scholarly journals Administration, Billing, and Payment for Pharmacy Student-Based Immunizations to Medicare Beneficiaries at Mobile Medicare Clinics

Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 22
Author(s):  
Joseph Woelfel ◽  
Edward Rogan ◽  
Rajul Patel ◽  
Winnie Ho ◽  
Hong Nguyen ◽  
...  

Training student pharmacists to administer vaccinations requires a substantial investment in vaccines, supplies, and time. Few schools of pharmacy seek out or receive any reimbursement for the provision of vaccines, despite the fact it is a covered service. This study sought to implement, deliver, and demonstrate an innovative, financially sustainable curriculum-based immunization program by trained pharmacy students as part of their experiential learning. Thirty-nine community health clinics targeting Medicare beneficiaries were conducted throughout Northern/Central California during Medicare’s fall open enrollment periods between 2014–2016. American Pharmacists Association (APhA)-trained student pharmacists (under licensed pharmacist supervision) administered 1777 vaccinations. Vaccines were billed via a secure Health Insurance Portability and Accountability Act of 1996 (HIPAA)-compliant web-based portal. The total net income was $11,905 and $8032 for 2015 and 2016, respectively. Return on investment was greatest for the influenza vaccine > Tdap > pneumococcal. Pharmacy students are already being trained to provide immunizations and can utilize their skills to deliver financially viable public health programs.

2017 ◽  
Vol 10 (2) ◽  
Author(s):  
Gigi Rain Ella Wickham

Black Canadians are more likely to suffer health disparities compared to the majority of the population. This is an issue in regards to equity, where some people are not given the right tools needed for physical and/or mental wellness and prosperity. Black-White disparities are partially caused by socio-economic status (SES), sociocultural factors and the social determinants of health. According to public health studies, racism and perceiveddiscrimination, income, poverty and other factors affect adherence to physician referrals or advice and overall health among Black populations. Additionally, Afro-Caribbean cultures suffer from various health issues, such as obesity and hypertension, at a higher incidence than their White counterparts. Research shows that Community Health Clinics (CHCs) like TAIBU CHC in Scarborough, Ontario are likely to be effective in addressing disparities, as they provide care to those who need it most. To coordinate effective care to a specific community, they are using linguistic, sociocultural, evidential and other strategies. With these programs, however, it is important to still view the individual as having specific needs and issues and not just as a reflection of their culture when implementing cultural competence.Les Canadiens noirs font face à des disparités en matière de santé par rapport au reste de la population. Ceci est une question d’équité, car certaines personnes n’ont pas les outils nécessaires pour leur bien-être physique et/ou mental. Ces disparités sont partiellement causées par leur statut socioéconomique (SSE), les facteurs socioculturels et les déterminants sociaux de santé. Selon des études de santé publique, des facteurs tels que le racisme, la discrimination, le revenu et la pauvreté affectent l’adhésion des patients à des conseils médicaux ainsi que la santé globale de la population noire. En outre, la population afro-caribéenne souffre de problèmes de santé comme l’obésité et l’hypertension à une incidence plus élevée que leurs homologues blancs. La recherche montre que les cliniques de santé communautaire (CSC) comme TAIBU CHC à Scarborough, Ontario peuvent être efficaces en adressant les disparités, car elles fournissent des soins à ceux qui ont le plus besoin. Pour coordonner des soins efficaces pour une communauté spécifique, elles utilisent des stratégies linguistiques, socioculturelles, évidentielles, entre autres. Avec ces programmes, cependant, il reste important de répondre aux besoins individuels de la population tout en tenant compte de la culture lors d’une mise en oeuvre de compétences culturelles.


2020 ◽  
pp. 127-134
Author(s):  
RAMADAN MOHAMED ELKALMI ◽  
MOHAMED HASSAN ELNAEM ◽  
AZYYATI MOHD. SUHAIMI ◽  
ABDULKAREEM MOHAMED ELSHAMI ◽  
ABDULRAHMAN FATA NAHAS ◽  
...  

Objectives: To explore pharmacy students’ attitudes, satisfaction, and feedback regarding the introduction of a new project-based learning (PrBL) module in a Bachelor of Pharmacy (B.Pharm.) curriculum in a Malaysian public university. Method: A pre-tested, validated 33-item web-based questionnaire was administered to third-year undergraduate pharmacy students in a Malaysian school of pharmacy (n=102). The grading and assessment tools consisted of a group-based research proposal, final project presentation, and final project report. Descriptive and inferential data analyses were performed using SPSS version 22. A p-value ≤0.05 was considered statistically significant. Results: There was good receptiveness, positive attitude, and satisfaction towards the PrBL module among the study participants. The vast majority of the students (94.1%) believed that the module helped them in learning a topic that they did not know previously and found that it was fun and entertaining to work with friends. Many of students revealed that the PrBL increased their desire to learn and improve their communication skills (76.9%). Also, they agreed that the PrBL module was suitable to prepare them for future practice and problem solving (72.5%). About half of the students (48.0%) expressed their desire for future courses to adopt a PrBL approach. Overall, the majority of students indicated that they were satisfied with the performance of their supervisors (79.4%) and their supervisors made the aims and objectives of the module clear from the outset (65.7%). Conclusion: A new PrBL module was received with good levels of satisfaction, and it is feasible to introduce such modules in other pharmacy programmes in Malaysia. Good PrBL design, a proper educational environment, and well- trained supervisors assisted in the implementation of the module. Feedback from students and preceptors is essential in module enhancement to accommodate their evolving demands and expectations.


2015 ◽  
Vol 22 (08) ◽  
pp. 1007-1011
Author(s):  
Iram Saddiqa Aamir ◽  
Shazia Shakoor ◽  
Khalid Siddiqui ◽  
Usama Khalid Choudary ◽  
Alina Atif

Objectives: Urticaria is a condition in which itchy red bumps or wheals appearon the skin unexpectedly. There are two main types ,acute condition which last for up to sixweeks while chronic idiopathic urticaria (CIU) last for more than six weeks. There are multiplefactors in causation of chronic idiopathic urticaria (CIU) and therefore association with elevatedthyroid stimulating hormone (TSH) was evaluated in this study. Study Design: Prospectivecase control. Setting: Department of Physiology Dow University of Health Sciences Karachi.Period: December 2004 to January 2006. Subjects / Patients and Methods: A total number ofninety subjects/patients were enrolled. They were divided in three groups having 30 subjects/patients in each group. Group A consist of diagnosed cases of chronic urticaria. Group Bconsist of diagnosed cases of hypothyroidism and group C consist of age and sex matchedhealthy subjects. In all selected patients/subjects, serum antithyroid autoantibodies and thyroidprofile (serum TSH, T3 and T4), complete blood count, IgE levels, ESR were done. All patientswere selected from dermatology and medical units of civil hospital, Agha Khan Hospital, JPMCand community health clinics in Karachi. Results: Out of 90 patients, 47(78%) were found tohave chronic urticaria compared to control. Out of 47 patients , serum TSH (thyroid stimulatinghormone) was found to be elevated in 20(42.6%) patients with or without hypothyroidismcompared to control group.(P <0.001) Conclusion: Statistically significant association wasfound between elevated serum TSH and chronic urticaria symptoms.


JAMA ◽  
1968 ◽  
Vol 203 (10) ◽  
pp. 902-903
Author(s):  
E. M. Pattison

Pharmacy ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 139
Author(s):  
Maria Gustafsson ◽  
Sofia Mattsson

Distance education is becoming more and more common, and today distance education is well established within academic settings. The aim was to investigate first-year pharmacy students’ expectations and perceptions of web-based pharmacy programs and of their future profession. Furthermore, student characteristics were compared over time. A questionnaire was distributed to all first-year students admitted to the pharmacy programs at Umeå University in 2017. The students were asked questions about their background, motives for choosing pharmacy education, and their expectations and perceptions of their education and profession. Factors of most importance when choosing the education were: the education is interesting, leads to an interesting job, and is web-based. The students’ expectations of the education were high, and they want to learn as much as possible and be well prepared for their future profession. Regarding the students’ perception of their future profession, three themes were identified: to help other people, professional development, and employment related issues. Student characteristics have changed over the years, suggesting that the web-based pharmacy education and the flexibility it entails attracts other groups of students today compared with when the programs started.


2017 ◽  
Vol 4 ◽  
pp. 233339281773452 ◽  
Author(s):  
Praise O. Iyiewuare ◽  
Colleen McCullough ◽  
Allison Ober ◽  
Kirsten Becker ◽  
Karen Osilla ◽  
...  

Introduction: Community health clinics (CHCs) are an opportune setting to identify and treat substance misuse. This study assessed the characteristics of patients who presented to a CHC with substance misuse. Methods: Personnel at a large CHC administered a 5-question screener to patients between June 3, 2014, and January 15, 2016, to assess past 3-month alcohol use, prescription opioid misuse, or illicit drug use. We stratified screen-positive patients into 4 diagnostic groups: (1) probable alcohol use disorder (AUD) and no comorbid opioid use disorder (OUD); (2) probable heroin use disorder; (3) probable prescription OUD, with or without comorbid AUD; and (4) no probable substance use disorder. We describe substance use and mental health characteristics of screen-positive patients and compare the characteristics of patients in the diagnostic groups. Results: Compared to the clinic population, screen-positive patients (N = 733) included more males ( P < .0001) and had a higher prevalence of probable bipolar disorder ( P < .0001) and schizophrenia ( P < .0001). Eighty-seven percent of screen-positive patients had probable AUD or OUD; only 7% were currently receiving substance use treatment. The prescription opioid and heroin groups had higher rates of past bipolar disorder and consequences of mental health conditions than the alcohol only or no diagnosis groups ( P < .0001). Conclusions: Patients presenting to CHCs who screen positive for alcohol or opioid misuse have a high likelihood of having an AUD or OUD, with or without a comorbid serious mental illness. Community health clinics offering substance use treatment may be an important resource for addressing unmet need for substance use treatment and comorbid mental illness.


2016 ◽  
Vol 23 (3) ◽  
pp. 287-308 ◽  
Author(s):  
Melissa A. Rodgers ◽  
Jeane Ann Grisso ◽  
Paul Crits-Christoph ◽  
Karin V. Rhodes

Community health workers (CHWs) provide peer support in diverse health care settings, but few studies have evaluated CHW interventions for intimate partner violence (IPV). We assessed the feasibility, acceptability, and safety of CHW outreach in four urban community health clinics and characterized the experiences and barriers to providing safe and effective services for women experiencing IPV. CHWs successfully enrolled and engaged IPV victims, who indicated satisfaction and increased safety with program participation. However, complex psychosocial barriers prevented many from achieving safety and security. More work is needed to assess the impact of well-integrated IPV-trained CHWs in primary care medical homes.


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