The Consultant Pharmacist


October 2018 | Volume 33 | Number 10

Slowly Connecting the Dots

Improving the access to and integration of the global health record is sorely needed if we are to improve communication and reduce medical errors, particularly those that occur during transitions of care.

ASCP President 2018-2019: Joanne S. Hirshfield: Destined to Be a Pharmacist

Joanne S. Hirshfield, RPh, MBA, BCGP, FASCP, the 2018-2019 president of the American Society of Consultant Pharmacists (ASCP), comes from a long line of pharmacists and has been involved in ASCP for the last 30 years. Her perspective is that all senior care pharmacists are “consultant” pharmacists because they give advice and don’t just dispense, whether they work at a chain drug store or a nursing facility. Her highest priority is to meet the educational needs of members and give them the tools they need to practice their profession.

New ASCP Board Members

Six new pharmacists have joined the Board of Directors.

Consultant Pharmacists Achieve Access to a Health Information Exchange

Health information exchanges (HIEs) are designed to ensure that health care clinicians can receive and share clinical information electronically across health care organizations to improve the quality and safety of patient care. Senior care pharmacists can provide more effective medication therapy management services, especially during transitions-in-care settings, if they can access a HIE platform to obtain more pertinent and timely patient information. State and national leaders of the American Society of Consultant Pharmacists worked with key stakeholders to negotiate and gain access for consultant pharmacists working in the postacute/long-term care setting in Maryland.

Person-Centered Care and Resident-Directed Medication Administration Program

Transition from facility-directed to patient-directed administration of medications requires systems change. The pharmacy and pharmacist consultant are key members of the team in leading this change. Goals should include: consolidating medications to allow residents to arise naturally, sleep, dine, and enjoy activities uninterrupted; administering all medications and treatments in the resident’s room; reducing polypharmacy; and prescribing by providers that supports medication consolidation. This process produced fewer medication errors and higher satisfaction for both residents and staff.

Polypharmacy and Adherence In Patients With Diabetes

Elderly patients are particularly susceptible to polypharmacy issues because of age-related changes in pharmacokinetics and pharmacodynamics as well as to chronic diseases resulting in a continuous increasing demand for drugs. This study captures the prevalence of polypharmacy and adherence in Greece and identifies related risk factors in adult patients with diabetes.

2018 ASCP Poster Abstracts

Sixty posters will be presented at ASCP’s Poster Exhibit at the 2018 Annual Meeting & Exhibition, National Harbor, Maryland.

CMS Publishes Final Nursing Facility Payment Rule

Nursing facilities will receive a 2.4% increase in their Medicare Part A payments from the Centers for Medicare & Medicaid Services (CMS) beginning October 1, 2018. CMS also has abandoned the resource utilization group reimbursement model for a new patientdriven payment model.


The Consultant Pharmacist® is the official monthly peer-reviewed journal of the American Society of Consultant Pharmacists (ASCP). It is the only journal dedicated exclusively to the medication therapy needs of seniors. ASCP members receive The Consultant Pharmacist® as a member benefit. All articles (2004 to present) are free online for members.

Nonmembers can access online abstracts to journal articles. Full articles are available for $35.00 each.

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