Pharmacy professionals with the Practice Advancement Initiative (PAI) 2030 have instituted 59 recommendations to promote optimal, safe, and effective medication use, expand pharmacist and technician roles, and implement the latest technologies.
Pharmacy professionals with the Practice Advancement Initiative (PAI) 2030 have been working to identify changes in health care, and predict where they may lead.1 A program of the American Society of Health-System Pharmacists (ASHP), PAI 2030 has instituted 59 recommendations to promote optimal, safe, and effective medication use, expand pharmacist and technician roles, and implement the latest technologies. 1,2
According to ASHP, recommendations are intentionally aspirational rather than prescriptive, so practitioners can customize implementation plans for their situation and update as conditions evolve.1 Members of the PAI 2030 advisory board shared the recommendations’ highlights, during the ASHP 54th Midyear Clinical Meeting & Exhibition in Las Vegas.2
Five domains have been identified: patient-centered care; pharmacist role, education, and training; technology and data science; pharmacy role, education and training; and leadership in medication use and safety. Under each domain, actions are recommended in patient-, organization-, and profession-focused subdomains.2
Presented by Meghan D. Swarthout, PharmD, MBA, BCPS, the patient-centered care domain focused on the themes of engagement with patients, families, and caregivers; continuum of care; innovative 24/7 models; lead medication education; and documentation and information transparency.
Patient advocacy of the past has moved to include patients and caregivers in health care decision-making, Swarthout said. “How are we finding and using the voice of the patient?” she asked.
PAI 2030 recommends that pharmacy professionals engage in Patient and Family Advisory Councils (PFACs) by introducing PFAC members to pharmacy services, and involving them in pharmacy projects and committees. The initiative also recommends:
Pharmacist role, education, and training2
Swarthout also shared the themes of the pharmacist role, education, and training domain. They include: a continuing professional development plan; pharmacist prescribing; credentialing and privileging; board certification; behavioral, and mental health skills, and training; ambulatory pharmacists as primary care providers; and national or multistate licensure.
According to Swarthout, pharmacy professionals should work to elevate the status of pharmacists among health care peers. Applying that notion to practice could include:
Technology and data science2
Heath technology will continue to have a significant impact on pharmacy, according to presenter Joseph Lassiter, PharmD, MS, BCPS, CPHIMS. However, he said information technology needs to work across state lines, between health systems, and between professions.
“Interoperability is key,” said Lassiter. “All of these systems need to talk to each other.”
Among the PAI 2030 recommendations for technology and data science:3
“Telepharmacy can better assist patients who lack access to care,” Lassiter added. “What an exciting time to be a part of health system pharmacy practice.”
Pharmacy technician role, education and training2
“We are the smallest domain,” quipped presenter Julie F. Lanza, CPhT, CSPT.
PAI 2030 is calling for pharmacy technicians participation is advanced roles for all practice settings. The 6 recommendations for this domain focus on advocacy and organizational support for advancing the role of these professionals. Lanza said this role is no longer a job, but a career, and one that calls for more education, training, and certification.
“It’s all going to be trial-and-error when you put technicians in advanced roles, if you don’t already have them there,” said Lanza. “The way to support and watch this be successful for technicians is recognition of competencies.”
Lanza cited the success pharmacies have had with technicians administering vaccinations. “Technicians providing vaccinations free up copious amounts of time for pharmacists,” she said.
One challenge for advancing the role of pharmacy technicians is that every state has different criteria and opportunities. “There should be some kind of career path or career ladder, but there should be uniform education for entry-level technicians,” said Lanza.
To that end, PAI 2030 recommends:3
Leadership in medication use and safety2
PAI 2030 supports pharmacist-led pharmacogenomic and medication stewardship at local, state, and national levels.3 That leadership should support staff well-being and resiliency, and interprofessional innovation centers, as well as diversity, equity, and inclusion.
According to presenter, John S. Clark, PharmD, MS, BCPS, FASHP, recommendations for leadership in medication use and safety includes policy influence for patients and population health, and developing opportunities for interdisciplinary problem solving around patient care.
Other PAI 2030 recommendations include:3
The moderator for the session—entitled “Generating National Impact with the Practice Advancement Initiative (PAI) 2030”—was Eric M. Maroyka, PharmD, BCPS.