Bryanna Tibensky
@BTibenskyRPh#PrimaryCare Pharmacist @CBFHT01 | ACPR @CFFM_KW @UWPharmacy | PharmD @UofTPharmacy 💊 | Likely baking 🍪 Views are my own
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While unnecessary profit-based MedsCheck need to be scrutinized, I will not apologize for the administrative burden from the post-discharge MedsCheck I did yesterday that identified 3 dosing errors (which I adapted) and three clinical recommendations for the family MD.
The MedsChecks-corporate pharmacy story. Interesting twist that this story has taken, like a Twizzler with 5 strands wrapped around each other to form a new thing. I get it, but let me try to unwrap the strands.
Nice! Check out the new website to see what knowledgeable, hardworking pharmacists in teams are doing to improve patient care!
Our communications team is SO excited to announce the new website is now live! Check it out at: impactpharmacists.ca
Tier 3 nitroglycerin spray shortage in Canada. We developed a practical tool, in collaboration with @SCC_CCS to help pharmacists. ccs.ca/news/shortage-…
The #MINTMemoryClinic model helps elders age at home: 90% of persons with dementia can be managed within primary care in the MINT Memory Care model. Read more about community-based alternative models of senior care, like NORCs (naturally occurring retirement communities).
"Canadians are keen to explore alternative models of senior care. By 2051, 1 in 4of us will be 65 or older. Institutionalizing 1/4 of the population isn’t feasible or affordable" - Read the full article by @jenrecknagel at @macleans #NORCs #aginginplace macleans.ca/society/health…
Also leading to reduced costs to the system…everyone deserves access to a #PrimaryCareTeam anchored by a family physician or nurse practitioner! #ItTakesATeam
Lots of discussion on primary care teams. Using @INSPIRE_PHC data we found people attached to teams have lower % of hospital readmission. We need more teams to support the system!! @OntarioCollege @kellygrant1 @Queens_HSPRI @janephilpott @QueensuFamMed @CAOT_ACE @theRCOT
What you need to know about #pharmacist (RPh) minor ailment (MA) prescribing in #Ontario – a🧵 While most have been supportive that RPhs can prescribe for 13 ailments (that we previously assessed & treated, just without the independent authority to prescribe Rx medication PRN),
It's not about "skipping the doctor's office" but rather about a point of access for simple issues for those who have no access to an FP or NP in primary care so they don't need to wait in ER. Our collective focus needs to be ensuring timely access to team-based #primarycare.
Starting January 1st, Ontarians will be able to skip the doctor’s office visit and go straight to a pharmacy to receive prescriptions for common ailments at no extra charge. Visit ontario.ca/CommonAilments for details, including the list of ailments pharmacists can prescribe for.
We are hosting a really awesome (and affordable) conference online next month: A Focus on Geriatric Pharmacotherapy! Please see below for more info & registration. If you care for older adults, this may interest you! #olderadults #Pharmacist
#NSMSGS and @GeriMedRisk are teaming up for a great special event: A Focus on Geriatric Pharmacotherapy Join us on January 27, 2023 For more info and to register, visit: nsmsgs.ca/events/a-focus… #olderadults
Was interesting to see a SGLT2i trial include patients without proteinuria. Although not exactly the results we wanted 🤔
6. SGLT2 inhibitors may have beneficial effects even in the absence of protein in the urine - though remains unclear if this population will be treated While EMPA-KIDNEY included patients with CKD but without albumin in the urine (albuminuria),
I wish those who feel #pharmacists shouldn’t prescribe based on conflict of interest concerns could listen as I explain the weak evidence for Paxlovid to patients and the reasons why I don’t routinely recommend it for just anyone over 60 (even when I could for financial gain) 🧵
Now do you see? datastudio.google.com/embed/reportin… h/t @MoriartyLab @Billius27 @lisa_iannattone
Getting lots of questions about the new bivalent boosters in 🇨🇦. Here's a 1-pager we prepped addressing some of the most common questions.
There are a lot of moving parts to the #MINTMemoryClinic model! Want to learn more about them, and how these clinics create a new way of approaching dementia care? youtube.com/watch?v=Bnwsgo… #dementia
It is critical to note that this $1.8 billion in underspending on healthcare occurred in a pandemic, during high inflation, while using Bill 124 to suppress the wages of frontline healthcare staff--most notably nurses. Even as the system collapses, Bill 124 has not been repealed.
Here's a breakdown from the FAO on where the Ford government underspent in 2021-22. It includes health, education, social services and contingency funds. #onpoli
Excited to share the publication of my residency research in CJHP! First step towards developing Canadian #cpKPI for ambulatory oncology @BacchusNorth cjhp-online.ca/index.php/cjhp…
I’ve spent much of my research career studying payment, organization, and quality improvement in primary care The evidence is clear that teams work to improve care for patients and improve work satisfaction for family doctors
*NEW* Our latest study @AnnFamMed @RickGlazier1 shows that team-based primary care, coupled with payment reform, can improve patient outcomes & reduce ED use annfammed.org/content/20/1/24 We desperately need to expand team-based primary care in Canada (a mega 🧵)
Ilan, like many family medicine residents in Ontario, were trained in a Family Health Team. These models, though, are not readily available to docs anymore I’ve been reflecting on how this team model is protective against much of what caused Ilan to leave family medicine
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