4CPA REVIEW OF SS BY NOVA PUBLIC POLICY 2010 Sample Clauses

4CPA REVIEW OF SS BY NOVA PUBLIC POLICY 2010. ‌ The Review of Staged Supply, which was established under the Fourth Community Pharmacy Agreement (4CPA), was undertaken by NOVA Public Policy and overseen by a Review Group nominated by the Department of Health and Ageing and the Pharmacy Guild of Australia (NOVA Final Report, February 2010). The project involved a review of legislation, regulation and procedural arrangements, construction of research instruments, and stakeholder consultations. The project did not cover the Opiate Dependence Treatment (ODT) Program or the DAA program, both of which were subject to a separate evaluation. The Review examined the circumstances in which SS might be clinically indicated and the legislative, financial, administrative and practice implications. It included consideration of: PBS medicines used for the treatment of mental health disorders and opioid analgesics; State, Territory and Australian legislative constraints; costs to pharmacy; prescribing and dispensing practices and the patient records held by the pharmacy; implications for the PBS Safety Net Scheme; and implementation proposal for a uniform SS process. Table 4.1 presents the main findings from the consultations conducted across Australia during August and October/November 2009. It was noted that due to the absence of uniform national procedures and the consequent lack of data on the scope of SS delivery, the potential and actual costs of a SS service, stakeholder satisfaction, and impacts on health and patient outcomes could not be tracked. Pharmacists consulted stated that they undertake a range of significant tasks associated with SS, many of which represent a business cost to that is not remunerated. These costs may include: consultations with prescribers concerning required dispensing actions; consultation with the patient with respect to their wishes and agreed mode and frequency of supply; repackaging and additional storage of medicines; record keeping including agreements with patients in relation to the supply; multiple supply events; consultations with patients about aspects of SS including managing disputes and complaints; consultation with prescribers and/or case managers about medication adherence issues; disposal of unclaimed medications. While many of these actions may be required for standard prescribing practice, the scale and frequency of these events are increased in the case of SS. It was the general view of those consulted that these tasks represented a significant cost which was in...
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