The EAHP Board, elected for three-year terms, oversees the association’s activities. Comprising directors responsible for core functions, it meets regularly to implement strategic goals. Supported by EAHP staff, the Board controls finances, coordinates congress organization, and ensures compliance with statutes and codes of conduct.
Telepharmacy and Home Delivery implementation during COVID-19 pandemic
European Statement
Selection, Procurement and Distribution
Author(s)
Francisco José Toja Camba, Carmen Lopez Doldan, Laura Casado Vazquez, Aron Misa García, Pilar Rodriguez Rodriguez, Maria Elena Gonzalez Pereira
Why was it done?
Hospital Pharmacy must develop new models of pharmaceutical care (PC), improving patients quality of life and enhancing care services. One type of these strategies are non face-to-face PC, such as telepharmacy and home delivery, achieving a new integrated and patient-centered healthcare model.
COVID-19 health crisis and the need to ensure the delivery of medicines to susceptible people and guarantee home isolation, has motivated a paradigm shift in health care.
What was done?
• Guarantee quality of care in pharmacy consultations (PCC) due to COVID-19 pandemic.
• Implantation of telepharmacy and home delivery of hospital medication.
How was it done?
Three different circuits were designed:
1. Single healthcare act of face-to-face visits in PCC coinciding with other medical appointments. Prior appointment, non-contact consultation agendas and extension of service hours were reinforced.
2. Informed home delivery of hospital medication at home, after prior teleconsultation: pharmacotherapeutic follow-up and request for informed consent. Management and preparation of packages, including motivational messages, to humanize the process. Distribution logistics model based on defined routes and schedules. The confidentiality, security and traceability of the entire process was certified.
3. Open and permanent communication channel between patient and pharmacist that enabled individualized PC.
Patients with mobility problems, home isolation or chronic processes with a higher risk of COVID-19 infection were prioritized.
What has been achieved?
From March to May 2020, 1,938 pharmacotherapeutic follow-up teleconsultations were carried out (291 patients had been attended in person due to having another medical appointment or due to personal preferences). Medication was home delivered to a total of 1,647 patients. A total of 120 routes were made between the four established routes (average of 15 shipments per working day). Percentage of satisfaction expressed by the patients was 95%.
Main limitations were:
1. Operational challenge: changes in workflows, organization of schedules and work times, increase in telephone lines, route management in a very dispersed geographic area, technology gap (mean age ≥ 60 years) …
2. Human resources.
3. Medication shipping cost.
What next?
• Development of new management tools: telepharmacy and home delivery and pharmacotherapeutic follow-up of patients guarantee continuity of non-face-to-face PC.
• We must support initiatives that certify efficient and safe care as well as humanitarian care.