Now and How

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Now and How Why Family Health Teams are working
Antony Gagnon, Pharm.D., CDE, CAE Pharmacy
Program Manager Hamilton Family Health Team
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Context
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(No Transcript)
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Composition of Hamilton FHT

• 250,000 patients
• 114 family physicians
• 68 practices
• 40 buildings
• 76 nurses and NPs
• 56 mental health workers
• 17 dietitians
• 12 psychiatrists
• 8 pharmacists (6 FTEs)

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As well

• clinic managers,
• receptionists support staff
• 35 administrative and program staff
• 1.5 2 support staff per physician
• 5-600 people

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Activities and Programs

• Mental Health
• Nutrition
• Nursing
• Pharmacy
• Diabetes
• Asthma
• Tele home care
• Frail elderly
• Obesity

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Hamilton FHT Pharmacy Program Models

• 1- Integrated pharmacists
• 2- Passport to Health pharmacists

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Integrated pharmacists

• Located in the physician offices
• Hired by the Family Health Team, funded by the
  MOHLTC of Ontario

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Integrated Pharmacist Program
March 2006 Creation of a Pharmacy Program
Advisory Committee September 2006 Hiring of the
Pharmacy Program Coordinator Original plan to
have 6 FTEs (including 0.5 FTE for a Program
coordinator) to serve 114 physicians (i.e.,
physician to pharmacist ratio 211). Fall
2006 Survey sent to all physicians to inquire
about desire to get a pharmacist Hiring campaign
designed and implemented Presentations
describing the pharmacy services to the
physicians having expressed the most
interest October 2006 Start of service
delivery Ratio of physicians to pharmacist
changed to approximately 10-121 January 2007 5
new pharmacists added August 2007 1 new
pharmacist addedTotal of 7 pharmacists (4.8
FTEs) serving 53 family physicians 2 Pharm.D.s,
1 Pharm.D. (Cand.) 2 CDEs, 1 CAE, 1 CGP January
2008 1 new pharmacist added (CDE) August
2008 Total of 8 pharmacists (6.0 FTEs) serving 67
family physicians 2 Pharm.D.s, 1 Pharm.D.
(Cand.) 7 CDEs, 1 CAE, 1 CGP
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Which services integrated pharmacists provide?

• Individual referral-based patient assessments
• - Assist with reaching optimal control of a
  chronic disease through improved medication use
• - Therapeutic dilemmas
• - Polypharmacy, medication reviews
• - Determining if patient symptoms may be due to a
  medication
• - Help patients with compliance issues
• - Provide education about medications