An estimated 39 million people worldwide are currently infected with the human immunodeficiency virus (HIV). According to the Centers for Disease Control & Prevention, more than 44,000 new cases of HIV infection were diagnosed in the United States in 2004. Many of these patients will be taking drug "cocktails" consisting of highly active antiretroviral therapy (HAART).
Supposedly technicians are not allowed to screen for drug therapy problems, but isn't that exactly what they're doing when they routinely zip past a blizzard of DUR alerts?
It's not hard to imagine a pharmacy operating in a strip mall in conjunction with nurse practitioners, dieticians, and certified educators who are available at designated times to answer patients' questions.
The Joint Commission on Accreditation of Healthcare Organizations has backtracked on its prohibition against the use of potentially unsafe abbreviations. Rather than eliminating the use of QD (daily), U (units), and other shortcuts within the organizations it surveys, JCAHO is pushing to restrict abbreviation use in handwritten, preprinted, or in free text entry of patient care and medication records.
Highly active antiretroviral therapy (HAART) has reduced the incidence of opportunistic infections (OIs) among HIV-infected patients with access to adequate medical care. Unfortunately, some patients in the United States and elsewhere do not have access to sufficient care. Others do not have a sustained response to antiretroviral agents for many reasons, including poor adherence. In these two patient groups, OIs will continue to cause significant morbidity and mortality.
Enablex (Pfizer Inc.) treats conditions that cause loss of bladder control, such as overactive bladder, urinary incontinence, urgency, and frequency.
Crawford nominated to head FDA
It's not hard to imagine a pharmacy operating in a strip mall in conjunction with nurse practitioners, dieticians, and certified educators who are available at designated times to answer patients' questions.
Medicare prescription rules are final, but we won't know how the system works until it is thrown into the real world, said a former Department of Health & Human Services policy official who did early work on the program. It is there that the drug plans will strategize to make money and the Centers for Medicare & Medicaid Services will attempt to maintain oversight.
New data, which were published in the Feb. 1, 2005, issue of Clinical Infectious Diseases, demonstrated that Vicuron Pharmaceuticals' investigational antibiotic, dalbavancin, administered once per week, is more effective in treating catheter-related bloodstream infections than is twice-daily treatment with vancomycin.
The federal government has proposed rules for electronic prescribing in the Medicare prescription drug benefit and the verdict from the folks putting the technology together is that the bureaucrats got it right.
General Motors' decision to drop Walgreens as its drug provider has prompted the chain to fight back by publicizing "the myth of mail order." Walgreens claims employers can save money by giving workers the choice to fill 90-day supplies of chronic meds at retail or mail-order pharmacies rather than by requiring them to use the latter exclusively.
Richard Bertin's optimism is contagious. Bertin, the executive director of the Board of Pharmaceutical Specialties (BPS), expressed enthusiastically and in no uncertain terms that the future of specialized training is not only secure but also in the midst of a growth spurt. Bertin's confidence is bolstered by the fact that 2004 was BPS' strongest year in terms of number of new candidates. A total of 1,004 candidates at 34 sites worldwide were administered specialty certification or recertification exams.
When three night-shift nurses at a large metropolitan medical center in the Northeast recently called in sick, the skeleton crew on a busy medical/surgical unit ignored the usual protocol involved in the bedside bar-coding of medications. Instead of scanning each patient's wristband and then the bar code on the medication package while at the patient's bedside, the nurses created surrogate patient bar codes and scanned all of them prior to going into patient rooms as a way to save time.
Each year, beginning with 1999, United States Pharmacopeia (USP) has conducted an analysis of aggregate data submitted to the MEDMARX error reporting system database. The most recent report examines error trends over the five-year period 1999-2003. It also includes a special focus on technology-related errors, specifically computer entry, computerized prescriber order entry, and automated dispensing devices.
Deadly medication errors related to patient-controlled analgesia (PCA) by proxy often result from the best of intentions, noted Rick Croteau, M.D., executive director for strategic initiatives for the Joint Commission on Accreditation of Healthcare Organizations. "Health-system pharmacists should help educate patients and staff about the dangers of family members administering a PCA device," he said. "With an intent to relieve suffering, they can cause a deadly incident."
The drug cost threshold for Medicare beneficiaries to qualify for medication therapy management (MTM) services was pegged at $4,000 in an operations manual distributed at a recent briefing for potential drug plan sponsors. However, the final rule recently issued by CMS indicated a separate guidance would be issued on the specific dollar amount that would have to be spent in order to qualify beneficiaries taking multiple drugs for multiple disease states for MTM.
Richard Bertin's optimism is contagious. Bertin, the executive director of the Board of Pharmaceutical Specialties (BPS), expressed enthusiastically and in no uncertain terms that the future of specialized training is not only secure but also in the midst of a growth spurt. Bertin's confidence is bolstered by the fact that 2004 was BPS' strongest year in terms of number of new candidates. A total of 1,004 candidates at 34 sites worldwide were administered specialty certification or recertification exams.
When the Centers for Medicare & Medicaid Services was trying to figure out how to implement the Congressional mandate for medication therapy management programs (MTMPs) in the new Medicare prescription drug benefit, the bureaucrats scratched their heads and asked for guidance. Now, the message out of Washington, D.C., is "Never mind."
Last year several of the nations largest pharmacy chains publicly stated that they would not participate in prescription drug benefit plans that mandate the use of mail-order pharmacies. Retail pharmacies oppose mandated mail order because it does away with consumer choice and face-to-face counseling by a pharmacist.
Joe Graedon, pharmacologist, author, and syndicated health talk show host of "People's Pharmacy," is enthusiastic about future growth opportunities for pharmacists. He was very disappointed with the recent Food & Drug Administration decision denying Merck permission to market its statin drug Mevacor (lovastatin) over the counter.
Pulmonary arterial hypertension (PAH) affects roughly 50,000 people in the United States, yet only about 15,000 patients have been diagnosed and are receiving an approved treatment. The median survival time for patients left untreated following diagnosis may be as short as three years.
Long-term care pharmacists who see a link between inappropriate medications and adverse drug events have a new ally. Denys Lau, Ph.D., assistant professor of medicine at Northwestern University, has documented an association between potentially inappropriate prescribing and hospitalization and death among elderly nursing home residents.
How many times have you heard people say pharmacists don't counsel because they're not paid for it? But then payers argue that they don't pay because they haven't seen pharmacists provide the service.
The next time you see construction workers breaking ground to make way for a freestanding pharmacy or remodeling an existing one, the Grand Opening banner could read: ShopKo Express Rx.
State departments of health sometimes seek to circumvent their own procedural codes and avoid their legislatures by lowering Medicaid reimbursements and dispensing fees through emergency fiat. "They declare a state of budgetary emergency, then declare new rules and regulations," said Paul Baldwin, executive director of the Long Term Care Pharmacy Alliance (LTCPA) in Washington, D.C.
Long-term care pharmacists who see a link between inappropriate medications and adverse drug events have a new ally. Denys Lau, Ph.D., assistant professor of medicine at Northwestern University, has documented an association between potentially inappropriate prescribing and hospitalization and death among elderly nursing home residents.
We spend too much on curative care and not enough on preventive care. Treating disease is one thing; preventing it is even better."
