Californias EC Pharmacy Program Summary of Pilot Project Encounter Form Data

1

Evaluating EC Pharmacy Services in
California Jane Boggess PhD, Kathryn Myronuk MS,
Marjorie Singer, MA, Sheena Cresswell and
Frances Chung APHA November 17, 2003
2
Current Status - California

• About 800 CA pharmacies provide EC
• 85 of protocol prescribers are lt10 physicians
  generally Planned Parenthood Medical Directors
•  
• More than 2,000 pharmacist trained
• EC System very decentralized
• 2004 statewide EC protocol authorized
• (SB 490)

3
Data derived from listings on www.EC-Help.org.

Estimated undercount is 15.
4
Evolution of Pharmacist Training

• Started with 20 hour EC program - home study and
  2 day live program
• Shortened to 4 hr live program
• New 2004 law specifies only 1 hour CE
• Online EC program under development

5
Total EC Charge By
Pharmacy Type (N387)
43.67
41.80
42.72
6
Variation in Total EC Charge - Drug Assessment
(N384)
Approximately three-fourths of EC pharmacies
surveyed in November 2002 charge 45.00 or less
for a complete EC visit (drug and assessment).
Only a small minority (4) charge more than 50.
7
Average Time to Assess Counsel an
EC Client
100
67
17
12
N196 Pharmacies (results for written responses
only)
8
Average Time EC Client Spends in Pharmacy
(Arrival Departure)
119
56
50

N226 Pharmacies (results for written and verbal
responses)
9
All pharmacies with language data N273 Total
pharmacies N466
10
All pharmacies with language data N239
Total pharmacies N384
11
Is EC available anytime store is open?Source
mystery caller survey
12
EC Pharmacy Service Coverage (N403)
Source Structured Interviews with EC Pharmacies
Pharmacists associated with 403 stores were asked
if they ever experienced problems in providing EC
because they lacked staff covered by EC
protocols. Overall, 42 of the pharmacies
reported occasional to frequent problems in
providing EC service due to this reason. 59 of
the chains experienced occasional to frequent
problems in providing EC. Independent pharmacies
experienced less difficulty in ensuring staff
coverage.
13
(No Transcript)
14
Is EC still provided to the public? (Survey of EC
Pharmacies in 2002)
15
Reasons Pharmacies Stopped EC Service (Source
Follow-Up Calls 2002)
16
Are Referrals to MDs Clinics an Important Part
of Your EC service?
17
Contact Information

• Jane Boggess, PhD
• Director,Pharmacy Access Partnership
• 614 Grand Avenue, Suite 400
• Oakland, California 94610
• Phone [phone]
• Fax [phone]
• Email jboggess_at_phi.org