Home medication reviews have been around in Australia for some time however only a minority of doctors would routinely seek them. Pharmacists must do extra training to be accredited to perform home medication reviews in Australia.
Hi Michael and Nita, I like this idea and how it aims to expand the role of community pharmacists in the primary prevention setting. As a pharmacist who has spent a number of years working in community pharmacy, I am aware of the time constraints of this job. Without some funding I could see pharmacy owners being reluctant to engage with this program.
In Australia we have some government funding for community pharmacists to perform clinical interventions and medication checks in the pharmacy under the 6th Community Pharmacy Agreement (http://6cpa.com.au/medication-management-programmes/medscheck-diabetes-medscheck/). Does the US have any system like this?
I also note that you've written 'Pharmacists can assess the appropriateness of current medications and recommend withdrawing inappropriate prescriptions.' How would your pharmacists do this? Would they call the Dr or write a letter? This is exactly the kind of thing our team specialises in over here. In this case we would request to the Dr for one of our pharmacists to perform a home medication review (HMR) which is also funded by our health care system. Do you have home medication reviews in the US? If so, could you utilise something like this as part of your idea and offer some of the proceeds to the pharmacy owner?