PharmWeb

Survey of Paid Professional Activities of Pharmacists
(Cognitive Services)

Dear Colleagues:

The health care environment is constantly changing and it is well documented that pharmacists have to not only dispense medications but also counsel patients and provide consultation to physicians and other prescribers. In addition, those pharmacists' professional activities may include the selection of appropriate medications, drug utilization review, monitoring medications, and advice for patients. This type of change in the professional activities of pharmacists indicates that these individuals should get paid not only for dispensing medications, but also for other professional activities (cognitive services). Our preliminary survey shows that in some cases in Canada, a pharmacist can get paid not only for dispensing a prescription that he/she receives, but also reporting to the physician that the medication written is not required for the particular patient. In Japan, each time a pharmacist detects a drug interaction he/she gets paid by the health insurance system. There exists in the United States a drug information center operated by a fee per service system. At this stage it seems that unless a fee system for professional services is developed, the activities described above are unlikely to be performed satisfactorily. Based on our preliminary survey, we would like to perform a world-wide survey. An agreement has been made between FIP and the authors to conduct a survey in conjunction with PharmWeb and FIP with the support of an educational grant from Glaxo Welcome. Your cooperation and time is appreciated. Results will be analyzed by the authors and reported at the 57th FIP meeting.

Sincerely yours,

Mary Lea Harper-Gora, PharmD
Assistant Professor of Clinical Pharmacy
Director, Drug Information Center
College of Pharmacy
University of Kentucky
Lexington, KY
USA

Eiichi Akaho, PhD
Associate Professor of Pharmacy
Kobe Gakuin University
Kobe, Japan
and Visiting Scientist
College of Pharmacy
University of Kentucky
Lexington, KY
and the United
States Pharmacopoeia, USA

Keith W. Johnson, R.Ph.
Director and Vice President
United States Pharmacopeia
Rockville, MD, USA

Please fill in and/or check the appropriate number in the following questionnaire and please send it back to us by June 15 (Sun). Analysis of an international survey in several currencies is not practical and, since most people can convert their own currency to US dollars easily, we hope you will be able to use the US dollar as the monetary currency for this questionnaire. If you need help converting currency please go to the Universal Currency Converter.

I. Demographic Data

a) First name Middle initial Last name

b) mailing address

c) Name of company/institution

d) Gender: 1 Male, 2 Female

e) Are you representing an organization (or association ) to fill this questionnaire? Yes, No
If yes, please specify:

f) Type of practice site: Community pharmacy, Hospital pharmacy, other
If other, please specify:

g) How is the payment system for professional activities (cognitive services) conducted?
It is paid based on each professional activity (service) a pharmacist provides
It is paid based on the hours a pharmacist spends for those professional activities (services)
It is not specified. Therefore, it is up to a pharmacist whether he/she conducts those activities (services) or not.
No payment system for those activities exist.
Other. Please specify:

h) Who establishes the payment system for professional activities?
government institution insurance organization others
If others, please specify:

i) Any other comment.

j) Today's date; year, month , day

k)Name of your country


II. Outpatient Pharmacy Practice

a) The amount of US$ paid for detecting drug interaction is $per. The condition for the payment is that

As an example of answering the above question - The amount of US$ paid for detecting drug interaction is (US$ 2.00) per (prescription). The condition for the payment is that (a pharmacist detected a drug interaction in the prescription and the physician changed the prescription based on the pharmacist's advice).

b) The amount of US$ paid for giving a patient instruction in taking medication is $ per . The condition for the payment is that .

c) The amount of US$ paid for advising a physician for some change in the prescription is $per. The condition for the payment is that

d) The amount of US$ paid for advising a physician not to prescribe a medication is $per. The condition for the payment is that

e) The amount of US$ paid for taking a drug history for a patient is $Per. The condition for the payment is that

f) The amount of US$ paid for counseling a patient for a particular medication is $per. The condition for the payment is that

g) The amount of US$ paid for other professional activities is $per. The condition for the payment is that

h) The amount of US$ paid for other professional activities is $per. The condition for the payment is that

i) Any comment.

III. Inpatient Pharmacy Practice

There must be a variety of ways to encourage paid cognitive services in the hospital practice. Therefore, we would like you to write in a form of free style following the example shown below to describe what exists as a paid cognitive service system.

a) $perperis paid for

As an example of answering the above question - (US$ 100.00)per (patient) per (month) is paid for (a pharmaceutical care conducted by a pharmacist. The pharmaceutical care should include a routine drug monitoring, bedside counseling, documentation of the pharmaceutical care).

b) $perperis paid for

c) $perperis paid for

d) $perperis paid for

e) $perperis paid for

f) Any comment.

This form may take a few minutes to process. Thank you for your time.


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