National Pharmacy Practice Standards the Regulatory Role NABP President William T. Winsley, MS, RPh NABP Executive Director/Secretary Carmen A. Catizone, MS, RPh, DPh

Defining the Practice of Pharmacy

NABP Model Act The “Practice of Pharmacy” means the interpretation, evaluation, and implementation of Medical Orders; the Dispensing of Prescription Drug Orders; participation in Drug and Device selection; Drug Administration; Drug Regimen Review; the Practice of Telepharmacy within and across state lines; Drug or Drug-related research; the provision of Patient Counseling; the provision of those acts or services necessary to provide Pharmacist Care in all areas of patient care, including Primary Care and Collaborative Pharmacy Practice; and the responsibility for Compounding and Labeling of Drugs and Devices (except Labeling by a Manufacturer, Repackager, or Distributor of Non-Prescription Drugs and commercially packaged Legend Drugs and Devices), proper and safe storage of Drugs and Devices, and maintenance of required records. The practice of pharmacy also includes continually optimizing patient safety and quality of services through effective use of emerging technologies and competency-based training.

The Scope of Pharmacy Practice Project 1992-1994 Sponsored by AACP, APhA, ASHP, & NABP National task analysis of practicing pharmacists and pharmacy technicians Pharmaceutical care philosophy and the functions and tasks of pharmacists served as framework for the study NABP used the pharmacist task analysis results to revise the national licensing examination (Integrated NAPLEX)

Joint Commission of Pharmacy Practitioners Future for Pharmacy Practice 2015 “Pharmacists will be the healthcare professionals responsible for providing patient care that ensures optimal medication therapy outcomes.”

JCPP Vision Further States: Medication therapy management is readily available to all patients Desired patient outcomes are more frequently achieved Overuse, underuse, and misuse of medications are minimized Medication-related public health goals are more effectively achieved Cost effectiveness of medication therapy is optimized

Role of the Pharmacist in Pharmaceutical Care Direct responsibility for patient outcomes and medication management Improve patient compliance with therapy (both pharmacologic and non-pharmacologic) Decrease medication errors by enhancing communication Monitor disease state status Reduce probability of extended care Manage costs by intervention

The Regulatory Role

Boards of Pharmacy State boards of pharmacy are the primary regulators of pharmacy practice Regulations further define the delivery of pharmaceutical care as defined in state practice acts Pharmacists must understand the uniqueness of the state mandated scope of authorized practice

NABP Guidance The Model State Pharmacy Act and Model Rules Includes broad language to encompass wide-ranging scope of activities Common in medical practice acts, where the majority of health care services are included within the scope of practice State practice acts typically outline the services within the pharmacist’s scope of practice

Standards of Practice

Why Standards of Practice? Promote consistency and uniformity in the practice of pharmacy Continuous quality improvement Assess quality of care provided Assess competency of practitioners

Standards of Practice are Intended to Provide a means by which practitioners can assess their own professional practice Provide a broad view of the overarching core expectations of practice Serves not only practitioners and educators but also regulators, legislators, and the public

Accreditation

Improving the Quality of Pharmacy Practice Settings Through Accreditation Initiate evidence based, quality practice improvement Document objective evidence for areas of improvement Invest time to support efforts to improve operations that will ultimately create positive patient outcomes

Community Pharmacy Accreditation NABP initiative to assist boards of pharmacy in ensuring effective measures for patient care Encourages the expansion of the pharmacist’s role in patient outcomes Includes continuous quality improvement

Vision for Pharmacy Practice The scope of pharmacy practice should be defined by national practice standards Competency based licensing criteria are the first steps in standardization Scope of practice must align with the expectations for standards of care

Questions? Thank you