Small town, under serviced areas, rural: greater scope of practice, learn skills, Focus on acquiring skills o Soft skills: communication, leadership, interpersonal, o Innovative in new practice models o Try diff types of practice settings - find passion o Network Expect to work hard o Learn from successes & failures o Owning pharmacy = freedom to practice the innovative way you want 1.2) pharmacy jobs 2014 Good: 94% pharmacy degrees got jobs in pharmacy (nurses 97%), ~eqv # of hours Bad news: distributed hours at diff employers, less full-time/less benefits Pharmacy industry very sensitive to private sector changes: goes with economy Concern w/ part time jobs: forming patient/ HCP relationships o Challenges the resilience of pharmacists … interact with patients 2.1 Definition of pharmacy formats: Format Autonomy Central control Independent o name is x unique to store; Generally <~5 stores under o Owner: single ownership ordering, marketing, store image, etc Banner Independently owned & o Individual If owns 5+ stores, high level of autonomy: pharmacies affliated /pays considered a chain local marketing, fees to central office professional services etc o Right to use name (IDA, Guardian, Pharmasave) o Required "look & feel" Franchise o Some o Franchisees SDM & Jean Coutu autonomy in local (associates) do not own marketing, buying, physical store, fixtures, services master leases o o Programs developed by head office Chain x Managers are Pharma Plus, Lawtons salaried employees of head office 5+ stores under single Marketing, ownership, +/- membership merchandising, buying, of Canadian association of professional programs chain drug stores Food/mass (Exception Quebec: Managers are Canada safeway, zellers pharmacists own salaried employees dispensary) Marketing, merchandising, buying, professional programs 2.2) Neighbourhood Pharmac Association of Canada 360 Survey Online survey w/ 60 questions Surveyed community pharmacies (+/- membership), 60% individual pharmacies & 40% multiple-store organizations Growth in Rx demand: increasing pharmacies:population from 2013 to 2015 o Rx dispensed growth rate = 5x population growth o Expanded services (smoking, medreview, vaccine) require workflow enhancement/pharmacy layout changes o Government want to cut cost, not managing the growth of costs Variations of provinces: Province Population growth pharmacy Atlantic low High high Rx growth (aging) Quebec low Fewer pharmacies per capita ontario avg Above avg Rx growth prairies Fastest Below avg Rx per capita BC avg Healthy, low Rx per capita but growing faster o Atlantic: growth Rx>> population (AGING!) o Quebec: vs avg: less population growth and fewer pharmacies per capita o Ontario: avg population growth, 2.3 Drug reform 2015 Dispensing fee: ODB regular ($8.83) o Increase by distance covered… 5 KM, 5-10 KM, 10-25 KM, >25 KM o Lower dispensing fee for LTCH Markup = 8% o 6% for high cost drugs (total drug cost >$1000) Chronic drugs 100-day supply 3.1 done 3.2 "Table 2" win-win for selling generic drugs
5.1, 5.2 assessment criteria
5.3 New pricing effective April 1 15 & 18% --> 10% (70 generic drugs) 25% -->18% No inventory wash out period