Community Pharmacy Accreditation A Blueprint for Enhanced Patient Care

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Community Pharmacy AccreditationA Blueprint for
Enhanced Patient Care Pharmacy Practice

• Eleni Anagnostiadis
• Associate Executive Director

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Road Map

• History
• Resolution
• Task Force
• Recommendations
• Where do we go from here?

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Medication Errors / Peer Review

• Regulatory bodies have few options for addressing
  medication errors
• Most state laws require discipline but do not
  offer alternatives, such as peer review
• 14 state boards require continuous quality
  improvement (CQI) programs to monitor
  quality-related events
• Peer Review
• Evaluate errors to identify weaknesses in systems
• Modify practices to prevent similar errors
• Non-punitive

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NABP Resolution 103-5-07 Medication Error
Reporting

• Passed during 103rd Annual Meeting, May 2007
• Whereas
• Institute of Medicine (IOM) report recommends
  boards of pharmacy implement quality improvement
  initiatives related to community pharmacy
  practice
• IOM report suggests that medication error
  reporting be promoted more aggressively
• NABP and boards of pharmacy have endorsed
  reporting medication errors
• Preventing Medication Errors Quality Chasm
  Series, 2006

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NABP Resolution 103-5-07 Medication Error
Reporting

• Therefore be it resolved
• NABP support the boards by encouraging and
  promoting the reporting of medication errors
  occurring in all pharmacy practice settings to
  reporting programs
• NABP review and revise, if necessary, the Model
  Act regarding implementation of CQI and peer
  review programs and best practice
  recommendations, in accordance with non-discovery
  provisions
• NABP request that ISMP or other groups study the
  creation of a standardized approach to conduct
  root cause or causative factor analysis for
  medication errors ...

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Task Force on CQI, Peer Review, Inspecting for
Patient Safety

• NABP convened a Task Force in December 2007
• Review Language in Model Act
• Develop an implementation plan and educational
  program to assist states
• Assess the need for a tool for the boards to
  evaluate pharmacies in the area of patient
  safety.
• Task Force Results
• May 2008

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NABP Task Force on Continuous Quality
Improvement, Peer Review, and Inspecting for
Patient Safety

• Members Kim Caldwell (TX) chair Joseph Adams
  (LA) Vernon Benjamin (IA) Amy Buesing (NM)
  James DeVita (MA) Randall Knutsen (CO) Paul
  Limberis (CO) Alice Mendoza (TX) Kevin Mitchell
  (OH) Rebecca Poston (FL).
• W. Benjamin Fry unable to attend.
• Others present Rich Palombo, EC liaison Chuck
  Young, ex-officio member NABP staff
• Presenter Donna Horn, ISMP representative via
  conference call.

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Task Force Recommendations

• Amend the Model Act
• Explore the Development of a Pharmacy
  Accreditation Program
• Utilize Medication Safety Organizations such as
  ISMP to Assist in the Development of the
  Accreditation Process
• Develop and Endorse a CQI Program Inspection Form
  and Pharmacy Quality Self-Audit Form

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Task Force RecommendationsActions Taken/Next
Steps

• Amend the Model Act Model Act Amended August
  2008
• Explore the Development of a Pharmacy
  Accreditation Program Task Force Meeting
  October 28th to identify criteria
• Utilize Medication Safety Organizations such as
  ISMP to Assist in the Development of the
  Accreditation Process - ISMP participated in Task
  Force Meeting NABP will consult as needed
• Develop and Endorse a CQI Program Inspection Form
  and Pharmacy Quality Self-Audit Form Task Force
  developed Self-Audit Form disseminated to boards
  of pharmacy

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Where do we go from here?

• Ensure patient safety and quality care are
  priority 1
• Develop criteria/standards for Community Pharmacy
• Implement Community Pharmacy Accreditation
  Program
• Think outside the box

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Further Information

• Visit NABP Web site, www.nabp.net
• Contact InformationEleni Anagnostiadis
  
  Associate Executive Director
  National Association
  of Boards of Pharmacy
  eanagnostiadis_at_nabp.net

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Questions?