Uniquely Influential

1
Consultant Pharmacists

• Uniquely Influential

2
American Society of Consultant Pharmacists
John Feather, Ph.D. Executive Director and CEO
3
OVERVIEW

• Who is ASCP?
• Who are our members?
• What is the role of the consultant/senior care
  pharmacist?
• How can we partner to maximize benefits for
  patients, for you, and for our members?

4
American Society of Consultant Pharmacists

• Founded in 1969, ASCP is the professional
  membership society for consultant and senior care
  pharmacists - the experts in geriatric
  pharmacotherapy
• 7,000 members (75 of all consultant
  pharmacists), plus allied (corporate) members
• 2,000 student members, our pipeline to the future

5
American Society of Consultant Pharmacists

• Three Core Strengths
• Knowledge and skills in geriatric pharmacotherapy
• Expertise in treating the frail elderly in the
  long-term care setting and wherever they reside
• Patient Advocates - Protecting the health and
  quality of life of Americas Seniors

6
American Society of Consultant Pharmacists

• Consultant Pharmacists are clinicians who --
• Consider the most appropriate and effective
  medication
• Ensure safety, compliance and proper therapy
  administration
• Identify, resolve and prevent medication-related
  problems

7
American Society of Consultant Pharmacists

• Consultant and senior care pharmacists provide
  high-level medication management services to at
  risk seniors wherever they reside

• Nursing Facilities - 70.6
• Assisted Living Facilities - 49.3
• Hospice - 39.7
• Acute Care Hospital-based - 29.6
• Sub-acute Care Facilities - 29.2
• Retail Pharmacy - 28.2
• Mental Health - 26.4

8
American Society of Consultant Pharmacists

• Residential Care/Boarding Home - 20.1
• Home Health Care - 20.4
• Adult Day Care - 11.4
• Correctional - 10.3
• Other - 7.7
• Ambulatory/Geriatric clinics
• Continuing care retirement communities
• Independent senior housing
• Office-based practices
• Physician's offices
• Rehab centers
• Senior centers

9

Consultant Role After MMA

• Medicare Part D increases the need for consultant
  and senior care pharmacists
• Consultant and senior care pharmacists are the
  experts who manage the patients entire
  medication regimen, not just random disease
  states
• Consultant and senior care pharmacists are the
  only professional pharmacists who are paid for
  their clinical expertise

10

Consultant Role After MMA

• Consultant and senior care pharmacists have set
  the standard for medication management services
• Consultant pharmacist requirement in nursing
  homes remains
• Multiple formularies make the need for the
  consultant greater
• Education role expands to those in retail and
  other settings

11
American Society of Consultant Pharmacists

• ASCPs reach extends beyond its membership
• ASCP is recognized as the source for expert
  information and training in geriatric pharmacy
  issues
• Collaborations with
• Walgreens Health Initiatives - 100,000
  pharmacists
• National Community Pharmacists Association -
  24,000 pharmacists
• American Society of Health-System Pharmacists -
  30,000 members

12
American Society of Consultant Pharmacists

• ASCP takes the senior care pharmacy message to
  many audiences
• Aging organizations
• Caregiver associations
• Colleges of Pharmacy
• Health Care Professional groups
• Legislators Regulators
• Long-Term Care organizations
• Pharmacy organizations
• Physician Nursing organizations
• Provider groups

13
Aging and Senior Care Pharmacy Practice
Robert J. Miller, RPh, FASCP President, ASCP
14
ASCP What Our Members Do

• Manage and improve drug therapy and improve the
  quality of life of geriatric patients
• Review and evaluate patients medication regimens
• Provide educational programs to health care
  facility staff members
• Manage medication use systems, such as
  formularies and drug distribution
• Other services designed to improve patients
  quality of life and reduce costs

15
Direct Influence on Product Selection

• Consultant pharmacists recommend changes to
  patients drug regimens as a routine part of
  daily practice.
• In nursing facilities, prescribers are required
  by law to respond to the pharmacists
  recommendation.
• 80 of consultant pharmacists drug therapy
  recommendations are accepted by prescribing
  physicians.

16
Direct Influence on Product Selection

• 40 of nursing home patients are discharged to
  their homes.
• The drug therapy regimen established in the
  nursing facility generally is maintained after
  discharge.
• Evidence-based drug therapy information provided
  to physicians influences overall prescribing
  decisions.

17
Direct Influence on Product Selection

• Consultant Pharmacists
• Recommend addition or discontinuation of
  medications
• Recommend lab testing or other evaluation
• Serve on formulary and PT committees
• Develop clinical practice guidelines
• Educate physicians, nurses, and caregivers

18
Senior Care Pharmacy

• The largest, most important, and
• fastest growing segment of
• consultant pharmacy practice is
• senior care pharmacy, the delivery
• of pharmaceutical care to at-risk
• seniors in non-institutional settings.

19
Senior Care Pharmacy

• Senior care pharmacists have specialized
  knowledge in
• geriatrics
• geriatric pharmacotherapy
• and the unique medication-related needs of the
  senior population
• Senior care pharmacists
• identify, resolve, and prevent medication-related
  problems

20
Senior Care Pharmacy

• Senior care pharmacists
• develop, maintain, and enhance their clinical
  competence through life-long learning
• Senior care pharmacists
• formalize their competency through recognized
  certification
• Certified Geriatric Pharmacist credential program
  (CGP)

21
Aging in America

• Today
• 38 million individuals aged 65 and older in the
  United States
• by 2030, that number will nearly double to 71.5
  million
• Every day another 6,000 people celebrate their
  65th birthday
• Baby Boomers start turning 65 in 2011

22
Age
Demographics of an Aging America
85
80
70
Male
Female
60
Baby Boomer Impact
2010
50
40
2030
30
20
10
Population in Millions
1
1
2
3
2
3
23
Aging in America

• Seniors 85 years and older are the most rapidly
  growing age group

Source US Census
24
Rx Use in the US
Source Center on an Aging Society, Georgetown
University, 2000
25
Rx Use and Seniors

• 1998 - 34.4 of 2.733 billion Rxs
• 933 million Rxs for seniors

US Population
Rxs for seniors
Seniors
Rxs for non-seniors
Source IMS 1998
26
Rx Use and Seniors

• In 2005, seniors comprised 12.5 of the
  population and consumed 37 of prescriptions
• By 2020, seniors will comprise 16 of the
  population and will consume 49 of prescriptions
• Source US Census, IMS National Prescription
  Audit, July 2005

27
Rx Use and Seniors

• Typical NF Resident
• 75-85 years of age
• Average number of routine prescription
  medications 8.1
• Average number of PRN prescription medications
  3.2
• Percent of residents receiving 9 routine
  medications per day 41.1

28
Rx Use and Seniors

• Typical Community Based Senior
• 65 years of age
• 31.5 million use 1 medication per week
• 14 million use 5 medications per week
• 4.2 million use 10 medications per week
• Source JAMA 2002287337-44

29
In Summary

• Consultant and senior care pharmacists influence
  product selection by
• Impacting physicians prescribing habits
• Identifying inappropriate or unneeded
  medications, as well as needed medications for
  untreated illness
• Recognizing the value of newer medications that
  are sometimes better tolerated by seniors

30
Partnering for Success

• Our pharmacists
• need to know about
• your products!

31
Partnering for Success

• Consultant pharmacist requirement in nursing
  homes remains in effect
• Multiple formularies make the need for the
  consultant greater
• Educational role expands to those in retail and
  other settings

32
Partnering for Success

• Publications - The Consultant Pharmacist, now
  indexed on MEDLINE practice resources
• ASCP Meetings Conferences - national,
  regional
• Educational Strategies- live, online and print
  opportunities, including SCOUP.net
• Research Traineeship Opportunities

33
American Society of Consultant Pharmacists
1321 Duke Street Alexandria, VA
22314 703-739-1300 703-739-1321 (fax) www.ascp.com