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Facilitation influence on community pharmacy practice transformation in the 'Flip the Pharmacy' program
Summary
Successful pharmacy practice transformation is linked to effective coaching and facilitation strategies. Key factors include specific facilitation activities, tools, and staffing, which significantly enhance pharmacist engagement in practice changes.
Area of Science:
- Health Services Research
- Pharmacy Practice Transformation
- Systems Engineering
Background:
- The Flip the Pharmacy (FtP) program aimed to improve community pharmacy practices through hands-on facilitation.
- Limited data exist on successful facilitation characteristics and factors influencing practice transformation in pharmacies.
- This research evaluated practice transformation within the FtP program and identified key facilitation elements.
Purpose of the Study:
- To evaluate practice transformation in community pharmacies participating in the FtP program.
- To analyze the relationship between facilitation strategies, activities, and tools with practice transformation.
- To identify factors contributing to successful facilitation for pharmacy practice change.
Main Methods:
- A cross-sectional mixed-mode survey was distributed to 809 pharmacies across FtP Cohorts 1 and 2.
- The survey assessed practice transformation using the Systems Engineering Initiative for Patient Safety (SEIPS) model components, facilitation strategies, activities, tools, and pharmacy characteristics.
- Data were analyzed using descriptive statistics and linear regressions to examine associations between facilitation and practice transformation.
Main Results:
- Positive associations were found between perceived practice transformation and coaching facilitation strategy (β=0.365), facilitation tools (β=0.37), and staffing (β=0.193).
- Cohort 1 pharmacies reported higher practice transformation compared to Cohort 2.
- Facilitation activities (capacity building, HR, workflow, workspace, IT use) and tools significantly predicted practice transformation across SEIPS work system components (βs ranging from 0.22 to 0.33).
Conclusions:
- The facilitator's coaching strategy and specific activities significantly enhance pharmacy practice transformation.
- Facilitation tools are crucial for engaging pharmacists in adopting practice changes.
- The SEIPS model provides a comprehensive framework for evaluating pharmacy practice transformation.
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