Pharmacists as Immunizers

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1 Pharmacists as Immunizers Rob Arthurs, Pharm.D., R.Ph. District Pharmacy Supervisor CVS Health 1

2 Pharmacists offer vaccines because we are easily accessible. 2

3 Evolution of Role of Pharmacists History of Requirements/Training for Immunizations Current landscape of Adult Immunizations Common barriers/strategies for Immunizing Role of Impacts/Future of Evolution of Role of Pharmacists Review of past century Early 1900 s Compounding medications Limited patient counseling/interaction Late 1900 s Mass production of medication Clinical Pharmacy /Pharmaceutical Care Patient-centered, outcomes oriented practice 3

4 History of Global effort U.S. 1994: First ongoing formalized training-washington State Pharmacists Association 1996: APhA: Nationally Recognized Training Program 2004: 40,000 Trained; 6% of Influenza administered in Pharmacy 2009: All 50 states 2016: 300,000 Trained; 25% of Influenza administered in Pharmacy 2017: 47 States allow Student Pharmacists to vaccinate Requirements/Training for Immunization Privilege Can you be vaccinated by any Pharmacist? Accredited Training Program CPR Certification/OSHA Bloodborne Pathogen Training Who can Pharmacists Immunize? What vaccines can Pharmacists Administer? 4

5 History of History of 5

6 Requirements/Training for Immunization Privilege Reporting Primary Care Provider NYSIIS Adverse reactions through VAERS Current landscape of Adult Immunizations Significant opportunity remains with Adult Immunizations CDC- Need for Strategies to Increase Immunization Levels Healthy People 2020 New and emerging issues in immunizations and infectious disease Highly skilled professionals need to be in place 6

7 Physical: Access Time/Distance Cost Psychological: Unpleasant experience Lack of symptoms Myths Common Barriers-CDC I got the flu from the flu shot I m healthy and I never get the flu I feel like it is too early to get my flu shot or It s hot out still Strategies to Immunizing-CDC Recommendations and reinforcements Recordkeeping/Information Systems Powerful Motivation through recommendation Reduced Missed Opportunities Standing orders Education with feedback Reminder and recall systems 7

8 Role of Outcome-based Health Care Models-Purpose Preventative medicine/medication Adherence/Gaps in Care Collaborative Approach Compliment Vs. Replacement as advocates Advantages: Frequency and accessibility; 24/7 93% of Americans live within 5 miles of a Pharmacy Adults visit a store with a Pharmacy 1.9 times/week Standing orders/vaccine Supply Condition Role of -In store Age In-Store: 18+ Age 60+ Age 65+ Cardiovascular Disease Example of O.T.C Patient maybe asking about O.T.C Blood Pressure Monitor, Fish oil, Coenzyme Q-10, Baby Aspirin Immunization Opportunity Influenza Shingles Pneumococcal Pneumococcal Pulmonary Disease Inhaler case, peak flow meter, Penumococcal bronkaid Diabetes Test strips, lancets, glucose tabs Pneumococcal Cigarette Smokers Smoking cessation products Pneumococcal Pregnancy Prenatal vitamins Tdap 8

9 Role of -Out of Store Impacts/Future of Integral Part of Healthcare Team 300,000 Certified, Registered Immunizing Pharmacists 1 in 4 adults receive the flu vaccine in a Pharmacy 93% of Americans live within 5 miles of a pharmacy Pharmacist provided immunizations during crisis 9

10 Everything we do is to help our patients on a path to better health. We improve patient outcomes by elevating vaccination rates, Pharmacists serving offer as an vaccines integral because part of the we healthcare are easily accessible. team. We happen to mitigate some barriers by being the most accessible healthcare professional within the community who see our patients every month. 10

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