SMAP Educational Series

The Ministry of Health updated   mandatory documentation requirements  for the Saskatchewan Medication Assessment Program (SMAP) on September 7, 2017 noted in the  # 639 Pharmacy Information Bulletin - SMAP Documentation .

These changes became mandatory on September 1, 2017.  

You will be required to use the new forms in order for your pharmacy to receive remuneration from the Drug Plan and Extended Benefits Branch (DPEBB) for conducting a medication assessment under SMAP. If you have your own forms, they must be approved by the DPEBB prior to use in order for the SMAP fees to be eligible for remuneration. All previously approved forms will need to be re-approved to ensure they meet the DPEBB’s current requirements of the program.

2017 SMAP Documentation Forms Fillable

pdf, 311.1kb

Download

New SMAP Forms (Regular PDF)

pdf, 509.8kb

Download

Pharmacist Guide to SMAP

The   Pharmacist Guide to SMAP (the “Guide”)   was developed by PAS and the staff at the Medication Assessment Centre (MAC) to support pharmacists and pharmacy students perform a medication assessment. The Guide showcases the stepwise approach utilized in the webinar series and demonstrates how the process can be applied to the new SMAP documentation forms (or any other medication assessment documentation).

This Guide can be used as a resource to follow along with during the webinar and/or for those that prefer a hard copy of the process.

The Guide is available to PAS Members immediately. Non-members and University of Saskatchewan pharmacy students that are not members will have access to the Guide upon registration for the webinars. 

The Mini Pharmacists Guide for SMAP

This version is best for print only.

This document is only available to Association members.

Sign-in

The Pharmacists Guide for SMAP

This version can be viewed online or printed.

This document is only available to Association members.

Sign-in

CE Accreditation

All webinars have been accredited  from Continuing Professional Development for Pharmacy Professionals. Accreditation forms will be available to pharmacists who complete each module that is eligible for accredited CE.

Medication Assessment Workshop

PAS may offer further 1-day in-person Medication Assessment Workshops in the future. These workshops  reflect the process within the webinar series and Guide. However all information within the workshop is addressed in the webinar  series in a more detailed fashion.   


Registration Form (Fillable) for Medication Assessment Series Recordings

To register for the  recordings of the completed Medication Assessment webinars below please complete this fillable form Registration Form (Fillable) for Medication Assessment Series Webinars (Recordings) .

* Make sure you SAVE  the form it to your computer  once it is completed (check to see that it is filled in after you save it) and then email it to info@skpharmacists.ca

 


Completed Medication Assessment Webinars

Pre-Series Webinar: Documentation  (June 13, 2017)

The topics in this webinar included:

  1. Understand the purpose for the changes to the SMAP documentation forms.
  2. Review the SMAP Policy.
  3. Review the updated forms in detail.
  4. Learn about the upcoming webinar series specific to how to provide a medication assessment. 

 

Webinar #1  Medication Assessment Series: The Patient Care Process - An Overview  Presented by Dr Derek Jorgenson   (June 20, 2017)  

The topics in this webinar included:

  1. The Patient Care Process – An Overview 
  2. Collecting a Comprehensive Patient History 

Learning Objectives:

  1. Describe the steps in the patient care process.
  2. Explain how the patient care process can be used in various clinical pharmacist services.
  3. Demonstrate a structured and organized approach to collecting information during a patient interview (for the purpose of completing a medication assessment).

 

Webinar #2 Medication Assessment Series:  Using A Systematic Approach to Drug Therapy Problems   Presented by Dr Derek Jorgenson (Aug 10, 2017)

In the case file, there are some tasks to be completed before the webinar. While it’s not mandatory to complete these tasks, it is recommended to have them done before you begin the webinar for a complete learning experience. 

Learning Objectives

  1. Apply a systematic approach to identifying drug therapy problems using:
    • Therapeutic Thought Process
    • Pharmacotherapy Workup

To access the patient case and the work sheets, click on the links below.

 

Webinar #3  Medication Assessment Series: Creating and Implementing Care Plans: Part 1  Presented by Dr Derek Jorgenson (October 6, 2017)

Learning Objectives:

  1. Describe the purpose and the components of a care plan.
  2. Complete the first part of a “SMAP Care Plan” for a patient in your practice, by establishing goals of therapy and selecting patient centred interventions.

Prior to attending  this webinar participants were asked to please read the patient case and complete the following tasks:

  1. Set goals of therapy for each of the patient’s medical conditions (diabetes, dyslipidemia, hypertension, erectile dysfunction), making some assumptions that you talked to the patient to get his opinion on the goals. 
  2. Using the drug therapy problems that were identified at the last webinar (which are stated at the end of the patient case ) select the interventions that you think would be most reasonable for this patient. If any of these interventions need to be approved by a physician, state exactly how you would make the recommendations to the physician (in writing or verbally). To access the patient case, please click here.

 

Webinar #4  Medication Assessment Series: Creating and Implementing Care Plans: Part II  Presented by Eric Landry  (Nov 17, 2017)  

Learning Objectives

  1. Describe several strategies and tips to ensure that your recommendations are considered and implemented by the patient and the prescriber.
  2. Complete the 2nd part of the SMAP Care Plan for a patient in your practice by creating a monitoring and follow up plan.

Prior to attending  this webinar titled Creating and Implementing Care Plans: Part II, the registrants were asked to read the patient case and pre-webinar work and the partially completed care plan (from the last webinar) and complete the tasks.  

 

Webinar # 5  Medication Assessment Series:   Documenting Patient Care Recommendations   Presented by Dr. Derek Jorgenson   (December 12, 2017)

Learning Objectives

By the end of the presentation participants should be able to:

  1. Complete a written documentation note, using the SOAP format, to another health provider regarding recommendations from a medication assessment
  2. Verbally discuss recommendations from a medication assessment with another health provider
  3. Describe a system for storing documentation related to medication assessments within your pharmacy

Pre Work

Prior  to  viewing  this  webinar please read the  Pre Webinar Case  and complete the tasks.  

Examples and Links in presentation
SOAP Note Example
Example #1 with SBAR:https://youtu.be/fsazEArBy2g
Example #1 without SBAR:https://youtu.be/CtdNQ-sfKg8
Example #2 without / with SBAR:https://youtu.be/v3vq1c4hIo4

Avoid use of error prone abbreviations http://www.ismp.org/Tools/errorproneabbreviations.pdf

ISMP ”Do NOT USE” dangerous abbreviation list https://www.ismp-canada.org/download/ISMPCanadaListOfDangerousAbbreviations.pdf

Webinar # 6  Medication Assessment Series:  Shared Decision Making: Speaking to Patients about Numbers   Presented by Dr. Derek Jorgenson (Feb 1, 2018)  

Objectives:

  1. Discuss the problem of poor medication adherence with chronic medications.
  2. Describe how pharmacists may be inadvertently contributing to poor medication adherence when speaking to patients about the numbers related to medication benefits and risks.
  3. Discuss recent studies that highlight best practices in talking to patients about the numbers related to medication benefits and risks.
  4. Assist pharmacists to more effectively talk to patients about numbers to ensure that patients understand the actual risks and benefits of their medications to facilitate shared and informed decisions regarding drug therapies that patients.

Brief Evaulation Surveyhttps://www.surveymonkey.com/r/KGQ775F

Suggested Decision Aids Referenced in Webinar

Best Practice Tip When Talking to Your Patient About the Side Effects

  • Avoid terms like “rare” or “common”, “likely” or “unlikely” without context (actual statistics) when counselling patients.
  • Perception vs. Actual frequency of the terms is VERY different, as shown in studies.
  • Could reduce medication adherence (since perception is much higher than actual frequency of side effects).

Side Effect Terms Commonly Used

Patient Perception

of Frequency

Actual Frequency

“Rare”

8%

0.01 – 0.1%

“Common”

45%

1 – 10%

Lancet 2002; 359: 853

 

Webinar #7   Medication Assessment Series:  Bringing it all Together    Presented by Eric Landry   (April 27, 2018)

Learning Objectives

  1. Complete all aspects of a patient care plan, based on provided patient case, including:

                     a)      Setting goals of therapy
                     b)      Identifying drug therapy problems
                     c)      Considering therapeutic alternatives
                     d)      Creating a plan for intervention
                     e)      Establishing monitoring/follow up plan

         2. Practice communicating recommendations through written documentation to prescriber.

Presentation summary
Participants received  a  patient  case 1 week prior to the webinar, and were asked to complete it before the session. This exercise was  meant to draw on all the skills covered in previous webinars in this series. 

Pre Work    Patient Case #7   

 

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