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Medication Safety Initiatives in Community Practice

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					The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




                  Medication Safety Initiatives
                    in Community Practice
                                Leonila M. Ocampo, Rph, MS
                                Vice-President for Operations
                              MedExpress & Manson Drugstores
                                         Philippines




                    Current Scenario in the Philippines

                  • Only 1 pharmacist is present at one time
                    during the operation of a drugstore
                     – It is the minimum requirement as per the
                       Philippines Pharmacy Law




1-4 July 2008, Hyatt Regency Surabaya Hotel-Indonesia                                       1
The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




                    Current Scenario in the Philippines

                  • Ethical medicines are dispensed without
                    valid prescriptions
                     – Patient can not afford to see a doctor
                     – Competition among drugstores
                     – Poor implementation & monitoring of
                       regulatory agency




                    Current Scenario in the Philippines

                  • No medication counseling
                     – Lack of pharmacists and qualified personnel
                     – Too many customers
                     – Patients not interested




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




                    Current Scenario in the Philippines

                  • No medication profile
                     – Large volume of customers
                     – Patients buy in small quantities
                     – Costly




                    Current Scenario in the Philippines

                  • No monitoring of compliance
                     – No system and resources to monitor patient
                       compliance
                     – Too costly and not viable for the business
                     – Lack of expertise to do patient monitoring
                     – Too many patients to monitor




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




                    Current Scenario in the Philippines

                  • Corporate institutions with health clinics
                    dispense medicines without the presence
                    of a pharmacist
                     – Lack of knowledge on law and regulations in
                       dispensing medicines
                     – Do not recognize the value of a pharmacist in
                       their facility




                    Current Scenario in the Philippines

                  • Non-continuity of pharmaceutical care
                    services from hospital to community
                    setting
                     – Hospitals do not have the resources and
                       facility to extend their pharmaceutical care
                       services to their patients after discharge
                     – No coordination between hospitals and
                       community pharmacies




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




                                    Conclusion

                    Medication safety practices can not be
                        implemented in the community
                             pharmacy operations




                       MedExpress Medication Safety
                               Initiatives
                  • All front line personnel are qualified and
                    trained pharmacists
                     – Contact Center is manned by trained on line
                       pharmacists
                     – All stores have at least 8 pharmacists on duty
                       per day (2 shifts)
                     – To ensure that patients get the correct
                       information about their medicines




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”



                       MedExpress Medication Safety
                               Initiatives
                  • MedExpress dispenses ethical medicines
                    only when a valid prescription is presented
                     – To ensure that patients get the right
                       medicines and to prevent unnecessary and
                       unsafe self-medication




                       MedExpress Medication Safety
                               Initiatives
                  • MedExpress pharmacists are required to
                    provide medication counseling every time
                    they dispense a medicine
                     – To ensure that patients get the optimum
                       benefit of their medication




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”



                       MedExpress Medication Safety
                               Initiatives
                  • MedExpress keeps a medication record of
                    every patient it serves
                     – To ensure that patients has an accurate
                       medication profile to prevent potential drug
                       interactions




                       MedExpress Medication Safety
                               Initiatives
                  • MedExpress monitors patient’s medication
                    compliance
                     – To ensure optimization of health outcomes




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”



                       MedExpress Medication Safety
                               Initiatives
                  • MedExpress serves as outsourced
                    pharmacy management provider for
                    corporate institutions
                     – To ensure that medicines are dispensed
                       properly for patient safety




                       MedExpress Medication Safety
                               Initiatives
                  • MedExpress initiated a program to
                    manage hospital pharmacy operations and
                    implemented the continuum of care
                    system
                     – To ensure that patients receives
                       pharmaceutical care services during and after
                       hospitalization




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




                               PHILIPPINES




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




1-4 July 2008, Hyatt Regency Surabaya Hotel-Indonesia                                      11
The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




1-4 July 2008, Hyatt Regency Surabaya Hotel-Indonesia                                      12
The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




1-4 July 2008, Hyatt Regency Surabaya Hotel-Indonesia                                      13
The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




1-4 July 2008, Hyatt Regency Surabaya Hotel-Indonesia                                      14
The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




                                 INDONESIA




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The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




1-4 July 2008, Hyatt Regency Surabaya Hotel-Indonesia                                      17
The 8th Asian Conference on Clinical Pharmacy: “Toward Harmonization of Education and Practice
of Asian Clinical Pharmacy”




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