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Pharmacy Emergency Preparedness and Response (PEPR) framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond

Identifieur interne : 001393 ( Ncbi/Merge ); précédent : 001392; suivant : 001394

Pharmacy Emergency Preparedness and Response (PEPR) framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond

Auteurs : Meghana Aruru [États-Unis] ; Hoai-An Truong [États-Unis] ; Suzanne Clark [États-Unis]

Source :

RBID : PMC:7146711

Abstract

Background

Pharmacists have long been involved in public health and emergency preparedness and response (EP&R), including through preventive measures such as screening, vaccinations, testing and pharmaceutical countermeasures, as well as ensuring medication safety and access during natural disasters and pandemics. Pharmacy professionals are considered essential partners in response to the ongoing COVID-19 pandemic. Community and hospital pharmacies are expanding services and hours to provide essential services, putting pharmacists and their co-workers at the frontlines for patient care and safety to improve public health. In addition, pharmacy professionals are increasingly integrating into global, national, state and local EP&R efforts, including into interprofessional teams, such as Medical Reserve Corps (MRCs). However, lacunae exist for further integration of pharmacists into public health and safety initiatives. There are increasing opportunities and recommendations that should be expanded upon to provide improved patient care and population health intervention, and to ensure healthcare worker and public health safety.

Objective

Develop a Pharmacy Emergency Preparedness and Response (PEPR) Framework and recommendations for pharmacy professional pathways towards full integration within public health EP&R efforts (such as the COVID-19 pandemic), and enhanced recognition of pharmacists’ skills, roles and contributions as integral members of the interprofessional healthcare team.

Methods

This paper draws on the American Society of Health-System Pharmacists (ASHP) 2003 Statement on the Role of Health-System Pharmacists in Emergency Preparedness and lessons learned from previous and current public health emergencies, such as the 2009 H1N1 pandemic and the current COVID-19 pandemic, to provide expanded guidance for pharmacists and pharmacy professionals across all practice settings in EP&R. The PEPR framework also incorporates information and recommendations from The Pharmacy Organizations’ Joint Policy Recommendations to Combat the COVID-19 Pandemic (March 2020), CDC-NIOSH, Health Departments and Emergency Preparedness guidance and resources, Boards of Pharmacy, and other pharmacy professional organizations and educational institutions.

Results

Based on the methods and resources utilized in developing this PEPR framework, five key focus areas were identified as follow:

Emergency preparedness and response

Operations management

Patient care and population health interventions

Public health pharmacy education and continuing professional education

Evaluation, research and dissemination for impact and outcomes

Conclusion

and Recommendations: Pharmacists and pharmacy professionals have been at the frontlines in responding to the COVID-19 pandemic. Yet, challenges remain, such as limited availability of personal protection equipment, high risk of infectious exposures inherent in healthcare professions, and legislative hurdles resulting in lack of provider status and related reimbursements. Recommendations to enhance pharmacy's scope as public health professionals involved in EP&R include targeted training and education on key framework areas and policymaking. Pharmacy professionals should further integrate with interdisciplinary public health teams. Additional research and dissemination on impacts and outcomes of EP&R can enhance recognition of pharmacy professionals' contribution and value during public health emergencies. The PEPR Framework can be utilized to develop, implement, evaluate, and disseminate results in order to strengthen existing efforts and to establish new initiatives in EP&R.


Url:
DOI: 10.1016/j.sapharm.2020.04.002
PubMed: NONE
PubMed Central: 7146711

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PMC:7146711

Le document en format XML

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<p>Develop a Pharmacy Emergency Preparedness and Response (PEPR) Framework and recommendations for pharmacy professional pathways towards full integration within public health EP&R efforts (such as the COVID-19 pandemic), and enhanced recognition of pharmacists’ skills, roles and contributions as integral members of the interprofessional healthcare team.</p>
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<title-group>
<article-title>Pharmacy Emergency Preparedness and Response (PEPR) framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au1">
<name>
<surname>Aruru</surname>
<given-names>Meghana</given-names>
</name>
<email>meghana.aruru@gmail.com</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author" id="au2">
<name>
<surname>Truong</surname>
<given-names>Hoai-An</given-names>
</name>
<email>htruong@umes.edu</email>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au3">
<name>
<surname>Clark</surname>
<given-names>Suzanne</given-names>
</name>
<email>Suzanne.clark@cnsu.edu</email>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Program Evaluation and Research Unit (PERU), University of Pittsburgh School of Pharmacy, 5607 Baum Boulevard, Pittsburgh, PA, 15206, USA</aff>
<aff id="aff2">
<label>b</label>
Pharmacy Administration and Public Health, University of Maryland Eastern Shore School of Pharmacy, 30665 Student Services Center, Princess Anne, MD, 21853, USA</aff>
<aff id="aff3">
<label>c</label>
California Northstate University, 9700 West Taron Drive, Elk Grove, CA, 95757, USA</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author.
<email>meghana.aruru@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>10</day>
<month>4</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub">
<day>10</day>
<month>4</month>
<year>2020</year>
</pub-date>
<history>
<date date-type="received">
<day>3</day>
<month>4</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>3</day>
<month>4</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>© 2020 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder></copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010">
<sec>
<title>Background</title>
<p>Pharmacists have long been involved in public health and emergency preparedness and response (EP&R), including through preventive measures such as screening, vaccinations, testing and pharmaceutical countermeasures, as well as ensuring medication safety and access during natural disasters and pandemics. Pharmacy professionals are considered essential partners in response to the ongoing COVID-19 pandemic. Community and hospital pharmacies are expanding services and hours to provide essential services, putting pharmacists and their co-workers at the frontlines for patient care and safety to improve public health. In addition, pharmacy professionals are increasingly integrating into global, national, state and local EP&R efforts, including into interprofessional teams, such as Medical Reserve Corps (MRCs). However, lacunae exist for further integration of pharmacists into public health and safety initiatives. There are increasing opportunities and recommendations that should be expanded upon to provide improved patient care and population health intervention, and to ensure healthcare worker and public health safety.</p>
</sec>
<sec>
<title>Objective</title>
<p>Develop a Pharmacy Emergency Preparedness and Response (PEPR) Framework and recommendations for pharmacy professional pathways towards full integration within public health EP&R efforts (such as the COVID-19 pandemic), and enhanced recognition of pharmacists’ skills, roles and contributions as integral members of the interprofessional healthcare team.</p>
</sec>
<sec>
<title>Methods</title>
<p>This paper draws on the
<italic>American Society of Health-System Pharmacists (ASHP) 2003 Statement on the Role of Health-System Pharmacists in Emergency Preparedness</italic>
and lessons learned from previous and current public health emergencies, such as the 2009 H1N1 pandemic and the current COVID-19 pandemic, to provide expanded guidance for pharmacists and pharmacy professionals across all practice settings in EP&R. The PEPR framework also incorporates information and recommendations from
<italic>The Pharmacy Organizations’ Joint Policy Recommendations to Combat the COVID-19 Pandemic</italic>
(March 2020), CDC-NIOSH, Health Departments and Emergency Preparedness guidance and resources, Boards of Pharmacy, and other pharmacy professional organizations and educational institutions.</p>
</sec>
<sec>
<title>Results</title>
<p>Based on the methods and resources utilized in developing this PEPR framework, five key focus areas were identified as follow:
<list list-type="simple" id="olist0019">
<list-item id="o0017">
<label>1)</label>
<p id="p0015">Emergency preparedness and response</p>
</list-item>
<list-item id="o0012">
<label>2)</label>
<p id="p0020">Operations management</p>
</list-item>
<list-item id="o002j">
<label>3)</label>
<p id="p0025">Patient care and population health interventions</p>
</list-item>
<list-item id="o002f">
<label>4)</label>
<p id="p0030">Public health pharmacy education and continuing professional education</p>
</list-item>
<list-item id="o0032">
<label>5)</label>
<p id="p0035">Evaluation, research and dissemination for impact and outcomes</p>
</list-item>
</list>
</p>
</sec>
<sec>
<title>Conclusion</title>
<p>and Recommendations: Pharmacists and pharmacy professionals have been at the frontlines in responding to the COVID-19 pandemic. Yet, challenges remain, such as limited availability of personal protection equipment, high risk of infectious exposures inherent in healthcare professions, and legislative hurdles resulting in lack of provider status and related reimbursements. Recommendations to enhance pharmacy's scope as public health professionals involved in EP&R include targeted training and education on key framework areas and policymaking. Pharmacy professionals should further integrate with interdisciplinary public health teams. Additional research and dissemination on impacts and outcomes of EP&R can enhance recognition of pharmacy professionals' contribution and value during public health emergencies. The PEPR Framework can be utilized to develop, implement, evaluate, and disseminate results in order to strengthen existing efforts and to establish new initiatives in EP&R.</p>
</sec>
</abstract>
<kwd-group id="kwrds0010">
<title>Keywords</title>
<kwd>Emergency preparedness and response</kwd>
<kwd>COVID-19</kwd>
<kwd>Public health emergency</kwd>
<kwd>Pandemic</kwd>
<kwd>Pharmacists</kwd>
<kwd>Pharmacy professionals</kwd>
<kwd>Provider status</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
</list>
<tree>
<country name="États-Unis">
<noRegion>
<name sortKey="Aruru, Meghana" sort="Aruru, Meghana" uniqKey="Aruru M" first="Meghana" last="Aruru">Meghana Aruru</name>
</noRegion>
<name sortKey="Clark, Suzanne" sort="Clark, Suzanne" uniqKey="Clark S" first="Suzanne" last="Clark">Suzanne Clark</name>
<name sortKey="Truong, Hoai An" sort="Truong, Hoai An" uniqKey="Truong H" first="Hoai-An" last="Truong">Hoai-An Truong</name>
</country>
</tree>
</affiliations>
</record>

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