Embed Size (px)
Citation preview
Zachary Green, CPhTPartnership Development Manager
I, Zachary Green, disclose no vested interest or affiliation with any corporate organization offering financial support or grant monies for this continuing education activity. I am, however, an employee of PTCB.
OVERVIEW
• PTCB History & Mission
• Technician Roles
• Technician Regulations
• Getting Involved
• PTCB Initiatives
• Presentation Trivia
• Questions?
A competent pharmacy technician workforce will be fundamental to advancing the patient care role of
pharmacists in the FUTURE.
Learning Objectives
• Describe the impact recent changed within the pharmacy profession will have on pharmacy technicians
• Identify evolving roles of pharmacy technicians and their opportunities in advancing care
• Identify the state-by-state regulatory landscape and how to get involved outside of the workplace
Mission: PTCB advances medication safety by certifying technicians who are qualified to support pharmacists and patient care teams in all practice settings.
Vision: PTCB sets the standard for certification of technicians that improves medication safety and patient care.
Mission and Vision
• Improve patient care, outcomes, and access
• Provide resources to further enable the evolution of pharmacy technician roles
• Elevate standards within the profession to meet the demands of the growing healthcare system
PTCB’s Goals
The Beginning
“Pharmacy technicians” did not exist.
Instead:
• Clerks
• Cashiers
• Pharmacy assistants
Responsible for:
• Accepting payment
• Filling bottles
• Administrative duties
• 1960s
– Marked the beginning of pharmacy technicians being recognized on the national stage for their role in the pharmacy
• 1970s
– Marked policy process on defining professional roles and education
• 1980s
– MPA and ICHS pharmacy technician certification exams
• 1995 - 1st PTCB Exam administered
• 2000s
– NABP joins PTCB Board of Governors
– ASHP Pharmacy Practice Model Initiative
– NABP Task Force
– PTCB C.R.E.S.T. Summit
Policy and Collaboration
1990s
1980s
1960s & 70s
The PTCB Certification Program
• Pharmacy Technician Certification Exam (PTCE):• Widely recognized and trusted throughout the profession
• Psychometrically sound
• Current certification requirements:• A high school diploma or equivalent
• Disclosure of all criminal and state board of pharmacy actions
• A passing score on the PTCE
• Recertification• Every two years
• 20 hours of pharmacy technician specific CE• 1 credit in pharmacy law
• 1 credit in patient safety
By the Numbers
• 587,000 pharmacy technician certifications since 1995
• 282,000 active certified pharmacy technicians
• 56,000 exams in 2015
• 300+ secure Pearson Vue testing centers
– 9 testing centers in/around Maryland
• Administered & accepted in all 50 States, DC, Guam, PR
• PTCB is accepted in the regulations of 45 states
By The Numbers
– Employment increase is 9% faster than average for all occupations
– Increased demand for prescription medications and interprofessional team-based care will lead to more demand for pharmacy services and advanced roles for pharmacists and technicians
– Advanced roles require moving technicians from unskilled labor to certification for protection of patient safety
U.S. Bureau of Labor Statistics, Dec 2015 http://www.bls.gov/oes/current/oes292052.htmPharmacy Times, http://www.pharmacytimes.com
2014, Median Pay $14.33 hr / $29,810 yr
2014, Number of Jobs 372,500
Job Outlook, 2012 -2022 9% growth
Employment Change, 2014-24 34,700
Transitions of the Profession
The pharmacy profession is under pressure to change.
– Access
– Affordable Care Act
– Mergers
– Collaborations
– Reimbursements
– Star Ratings
PHARMACY
Access to Care
Reimburse-ment Rates
Medically Underserved
Affordable Care Act
Accountable Care
Organization
Medical Home Model
Medicaid Expansion
Collaborative Practice
Provider Status
The Importance of Pharmacy Technicians Today
Complexity in medication use
Medication safety
Pharmacists involved in direct patient care
Qualified, competent pharmacy
technicians
Pharmacy Technician RolesThere has been a dramatic increase in the past decade in the percentage of pharmacists performing health care-related services.
Pharmacy Workforce Center’s 2014 National Pharmacists Workforce Survey
0 10 20 30 40 50 60
IMMUNIZATIONS
MTM
53
60
15
13
Healthcare Related Services by Pharmacists (%)
2004 2014
The percentage of time pharmacists spent on services associated with medication dispensing decreased from 55% in 2009 to 49% of their time in 2014.
Pharmacy Workforce Center’s 2014 National Pharmacists Workforce Survey
46 47 48 49 50 51 52 53 54 55
DISPENSING
49
55
Time Spent on Medication Dispensing (%)
2009 2014
Pharmacy Technician Roles
• Roles are changing as pharmacists move to more direct patient care
• Pharmacy technicians are integral in supporting pharmacists in all practice settings
• PTCB is focused on certification requirements to increase patient safety
Pharmacy Technician Roles
Expanded Roles
Supervisor
Transitions of care
Medication history
Medication assistance
Supply chain / logistics
Educator
State involvement
Inpatient pharmacy
Ambulatory pharmacy
Specialty pharmacy
Informatics
Pharmacists Entry into the Profession
State Board Requirements
Multistate Pharmacy
Jurisprudence Exam (MPJE)
North American
Pharmacist Licensure
Exam (NAPLEX)
ACPE Accredited Pharmacy School
In Comparison . . .
• Pharmacy technicians do not experience the same linear path into the profession
• There is no national educational requirement
• Pharmacy board regulations vary among 50 states + D.C.
State Regulations Vary Widely
45 states and DC regulate pharmacy technicians
24 states and DC include national certification in regulations
3 states require or accept only the PTCE
18 states require a background check
21 states require CE
11 states have a pharmacy technician serving on the state
Board of Pharmacy
5 states do not regulate pharmacy technicians
Sta
rt P
rocess o
f B
ecom
ing
a P
harm
acy T
echnic
ian
Accre
dited T
rain
ing
Work as a
Pharmacy Technician Exit
Cert
ific
ation
Regis
tration o
r Lic
ensure
by B
oard
of P
harm
acy
Council on Credentialing in PharmacyPharmacy Technician Credentialing Framework Aug 09 http://www.pharmacycredentialing.org/Files/CCP%20technician%20framework_08-09.pdf
Pharmacy Technician Training, Competency, Practice
(CCP preferred state)
Technician Requirements
No national uniform standards for employment, education, regulations
• Requirements may include:
– Formal pharmacy technician education
– Prior experience
– National certification (Certified Technician -- CPhT)
– State registration
– Continuing education; competency assessments
• Approximately 1200 programs in US
• >270 accredited by ASHP/ACPE
Various Points of Entry for Pharmacy Technicians
• PTCE
• ExCPT
• State exam
• Programmatically accredited
• Non accredited
• Community based
• Hospital based
• Registration
• Licensure
• Certification
Board Regulation
Employer Training
Board Approved
Exam
Formal Education
What Does the Public Think?
In a recent survey, the public was asked about the importance of certification and training for pharmacy technicians:
74
76
77
85
88
17
15
17
9
6
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Pharmacies only hire pharmacy technicians who arecertified
All pharmacy technicians are held to the samestandard no matter what state they work in
State regulations require training and certification ofall pharmacy technicians
The people preparing prescriptions are certified
Everyone who compounds (or mixes) custommedications is specially trained and certified
Somewhat important
94%
94%
94%
91%
91%Very important
What Does the Public Want?
• Three quarters of consumers say that they would seek out a pharmacy where the pharmacy technicians were certified.
• Frequent visitors are more likely to seek out a different pharmacy, and adults with children at home are even more likely to say they’d look elsewhere.
The Way Forward
• Elevate standards within the profession to meet the demands of the growing healthcare system
• Improve patient care, outcomes & access
• Support evolving roles & scope of practice
• Provide platform to advance pharmacy technicians
– Technicians must have education, training and credentials to advance with the pharmacy workforce
How Do We Get There
Future: What should practice look like?
Courage: Embrace/incorporate standards to get there
Action: Time is now
Teamwork: Work together to achieve goals
New PTCB Recertification Requirements
2014One CE hour in patient safety, in addition to one already
required in law
2015
PTCB only accepting pharmacy technician-specific CE
2015
Number of CEs earned via in-service decreased from 10 to 5
2016
Number of CEs earned via college credit decreased from 15 to 10
2018
CEs earned via in-service no longer accepted
• Why 2020
– Expanding roles of pharmacy technicians
– Quality and necessity of education
– Profession directed
• Path Forward
– Stakeholder meetings & consensus building
– Accreditation training standards changes
– Addressing demand; distance learning
New PTCB Initial Certification Requirement
2020
Complete an ACPE/ASHP-accredited education program -
Pharmacy Technician Accreditation Commission
(PTAC)
Why ASHP/ACPE Accredited Education?
A better qualified and trained workforce
– Improved patient safety
– Greater consistency in technician workforce
– Accreditation standards updated as needed to stay consistent with expanding roles and responsibilities of technicians
– Greater ability to delegate technical tasks from pharmacists
– Less turnover in pharmacy technician positions
– Proactive approach to drug diversion prevention
New InitiativesR
esea
rch
Stu
die
s
•Pharmacy Workforce Center
•Public Perception
•Certification Outcomes
20
16
Jo
b A
nal
ysis
•Detailed survey measures what pharmacy technicians do on a daily basis
•Critical for exam validity
Loo
kin
gFo
rwar
d •Specialty & Advanced Certifications
•Sterile Compounding
•Hospital & Community
2016 PTCB Job Analysis
• PTCB evaluates technician duties approximately every 5 years
• Principal tools are survey of tasks and knowledge/skills/abilities (KSAs)
• Over 40,000 surveys completed
• Results inform test content (including domain weights) and other eligibility requirements
• Preliminary results incorporated into the 2017 consensus conference
The Future: A Need for Consensus
PTCB Certification
State Boards of Pharmacy
National Pharmacy
Associations
Employers, Educators,
PTAC
National Pharmacy Technician
Associations
State Pharmacy
Associations
Getting Involved Beyond the Job
Be curious and have a desire to move your profession forward by being a part of the collaboration
– Pharmacist roles expanding = technician roles expanding
Attend Board of Pharmacy meetings
– Open to the public
– Meeting schedules and agendas posted on board website
– Join the board
Getting Involved Beyond the Job
Various state associations have pharmacy technician chapters and divisions
– Get involved & encourage others to do so as well
– Encourage creating a chapter within your state
– Some states allow a voting member in the association house of delegates from the technician committee
National Consensus Conference• ASHP, ACPE and PTCB hosting an invitational conference
• February 2017 Dallas, Texas; approximately 100 participants
• Preconference surveys, reports to inform
• Develop consensus among a broad group of pharmacy stakeholders with respect to:– Technician scope of practice
– Entry-level knowledge, skills, and abilities that all pharmacy technicians must have regardless of practice site
– Recognition of competencies beyond entry level practice and related issues
– Education, training and certification requirements
– State board of pharmacy registration or licensure
• “
Connections & Partnerships
Building Program Partnerships• Promotion and advocacy for PTCB certification and
recertification as the national standard: value and importance
• PTCB State Associates Program– 70 organizations representing 45 of 50 states
• PTCB Advocate Programs– 1193 Advocate Educators
– 732 Advocate Employers
– 538 Advocates (employers and educators) sponsor candidate fees
• Relationships with schools, employers and employer-based training programs in Maryland
Sponsorship is a simple way for employers & educators to pay for pharmacy technicians to earn or renew PTCB certification
• Saves time• Detailed exam results• Saves on reimbursement paperwork• Helps with compliance• Cost savings
‒ No withdrawal fees‒ No expiration costs‒ No advance payments
PTCB Advocate Programs
Summary
• Roles are evolving & scope of practice is expanding
• Setting the standard, advancing patient care
• PTCB: The Difference Maker
– Value, respect, accountability
– Advocate & partner
– Providing pathway to advance pharmacy technicians
Quiz
1. Which of the following statements is false?
a) PTCB is working on advanced certification exams
b) Accredited education will be a requirement in 2020
c) All states regulate pharmacy technicians
d) Pharmacy technicians are positively impacting MTM and Transitions of Care services
2. Which of the following are expanded roles for pharmacy technicians?
a) Transitions of care
b) Medication history
c) Supply chain/logistics
d) All of the above
Quiz
3. True or False: A pharmacy technician can affect change in the profession by participating in board meetings and state pharmacy associations.
4. PTCB is advancing patient safety by which of the following?a) Continuing job analysis to ensure the PTCE reflects the current scope of practice in
all pharmacy settingsb) Creating advanced certifications for higher level technician responsibilitiesc) Participating and sponsoring research studies dealing with the technician’s role in
the pharmacyd) Adapting new standards to be certified and maintain certification in response to
continued input by the professione) All of the above
5. Of the 5 states that require PTCB certification, how many have a technician serving on the board of pharmacy?
a) All five b) Fourc) Twod) None
REFERENCES
ASHP (2014) Advanced Pharmacy Technician Roles Case Studies
ASHP (2010) Innovating the Pharmacy Technician’s Role, 2010
ASHP (2008) Pharmacy Practice Model Initiative
APhA (2015) Onward: Propelling hospital pharmacy technician roles forward
Bureau of Labor Statistics (2014)
Diselle, S. (2016) CPhT Workforce Study. Research commissioned by PTCB
KRC Research (2016) Public Perception Study. Research commissioned by PTCB
NABP (2009) 2008-2009 Report of the Task Force on Standardized Pharmacy Technician Education and Training
PTCB (2011) Consumer Resources Education State policy Testing (C.R.E.S.T.) Summit
Questions? Zachary Green, CPhT
Partnership Development Manager
202-888-1705
2215 Constitution Avenue, NW ● Suite 101 ● Washington, DC 20037
