prescriptions

arrive at a

pharmacy

picked up by

the patient

taken

properly

refilled as

prescribed

“The Leaky Bucket”

Source: New Prescription Medication Gaps: A Comprehensive Measure of Adherence to New Prescriptions; Harvard Business Review Vol 44 | Num 5 | Oct 2009.

95%

patients filled initial prescriptions

when offered at doctor’s office

Access in Rural Areas

How does telepharmacy improve access

to a pharmacist in rural areas?

77%rural counties considered

health professional shortage areas

Source: The Crisis in Rural Primary Care; WWAMI Rural Health Research Center, Policy Brief April 2009

946independent pharmacies closed

2011-2015

Source: NCPA Digest 2016

BEFORE

AFTER

Telepharmacy helps

create a new patient-

pharmacist relationship

that wasn’t possible

before.Angela Falk, PharmD

80-100new jobs created in North Dakota

2003-2008

Source: North Dakota Telepharmacy Project https://www.ndsu.edu/telepharmacy/

$26.5millioneconomic development

to local rural economy

Source: North Dakota Telepharmacy Project https://www.ndsu.edu/telepharmacy/

$640kannual local economic impact

of a telepharmacy

Source: Rural Economic Technical Assistance Center (RETAC) in Macomb, IL; Economic impacts of a pharmacy for Deiterich, Illinois, June 2015

Increased Reach

Are there applications for telepharmacy

in urban settings?

~1 millionChicago residents live in “pharmacy deserts”

Source: ‘Pharmacy Deserts’ Are Prevalent In Chicago’s Predominantly Minority Communities, Raising Medication Access Concerns, Dima M. Qato,, Martha L. Daviglus, Jocelyn

Wilder, Todd Lee, Danya Qato and Bruce Lambert.

1 miledistance to nearest pharmacy

to be considered a pharmacy desert

Source: ‘Pharmacy Deserts’ Are Prevalent In Chicago’s Predominantly Minority Communities, Raising Medication Access Concerns, Dima M. Qato,, Martha L. Daviglus, Jocelyn

Wilder, Todd Lee, Danya Qato and Bruce Lambert.

75%

patients would prefer to fill

prescriptions at point-of-care** if given the choice

Source: Patient Attitudes toward Point-of-Care Medication Dispensing in a Primary Care Office Setting. July 19-22, 2007 by Opinion Research Corporation on behalf of Purkinje.

www.purkinje.com.

better education

+ better access

= better outcomes

4

times/year a patient visits

a healthcare professional

9

35

Primary care

physician

Other

healthcare

providers

Pharmacist

Source: Pharmacists as Influencers of Patient Adherence, August 21, 2014, Joseph Moose, PharmD, and Ashley Branham, PharmD, BCACP

Common Questions

What are some of the most common questions

and concerns with telepharmacy?

Workload

balancingHospitals

Accessible

specialists

Pharmacy

deserts

New prescription arrives at Pharmacy A

Licensed telepharmacyLicensed pharmacy

Pharmacist present at all times

Technician A

Technician B

Pharmacist B

1

2

3

4

A B

Patient picks up Rx and Pharmacist B counsels

Pharmacist B reviews images to verify fill is accurate

Technician A fills, taking images of the process

FAQ➔Fill accuracy

➔Safety (staff & location)

➔Diversion

➔Internet outage

Review

1. Utilize technology to improve patient adherence

2. Allow pharmacist access in rural towns

3. Increase pharmacist outreach (urban)

Questions

Greg Janes

greg.janes@telepharm.com

(319) 774-1625

For updates and more info, visit telepharm.com/learn

The National Telehealth Resource Center Webinar Series

3rd Thursday of every month

Next Webinar:

Telehealth Topic: Funding Do’s and Don’ts

Presenter: Heartland TRC

Date: Thursday, January 19, 2017

Times: 9:00AM HaST, 10:00AM AKST, 11:00AM PDT, 12:00PM MDT, 1:00PM CDT, 2:00PM EDT

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