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Pharmacy Technician Update

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Pharmacy Technician Update NABP/AACP District Five 73rd Annual Meeting Friday, August 6, 2010 Lloyd K. Jessen, Executive Director Iowa Board of Pharmacy – PowerPoint PPT presentation

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Title: Pharmacy Technician Update


1
Pharmacy Technician Update
  • NABP/AACP District Five 73rd Annual Meeting
  • Friday, August 6, 2010
  • Lloyd K. Jessen, Executive Director
  • Iowa Board of Pharmacy

2
Definition of Pharmacy TechnicianNABP Model
State Pharmacy Act
  • Pharmacy Technician means personnel registered
    with the Board who may, under the supervision of
    the pharmacist, assist in the pharmacy and
    perform such functions as
  • (1) assisting in the Dispensing process
  • (2) processing of medical coverage claims
  • (3) stocking of medications and
  • (4) cashiering

3
Definition of Certified Pharmacy TechnicianNABP
Model State Pharmacy Act
  • Certified Pharmacy Technician means personnel
    registered with the Board who have completed a
    certification program approved by the Board and
    may, under the supervision of a Pharmacist,
    perform certain activities involved in the
    Practice of Pharmacy, such as
  • (1) receiving new Prescription Drug Orders
  • (2) prescription transfer
  • (3) compounding and
  • (4) assisting in the Dispensing process

4
NABP Model State Pharmacy Act
  • Section 105(n). Comment.
  • A Certified Pharmacy Technician is recognized,
    because of the completion of a board-approved
    certification program, as having knowledge and
    skills that qualify them to assist the pharmacist
    in the practice of pharmacy with limited patient
    care tasks that exceed routine dispensing or drug
    storage activities.

5
NABP Model State Pharmacy Act
  • Section 308. Registration of Pharmacy
    Technicians.
  • (a) In order to be registered as a pharmacy
    technician in this State, an applicant shall
  • (5) have been documented by the
    pharmacist-in-charge of the pharmacy where the
    applicant is employed as having successfully
    completed a training program and having
    successfully completed an objective assessment
    mechanism prepared in accordance with any rules
    established by the Board.

6
NABP Model State Pharmacy Act
  • Section 307. Registration of Certified Pharmacy
    Technicians.
  • (a) In order to be registered as a certified
    pharmacy technician in this State, an applicant
    shall
  • (4) have (i) graduated from a pharmacy
    technician training program approved by the Board
    of Pharmacy or (ii) been documented by the
    pharmacist-in-charge of the pharmacy where the
    applicant is employed as having successfully
    completed a training program and having
    successfully completed an objective assessment
    mechanism prepared in accordance with any rules
    established by the Board
  • (5) have successfully passed an examination or
    examinations approved by the Board of Pharmacy

7
NABP Model State Pharmacy Act
  • Section 307(b) and 308(b). Comment.
  • The state may decide to perform a criminal
    background check on individuals seeking to
    register as certified pharmacy technicians or
    pharmacy technicians.

8
NABP Model State Pharmacy Act
  • Section 2. Personnel.
  • A. Duties and responsibilities of the
    pharmacist-in-charge
  • (3) The pharmacist-in-charge shall be assisted
    by a sufficient number of pharmacists, certified
    pharmacy technicians, and pharmacy technicians as
    may be required to competently and safely provide
    pharmacy services.

9
NABP Model State Pharmacy Act
  • (b) The pharmacist-in-charge shall develop and
    implement written policies and procedures to
    specify the duties to be performed by certified
    pharmacy technicians and pharmacy technicians.
    The duties and responsibilities of these
    personnel shall be consistent with their training
    and experience.

10
NABP Model State Pharmacy Act
  • These policies and procedures shall, at a
    minimum, specify that certified pharmacy
    technicians and pharmacy technicians are to be
    personally and directly supervised by a
    pharmacist stationed within the same work area
    who has the ability to control and who is
    responsible for the activities of certified
    pharmacy technicians and pharmacy technicians...

11
NABP Model State Pharmacy Act
  • Such policies and procedures shall also specify
    that pharmacy technicians shall not be assigned
    duties that may be performed only by certified
    pharmacy technicians.

12
NABP Resolution No. 106-7-10
  • Continued Efforts to Standardize Pharmacy
    Technican Education Training Programs
  • Passed at the NABP 106th Annual Meeting,
    Anaheim, CA

13
NABP Resolution No. 106-7-10
  • Whereas, new pharmacy technician education and
    training programs are being established in
    community colleges and trade schools across the
    country andWhereas, no nationally recognized,
    uniform standards are currently in place in each
    state to guide the quality and appropriateness of
    the course curriculum of such programs
    andWhereas, state boards of pharmacy have a
    responsibility to oversee the training and
    practice of pharmacy technicians in the interest
    of the public health and safetyTHEREFORE BE IT
    RESOLVED that NABP continue to encourage states
    to adopt uniform standards for pharmacy
    technician education and training programs.

14
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Eight Recommendations
  • Task Force met on October 6-7, 2009. Two
    members of District Five participated on the task
    force Kevin Borcher (NE) and Earl McKinstry
    (SD).

15
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 1
  • NABP should encourage boards of pharmacy to
    require as an element of pharmacy technician
    certification completion of an education and
    training program that meets minimum standardized
    guidelines.

16
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 2
  • NABP should encourage boards of pharmacy to
    require as an element of pharmacy technician
    certification completion of an accredited
    education and training program by 2015.

17
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 3
  • NABP should assist in developing a national
    accreditation system for pharmacy technician
    education and training programs that is based
    within the profession of pharmacy and utilizes a
    single accrediting agency by 2015.

18
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 4
  • NABP should commission a standing committee to
    develop and maintain national standards for
    pharmacy practice to assist boards in defining
    the evolving roles of pharmacists and pharmacy
    technicians and technician education and training
    program standards. (Not implemented by Executive
    Committee)

19
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 5
  • NABP should encourage ACPE and ASHP to work
    collaboratively to develop an accreditation
    system for pharmacy technician education and
    training programs that reflects all pharmacy
    practice settings and, if feasible, to
    consolidate the activities into one accrediting
    body, preferably ACPE.

20
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 6
  • NABP should encourage PTCB to change the process
    by which it determines who is qualified to sit
    for its examination to include completion of an
    accredited pharmacy technician education and
    training program and high school diploma or GED
    verification.

21
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 7
  • NABP should encourage PTCB to provide NABP with
    information on its certified pharmacy technicians
    so that NABP may enhance the pharmacy technician
    data contained in the NABP clearinghouse to
    provide the information necessary for the state
    boards of pharmacy to protect the public health.

22
NABP Task Force onPharmacy Technician Education
and Training Programs
  • Recommendation 8
  • NABP should encourage ASHP to revise its current
    accreditation standards for pharmacy technician
    education and training programs to require
    accredited providers to inform potential program
    applicants of applicable state requirements for
    registration or licensure.

23
53 U.S. Jurisdictions
  • 50 U.S. States plus District of Columbia, Guam,
    and Puerto Rico
  • Source NABP 2010 Summary of Pharmacy Law
  • Census data as of June 30, 2009
  • Great variation in technician provisions among U.
    S. jurisdictions
  • State regulations are in a state of flux
  • Still little uniformity

24
43 Jurisdictions (81) License, Register, or
Certify Pharmacy Technicians
Guam Puerto Rico
25
10 Jurisdictions (19) Have No Pharmacy
Technician Provisions
Note Ohio now defines qualified technicians
District of Columbia
26
USARegulated vs. Unregulated
  • The 43 U.S. jurisdictions that regulate pharmacy
    technicians represent 75 of the U.S. population.
  • The 10 U.S. jurisdictions that do not regulate
    technicians represent 25 of the U.S. population

27
of Technicians in 39 U.S. States
  • 317,410

( of technicians unknown in Colorado, Delaware,
District of Columbia, Florida, Georgia, Guam,
Hawaii, Kentucky, Michigan, New York, Ohio,
Pennsylvania, South Carolina and Wisconsin)
28
Total of Pharmacies in 39 U.S. States
  • 54,693

29
U.S. Average
  • 6 pharmacy technicians
  • per
  • pharmacy

30
Pharmacy TechnicianCertification Board
  • The Pharmacy Technician Certification
    Examination (PTCE) has been available since 1995.
  • 485,868 persons have sat for the PTCE
  • Overall passing rate has been 75
  • Passing rate for JanuaryMarch 2010 testing
    period was 74.

31
Pharmacy TechnicianCertification Board
Total of PTCB-certified pharmacy technicians in
the U.S. (as of March 2010) 365,571
32
Pharmacy TechnicianCertification Board
Total of Actively-certified PTCB technicians
in the U.S. (as of March 31, 2010) 235,652
33
Pharmacy TechnicianCertification Board
of PTCB technicians in the U.S. who have not
maintained their certification 129,919 (36 of
total)
34
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35
PTCB Techs in District Five
36
ICPT Approved, Recognized or Accepted by 24
Boards of Pharmacy ICPT approved in
Alabama, Connecticut, Delaware, Idaho, Indiana,
Iowa, Kansas, Kentucky, Maryland, Massachusetts,
Minnesota, Montana, New Jersey, New Mexico,
Oregon, Rhode Island, Tennessee, Utah, and
Virginia. ICPT recognized in Illinois,
Nevada, New Hampshire, and Washington ICPT
accepted in Ohio ICPT The Institute for the
Certification of Pharmacy Technicians ExCPT
Exam for the Certification of Pharmacy
Technicians ICPT is recognized by NCPA and
NACDS.
37
2 States (Red) With No Tech Regs Recognize the
PTCB
38
of PTCB Technicians in States With No Tech Regs
  • Colorado 4,383
  • Delaware 742
  • District of Columbia 202
  • Georgia 6,738
  • Hawaii 643
  • Michigan 6,764
  • New York 5,673
  • Pennsylvania 5,946
  • Ohio 8,466
  • Wisconsin 4,172

Total 43,729
39
43 Jurisdictions License, Register, or Certify
Pharmacy Technicians
3 4 29 5 2
Puerto Rico Red Guam Green
Blue Certify Red Certify Register
Green Register Gold License Black License
Register White No Regs
40
8 U.S. Jurisdictions That Require Certification
of Pharmacy Technicians
Puerto Rico
41
18 U.S. Jurisdictions That Dont Require
Technician Training
Dist. Of Columbia
42
17 U.S. Jurisdictions HaveNo R.Ph./Technician
Ratios
Puerto Rico
43
10 U.S. Jurisdictions Allow Techs to Accept
Called-in Rx from Prescriber
Dist. Of Columbia
44
10 U.S. States Allow Tech-Check-Tech in
Institutional Setting
coming
45
4 U.S. States Allow Tech-Check-Tech in
Community Setting
46
17 U.S. States Require Continuing Ed for
Technicians
47
19 U.S. States Require A Technician Examination
48
Pharmacy Technicians in Iowa
  • of registered techs since 1998 15,538
  • of total current registered techs 4,506
    (29)
  • of cancelled/delinquent techs 11,032 (71)

49
Pharmacy Technicians in Iowa
  • of active PTCB-cert techs 2,747 (61)
  • of active ICPT-cert techs 723 (16)
  • of total active certified techs 3,470 (77)
  • of uncertified technicians 292 (7)
  • of technician trainees 728 (16)

50
Pharmacies Pharmacists in Iowa
  • of current/active pharmacists 3,292
  • of licensed pharmacies 941
  • Iowa average 4.8 techs per pharmacy
  • Iowa average 1.4 technicians per R.Ph.

51
Pharmacy SupportivePersonnel (PSP) in Iowa
  • of current/active PSPs 746
  • Iowa average 0.8 PSPs per pharmacy
  • Iowa average 0.2 PSPs per R.Ph.

52
Pharmacy Technicians in North Carolina
Proposed Rule Pharmacy technicians who work in
an acute-care hospital and hold an associates
degree in pharmacy technology may provide greater
assistance to pharmacists in the areas of
unit-dose packaging and certain unit-, cart-, and
floor-stocking.
53
Public Perceptions About Pharmacy Technicians
  • 73 of the public believes that pharmacy
    technicians are required by law to be trained and
    certified before they can help prepare
    prescriptions.
  • Telephone survey of 1,010 adults on Nov. 16-19,
    2007, sponsored by PTCB.

54
Public Perceptions About Pharmacy Technicians
  • 58 of the public believes that only licensed
    pharmacists are involved in dispensing drug
    prescriptions.
  • Telephone survey of 1,010 adults on Nov. 16-19,
    2007, sponsored by PTCB.

55
Public Perceptions About Pharmacy Technicians
  • 45 of the public do not believe that people
    without formal training are allowed to help
    pharmacists prepare prescriptions for patients.
  • Telephone survey of 1,010 adults on Nov. 16-19,
    2007, sponsored by PTCB.

56
Public Opinion About Pharmacy Technician
Regulations
  • 91 of the public supports state regulations
    that require the training and certification of
    pharmacy technicians.
  • Telephone survey of 1,010 adults on Nov. 16-19,
    2007, sponsored by PTCB.

57
Pharmacist Opinion About Certified Pharmacy
Technicians
  • 81 of pharmacists agree that certified pharmacy
    technicians play a role in reducing medication
    errors.
  • Gathered from a random sample of over 3,250
    U.S. pharmacists, sponsored by PTCB and reported
    at the APhA Annual Meeting in March 2010.

58
Workforce Data
  • Significant Trends Affecting the
  • Pharmacist Workforce
  • Presented at 2009 NACDS Pharmacy Technology
    Conference
  • Boston, MA, August 9, 2009
  • Presented by
  • Midwest Pharmacist Workforce Research Consortium
    (MPWRC)
  • Jon C. Schommer, Ph.D.
  • William R. Doucette, Ph.D.
  • Caroline A. Gaither, Ph.D.
  • David H. Kreling, Ph.D.
  • David A. Mott, Ph.D.

59
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63
Workforce Data
Projected Change Occupation Employment Employ
ment 2008-2018 Title 2008 2018 Pharmacy
Aides 54,900 51,500 -3,500 -6 Pharmacy
Techs 326,300 426,000 99,800 31 Combined 381,20
0 477,500 96,300 25 U.S. Dept. of Labor,
Bureau of Labor Statistics, Occupational Outlook
Handbook, 2010-11 Edition
64
Workforce Data
Pharmacy TechnicianMedian Hourly Wage as of May
2008 13.32 Range lt 9.27 to gt
18.98 Pharmacy AideMedian Hourly Wage as of
May 2008 9.66 Range lt7.69 to gt
14.26 U.S. Dept. of Labor, Bureau of Labor
Statistics, Occupational Outlook Handbook,
2010-11 Edition
65
Workforce Data
From 2009 to 2018, the number of pharmacists in
the U.S. is expected to increase by 45,900 or 17
(from 267,000 to 312,900). Fact Sheet 2010,
Pharmacists and Pharmacy Technicians Facts and
Figures, AFL-CIO Department of Professional
Employees (based on Occupational Employment
Projections to 2018 by Alan T. Lacey and
Benjamin Wright, Monthly Labor Review, November
2009 and U.S. Dept. of Labor, Bureau of Labor
Statistics, Current Population Survey, Table 11,
2010).
66
Workforce Data
In 2008, the median annual earnings for
pharmacists were 106,410. Range lt77,390 to gt
119,480 Fact Sheet 2010, Pharmacists and
Pharmacy Technicians Facts and Figures, AFL-CIO
Department of Professional Employees (based on
U.S. Dept. of Labor, Bureau of Labor Statistics,
Occupational Employment and Wages, 2008).
67
The Need for Technician Standardization and
Uniformity
  • One level of technicians?
  • Two or three or more levels?
  • Certified or Uncertified?
  • Licensed or Registered?
  • Pharmacy Aides or Support Persons?

68
The Need for Technician Standardization and
Uniformity
  • Formal technician training or O-T-J?
  • Accredited education programs?
  • One competency exam?
  • Multiple exams?
  • Reciprocity for Technicians?
  • Pharmacist-to-Technician Ratios?
  • Tech-Check-Tech and other expanded duties?

69
The Need for Technician Standardization and
Uniformity
  • Perception vs. Reality?
  • Shifting of pharmacist tasks to technicians?
  • Differences in Work Settings (Retail vs.
    Institutional)?
  • Worker Shortages?
  • Job Dissatisfaction High Turnover Rate?
  • Monetary Issues (Profit Margin vs. Safety)?
  • Effect of Technology/Robotics/Kiosks?

70
Pharmacy Technician Update
  • Discussion
  • and
  • Q A
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