Bruce Berger, PhD’s Post

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President at Berger Consulting, LLC, I help health care professionals help patients manage chronic illness (motivational interviewing) and build authentic relationships, 𝐊𝐄𝐘𝐍𝐎𝐓𝐄 𝐒𝐏𝐄𝐀𝐊𝐄𝐑

I remember one day while I was practicing pharmacy a patient I knew by name and sight came in, handed over a prescription for diabetes and started to sob. I asked her why she was upset and she said she had just been diagnosed with diabetes and was "so scared". She worried about what kind of life she would have now. We talked and when we were done, she felt relieved that with the medication and small changes in her food choices and some added physical activity she could effectively manage her illness and live a very normal and active life. As health care professionals what a privilege it is that patients let us into their private worlds. What a wonderful example of human connection when we are able to be fully present and authentically respond to our patients. Yes, it helps our patients, but it is an equally important reminder to us that we are connected and those connections have emotional and psychological value to our patients AND us. Of course, those genuine connections have a tremendous impact on treatment adherence and health outcomes for our patients. The relationship is still the best predictor of therapeutic success. AND, how sad that so many health care professionals (HCPs) work in environments in which staffing levels are so low that HCPs don't have time to interact with patients in meaningful ways. Not only does this increase the possibility of errors being made, it is impossible to uncover potential adherence problems if we don't spend time with our patients. And, it harms all of us emotionally who took an oath to put our patients first. My plea is to the decision-makers out there who make staffing decisions. Appropriate patient care is not in conflict with profitability. It improves adherence and outcomes. I had the privilege of keynoting and attending Pharmacy U Toronto last week. What a great meeting. Jim Danahy headed up a session on Pharmacist-at-Intake. Two owners (Christopher Juozaitis and Carlene Oleksyn) who had reconfigured and transformed their pharmacies to have the pharmacist be the first encounter for the patient presented the impact on adherence, outcomes and profitability. As a result of this approach, which allows pharmacists to talk with patients about their new prescriptions and expectations, any issues with refills, etc., adherence, outcomes and profitability improved dramatically. All of the pharmacy chains have the resources and technology to change practice dramatically like the above pharmacists have done. Why not do a pilot study and "risk" a new practice model in which pharmacists, patients and profits win? Why not lead the change that allows pharmacists to practice at the top of their license and allows them to really help patients?

Jaclyn Katelnikoff, BSc PMCOL, BSc Pharm, RPh

Healthcare Change Advocate / Pharmacy Manager / Entrepreneur / Pharmacist/ Pharmacologist

9mo

Change is terrifying for most. I could feel the fear in the room during this presentation. The audience was clearly quite stressed at the idea of reversing workflow. They were looking for a catch, but there isn't one. It is, in my not-so-very humble opinion, the ONLY way to practice! Relationship based practice at its finest!

Ashley Anderson

Clinical Sports Pharmacist, Ethnopharmacist, Innovative Creator, Journeyer, Thought Leader

9mo

We need time to establish the relationship and that gets more answers to avoid rehospitalization, improves understanding of the medicine and how to report side effects and so much more.

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