Harmonizing Kidney Function Assessment for Medication-Related Decisions
- APhA supports the systematic transition from Cockcroft-Gault estimated creatinine clearance to race-free estimated glomerular filtration rate adjusted for body surface area (eGFRBSAadj) as the preferred kidney function measure to inform medication-related decision making in adults.
- APhA advocates for race-free eGFRBSAadj as the preferred standard for medication-related decision making for adults in PharmD curricula and licensing/board certification examinations.
- APhA encourages expanded research evaluating race-free eGFRBSAadj use in medication-related decision making in adults using measured GFR, drug concentrations, or pharmacokinetic modeling as a comparator, especially for subgroups of adults usually underrepresented in clinical trials.
Primary Care in Pharmacy
- APhA supports the integration of pharmacists as providers of primary care services to address acute health issues, improve management of chronic disease, coordinate care, and provide preventive care.
- APhA advocates for government and private entities to add community pharmacy as a recognized place of service for the delivery of pharmacist-led primary care services
- APhA calls for payment parity for primary care services provided by a pharmacist through the patients’ medical benefit.
- APhA supports the application of the standard of care regulatory model to guide pharmacists’ delivery of primary care services.
- APhA supports increasing public awareness of pharmacist-led primary care services.
Interoperability of Communications Among Health Care Providers to Improve Quality of Patient Care
- APhA supports the establishment of secure, portable, and interoperable electronic patient health care records.
- APhA supports the engagement of pharmacists with other relevant communities in the development and implementation of multidirectional electronic communication systems to improve patient safety, enhance quality care, facilitate care transitions, increase efficiency, and reduce waste.
- APhA advocates for the inclusion of pharmacists in the establishment and enhancement of electronic health care information technologies and systems that must be interoperable, HIPAA compliant, integrated with claims processing, updated in a timely fashion, allow for data analysis, and do not place disproportionate financial burden on any one health care provider or relevant party.
- APhA advocates for pharmacists and other health care providers to have access to view, download and transmit electronic health records. Information shared among providers using a health information exchange should utilize a standardized secure interface based on recognized international health record standards for the transmission of health information.
- APhA supports the integration of federal, state, and territory health information exchanges into an accessible, standardized, nationwide system.
- APhA opposes business practices and policies that obstruct the electronic access and exchange of patient health information because these practices compromise patient safety and the provision of optimal patient care.
- APhA advocates for the development of systems that facilitate and support electronic communication between pharmacists and prescribers concerning patient adherence, medication discontinuation, and other clinical factors that support quality care transitions.
- APhA supports the development of education and training programs for pharmacists, student pharmacists, and other health care professionals on the appropriate use of electronic health records to reduce errors and improve the quality and safety of patient care.
- APhA supports the creation and non-punitive application of a standardized, interoperable system for voluntary reporting of errors associated with the use of electronic health care information technologies and systems to enable aggregation of protected data and develop recommendations for improved quality.
Artificial Intelligence Use in Pharmacy Practice
- APhA opposes the replacement of a pharmacist’s professional judgment or patient’s access to their pharmacist with artificial intelligence.
- APhA calls on the profession of pharmacy and all related organizations to proactively assess and respond to the evolving role of artificial intelligence in pharmacy practice and workforce dynamics.
- APhA encourages judicious use of artificial intelligence by pharmacists and pharmacy personnel as a tool to elevate pharmacy practice and enhance patient care.
- APhA advocates for the integration of pharmacists into the development, design, validation, implementation, and maintenance of artificial intelligence solutions.
- APhA calls on regulatory bodies, employers, and other relevant parties to develop laws, regulations, and policies as applicable for artificial intelligence to ensure patient safety, privacy, public awareness, and public protection.
- APhA calls on those providing artificial intelligence solutions to implement processes that identify and mitigate bias and misinformation in artificial intelligence.
- APhA advocates for education providers to facilitate, and pharmacy personnel to seek out, education and training on the lawful, ethical, and clinical use of artificial intelligence.
Community Pharmacy Methadone Dispensing for Opioid Use Disorder
- APhA supports changes in laws, regulations, and policies to permit DEA-registered and trained opioid treatment program clinicians and other providers the ability to prescribe methadone for opioid use disorder and refer patients for additional services as needed.
- APhA supports changes in laws, regulations, and policies to permit community pharmacy dispensing of methadone for opioid use disorder and appropriate compensation for these services.
- APhA supports partnerships and collaborations to increase patient access to opioid treatment programs (OTPs) and clinicians.
- APhA advocates for interprofessional education on laws, regulations, and policies regarding office-based prescribing and community pharmacy dispensing of methadone in curricula, postgraduate training, and continuing professional development programs of all health professions.
Creating Safe Work and Learning Environments for Student Pharmacists, Pharmacists, and Pharmacy Technicians
- APhA strongly believes that all pharmacists, student pharmacists, and pharmacy technicians should be safe in their work and learning environments and be free from firearm-related violence.
- APhA strongly recommends that technician training programs, schools and colleges of pharmacy, postgraduate training programs, and employers should develop programs to increase readiness in the event of an active shooter.
- APhA strongly believes pharmacists, student pharmacists, and pharmacy technicians should be trained to recognize and refer patients at high risk of violence to themselves or others.
- APhA encourages pharmacists, student pharmacists, and pharmacy technicians who are survivors of firearm-related violence to seek the help of counselors and other trained mental health professionals.
Cybersecurity in Pharmacy
- APhA advocates for implementation and maintenance of cybersecurity systems, safeguards, and response mechanisms to mitigate risk and minimize harm or disruption for all pharmacies and related parties who manage or access electronic health and business information.
- APhA advocates for all pharmacies and related business entities responsible for electronic health and business information to have cyber liability insurance or an equivalent self-funded plan to protect all relevant parties in the event of a cyberattack and data breach.
- APhA advocates for education providers to facilitate, and pharmacy personnel to seek out, education and training on cybersecurity laws, regulations, and best practices.
Efforts to Reduce the Stigma Associated with Mental Health Disorders or Diseases
- APhA encourages all stakeholders to develop and adopt evidence-based approaches to educate the public and all health care professionals to reduce the stigma associated with mental health diagnoses.
- APhA supports the increased utilization of pharmacists and student pharmacists with appropriate training to actively participate in the care of patients with mental health conditions as members of interprofessional health care teams in all practice settings.
- APhA supports the expansion of mental health education and training in the curriculum of all schools and colleges of pharmacy, postgraduate training, and within continuing professional development programs.
- APhA supports the development of education and resources to address health care professional resiliency and burnout.
Patient-Centered Care of People Who Uset Non-Medically Sanctioned Psychotropic or Psychoactive Substances
- APhA encourages state legislatures and boards of pharmacy to revise laws, regulations, and policies to support the patient-centered care of people who use non-medically sanctioned psychotropic or psychoactive substances.
- To reduce the consequences of stigma associated with drug use, APhA supports the expansion of interprofessional harm reduction education in the curriculum of schools and colleges of pharmacy, postgraduate training, and continuing professional development programs.
- APhA encourages pharmacists to initiate, sustain, and integrate evidence-based harm reduction principles and programs into their practice to optimize the health of people who use non-medically sanctioned psychotropic or psychoactive substances.
- APhA supports pharmacists’ roles to provide and promote consistent, unrestricted, and immediate access to evidence-based, mortality- and morbidity-reducing interventions to enhance the health of people who inject nonmedically sanctioned psychotropic or psychoactive substances and their communities, including sterile syringes, needles, and other safe injection equipment, syringe disposal, fentanyl test strips, immunizations, condoms, wound care supplies, pre- and post-exposure prophylaxis medications for human immunodeficiency virus (HIV), point-of-care testing for HIV and hepatitis C virus (HCV), opioid reversal agents, and medications for opioid use disorder.
- APhA urges pharmacists to refer people who use nonmedically sanctioned psychotropic or psychoactive substances to specialists in mental health, infectious diseases, and substance use disorder treatment; to housing, vocational, harm reduction, and recovery support services; and to safe consumption facilities and syringe service programs.
Use of Social Media
- APhA encourages the use of social media in ways that advance patient care and uphold pharmacists as trusted and accessible health care providers.
- APhA supports the use of social media as a mechanism for the delivery of patient-specific care in a platform that allows for appropriate patient and provider protections and access to necessary health care information.
- APhA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development.
- APhA affirms that the patient’s right to privacy and confidentiality shall not be compromised through the use of social media.
- APhA urges pharmacists, pharmacy technicians and student pharmacists to self-monitor their social media presence for professionalism and that posted clinical information is accurate and appropriate.
- APhA advocates for continued development and utilization of social media by pharmacists and other health care professionals during public health emergencies.
Introductory Pharmacy Practice Experience
APhA supports a collaborative effort amongst relevant parties' (e.g., professional pharmacy organizations, deans, faculty, preceptors, and student pharmacists) to develop and implement a nationally defined set of competencies to assess the successful completion of introductory pharmacy practice experiences (IPPEs). APhA believes that these competencies should reflect the professional knowledge, attitudes, and skills necessary for entry into advanced pharmacy practice experiences (APPEs).
Pharmacy Schools’ Curriculum and Contemporary Pharmacy Needs
- APhA supports adopting and maintaining continuous quality improvement processes at the national school/college level to identify differences between contemporary pharmacy practice and curriculum offerings, and to provide information and resources to encourage up-to-date curricula.
- APhA encourages pharmacists to cooperate with schools and colleges of pharmacy by participating as preceptors and permitting their practices to be used as experiential sites.
Use of Genomic Data Within Pharmacy Practice
- APhA emphasizes genomics as an essential aspect of pharmacy practice.
- APhA recognizes pharmacists as the health care professional best suited to provide medication-related consults and services based on a patient’s genomic information. All pharmacists involved in the care of the patient should have access to relevant genomic information.
- APhA supports processes to protect patient data confidentiality and opposes unethical utilization of genomic data.
- APhA demands payers include pharmacists as eligible providers for covered genomic interpretation and related services to support sustainable models that optimize patient care and outcomes.
- APhA urges pharmacy management system vendors to include functionality that uses established and adopted electronic health record standards for the exchange, storage, utilization, and documentation of clinically actionable genetic variations and actions taken by the pharmacist in the provision of patient care.
- APhA recommends pharmacists and pharmaceutical scientists lead the collaborative development of evidence-based practice guidelines for pharmacogenomics and related services.
- APhA recommends the inclusion of pharmacists and pharmaceutical scientists in the collaborative development of pharmacogenomics clinical support tools and resources.
- APhA encourages pharmacists to use their professional judgment and published guidelines and resources when providing access to testing or utilizing direct-to-consumer genomic test results in their patient care services.
- APhA urges schools and colleges of pharmacy to include clinical application of genomics as a required element of the Doctor of Pharmacy curriculum.
- APhA encourages the creation of continuing professional development and post-graduate education and training programs for pharmacists in genomics and its clinical application to meet varying practice needs.
- APhA encourages the funding of pharmacist-led research examining the cost effectiveness of care models that utilize pharmacists providing genomic services.
Professional Development of Student Pharmacists
- APhA believes that it is essential to integrate professionalism throughout a student pharmacist’s educational experience.
- APhA will assist schools and colleges of pharmacy to develop and utilize recruitment materials that emphasize the professional role and responsibilities associated with the provision of pharmaceutical care.
- APhA supports schools and colleges of pharmacy interviewing candidates during the admissions process to assess their characteristics for the potential for development of professional attitudes and behaviors.
- APhA recommends that schools and colleges of pharmacy administer the model pledge of professionalism, as developed by the APhA-ASP/American Association of Colleges of Pharmacy Council of Deans Task Force on Professionalism, to all student pharmacists.
- APhA encourages schools and colleges of pharmacy and the American Association of Colleges of Pharmacy to develop and implement ongoing programs for faculty, staff, preceptors, and other mentors to enhance their ability to serve as role models and teach professionalism.
- APhA supports the continuation of a forum for faculty, students, preceptors, and others to establish and foster mentor relationships.
Discontinuation of the Sale of Tobacco Products in Pharmacies and Facilities That Include Pharmacies
- APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.
- APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.
- APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.
- APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.
- APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.
- APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.
Health Information Technology
- APhA supports the delivery of informatics education within pharmacy schools and continuing education programs to improve patient care, understand interoperability among systems, understand where to find information, increase productivity, and improve the ability to measure and report the value of pharmacists in the health care system.
- APhA urges that pharmacists have read/write access to electronic health record data for the purposes of improving patient care and medication use outcomes.
- APhA encourages inclusion of pharmacists in the definition, development, and implementation of health information technologies for the purpose of improving the quality of patient-centric health care.
- APhA urges public and private entities to include pharmacist representatives in the creation of standards, the certification of systems, and the integration of medication use systems with health information technology.
Pharmacist’s Role in Patient Safety
- It is APhA’s position that patient safety initiatives must include pharmacists in leadership roles.
- APhA encourages dissemination of best practices derived from nationally aggregated reporting data systems to pharmacists for the purpose of improving the medication use process and making informed decisions that directly impact patient safety and quality.
- APhA encourages the profession of pharmacy to continually review and evaluate ways to enhance training, curricula, continuing education and accountability of pharmacists to improve patient safety.
- APhA encourages risk management and post-marketing surveillance programs to be standardized and include infrastructures and compensation necessary to allow pharmacists to support these patient safety programs.
- APhA supports the creation of voluntary, standardized and interoperable reporting systems for patient safety events to minimize barriers to pharmacist participation and to enable aggregation of data and improve quality of medication use systems. The system should be free, voluntary, non-punitive, easily accessible, and user friendly for all providers within the healthcare system.
- APhA supports the elimination of hand-written prescriptions or medication orders.
Regulation of Student Pharmacists’ Practice Experience
- APhA encourages state boards of pharmacy to use the title “student pharmacist” to identify all students enrolled in their professional years of pharmacy education in an Accreditation Council for Pharmacy Education (ACPE) accredited program.
- APhA encourages state boards of pharmacy to permit a student pharmacist to perform the duties of a pharmacist within the applicable state’s scope of practice under a pharmacist’s supervision. Preceptors shall consider the experience and education of student pharmacists when providing pharmacy practice opportunities.
Payment System Reform Curriculum
APhA encourages the colleges and schools of pharmacy to incorporate the concept of payment system reform throughout the curricula for all professional programs, and should work with pharmacy organizations to ensure the integration of these concepts into practitioners’ continuing development.