Human Resource Planning and Collective Agreement: This topic was completely new to me. Terms like FTE, HEU and HSA are new additions to my memory bank. I had no clue about the process employed by health authorities during the hiring process. For example in case of HEU (Pharmacy Technicians) the determining factors are efficiency (1/3rd), required qualifications including initiative (1/3rd) and then seniority (1/3rd); there is no tie-breaker. However, for HSA (Pharmacists) capability, performance, qualifications and then seniority (tie-breaker) is taken into account. I need to review this topic again. In order to accomplish this I would go over Dr. Millin’s notes again when they are sent out.
Community Programs: Dr. Priti Flanagan reviewed community pharmacy programs structure and discussed planning, designing and implementing chronic disease management programs in Fraser Health. She exposed us to the Medication Management Program run by Fraser Health and its impact on reducing costs incurred by the health system. The medication management program consists of home visits by pharmacists where a patient’s medications are reviewed, outdated and unneeded medications are removed, aid options (e.g. blister packs) are introduced as needed, and recommendations are given to the patient and the family physician.
I found this information from Fraser Health’s website: “Seniors taking more than 6 medications, at risk of drug interaction, with kidney or liver failure, or with dementia or confusion are typically referred to the program. In addition, pharmacists involved in home visits are automatically alerted of individuals over the age of 65 who have been recently discharged from the hospital and who are taking six or more medications. Additionally, there is a medications return program which enables the safe disposal of expired or unused medications.”
Drug Distribution Systems and Pharmacy Drug Distribution Center: This session was led by Tessa Valg and Bal Dhillon. We discussed the drug distribution system plan for Fraser Health and reviewed the structure, function and staffing of the PDDC. The PDDC provides 4 main services: bulk CIVA select products, CIVA patient specific services bulk, purchasing services and bulk unit dose packaging services. We were told that we would spend a whole day at PDDC during our Distribution rotation and then we would be tested. I did not grasp everything that was explained to us in the half an hour tour of PDDC. Therefore, I am going to make sure I take good notes during my next visit and also go over the slides that would be sent out by Bal Dhillon next week. It was surprising to know that the whole center operates without a pharmacist.