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Helping Unlock Better Care (HUB|C) using quality improvement science in community pharmacies - An implementation
Joseph Fonseca1, Richard Violette2, Sherilyn Kd Houle1
1University of Waterloo School of Pharmacy, 10A Victoria St S, Kitchener, ON, N2G 1C5, Canada; OPEN, Ontario Pharmacy Evidence Network, Canada.
Research in Social & Administrative Pharmacy : RSAP
|June 4, 2020
Summary
Community pharmacies can enhance their services by using Quality Improvement (QI) science. This approach helps pharmacy teams adopt new practices and improve patient care through structured change management.
Area of Science:
- Pharmacy Practice and Management
- Health Services Research
- Quality Improvement Science
Background:
- Community pharmacies offer valuable services beyond dispensing, including health promotion and chronic disease management.
- Implementing new pharmacy services faces challenges due to competing demands and expectations from various stakeholders.
- Quality Improvement (QI) science offers a framework to manage change and optimize pharmacy-based services.
Purpose of the Study:
- To enhance the capacity of community pharmacies for continuous Quality Improvement (CQI).
- To understand the optimal implementation strategies for CQI within community pharmacy settings.
- To assess pharmacy professionals' willingness and ability to lead self-directed QI initiatives.
Main Methods:
- Participatory action research principles guided pharmacy sites in identifying and implementing service improvements.
- The Model for Improvement and Plan-Do-Study-Act (PDSA) cycles were utilized for practical application of QI.
- External Quality Facilitators trained internal Change Champions and staff in QI tools and strategies.
- Mixed methods research explored changes in service quality and professionals' experiences.
Main Results:
- The study assessed community pharmacies' capacity and willingness to engage in self-directed QI.
- Implementation of QI initiatives was supported by external facilitators and structured approaches.
- Understanding the transferability and scalability of the QI process was a key outcome.
Conclusions:
- QI science provides a practical framework for community pharmacies to expand their scope of practice.
- Empowering pharmacy teams with QI tools can improve service delivery and feasibility.
- This research contributes to developing change management tools for broader application in community pharmacy.
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