Director of medication safety and quality for the American Society of Health-System Pharmacists shares how providers can better work with pharmacists to address the opioid epidemic.
Pharmacists should have an active role during the procurement, prescribing, and dispensing phases of the medication use cycle-especially with opioids, says Deborah A. Pasko, PharmD, MHA, director, medication safety and quality, American Society of Health-System Pharmacists (ASHP). “Pharmacists should be consulted during any clinical guideline, policy/procedure, and EHR order-set development,” says Pasko, who helps guide opioid efforts within ASHP.
Here’s more on the role Pasko says pharmacists should play with respect to opioid abuse, and how she says healthcare executives can form meaningful partnerships with them.
PaskoPasko: At this time there are no mandates or laws that require a patient to have a consultation with a pharmacist about any medication, even prescriptions for high-risk medications. Some medications do have Risk Evaluation and Mitigation Strategy requirements, but these can be done by a provider or pharmacist. Patients who are having minor procedures and are prescribed a few pills to get them through 24 to 48 hours of pain most likely do not need a consultation with a pharmacist. However, we would strongly encourage patients having a major medical procedure, and/or experiencing a medical condition necessitating the use of opioids for more than 72 hours to have at least one interaction with a pharmacist to discuss the need for the opioid, side effects of the medication, expectations of pain control, and how to either taper down or transition off the opioid.
Pasko: The pharmacist could help guide the provider on the best options on a per patient basis to determine the optimal therapeutic regimen, including the use of non-opioid medications and even non-pharmacological options. In addition, the pharmacist can follow-up with patients, given that they typically see the patient more often than the physician does.
Pasko: Yes, many healthcare executives do interact with pharmacists. Most commonly, this is done through the chief pharmacy officer or director of pharmacy. ASHP highly recommends that at least one person within the C-suite have a close relationship with pharmacy leadership. This relationship should involve occasional visits to the pharmacy (or pharmacies) to show organizational support for the department. In addition, the chief or director should give occasional updates to the C-suite about safety, quality, and patient metrics deemed most appropriate for the organization related to the pharmacy department’s performance. Finally, we would recommend pharmacy presence at any hospital leadership huddles and safety rounds.
David Calabrese of OptumRx Talks New Role, Market Insulin Prices and Other Topics 'On His Mind'
April 13th 2023In this month’s episode of the "What's On Your Mind podcast," Peter Wehrwein, managing editor of MHE connects with the now Chief Clinical Officer of OptumRx Integrated Pharmacies, David Calabrese. In this conversation, David touches on his transition in January as OptumRx’s former chief pharmacy officer and market president of health plans and PBMs to his new role as Chief Clinical Officer where he now focuses more on things such as specialty pharmacy to home delivery — with an overall goal of creating whole-patient care. Throughout the conversation, Calabrese also touched on the market’s hot topic of insulin prices and behavioral health services within the OptumRx community, among other topics.
Listen
Upended: Can PBM Transparency Succeed?
March 6th 2024Simmering tensions in the pharmacy benefit management (PBM) industry have turned into fault lines. The PBMs challenging the "big three" have formed a trade association. Purchaser coalitions want change. The head of the industry's trade group says inherent marketplace friction has spilled over into political friction.
Read More
Briana Contreras, editor of Managed Healthcare Executive, spoke with Nancy Lurker, CEO and president of EyePoint Pharmaceuticals. Nancy shared a bit about EyePoint and how the organization’s innovative therapies are addressing patient needs through eye care, and most importantly, she addressed C-Suite positions like the CEO role. Nancy shared advice for those seeking to reach the CEO level, especially toward women in healthcare and other roles, and what it takes to run a biopharma company.
Listen
The deliberate disconnection of Change Healthcare to ring fence a cyberattack entered its seventh day today. Prescribers are finding ways to get pharmacy claims processed, and UnitedHealth Group says disruption to the dispensing of prescriptions has been minimal. But independent pharmacies want more information and protection from financial consequences from pharmacy benefit managers.
Read More