Year in Review 2015-2016 - New Brunswick Pharmacists` Association

Transcription

Your Pharmacist.
Your Partner in Health.
NEW BRUNSWICK PHARMACISTS’ ASSOCIATION
Year in Review 2015-2016
Table of Contents
Message from the President
Message from the Executive Director
Who We Are
Pharmacy in New Brunswick
Committed to Improving your Health
Contributing to our Communities
Building our Profession
1
2
3
4
8
15
18
Daniel Pike (BSc., Pharm)
New Brunswick pharmacists have always
been and continue to be on the leading edge
in terms of scope of practice.
Amid the overwhelmingly positive response we
received from our minor ailments public awareness
campaign, some rather blunt patient feedback
came as a bit of a surprise.
Comments through social media told us loud and clear that some New Brunswick
patients are frustrated and even a little angry when their local pharmacists turn
down requests to assess and treat certain minor ailments.
Surveys have already told us that New Brunswickers want their pharmacists to
take on expanded roles in the healthcare system, but the comments serve as a
stark wake up call to those in our profession who are hesitant to embrace the
new services they can provide under the Pharmacy Act. New Brunswick patients
are not only open to pharmacists doing more for their health, they are actively
seeking out these services, including minor ailments, injections and medication
reviews.
Our most recent survey, detailed in this report, found that 81 per cent of
New Brunswickers would definitely or probably see a pharmacist for medical
treatment for certain minor ailments. It also found that 61 per cent would prefer
getting prescriptions for certain minor ailments from a pharmacy (25 per cent
from a family doctor, eight per cent from an afterhours clinic).
In the two years since the Pharmacy Act has passed, 473 practicing licensed
pharmacists have registered with the New Brunswick College of Pharmacists
to provide minor ailment services. That’s just over half of New Brunswick’s
pharmacists. It’s a great start, but more pharmacists need to embrace
our expanded scope. It’s the best step forward for patients and for the
healthcare system.
Here’s one example why. More than one million Canadian women seek
ambulatory treatment each year for urinary tract infections. At least 20 per cent
end up in an emergency room. That’s roughly 120 per day in New Brunswick.
Many of those women could be treated more efficiently at pharmacies. It puts less
pressure on crowded ERs and is much easier for the patient as well.
new services are without a doubt an important source of revenue to
pharmacy in light of numerous, significant government cuts.
Compared to the rest of Canada, New Brunswick pharmacists have
always been and continue to be on the leading edge in terms of
scope of practice. I urge them to take full advantage of that scope –
for the benefit of their patients and the betterment of our profession.
Our work this year has been helped tremendously by our stronger
relationship with the Canadian Pharmacists’ Association (CPhA).
Our national body is working harder than ever to provide more
member benefits, advocate on national issues and develop position
statements on pharmacist dispensing and patient management of
medical marijuana and medical assistance in dying.
Serving as NBPA President continues to be a privilege and a
rewarding experience which would not be possible with the support
of my fellow Board members. They are capable leaders who
continue to listen to pharmacists’ concerns and advocate on their
behalf for patient-centered solutions. My thanks go as well to NBPA
colleagues Coleen Jardine and Kathy Kaufield for their support
throughout the year.
Executive Director Paul Blanchard continues to be a strong voice for
pharmacists, both publicly and behind-the-scenes, as he manages
the challenges facing our profession and leads positive change as
well. I’d like to thank him for his hard work, professionalism, tenacity,
insight and positive attitude as he continues to help build our
profession.
The future will continue to bring change and challenge to our
profession, but I’m confident New Brunswick pharmacists will
continue to handle them with their usual aplomb and with their
patients’ best interests at heart.
Daniel Pike (BSc., Pharm)
NBPA President
Indeed some pharmacists are struggling to find ways to change their workflows
to accommodate these new services, but many others are making this transition
successfully with the help of pharmacy technicians. In the not too distant future,
pharmacists will have access to patients’ Electronic Health Records (EHRs), which
is necessary to support pharmacists in their expanded work. In addition, these
Year in Review – 2015-2016
1
Paul Blanchard
Change
is ever present.
Change. Government cuts. Consumer confidence in pharmacists.
These are the three constants in pharmacy in recent years.
New Brunswick pharmacists are doing more for patients than ever
before while pharmacies are continuing to lose significant revenue
as the result of government price regulations. And in the midst of all
this – patients continue to have high confidence and trust in their
pharmacists.
As this report details, the NBPA continues to lead positive change
in pharmacy and to strongly represent its members on the many
government and policy decisions that impact our profession.
Change is ever present. And this is a good thing, as without change,
we will never see improvements. Six years ago, pharmacists weren’t
involved in immunization. Today the majority of front line pharmacists
are certified to provide injections. This is having a positive impact
on healthcare. Pharmacists have been prescribing and adapting
prescriptions for a number of years in New Brunswick. Recent
national studies have shown that 2.7 per cent of prescriptions are
written by nurse practitioners or pharmacists. While this change has
been important, it is a privilege that pharmacists have certainly used
judiciously. Pharmacists can now access laboratory values through
the Department of Health’s Electronic Health Record. An electronic
Prescription Monitoring Program (PMP) is scheduled to be operational
by the end of 2016. Government is also developing an Electronic Health
Record that will contain a patient’s complete drug profile. As you will
read in this report, this is definitely not a Drug Information System as
other provincial governments have developed.
Since 2014, our Pharmacy Act has enabled a broad range of new
services that pharmacists can provide. While some pharmacists are
still struggling to find ways to change workflows to accommodate
these new services, others are successfully making this transition. We
will be featuring some of these success stories at our conference this
year. The Act also created a new health care profession – the pharmacy
technician. We will look for new ways to support and include pharmacy
technicians in our conference and practice going forward.
As these services evolve, we are already identifying new potential minor
ailment services that pharmacists should be providing. The assessment
and actual treatment of shingles in a timely manner is an example of
what could be next in that process.
2
New Brunswick Pharmacists’ Association
Government cuts have been a constant since 2011/12, when provincial
governments began regulating the price of generic products and also began
negotiating secret deals with brand manufacturers. The financial impacts
of these cuts are discussed in this report. We can easily estimate that when
compared to 2012 revenues, the average pharmacy in New Brunswick has
had to make up more than $250,000 in lost revenues associated with these
government decisions. We are also dealing with a 12 per cent growth in
prescription volume since 2012. Pharmacists have been doing more with
less for some time.
Despite these challenges, consumer confidence continues to be strong.
As you will read in this report, Canadians trust their pharmacists. New
Brunswickers trust their pharmacists even more than the average Canadian.
We see that in our surveys, and we see it reflected in the comments that
followed our recent digital marketing and social media campaign promoting
minor ailment assessments in New Brunswick. New Brunswickers have
responded to our Facebook and Twitter posts and have visited our website.
In many cases, they are complaining that they cannot get the minor ailment
service being promoted in our ads. They are shopping around and looking
for pharmacists who can provide an assessment for a cold sore or a urinary
tract infection. They are not often complaining about having to pay a
professional fee, although some are already beginning to question why
these health care services are not covered by Medicare.
Our greatest assets in these challenging times of change and cuts are people
– pharmacists, members of their teams as well as their patients, who trust
their pharmacists to provide care in a professional, accessible way.
In the coming year, the NBPA will develop on a new strategic plan that will
guide and re-focus our efforts as we move forward through the challenges
and opportunities ahead. We will continue to advocate for funding to
support assessments for minor ailments and continue to promote these
services to the public.
Just as pharmacists have to keep changing, we are changing and evolving
as well.
Paul Blanchard
Executive Director
Who We Are
Established in 1981, the New Brunswick Pharmacists’ Association is the voice of pharmacists in the province and
is committed to providing leadership for the profession and to improving the health of New Brunswickers. The
Association represents the professional interests of over 750 pharmacists. Our board has approved and simplified
our mission, vision and goals in our most recent strategic plan.
mission
To help pharmacists
enhance patient care
through sustainable
pharmacy practices
goals
vision
• R
educe total health care costs
(particularly in the aging
population).
• P
atients are diagnosed by Health
Care Professionals
• Increase pharmacist satisfaction
• Improve productivity
• P
harmacists manage patient
medication/therapy
• P
harmacies have fair returns for
their expanded services
NBPA Board of Directors 2015-16
Daniel Pike
Andrew Brillant
Nathan McCormick
André Hachey
Theresa Gatien
Vice-President, District VII
Hospital member
President
Director, District IV, Carleton, Victoria
and Madawaska counties
NBPA
Staff
Director, District V, Northumberland,
Gloucester, Restigouche counties
Secretary, District II
St. John, Kings, Charlotte counties
Andrew Drover
Greg MacKay
Dennis Abud
Mike Oliver
District I
Albert, Westmorland, Kent counties
Paula MacNeil
Director, District VI
Corporate member
Corporate member
Director, District III
Queens, Sunbury and York counties
Corporate member
The NBPA is staffed by a dedicated team of full-time and contract individuals.
Paul Blanchard
Executive Director
Coleen Jardine
Executive Assistant
Kathy Kaufield
Communications
3
New Brunswick has approximately 858 practicing pharmacists.
New Brunswick has approximately 225 pharmacies but pharmacists
also work in hospitals, special care homes, senior citizens’ facilities,
collaborative practises, the pharmaceutical industry, universities,
colleges as well as government departments.
New Brunswick pharmacists fill more than 12 million prescriptions every year.
New Brunswick pharmacists make roughly 20,000 prescription adaptations per
month, saving unnecessary trips to the ER or after-hours clinics.
New Brunswick pharmacists are valuable and knowledgeable health care professionals who provide front-line health care
services at convenient times, usually without an appointment.
The practice of pharmacy is evolving. Your pharmacist can do much more than manage your medications.
Your pharmacist can
Prescribe and
adapt medications
4
Give flu shots
and other vaccines
Assess treat and
prescribe for certain minor
ailments
Review medications
and provide health checks
ATHOLVILLE
2 3 2
CAMPBELLTON
KEDGWICK
CLAIR
4
1
EDMUNDSTON
1
DALHOUSIE
1
BELLEDUNE
PETIT ROCHER
BERESFORD
BATHURST
1
1
LAMEQUE
1
6
3
CARAQUET
ST.QUENTIN
NEGUAC
1
1
HAUT-LAMEQUE
SHIPPAGAN
PAQUETVILLE
1
4
TRACADIE-SHEILA
1
1
1
ST.ANNE DE MADAWASKA
4
MIRAMICHI
GRAND FALLS
1
2
PLASTER ROCK
NEWCASTLE
1
9
1
1
ROGERSVILLE
1
ST-LOUIS DE KENT
PERTH ANDOVER
1
BAIE STE ANNE
RICHIBUCTO
REXTON
1
2
2
1 5 SHEDIAC
HARTLAND 1
1 CAP-PELE
1 STANLEY CHIPMAN
MONCTON 33 7 DIEPPE 1 PORT ELGIN
5 WOODSTOCK
RIVERVIEW
2 1NACKAWIC
1 PETITCODIAC
5 2 MEMRAMCOOK
KESWICK
1
1
1 MINTO
3 SACKVILLE
FREDERICTON 22
SALISBURY 1
HILLSBOROUGH
NEW MARYLAND
1 RIVERSIDE-ALBERT
1 5 OROMOCTO 8 SUSSEX
HARVEY STATION 1
2 HAMPTON
MCADAM
1
1 QUISPAMSIS
GRAND BAY-WESTFIELD 1
3 ROTHESAY
22 SAINT JOHN
ST. STEPHEN 4 ST ANDREWS
1
1 1 UPPER LETANG
ST. GEORGE
WELSHPOOL 1
FLORENCEVILLE
2
1
1
Advise on cough
syrup, vitamins and over
the counter medications
Provide device
BOUCTOUCHE
SAINT-ANTOINE
COCAGNE
1
GRAND MANAN
training for tools like blood
pressure kits, puffers and
blood sugar testing
Help patients
stop smoking
Fit braces,
crutches
and other
equipment
5
What New Brunswickers say
about their pharmacists
In February of 2016, the Canadian Pharmacists Association and the NBPA commissioned
Abacus Data to conduct a survey that included specific questions to 500 adult
New Brunswickers. The survey found:
Overall Impression of Pharmacists
96%
94%
56%
have a very positive
or mostly positive
perception of
pharmacists
say pharmacists
play an essential or
important role in the
health care system
of New Brunswickers call or
visit a pharmacy BEFORE
they seek help from their
doctor or after-hours clinic
NBers trust their pharmacists
New Brunswick residents are more trusting of pharmacists to deliver advice on a range of health
services including vaccinations (NB 69% vs. CAN 59%), managing chronic health conditions (NB
65% vs. CAN 58%), and managing common ailments like the cold or flu (NB 76% vs. CAN 53%).
COMPARISON: NBers who completely trust or trust a great deal the advice from they would
get from the following health care professionals
Vaccinations
6
Medicine
Management of
Chronic Conditions
Healthy Lifestyle
Choices
Managing Common
Ailments like Cold and Flu
Pharmacists
69% 84% 65%
64%
76%
Doctors
71% 70% 75%
71%
71%
Nurses
61% 52% 59%
59%
65%
Treatment of Minor Ailments
81%
would definitely
or probably see a
pharmacist for medical
treatment for certain
minor ailments.
61%
68%
would prefer getting
prescriptions for certain
minor ailments from a
pharmacy (25% family
doctor, 8% afterhours clinic)
believe services such as vaccines,
assessments of minor ailments,
and prescriptions for those
ailments should be covered by
Medicare.
NBers want
their pharmacist
to do more
69%
likely or somewhat likely
to go to a pharmacist for a
vaccination
74%
to go to a pharmacist for
a flu shot
55%
to go to a pharmacist
to manage chronic
conditions
65%
likely or somewhat likely to
go to a pharmacist for advice
on healthy lifestyle choices
like smoking cessation or
weight loss
82%
Pharmacists can help reduce
health care costs and
improve care
81%
strongly or mostly
agree that allowing
pharmacists to do
more will improve
health outcomes
for patients
86%
strongly or mostly
agree that allowing
pharmacists to do
more would reduce
costs in the health
care system
to go to a pharmacist for
management of common
ailments like cold and flu
7
Minor Ailments
2015/16 saw patients embrace
pharmacists’ new scope of practice that
allows them to assess, treat and prescribe
for 32 common minor ailments.
Pharmacists now have the authority to prescribe medication
for minor ailments when necessary, although not all
assessments will result in a prescription. Pharmacists may
recommend other treatment options, such as over-thecounter medications, or refer patients to another healthcare
provider. Pharmacists can also now prescribe for certain
vaccines for preventable diseases.
Many pharmacies across the province are now offering
minor ailment assessments and treatments and are charging
a fee for these services. To date, 473 practicing licensed
pharmacists are registered with the NB College of Pharmacists
to provide these services.
By treating less serious conditions, pharmacists are better
serving the needs of patients who are already turning to
pharmacies for minor ailments and reducing the pressure on
crowded ERs and doctor’s offices.
8
Minor Ailments
Allergic Rhinitis (hay fever)
Calluses and Corns
Contact Allergic Dermatitis (allergic
skin rash)
Cough
Dandruff
Dysmenorrhea (pre-menstrual and
menstrual pain)
Dyspepsia (indigestion)
Emergency Contraception
Fungal Infections of the Skin
Gastro-esophageal Reflux Disease
(Heartburn)
Hemorrhoids
Herpes Simplex (cold sores)
Impetigo
Mild Acne
Mild Headache
Mild to Moderate Eczema
Mild Urticaria
(hives, bug bites and stings)
Minor Joint Pain
Minor Muscle Pain
Minor Sleep Disorders
Nasal Congestion
Nausea
Nicotine Dependence
Non-infectious Diarrhea
Oral Fungal Infection (thrush)
Oral Ulcers (canker sores)
Sore Throat
Threadworms and Pinworms
Urinary Tract Infection
(uncomplicated)
Vaginal Candidiasis
(yeast infection)
Warts (excluding facial and genital)
Xerophthalmia (dry eyes)
9
The NBPA launched a significant campaign
in 2016 to build awareness about minor
ailment assessments and to educate about
the value of these services to patients and
the New Brunswick healthcare system.
The NBPA developed a variety of POS materials for
pharmacies, including:
Our research has shown that a large majority of people get their
information about pharmacies from pharmacists and from
websites. Few rely on television or newspaper ads. For that reason,
our campaign focused heavily on Point of Sale materials, online
advertising and social media.
• Buttons for staff to wear
A survey of our members revealed the most popular minor
ailments that patients ask about at pharmacies are: urinary tract
infections, cold sores and allergies (allergic rhinitis).
Our “Think Pharmacy First” campaign, which focused on those
three ailments, launched in March in conjunction with Pharmacy
Awareness Month and lasted until the end of May.
10
• Posters
•General information brochure about
minor ailments
• Paper bag stickers
• Shelf wobblers
The NBPA engaged the services of Time and Space Media to
assist with a comprehensive bilingual digital marketing and
social media campaign that targeted specific audiences.
The campaign included display ads on a variety of websites,
paid social media ads on Facebook, Twitter and Instagram,
and paid search ads (Google Adwords).
More than one million Canadian women seek ambulatory treatment each
year for urinary tract infections. At least 20 per cent end up in an emergency
room. That’s roughly 120 per day in New Brunswick. Many of those women
could be treated more efficiently at pharmacies.
Over
16 million
impressions in New Brunswick on Google AdWords,
Facebook, Instagram + Twitter
.
JE P
ID
ER
L P.
HE
Data from the first two months of the campaign
show impressive results:
I CAN
PRELIMINARY
CAMPAIGN RESULTS
I R E S?
U TI?
IN A
I
C T I O NS UR
E
F
N
E U X VO US A
The paid campaign was complemented by regular
social media updates, which is keeping our audience
engaged and driving quality traffic to our website. In
just over two years, our Facebook audience has grown
from 79 to 2,197. Our efforts also included targeted
radio ads in Saint John, Fredericton and Moncton and
a “texting” campaign with a Fredericton radio station.
Because our campaign coincided with Pharmacy
Awareness Month, it prompted several media interview
requests. NBPA President Daniel Pike, board member
Dennis Abud and Executive Director Paul Blanchard did
radio interviews to explain this new scope of practice.
Over
40,000 visits to the NBPA website
with 2,000 considered “highly engaged” in the minor
ailments content
The NBPA social communities (Facebook + Twitter)
have grown by
over 325 people
The social media ads have driven more than
12,000
actions
within Facebook, Instagram + Twitter – this includes
posts likes, comments, shares, page likes, website
clicks, page likes etc.
On
AdWords, the cold sores ad is driving the
highest volumes of traffic to the NBPA website
On
social media, the UTI ad is driving the
highest number of users to the website
11
Minor Ailments
Flu Shots Remain
Popular at Pharmacies
New Brunswickers are continuing to turn to
their pharmacists to get their flu shots.
Over the past six years, New Brunswick patients have embraced the
convenience of this pharmacy service. It’s a terrific example of what
can happen when pharmacists are allowed and encouraged to play an
expanded role in our health care system.
The 2015-16 season saw pharmacists give 55,124 publicly-funded flu
shots. Thousands more were immunized privately. This number is down
a bit compared to the 62,200 publicly-funded shots given by pharmacists
the previous year. The dip in this year’s numbers likely has to do with
the mild winter, as well as the media stories that reported poor efficacy
with last year’s flu vaccine. There are now 549 pharmacists certified to
administer drugs by injection in New Brunswick. This represents just
under 65 per cent of active, licensed pharmacists. Our capacity to provide
this service is continuing to grow.
In addition to flu shots, pharmacists also administer injections to
protect against shingles and also provide injections for birth control,
travel medicine and other valuable services. We expect that the role of
pharmacists will continue to evolve and become even more prominent
with the seasonal flu vaccine in the future. The NBPA has urged the
province to allow pharmacists to deliver all publicly funded vaccinations.
12
Premier Brian Gallant gets his flu shot from Saint John
pharmacist Greg MacIntyre.
Publicly Funded Flu Shots
by NB Pharmacists:
Number of Pharmacists
Certified to Administer
Injections:
FLU SEASON
85
6,000
2010-11
10,585
220
2011-12
18,093
265
2012-13
40,361
330
2013-14*
62,200
515
2014-15 **
55,124
549
2015-16
*Data provided to Feb 2014
**Data provided to April 2015
This year also saw the first time a New Brunswick premier has gotten his
flu shot from a pharmacist. Saint John pharmacist Greg MacIntyre gave
Premier Brian Gallant his flu shot this year. Health Minister Victor Boudreau
and Finance Minister Roger Melanson also got their flu shots at their local
pharmacies this year. They shared the pictures on social media – a good
boost to our campaign.
The NBPA also issued a media release about the importance of getting a
flu shot, which prompted stories in Telegraph Journal, Woodstock Bugle
Observer, Miramichi Leader, Daily Gleaner and the Times and Transcript.
CBC TV featured an interview on flu shots with Fredericton pharmacist
Alistair Bursey.
This year’s flu shot campaign cast New
Brunswick pharmacists as “Flu Fighters”, a
concept that performed better with audiences
than previous campaigns that focused on the flu
shot itself rather than the role of the pharmacist.
The NBPA developed several Point of Sale items
for pharmacies, including bilingual posters,
stickers for prescription bags and buttons for
staff to wear. The campaign also included radio
ads in Fredericton, Moncton and Saint John, a
texting campaign and some online ads.
Our efforts included a two-month Facebook
campaign featuring targeted ads promoting flu
shots by pharmacists and customized graphics.
The Facebook campaign performed extremely
well, with an overall reach of 98,762, prompting
1,123 clicks to our website and 500 page likes.
Health Minister Victor Boudreau got his flu shot from Francois
Leblanc and Pierre Leblanc at the Jean Coutu in Shediac.
Ask your
Pharmacist
NBPA President Daniel Pike has continued work on his
weekly “Ask Your Pharmacist” column in New Brunswick’s
three English daily newspapers. His efforts often
complement our campaigns; his columns have explored
minor ailments, flu shots and pharmacist education.
The column is featured prominently on our website and
promoted via social media. His column and an NBPA
advertisement also appear regularly in Horizons Magazine,
a publication aimed at New Brunswick seniors.
13
Medication Reviews Help Patients
Adverse drug reactions are the number one reason for the hospitalization of
seniors in New Brunswick.
It’s not surprising, really, because almost two-thirds of seniors use five
or more classes of prescription drugs for multiple chronic conditions.
Moreover, New Brunswick has one of the lowest literacy levels in
Canada.
Recent media stories have begun to highlight the impact of
overmedication within the seniors’ population. More recently here
in New Brunswick, the NB Nursing Home Association is working with
government and with local pharmacists to reduce the use of antipsychotic medications in seniors’ homes. This topic will be presented
at our conference.
That’s why the NBPA continues to believe the NB government should
expand its successful NB PharmaCheck™ program to include people
who have been discharged from hospital and people with chronic
conditions. Having a pharmacist conduct regular medication reviews
can prevent many adverse reactions and hospitalizations.
Seniors covered under the New Brunswick Prescription Drug Program
who take three or more prescriptions for chronic conditions are
eligible to have a yearly medication review with their pharmacist as
part of the NB PharmaCheck™ program. The program was expanded
to include New Brunswickers who hold a valid health card from the
Department of Social Development.
A medication review takes on average between 20-30 minutes. The
pharmacist reviews each medication a patient is taking to ensure
he or she is taking it properly and to make sure none of the
prescriptions interact with each other, or with over-the-counter
products, natural health products or with food. The pharmacist
also performs a variety of other tasks, including checking for drug
duplication, ensuring that medications and diseases correspond,
offering advice to better manage multiple medications and
demonstrating how to take certain medications like inhalers.
Patients leave the review with a complete, accurate, up-to-date
personal medication record. Pharmacists also continue to
collaborate and communicate with a patient’s family physician
as well, if there are any changes that should be considered.
Seniors or Social Development clients who aren’t eligible for
coverage under the NBPDP can also ask their local pharmacists
to do medication reviews for a fee.
Our members say these reviews have proven to be extremely
beneficial to their patients.
Medication Reviews Performed by Pharmacists
under the PharmaCheck™ Program
2012-2013 6,232
2013 10,086*
2014
No data available
2015-2016
12,904
*Data from April 1 to Dec. 31, 2013
14
Contributing
to our
Communities
Every year, the NBPA, New Brunswick
College of Pharmacists and the
Canadian Society of Hospital
Pharmacists (New Brunswick Branch)
pay tribute to New Brunswick
pharmacists who make outstanding
contributions to their communities
and to their professions. Those
honoured in 2015 include:
Judith Seymour of Fredericton
Pfizer Consumer Healthcare Bowl of Hygeia Award
The Bowl of Hygeia is the most widely recognized international symbol for the
pharmacy profession and is considered one of the profession’s most prestigious
awards. This award recognizes pharmacists who make outstanding contributions to
their profession and to their communities.
Here are some of the ways colleagues describe Judith Seymour:
“A force to be reckoned with”; “never without a project”; “smart, determined and
fully committed to all she does”; “an inspiration personally and professionally”;
“role model and mentor”.
Judith has been helping patients, building her profession and contributing to her
community for more than 40 years. A graduate of Dalhousie’s pharmacy program in
1972, Judith spent much of her career as a pharmacist and owner at Jean Coutu in
Fredericton. She was instrumental in the development of the methadone program in
her community; her work established guidelines and standards that would eventually
be incorporated into provincial methadone policy directives. She helped update the
Pharmacy Act in both 1983 and again last year, a significant contribution to building
her profession. She has served as President of the New Brunswick Pharmaceutical
Society, chaired Dalhousie University’s Practical Training Program committee that was
responsible for writing student manuals and marking exams. She currently services
on the New Brunswick College of Pharmacists’ Finance Committee. In her community,
Judith has served on the Local Service District in Estey’s Bridge, is a member of 100
Women Who Care, volunteers with the John Howard Society and regularly contributes
her time to committees at local hospitals.
15
This award is given to a member of the college who has contributed outstanding service as a pharmacist
for more than 40 years.
Heather Varner of Saint John
NB College of Pharmacists Lifetime Membership
Heather Varner has dedicated more than four decades to helping patients and contributing to pharmacy in New
Brunswick. It’s common knowledge that Heather could often be found at work long after her shift ended because she
never left any “loose ends”. Patient care has always come first to her. Heather spent much of her career managing the
Lawtons Drugs on Manawoganish Road in Saint John where she was known as an excellent manager who was always
searching for the best way to serve her patients and provide the highest quality care. When Lawtons expanded its
services to Long Term Care homes, Heather did not hesitate to get on board. Thanks to her dedication, leadership and resident care, her Lawtons site was
able to grow to serve 29 facilities and more than 1,200 residents. Now retired, Heather has maintained her licence and continues to help out behind the
pharmacy counter when needed.
This award is given to a member of the New Brunswick College of Pharmacists who has made outstanding
contributions to his or her profession.
Tracie Blakney Paixao of Quispamsis
Meritorious Service Award
Tracie Blakney Paixao is leading the way in this new era of pharmacy practice, and it’s pharmacists like her who will
propel this profession forward. A pharmacist at Shoppers Drug Mart in Quispamsis, Tracie is a strong proponent of the
expanding role of pharmacists by practicing to the maximum scope. She certified as an injector, has taken a lead role
at her pharmacy in medication reviews and is in the process of completing a Travel Health Education Program so she
can add to the services she provides patients during travel consultations. Tracie has embraced pharmacists’ new ability
to assess and treat minor ailments by upgrading her clinical decision-making skills and engaging other members of her team to deliver the highest quality
patient care. Tracie visits local schools to educate students and staff on the use of Epipens, makes house calls to patients who can’t come to the store for
medication reviews or need help using insulin pens or inhalers. She even delivers medication on occasion. She is an excellent example to other pharmacists
on how to integrate enhanced scope activities within their practices.
This award recognizes pharmacists who have demonstrated a commitment to lifelong learning and have
completed advanced training or education.
Jeannie Collins Beaudin of Cap-Pele
Takeda Magnum Opus Award
Jeannie Collins Beaudin is a wonderful example of a pharmacist with a lifelong passion for learning and improving
both her own practice and the profession as a whole. As the former owner of a clinical pharmacy specializing in
specialty compounding, Jeannie has always been enthusiastic about expanding the boundaries of community
pharmacy care and services. She has studied and/or received certification in a number of specialty areas including
skin care, compounding, women’s hormonal health, diabetes management, business management and practice
change. As well as practicing community pharmacy to its optimal levels of personalized patient care, Jeannie was one
of the first practitioners in Canada to regularly bill patients for her specialized professional services. A Pharmacist Educator for the past 12 years, Jeannie has
written educational programs approved by the Canadian Council on Continuing Education in Pharmacy, made presentations at a variety of conferences and
workshops as well as produced live and recorded webinars for pharmacists. She also worked as a Pharmacist Injector Trainer as part of a team at Dalhousie
University that trained and certified pharmacists to administer injections. For nearly a decade, Jeannie has also written a regular pharmacy column for
Rogers Media publications, including Pharmacy Post, DrugStore Canada and Pharmacy Practice Plus. As a consultant, Jeannie helps other pharmacies
transform their practice to one based on pharmacy professional services.
16
This is presented to an individual or group that completes research, a project or a community venture
that enhances and promotes the practice of pharmacy.
Carole Goodine of Fredericton
Award of Special Recognition
A pharmacist for 25 years, Carole Goodine led a project that will truly benefit patients who take warfarin, a high risk
medication. This project was inspired by nurses at the Dr. Everett Chalmers Hospital who recognized that warfarin
education was not consistently provided in the same way or to the same extent in the hospital. With pharmacists
in short supply, the nurses saw the need for a standard teaching toolkit to help properly educate patients. Carole
took the lead on the development of a standardized warfarin patient education tool kit which contained a booklet,
summary sheet, warfarin dosing calendar and video. Since New Brunswick has one of the highest illiteracy rates in Canada, the video has become one of
the most important tools for patients. Carole led a team of pharmacists on this project, which included collaboration with nurses, doctors and hospital
communications staff. This team effort was a creative solution to help meet the medication needs of patients on warfarin. The Canadian Society of Hospital
Pharmacists recognized it as a 2015 Success Story Winner.
Given by the Canadian Society of Hospital Pharmacists (CSHP) New Brunswick Branch, this award
recognizes a member who has contributed to the organization through prolonged service and
involvement.
Jennifer Ryan of Grand Bay-Westfield
Gordon Kane Meritorious Service Award
Jennifer Ryan is known as a master of fostering engagement and an inspirational mentor who inspires individuals
to step outside their comfort zones to achieve their maximum potential. Jennifer has been an active member of
the CSHP (NB Branch) since 1998, including serving as President, Director of Finance as well as chair of the National
Advocacy Committee and the CSHP AGM Host Committee. Jennifer has been a strong advocate for hospital
pharmacy practice. She was instrumental in developing nation-wide advocacy campaigns on a variety of topics
including hospital pharmacist shortages and patient safety campaigns. Jennifer has demonstrated a long-standing commitment to academic excellence,
both personally and in her pursuit of advanced training for her own practice and encouraging others. She helped re-establish the post-graduate residency
training program at the Saint John Regional Hospital and went on to accept an inaugural role as Region Coordinator for Education and Research at Horizon
Health. In this role, she has identified the educational needs of pharmacy staff and developed opportunities to meet them. She has served as a preceptor
and mentor for both pharmacists and medical students to undertake research. In addition to her role at Horizon Health, Jennifer is a pharmacist/owner at
Medicine Shoppe Pharmacy in Grand Bay-Westfield.
This award is presented to a new pharmacist (five years or less since graduation) for exceptional service through innovation or contributions
to his/her community.
Scott Knowles Memorial New Practitioner Service Award
Ashley Sproul of Waterville
Jessica Dorcas of Fredericton
Sarah Alteen of Fredericton
Ashley Sproul is committed to driving her
profession forward and has already made
important contributions to pharmacy in the
five years since she graduated from Memorial
University’s Pharmacy program. Ashley is
the hemodialysis clinic pharmacist at the
Upper River Valley Hospital where she quickly
impressed colleagues with her willingness
to learn and her excellent patient care. She
proactively led a regional pharmacy initiative on
falls prevention, earned her Certified Diabetes
Educator status and has began a research project
on medication compliance aids and adherence
in ambulatory hemodialysis patients. Ashley
is in the midst of completing a non-traditional
post-graduate Doctor of Pharmacy degree with
the University of Colorado and has served as a
preceptor of several undergraduate pharmacy
students.
Jessica Dorcas has proven her ability to provide
outstanding patient care, to embrace expanded
roles for pharmacists and to take a leadership
role in her profession. A Dalhousie Pharmacy
graduate in 2013 and a pharmacy team member
at Medicine Shoppe Pharmacy #192 in the
Fredericton Direct Charge Co-op, Jessica has
taken the lead with the store’s methadone
program as well as medication reviews. She is a
certified injector and has played a significant role
in the pharmacy’s influenza campaigns. Jessica is
known for strong research skills, her professional,
caring approach, positive attitude and her ability
to tackle challenging drug information questions.
Sarah Alteen goes above and beyond for her
patients, whether that be coming into work early,
staying late and providing extra counselling
for those who need it. A Memorial University
Pharmacy graduate in 2011 and a pharmacist
with Lawtons Drugs, Sarah is a certified injector
and Humira trainer. Her attention to detail,
excellent care and personable approach have
earned her a regular following of customers
who trust her advice and even bring her gifts
on occasion to thank her for going the extra
mile. Sarah is passionate about pharmacy,
sees the incredible value that pharmacists
bring to patients and is enthusiastic about
embracing expanded scope opportunities such
as injections, medication reviews and minor
ailment assessments.
17
Oromocto-Lincoln MLA Jody Carr visited with pharmacist Daniel Pike at the Medicine
Shoppe, Fredericton Co-Op during the NBPA’s first Take your MLA to the Pharmacy Day.
Pharmacy remains in transition in New Brunswick and across Canada, and the NBPA
continues to work hard to manage and lead these changes.
2015-16 saw another year when New Brunswick pharmacists were challenged to find new ways to do more, with less. This is especially
difficult as pharmacists try to incorporate new services which are enabled under the Pharmacy Act.
We continued to work on issues in which government policy impacts our profession and patient care. Despite our requests, the
current government has not continued to support our Pharmacy Affairs Working group. As a result, important initiatives such as the
development of a Prescription Monitoring program and an Electronic Health Record have moved ahead differently here than in other
Atlantic provinces. Pharmacists have been asking for an electronic PMP for more than a decade. The development of this initiative is
good news. However, while other provinces have developed a Drug Information System (DIS) which will provide pharmacists with a
complete patient drug profile and enable pharmacists to use their software to get important DUR/DUE messages on ALL prescriptions,
New Brunswick’s plans will simply require pharmacists to login to the Department of Health electronic health record (E.H.R.). This will
put tremendous responsibility and liability on pharmacists, who will now have to use their professional judgment to decide when
18
FACT:
The Canadian Generic Pharmaceutical
Association estimates that for every one
per cent increase in the use of generic
medicine, New Brunswickers would have
saved $8 million in 2013.
NBPA Executive Director Paul Blanchard, NBPA President
Daniel Pike, Health Minister Victor Boudreau and NBPA
Board Member Paula MacNeil.
to look at the E.H.R. and when not to look at it. More importantly,
pharmacists will not be able to use their own DUR tools on all
prescriptions. Nova Scotia, Newfoundland and PEI have developed or
are developing systems that support pharmacists by interacting with
our local pharmacy systems. The same systems we have here in New
Brunswick. The New Brunswick plan frankly isn’t good enough. It puts
patient safety at risk. It will put pharmacists at higher risk of liability.
It will create delays in processing prescriptions. New Brunswick can
do better and the NBPA continues to advocate for the Department to
provide pharmacists with a proper Drug Information System.
Unfortunately, the NBPA has had little success in the past year in
interacting with New Brunswick Health Minister Victor Boudreau.
We had a meeting in January 2015 and have only recently met
again in May 2016. The Minister has been preoccupied by Strategic
Program Review initiatives. Without ministerial support for our
Pharmacy Affairs Working Group, our Memorandum of Understanding
remains expired and our requests for investments in minor ailment
assessments are not supported.
In an effort to bring our issues back to the forefront, we hosted an
MLA Day in Pharmacy on May 30, 2016, which provided MLAs with
an opportunity to see for themselves how New Brunswickers value
pharmacy health services and enable front line pharmacists to be
their own advocates for change by getting to know their local MLAs.
Our relationship with our national body has never been stronger. The
Canadian Pharmacists’ Association (CPhA) is working harder than
ever to provide more member benefits and to advocate on national
issues. This stronger relationship is generating dividends in advocacy.
CPhA has again surveyed Canadians and New Brunswickers through
a national survey provided by ABACUS data. Many of those results are
included in this report. Among these findings, 96 per cent
of New Brunswickers have a positive view of pharmacists
and 56 per cent of New Brunswickers call or visit a pharmacy
BEFORE they seek help from their doctor or after-hours clinic.
These are important results in affirming how important
pharmacists are to the health of New Brunswickers. We are also
working with our national body on development of position
statements on issues related to medical marihuana and
medical aid in dying. New Brunswick pharmacist Alistair Bursey
will assume the Chair of the CPhA this summer at its annual
conference in Calgary.
The NBPA is also developing a new strategic plan this fall
that will guide and re-focus our efforts as we move forward
through the challenges and opportunities ahead. We will
continue to advocate for funding to support assessments for
minor ailments and continue to promote these services to the
public. During the past year, the NBPA has been invited to give
presentations to large employer groups and plan sponsors
and will continue to do so in 2016. These include Medavie’s
largest employer group, the province of New Brunswick’s
Human Resources committee and the New Brunswick Teachers’
Plan. These groups are identifying that assessments for minor
ailments by pharmacists should be part of a client’s Health
Spending Account at minimum and are considering whether
to include them in their suite of benefits. Representatives
from the Canadian Pharmacists’ Association (CPhA) are at
our conference to discuss their initiatives in this area as they
are working with the Canadian Life and Health Insurance
Association (CLHIA) in developing a fee guide, which will serve
as an important benchmark for industry payers.
19
2016 2015 2014 2013 2012
Generic Drug Policy Timeline
20
March
June
December
January
he NB government announced plans to regulate generic drug prices. Also announced increase
T
in dispensing fees to pharmacy, as well as plans to create a Pharmacy Affairs Working Group, to
negotiate an agreement in 2013 and to invest $1.2M in an electronic Drug Information System
to help offset losses to pharmacy.
New Brunswick legislated generic drug prices at 40 per cent of the brand price.
New Brunswick further reduced generic drug prices to 35 per cent of the brand price.
Department of Health postpones plans to invest $1.2M in a Drug Information System.
April
June
The Council of Federation (Canada’s premiers) legislate that six of the largest volume
generic drugs will be regulated at 18 per cent of brand price.
April
The Council of Federation (Canada’s premiers) legislates four more of the largest volume
generic drugs at 18 per cent of brand price.
September
March
April
April
New Brunswick legislates generic drug prices at 25 per cent of brand price.
The NB government and NBPA reach agreement on an MOU to give pharmacies some
much-needed financial predictability.
New Brunswick elects a new provincial government which does not renew the Pharmacy
Affairs Working Group.
The MOU between the NB government and the NBPA
expires.
The Council of Federation (Canada’s premiers) legislates
the next four largest volume generic drugs at 18 per cent
of the brand price.
The Council of Federation (Canada’s premiers)
legislates the next four largest volume generic drugs
at 18 per cent of the brand price.
Lack of Pharmacy Reinvestment Remains a Challenge
New Brunswick pharmacies are continuing to lose significant
revenue as the result of government price regulations, and
reinvestment in pharmacy services has been little to none.
The continuing erosion of pharmacy revenues
presents huge financial challenges to
New Brunswick pharmacies that have seen
approximately $53 million in lost revenues
since 2012.
We can easily estimate that when compared to 2012 revenues,
the average pharmacy in New Brunswick has had to make up
more than $250,000 per year in lost revenues associated with
these government decisions.
The regulations on generic pricing in particular are affecting the
entire market. For example, in 2012 as these regulations were
beginning to take effect, the generic market in our province
accounted for just over 7.1 million prescriptions worth a value
of $170 million. At end of this recent fiscal year, the volume of
generic prescriptions has grown to 8.1 million, but the value has
dropped to $135 million. The total volume of prescriptions that
pharmacists oversee has grown from 11 million to 12.3 million
since 2012. Pharmacists are still very busy, but the revenues
associated with generic drug prices in particular have dropped
dramatically.
The province’s position remains that pharmacies will benefit
significantly from the development of the NB Drug Plan. The NB
Drug Plan is an important social program that we support, but
it should not be considered as an investment in pharmacy. The
program has attracted only 2,500 participants in its first year. In
2014-15, the Department of Health had spent only $7 million on
the NB Drug Plan. In 2015-16 the department is budgeting $17
million will be spent on the NB Drug Plan. This was a plan that
politicians and bureaucrats were telling us would cost more than
$200 million.
The addition of the NB Drug Plan will never come close to making up
for the financial impact on pharmacies related to generic drug price
regulations. The government has taken those savings and put them
elsewhere. They have not made investments in pharmacy services as
other provinces have done.
The New Brunswick government has steadfastly refused to discuss
funding for expanded pharmacist services – despite an election promise
in support of maximizing roles for pharmacists.
New Brunswick has been a national leader in terms of expanded scope
of practice for pharmacists. But when it comes to how many of those
services are publicly-funded, New Brunswick comes second to last
behind Manitoba.
The provincial government funds only two services – some flu shots
and a limited number of medication reviews. A fee for refusal to fill was
negotiated as part of our 2014 MOU but government never enacted this.
While other provinces like Saskatchewan, Alberta and Nova Scotia
compensate their pharmacists for services such as emergency
prescribing, smoking cessation and prescription renewals, New
Brunswick does not.
Services like these provide important and timely benefits to New
Brunswickers. Pharmacists need to be reimbursed for professional
interventions, and we will need to consider all sources of revenues in
this, not just by government.
If patients want expanded scope services from their pharmacists (and
surveys say New Brunswickers do), it seems they will have to pay cash –
despite election campaign promises about this issue on the contrary.
The NBPA will continue to urge government to reinvest savings into
pharmacy services and to compensate pharmacists for their expanded
roles in the health care system. It would be helpful if the Department
reinstated our Pharmacy Affairs Working Group so that we could have a
forum to bring these ideas.
21
22
Manitoba
New
Brunswick
British Columbia
Quebec
Nova Scotia
PEI
Newfoundland
and Labrador
Ontario
Saskatchewan
Alberta
A national comparison of pharmacy services funded by government.
Alberta
Comprehensive annual care plan
Comprehensive annual care plan – Follow up
Standard Medication Management Review
Standard Medication Management Review –
Follow up
Standard Medication Management Review – Diabetes
Specific Care Plan
Standard Medication Management Review – Tobacco
Cessation Specific Care Plan
Administration of Drug by Injection
Prescription Adaptation
Immunization (flu)
Prescription Renewal
Prescription Emergency
Prescribing at Initial Access or to Manage Ongoing
Therapy
Refusal to Fill
Trial Prescription
Saskatchewan
Medication Assessment
Interim Supplies – Continuing of Existing Prescription
Unable to Access Supplies – Continuing of Existing
Prescription
Emergency Situation – Continuing of Existing
Prescription
Insufficient Information
Alter Dosage
Drug Reconciliation
Minor Ailments:
Atopic dermatitis
Dysmenorrhea
Gastroesophageal Reflux Disease (GERD)
Dyspepsia
Musculosketal strains and sprains
Headache
Superficial bacterial skin infections
Hemorrhoids
Tinea skin infections (tinea corporis, tinea cruris,
tinea pedis)
Minor Acne
Cold Sores
Insect Bites
Allergic Rhinitis
Diaper Dermatitis
Oral Aphthous Ulcer
Oral Thrush
Emergency Contraceptive Prescribing
Refusal to Fill
Smoking Cessation
Compliance Packaging
Immunization (flu)
Ontario
MedsCheck
MedsCheck Follow Up
MedsCheck for Diabetes
MedsCheck for Diabetes Follow Up
MedsCheck at Home
MedsCheck for Long Term Resident
MedsCheck for Long Term Resident Follow Up
Pharmaceutical Opinion
Immunization (flu shots)
Smoking Cessation – First Consultation
Smoking Cessation – Primary Follow Up
Smoking Cessation – Secondary Follow Up
Newfoundland and Labrador
Medication Management – Adapting
Medication Management – Change Dosage or Quantity
Medication Management – Complete Missing Information
Medication Management – Non-Formulary Generic
Substitution
Medication Management – Diabetes
Medication Management – Multiple Medications
Antibiotics Counselling – Short Term
COPD - Newly Diagnosed Medication Adherence
Immunizations (Flu Shots and All Injections)
Emergency Prescribing
Refusals to Fill
Therapeutic Substitutions
PEI
Renewal for Continuity of Care
Medication Review and Follow Up
Medication Review (Diabetes) and Follow Up
Refusal to Fill
Medication Management – Provide an Interim Supply
Medication Management – Extending a Prescription
Compliance Packaging
Flu Shots
Therapeutic Substitution
Prescription Adaption
Refusal to Fill (Prescription Monitoring Program)
Therapeutic Substitution (one allowable for PPIs)
Immunization (flu shots)
Prescription Renewal – Continuity of Care
Minor Ailments (demo project for Pharmacare
beneficiaries for skin ailments, cold sores and allergic
rhinitis.
Quebec
Emergency Prescribing Contraception
Refusal to Fill
Renewal Prescription (packaged)
Renewal Prescription (unpackaged)
Pharmaceutical Opinion
Transmission of Drug Profile
On Call Service
Prescription Substitution
Showing How to Administer Medication
Prescribing Lab Work for Therapeutic Monitoring
Prescribing for Minor Ailments
Prescribing a Medication when No Diagnosis Required
Adjusting a Prescription
Extending a Prescription
British Columbia
Medication Review – Standard
Medication Review – Pharmacist Consultation
Medication Review – Follow Up
Immunization (flu)
Refusal to fill
Prescription Renewal
Therapeutic Substitution
Trial Prescriptions
New Brunswick
PharmaCheck
Immunization (flu)
Manitoba
Immunization (flu)
Nova Scotia
Advanced Medication Review
Basic Medication Review
Medication Review Follow Up
23
FACT:
Reimbursement for NB pharmacists is well below other Atlantic Provinces.
New Brunswick pharmacists are paid a dispensing fee of $11.00. Including
transition and inventory allowances, Nova Scotia pays $11.65; Newfoundland
and Labrador pay $11.96; PEI pays $12.00.
Proposals to Government
The NBPA developed two comprehensive proposals to
government detailing ways that pharmacists can help improve
health care for New Brunswickers and save tax dollars.
Minor Ailments
The NBPA proposed the establishment of a pilot program to
reimburse pharmacies for certain minor ailment assessments.
The NBPA proposed that initially, assessments for eight (8)
minor ailments are funded by the Department of Health. These
should include assessments for urinary tract infections (UTI),
cold sores (Herpes Labialis), allergic rhinitis, gastro esophageal
reflux disease (GERD), mild acne, fungal infections of the skin,
impetigo and eczema. The Department has declined to support
this initiative.
24
Immunization
Allowing pharmacists to administer all publicly-funded vaccines
such as those for whooping cough, chicken pox and pneumococcal
infection would increase patient access to these important
injections and free up doctors to handle other patient concerns.
Pharmacists would record these immunizations in real time in an
Electronic Health Record (EHR) managed by the Province in a more
efficient and cost effective manner.
Other Policy Priorities
The NBPA will continue to urge the provincial government to consider the following clinical services proposals that will allow
community pharmacists to help improve access to primary care for patients and reduce health care costs.
Trial Prescription Program
A 14-30 day trial prescription program for new prescriptions with known high incidences of side effects
will reduce drug wastage and reap significant savings. Quebec, Saskatchewan and BC have these
programs in place.
Medication Adherence Services
Increasing medication adherence among patients with chronic conditions through pharmacist
intervention and repeated short-term follow-up when a medication is newly prescribed will decrease
hospitalizations and save money. PEI has recently implemented this type of service.
Pharmacist-led Smoking Cessation Services
A province-wide pharmacy-led smoking cessation program will provide New Brunswickers with the
improved access, medication expertise and ongoing counseling needed to successfully quit smoking.
Chronic Disease Management
In 2008, the Pharmacy Act was amended to enable pharmacists to order and to interpret lab values.
This includes blood work, urine specimens etc. However, due to limitations under the Regional Health
Authorities’ legislation, pharmacists have not been granted “privileges” to order and interpret these
values. Following through with these legislative changes would allow pharmacists to have the resources
they need to help patients manage chronic conditions such as asthma, diabetes as well as provide
anticoagulation (blood thinning) management services. One recent Alberta study found that stroke
survivors gained better control over risk factors like cholesterol levels when a pharmacist actively
adjusted their medications compared with similar patients who received counselling and management
from nurses.
Immunizations
Allowing pharmacists to deliver all publicly funded vaccines such as those for whooping cough, chicken
pox and pneumococcal infection would increase patient access to these important injections and free up
doctors to handle other patient concerns.
Prescription Monitoring Program within a Drug Information System
A Prescription Drug Monitoring program will result in fewer people abusing drugs and requiring
methadone therapy, which will also save precious health care dollars.
Expansion of the NB PharmaCheck™
The further expansion of the NB PharmaCheck™ Program to cover people who have been discharged
from hospital and people with chronic conditions would reduce hospitalizations and save money.
25
New Member Benefits
2015 brought some new benefits to NBPA members. Our District IV
Director Nathan McCormick worked hard this year to secure new
benefits for members:
Preferred Rates for Telus Mobility
Options for two-year rate plans include: $60/month (Est. retail value $95/
month) and $70/month (Est. retail value $115/month). Bonus offers include:
•
•
•
•
•
•
•
$100 in bill credit for new activations
$50 bill credit for upgrades/renewals
A free Gel Skin Case for your smartphone
50% off a car charger
No activation fees
Free shipping anywhere in Canada
Free SIM card with device
NBPA is pleased to be an Organizational Member of the Canadian
Pharmacists Association (CPhA) and to share new member benefits with its
members as a result. Individual pharmacists who are members of the NBPA
automatically belong to CPhA as Associates and have access to new member
benefits. You must register with CPhA to take advantage of your Associate
benefits.
New benefits this year as a result of that collaboration:
• E
xclusive access to the Canadian Pharmacists Travel Affinity program.
Enjoy below-market discounts on all hotels and car rental suppliers
around the world with discounts averaging 10-20 per cent below best
available rates.
CPHA is working on other benefits for our members that are expected to
be finalized in the coming months:
Goodlife Fitness Program: $449/year for member + up to 3 family members
(current regular rate is $897 annually).
Via Corporate Rail Discount Program
American Pharmacists Association membership (APhA): Very significant
discount (50% off regular rate) for members that want to take part.
Other CPhA benefits include:
Canadian Pharmacists Journal (CPJ)
Print (6 issues/year) and online subscription
Save $115 (member price $10; reg. $125)
Your peer-reviewed forum for patient-centred care. CPJ is the voice of
pharmacy practice research in Canada, focusing on the evidence for
pharmacist care.
26
NBPA members receive significant discounts on
CPhA’s range of online continuing professional
development programs, including:
e-Therapeutics Highlights CE
Free for members – (reg. $139)
A weekly CE program helping you stay current with the
latest in evidence-based Canadian drug and therapeutic
information; worth up to 13 CEUs per year. You’ll
automatically receive e-Therapeutics Highlights CE when
you register with CPhA.
Medication Review Services
This program teaches you the skills and components
required for the entire spectrum of the medication
assessment process — from providing a basic
medication review all the way to implementing and
monitoring comprehensive care plans.
Lab Tests
Lab Tests highlights the main lab results that
illustrate the need for, or are affected by drug therapy.
Supplemented by case studies, the course is designed as
a practical program to quickly bring pharmacists up-tospeed in ordering and monitoring lab results.
CANRISK
The scope of pharmacy practice is changing and
pharmacists now have the opportunity to play a greater
role in chronic disease prevention and screening. This
program will help you do just that by teaching you to
use the CANRISK Diabetes Risk Questionnaire in your
pharmacy and screen your patients for their risk of prediabetes and type 2 diabetes.
QUIT
Whether you need a refresher on nicotine replacement
therapies and other smoking cessation aids, or want
to perfect your patient care skills in smoking cessation
counselling and care planning, CPhA’s 5.0 CEU online
QUIT continuing program will enhance your skills,
confidence and ability to provide smoking cessation
services.
ADAPT Patient Care Skills Development Program
Transform your ability to manage your patients’
medication therapy with ADAPT, an innovative, awardwinning, certificate-level, skills development program.
ADAPT participants will trial new skills in practical realworld settings, supported by continuous assessment,
feedback and mentoring by peers and trained
moderators.
Reduced conference registration rates
The Canadian Pharmacists Conference brings together more
than 500 pharmacists and partners from across Canada together
for three days of high-quality networking, education and idea
exchange.
Continuing Education
Access to the Primary Care Pharmacy Specialty Network (PSN)
Free and exclusively for members. Join colleagues from across
Canada in an online forum providing mentorship and support for
pharmacists working in primary care settings.
New Brunswick pharmacists are committed to lifelong learning
and attend workshops and continuing education sessions
throughout the year to further their knowledge and skills. The
NBPA helps facilitate training opportunities throughout the
year, especially at the annual provincial pharmacy conference.
Register or log in today at www.pharmacists.ca/register to access
your new CPhA benefits.
Below are some of the training opportunities offered to NB
pharmacists this year:
Liability Insurance
• Immunization
The NBPA provides liability insurance that meets the standards
required under the Pharmacy Act.
• Minor Ailments
RX Files
•Pharmacy & Health Insurance Steering Coalition – Private
Payer Funding for Pharmacy
NBPA members have access to RxFiles through the members’ area
of our website.
RxFiles is an academic detailing program providing objective,
comparative drug information to clinicians. The program began in
1997 as a service for Saskatoon family physicians.
Pharmacists at Risk
The NBPA and the New Brunswick College of Pharmacists offer an
Employee Assistance Program to pharmacists and their immediate
families called Lifeworks, a confidential resource service that
provides information and support on a wide range of everyday
issues such as addiction and recovery, emotional well-being, grief
and loss, financial, legal, parenting and childcare, retirement,
disability, working and managing people. Lifeworks offers an
award-winning website where members can access information,
confidential advice and support and referrals to local counselors.
(www.lifeworks.com)
The NBPA currently represents pharmacists at the provincial
and national level through membership or participation in:
• Prescription Monitoring Program Update
• Medical Marihuana in New Brunswick
•Reducing Antipsychotic Medication Use Collaboratively
•Antimicrobial Stewardship: Beta-lactam Allergy Management
•Best Practices in Incorporating Technicians into the
Pharmacy Workflow
•Tips and Tools for Medication Assessment in Older Adults
•Chronic Kidney Disease and Medications:
What You Need to Know
•Knowing is Half the Battle: Reviewing the Risks of Handling
Hazardous Drugs
• Top 10 Adult Vaccines
•Postpartum Depression – When Personal and Professional
Experiences Meet
• Review of New Anticoagulants
•SGLT2 Inhibitors and their Role in the Management of Type 2
Diabetes
•Monitoring and Treating Hypertension: How You Can Help
Save A Life
•Out of the Blue: The Role of Code Blue Medications
• The Canadian Pharmacy Affairs Group
• Uncomplicated UTI in Women
• The Canadian Pharmacists Association
• My OSPE Experience
•The NB Department of Social Development’s Medical Expenses
Program
• Assisted Dying and Medical Marijuana
• The Department of Health Medical Advisory Working Group
•The Department of Health Working Group on Medical Assistance
in Dying
•Pharmacy Practice in NB - Navigating the NB Pharmacy Act
& Regulations
• Smoking Cessation
•St. John Ambulance First Aid with CPR Level “C” & AED
• Strategy for Patient-Oriented Research (SPOR)
27
Ask your pharmacist.
We are here to help.
Visit us at: nbpharma.ca
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Year in Review 2015-2016 - New Brunswick Pharmacists` Association

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