‘Community Pharmacy at the’ frontline’ of Shared Care’

Waimauku Pharmacy - 2017 HINZ Conference Submission – Digital Health Ideas

For too many years our communities, families and individuals have suffered from a siloed approach to health and community care support.

The growth in Long Term Conditions coupled with Aging Populations and disease states such as Diabetes exacerbated by lifestyle choices are at an epidemic scale.

Early intervention is the key to interrupting counter-intuitive behaviours and needs to be accessible and attainable at the frontline!

The’ frontline’ is not a $50 GP visit for a script of drugs that you cannot afford to pick up.

The frontline is someone who can connect your care across the healthcare continuum and help you to ‘get well, live well and stay well’ and achieve your well-being goals.

I am a Community Pharmacist, I am the ‘frontline’ and this is my story.

Use of technology and/or information (for the problem/challenge)

Using Whānau Tahi’s Connected Care (WTCC) platform I am now a key member of my DHB’s Multi-Disciplinary Care teamwhich includes secondary care, primary care and community care providers.

I have 3 elderly clients who used to support each other attending their weekly GP visits. This cost them 3 days a week in energy, money and time sitting in a doctor’s surgery and leaving them each $200 out of pocket every month with no health gains.

I am now their ‘frontline’ care giver and have given them back 3 days a week in energy, money and time...they now visit me together once a week (at no cost) and visit their GP just once a month, saving$150 a month for each of them.

I am now making a real difference to their well-being......and I bound out of bed every morning with clients to care for rather than pills to count.

Implementation/Processes (what you did, how it went)

Re-engineering the roles of secondary care, general practice and community pharmacy. Realigning responsibilities into that of a multidisciplinary team working towards achieving a common goal of creating more meaningful outcomes for clients using WTCC as the technology enabler.

One plan in one place where the collective team including the client defines and tailors a solution specific to their own needs and aspirations.

Management of LTCs, drug interactions and genetics, diet and lifestyle monitoring are now a core part of mycommunity pharmacist role.

Conclusion (Outcomes, lessons learned, next steps)

My clients with Long Term Conditions are gettingoptimum wrap around care including: the capability to set and reach goals that are meaningful to themusing a multidisciplinary shared care approach which actively involves them in decision-making and care planning, to help them monitor and manage their conditions.

The result is reduced health riskand increased well-being for clients on a Whānau Tahi Connected Care pathway.

GP visits are minimised, ED visits are eliminated, care and well-being is maximised.