0 Introduction SMART Pharmacy Presentation PDF

SMART PHARMACY
PROGRAM
Võru, Estonia
November 30, 2017
Mike Rouse & Arijana Meštrović
Copyright: ACPE & Pharma Expert, 2017
Arijana Meštrović
Doc. dr. sc. Arijana Meštrović, MPharm, FFIP
Assisstant professor, NEU, University of Split, Croatia
Competency Development Manager
Pharma Expert Consultancy and Education, Zagreb, Croatia
• Community pharmacist
• Education and competency development in Eastern Europe
• Independent consultant
• Lectures and workshops in CPD programs for pharmacists, implementing new
services
• Lecturer in Social Pharmacy and Pharmaceutical Care
• Global Competency Framework
• FIP/UNESCO/WHO Education Development Team
• Co‐Author of the new version of FIP Global Framework for Quality Assurance of
Pharmacy Education
• Member of the International Services Program Advisory Group of the ACPE, USA
• Co‐Chair of the FIP Programme Committee
• Expert Member of the FIP Board of Pharmaceutical Practice (BPP)
• Member of PCNE (Pharmaceutical Care Network of Europe).
• WHO international consultant for Patient care
Michael J. Rouse
Mike Rouse B. Pharm (Hons); MPS; FFIP
Assistant Executive Director, Professional Affairs and Director, International Services
Accreditation Council for Pharmacy Education (ACPE), Chicago, USA
 Hospital and community pharmacist
 Assistant Executive Director, Professional Affairs, and Director,
International Services ACPE
 Professional affairs, strategic initiatives and projects, and international
services and collaboration.
 Development of ACPE’s PharmD Degree Standards 2007
 Global leader in initiatives to introduce a CPD approach to self‐directed
lifelong learning.
 Papers published on CPD, global trends and initiatives in pharmacy
education, post‐licensure credentialing of pharmacists, and education
and training of pharmacy technicians.
 Quality Assurance Domain Lead in FIP Education (FIPEd)
 Author of the Global Framework for Quality Assurance of Pharmacy
Education, which was adopted by FIP in 2008 and updated in 2014.
 FIP Board of Directors (“Bureau”), Foundation for Education and
Research, BPP and several other FIP committees.
 Consultant, trainer and invited speaker in more than 60 countries.
Why a SMART Pharmacy
Program?
 National needs (patients and profession perspectives)
 Changing practice and economic realities; concerns

for the future
 Lack of motivation and self-image of pharmacist
 Previous professional initiatives have not had the

desired effect; why should SMART be any different?
 Healthcare system effectiveness
 Practice is changing in the pharmacy world –

education must change too!
Committed to Quality –
Committed to Change
 Quality assurance of education leads to quality of services
 The new innovative educational model offers structured,

comprehensive and competency-based education for
pharmacists
 To assure the quality, global educational tools and best practices

are used, respecting the national context
The SMART Pharmacy
Program
 SMART Pharmacy Program is designed to be a

sustainable, evidence-based educational initiative
with all elements of the Continuing Professional
Development (CPD) Cycle, including application
and impact on everyday pharmacy practice
 When managed with strong leadership and

motivation, it has been shown that the SMART
Program shows results on the individual pharmacist,
organizational, national and patient levels
 Education and application process address all components of

competency: knowledge, skills, attitudes and values
 Quality of education is assured by appropriate structure, process and
outcomes of learning, all designed in national context and with strong
impact on the personal motivation of pharmacists and patient care
SMART Pharmacy around
the World
Principles and Concepts
Pillars and Foundations of
Educational Quality
For the SMART Pharmacy …
Competency – individual level

• Increase the evaluation score – National Competency Framework, CPD portfolio
Quality Indicators - organizational level

• Increase the score in all clusters (CPD, Follow up, New services, interprofessional
collaboration….)
SMART face of pharmacy - national level

• New visual identity, new services, new approach, self-image, attitudes, motivation
For the patient … (Asthma)
Asthma control test

• Better asthma control after the service
Peak flow meter values

• Higher values as a result of better asthma control
Inhalation technique
• Fewer mistakes, better medicine administration, fewer adverse drug reaction
Turkish patients’ lives dramatically
improved as a result of pharmacists’ care
Actual patients … actual pharmacists (May – October, 2015; Turkey)

For national organizations
New educational model

• Better attendance, more engaged learners, alignment with global
standards (based on Pillars and Foundations of Quality
Stronger association
• Active members, new projects, strengthened leadership, research,
publications, presentations
Political advocacy and impact

• Social security administration, stakeholder collaboration, more visibility in health
system
Innovation Workshop
Participants: 40 leaders - START group
 Objectives of the workshop:
 Discuss and allow all stakeholders involvement
 Start the change management process
 Work on SWOT analysis to define the national context
 Explain CPD Principles and Concepts
 Understand Pillars and Foundations of Educational
Quality
 Introduce Competency Framework (to assess the
pharmacists)
 Discuss Indicators of Quality of Services (to assess the
pharmacy)
 Develop the SMART Plan – Define the national pilot
project and identifying possible participants
 Initiate Commitment to Change
Format: lectures, workshops, open space training, small group discussions,
round table discussions
Expert Team (International + local)
4 – 6 months work
SMART PLAN – designing the model

Define change management
Technical and marketing support
 Possible goals to be achieved in this period:
 Continue the change management process
 Validate National Competency Framework
 Design Indicators of Quality of Services Catalogue
 Prepare technical support to the pilot project
 Prepare PR and marketing plan
 Select participants for pilot project
 Complete the materials and equipment for the pilot project
 Explore and discuss the legal and regulatory implications
 Predict the challenges and threats
 Motivate and engage partners in the project
 Format: teleconferences, share point, on-line documentation

development, design, enrollment, analysis, expert panels, working and
advisory groups (e.g. legal) Copyright: ACPE & Pharma Expert, 2017
Train the Trainers –
Starting pilot project
 Example of possible content of the training –
 Dependent on outcomes of Innovation
Workshop
Day 1 ‐ CPD: WHAT – SO WHAT – WHAT NOW?

 CPD – Concepts, Components and
Commitment
 Pillars and foundations of quality of
pharmacy education
 Commitment to change
 New Model of Pharmacy Education
 Enrollment, Objectives, Process,
Leadership, Implementation, Timeline
Train the Trainers –
Starting pilot project
 Day 2 ‐ PHARMACY COMPETENCIES AND NEW
SMART SERVICES
 National Competency Framework
 Indicators of Quality – National Catalogue
 New services in pharmacies
 SMART Project ‐ Following the New Model of
Pharmacy Education
 (Education, Certification, Added value, PR and
Marketing activities, Promotions)
Train-the-Trainer Schedule:
Day 1 (example from Turkey)
10:00 – 10:30 Welcome and Introductions
10:30 – 11:00 Presentation of SMART Pilot Project
11:00 – 12:00 Introduction to CPD, Needs-Based Education, Pillars & Foundations of
Quality
12:00 - 12:30 Introduction to New Educational Model - Asthma Example
12:30 – 12:45 Break
12:45 – 13:30 Introducing CPD Portfolio for SMART Pharmacies
13:30 – 14:00 Introducing the Process of Documentation - Asthma Example
14:00 – 15:00 Lunch
15:00 – 15:30 The New Face of SMART Pharmacy
15:30 – 16:00 Change and Time Management in Pharmacy - SMART priorities
16:00 – 16:15 Break
16:15 – 16:45 Learning Styles – Self-Assessment
16:45 – 17:15 Questions and Answers + Wrap Up
17:15 – 17:30 Break
Parallel Sessions:
17:30 – 18:30 Asthma Course Details for Educators
17:30 – 18:30 Learning Styles for SMART Participants
Train-the-Trainer Schedule:
Day 2 (example from Turkey)
9:00 – 9:30 Recap: What Did We Learn from Day 1?
9:30 – 10:00 Indicators of Quality of Services; Checklist for SMART Pharmacy
10:00 – 11:00 Workshop: self assessment of Quality Indicators

11:00 – 11:30 Break
11:30 – 12:00 Pilot Data Collection and Evaluation: Instructions for the Pilot
Coordinators
12:00 – 12:30 Introducing National Competency Framework
12:30 – 13:00 Competency Assessment and Plans for the Future
13:00 – 14:00 Lunch
14:00 – 14:30 New Educational Model and Plans for the Future
14:30 - 15:00 Announcing the dates for Assessors + NEMT Training and
Follow-Up Workshop
Questions and Answers
15:00 – 15:30 Wrap Up & Commitment to Change
15:30 – 16:00 Presentation of Certificates to Trainers
SMART Pilot Project –
Translation to the
National Level
Example dates from Turkey:
 First results – January 2016
 Evaluation and follow up workshop – March 2016
 National level implementation plan – April, May 2016
 Train the trainers – June 2016
 National implementation and launch – September 2016
National visibility
Tradition
Dedication
SMART
PHARMACY Education
Innovation
SMART Pharmacists offer a pharmacy service
evidence based model – document!
Question: How many Turkish people with
asthma don’t know how to correctly use
an inhaler?
Answer: 90 – 95%
Source: Based on pharmacists’ experience in the SMART Pharmacy

Project 8-Chamber Pilot; May to October 2015
Advocacy
Be SMART pharmacist!
 The average improvement in 80 patients of the Asthma Control Test Score compared with the
first visit was 76%
 The average improvement in 80 patient of the PEAK flow value compared with the first visit
was 40%
 30% decrease occurred in the Salbutamol usage of the patients.
Introduction to Certification in
Pharmacy Practice
 Main elements
 Identification of required competencies
 Pre-reading and pre-work in hours
 Reflection and self-assessment (portfolio)
 Assessment of knowledge at beginning of the
course (module)
 Competency and practice-based modules
 Assessment of skills and attitudes at the end of
the module
 Assignments – application in practice
(minimum 10 cases in 3 - 6 months)
 Evaluation and certification – requirements
 Time limitations
 Re-certification
What has the SMART
Program model been
successful?
 Committed to quality and
committed to change
 Brings all key stakeholders
together
 “Innovation Workshop” – SWOT
Analysis, setting priorities,
developing/adapting/adopting
national frameworks and
resources
 Strategic change management
 Uses Needs-Based Model
Why has the SMART Program
model been successful?
 Addresses national context

 Uses globally adopted tools, frameworks and models
 Local leadership and expertise, supported by
external advisors/experts
 Practical, relevant, and simple
 Motivates and empowers participants to change
What Gets Measured
Gets Done
 [Self] Assessment of
competence/performance • Set personal
and/or
 [Self] Assessment of quality of organizational
services goals and
targets
 Measurable patient interventions • Measure
and outcomes/impact progress
• Celebrate
success
(motivation)
Don’t forget!
THE SMART PHARMACY
EXPERIENCE
INTERNATIONALLY
Mike Rouse & Arijana Meštrović

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SMART PHARMACY

 Changing practice and economic realities; concerns

 Lack of motivation and self-image of pharmacist

 Previous professional initiatives have not had the

 Healthcare system effectiveness

 Practice is changing in the pharmacy world –

 Quality assurance of education leads to quality of services

 The new innovative educational model offers structured,

 To assure the quality, global educational tools and best practices

 SMART Pharmacy Program is designed to be a

 When managed with strong leadership and

 Education and application process address all components of

Competency – individual level

Quality Indicators - organizational level

SMART face of pharmacy - national level

Asthma control test

Peak flow meter values

Actual patients … actual pharmacists (May – October, 2015; Turkey)

New educational model

Political advocacy and impact

SMART PLAN – designing the model

 Format: teleconferences, share point, on-line documentation

Day 1 ‐ CPD: WHAT – SO WHAT – WHAT NOW?

10:00 – 11:00 Workshop: self assessment of Quality Indicators

 First results – January 2016

 Evaluation and follow up workshop – March 2016

 National level implementation plan – April, May 2016

 Train the trainers – June 2016

 National implementation and launch – September 2016

Source: Based on pharmacists’ experience in the SMART Pharmacy

 Addresses national context

Mike Rouse & Arijana Meštrović

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