SMAP Educational Series

The Ministry of Health updated mandatory documentation requirements for the Saskatchewan Medication Assessment Program (SMAP) on September 7, 2017 noted in the  # 639 Pharmacy Information Bulletin - SMAP Documentation.

You will be required to use the forms in order for your pharmacy to receive remuneration from the Drug Plan and Extended Benefits Branch (DPEBB) for conducting a medication assessment under SMAP. If you have your own forms, they must be approved by the DPEBB prior to use in order for the SMAP fees to be eligible for remuneration. All previously approved forms will need to be re-approved to ensure they meet the DPEBB’s current requirements of the program.

The Pharmacist Guide to SMAP (the “Guide”)  was developed by PAS and the staff at the Medication Assessment Centre (MAC) to support pharmacists and pharmacy students perform a medication assessment. The Guide showcases the stepwise approach utilized in the webinar series and demonstrates how the process can be applied to the SMAP documentation forms (or any other medication assessment documentation).

This Guide can be used as a resource to follow along with during the webinar and/or for those that prefer a hard copy of the process.

The Guide is available to PAS Members immediately. Non-members and University of Saskatchewan pharmacy students that are not members will have access to the Guide upon registration for the webinars. 

PAS is currently updating the accreditation from Continuing Professional Development for Pharmacy Professionals. 

To register for the  recordings of the completed Medication Assessment webinars below please complete this fillable form Registration Form (Fillable) for Medication Assessment Series Webinars (Recordings) .

* Make sure you SAVE  the form it to your computer  once it is completed (check to see that it is filled in after you save it) and then email it to info@skpharmacists.ca. 

Pre-Series Webinar: Documentation   (June 13, 2017)  Learning Project Record Form

The topics in this webinar included:

1. Understand the purpose for the changes to the SMAP documentation forms.
2. Review the SMAP Policy.
3. Review the updated forms in detail.
4. Learn about the upcoming webinar series specific to how to provide a medication assessment. 

Webinar #1  Medication Assessment Series: The Patient Care Process - An Overview   Presented by Dr Derek Jorgenson    (June 20, 2017)  Learning Project Record Form

The topics in this webinar included:

1. The Patient Care Process – An Overview 
2. Collecting a Comprehensive Patient History 

Learning Objectives:

1. Describe the steps in the patient care process.
2. Explain how the patient care process can be used in various clinical pharmacist services.
3. Demonstrate a structured and organized approach to collecting information during a patient interview (for the purpose of completing a medication assessment).

Webinar #2 Medication Assessment Series:   Using A Systematic Approach to Drug Therapy Problems     Presented by Dr Derek Jorgenson (Aug 10, 2017) Learning Project Record Form 

In the case file, there are some tasks to be completed before the webinar. While it’s not mandatory to complete these tasks, it is recommended to have them done before you begin the webinar for a complete learning experience. 

Learning Objectives

1. Apply a systematic approach to identifying drug therapy problems using:
   • Therapeutic Thought Process
   • Pharmacotherapy Workup

To access the patient case and the work sheets, click on the links below.

• Patient Case
• Therapeutic Thought Process worksheet
• Pharmacotherapy Workup worksheet

Webinar #3  Medication Assessment Series:  Creating and Implementing Care Plans: Part 1   Presented by Dr Derek Jorgenson  (October 6, 2017) Learning Project Record form 

Learning Objectives:

1. Describe the purpose and the components of a care plan.
2. Complete the first part of a “SMAP Care Plan” for a patient in your practice, by establishing goals of therapy and selecting patient centred interventions.

Prior to attending  this webinar participants were asked to please read the  patient case and complete the following tasks:

1. Set goals of therapy for each of the patient’s medical conditions (diabetes, dyslipidemia, hypertension, erectile dysfunction), making some assumptions that you talked to the patient to get his opinion on the goals. 
2. Using the drug therapy problems that were identified at the last webinar (which are stated at the end of the patient case ) select the interventions that you think would be most reasonable for this patient. If any of these interventions need to be approved by a physician, state exactly how you would make the recommendations to the physician (in writing or verbally). To access the patient case, please click here.

Webinar #4  Medication Assessment Series:  Creating and Implementing Care Plans: Part II  Presented by Eric Landry  (Nov 17, 2017)  Learning Project Learning Form 

Learning Objectives

1. Describe several strategies and tips to ensure that your recommendations are considered and implemented by the patient and the prescriber.
2. Complete the 2 ^nd part of the SMAP Care Plan for a patient in your practice by creating a monitoring and follow up plan.

Prior to attending  this webinar titled Creating and Implementing Care Plans: Part II , the registrants were asked to read the  patient case and pre-webinar work and the partially completed care plan (from the last webinar) and complete the tasks.  

Webinar # 5  Medication Assessment Series:    Documenting Patient Care Recommendations    Presented by Dr. Derek Jorgenson   ( December 12, 2017) Learning Project Learning Form 

Learning Objectives

By the end of the presentation participants should be able to:

1. Complete a written documentation note, using the SOAP format, to another health provider regarding recommendations from a medication assessment
2. Verbally discuss recommendations from a medication assessment with another health provider
3. Describe a system for storing documentation related to medication assessments within your pharmacy

Pre Work

Prior  to  viewing  this  webinar please read the   Pre Webinar Case   and complete the tasks.  

Examples and Links in presentation
SOAP Note Example
Example #1 with SBAR: https://youtu.be/fsazEArBy2g
Example #1 without SBAR: https://youtu.be/CtdNQ-sfKg8
Example #2 without / with SBAR: https://youtu.be/v3vq1c4hIo4

Avoid use of error prone abbreviations http://www.ismp.org/Tools/errorproneabbreviations.pdf

ISMP ”Do NOT USE” dangerous abbreviation list https:// www.ismp-canada.org/download/ISMPCanadaListOfDangerousAbbreviations.pdf

Webinar # 6  Medication Assessment Series:  Shared Decision Making: Speaking to Patients about Numbers      Presented by Dr. Derek Jorgenson (Feb 1, 2018)   Learning Project Learning 

Objectives:

1. Discuss the problem of poor medication adherence with chronic medications.
2. Describe how pharmacists may be inadvertently contributing to poor medication adherence when speaking to patients about the numbers related to medication benefits and risks.
3. Discuss recent studies that highlight best practices in talking to patients about the numbers related to medication benefits and risks.
4. Assist pharmacists to more effectively talk to patients about numbers to ensure that patients understand the actual risks and benefits of their medications to facilitate shared and informed decisions regarding drug therapies that patients.

Brief Evaulation Survey:  https://www.surveymonkey.com/r/KGQ775F

Suggested Decision Aids Referenced in Webinar

• Mayo Clinic Bone Health: https://osteoporosisdecisionaid.mayoclinic.org/
• The Absolute CVD Risk/Benefit Calculator  http://chd.bestsciencemedicine.com/calc2.html?basic=true
• Stroke in A.Fib (SPARC Tool): http://www.sparctool.com/
• Repositories of various decision aids: The Ottawa Hospital: https://decisionaid.ohri.ca/AZlist.html

Best Practice Tip When Talking to Your Patient About the Side Effects

• Avoid terms like “rare” or “common”, “likely” or “unlikely” without context (actual statistics) when counselling patients.
• Perception vs. Actual frequency of the terms is VERY different, as shown in studies.
• Could reduce medication adherence (since perception is much higher than actual frequency of side effects).

Lancet 2002; 359: 853

Webinar #7   Medication Assessment Series:   Bringing it all Together      P resented by Eric Landry   (April 27, 2018)  Learning Project Learning 

Learning Objectives

1. Complete all aspects of a patient care plan, based on provided patient case, including:

                     a)      Setting goals of therapy
                     b)      Identifying drug therapy problems
                     c)      Considering therapeutic alternatives
                     d)      Creating a plan for intervention
                     e)      Establishing monitoring/follow up plan

         2. Practice communicating recommendations through written documentation to prescriber.

Presentation summary
Participants received  a  patient  case 1 week prior to the webinar, and were asked to complete it before the session. This exercise was  meant to draw on all the skills covered in previous webinars in this series. 

Pre Work     Patient Case #7