Download Entrenching the KNH Formulary to Clinical Practice

Entrenching the KNH
Formulary to Clinical Practice
DR WK SIGILAI
MTC CHAIR
• Used to be drug- list based
• Now it’s a comprehensive system of
medication use policies to ensure safe,
appropriate use of pharmaceuticals
• MTCs now have broader functions – ADR
reporting, development of STGs , Mx of
drug product shortage
• KNH Formulary launched in September,
2013
• Development process had taken a long
time
• Over 500 copies distributed to UON &
KNH staff, clinical areas, pharmacy units
• KNHF used to review KNH tender list
• For the document to be useful, collective
responsibility is required
• Formulary management is dynamic
• Information on existing medicines changes, new
products coming into the market
• Hospital has to control what medicines they
stock
• Ideally, the formulary lists should be developed
from STGs
• During development of KNH formulary, National
guidelines were used. Some specialized areas
not adequately covered by the National STGs
Importance of a formulary
• Guide prescribing therefore
improve medication use
• Improve availability of medicines
by focusing on the Vital and
Essential Medicines
• Improve budget utilization by
rational allocation of funds
Pharmacy role
• Ensure 100% availability of vital & essential medicines –
this will ensure access to medicines and limit patients
bringing their own medicines to hospital
• Conduct medication use reviews
• Report to the MTC and inform other team members of
changes in prescribing patterns, guideline updates
• Audit utilization of non – essential and non – formulary
medicines and report
• Ensure adherence to policies established esp for non –
formulary medicines
ENTRENCHMENT
• To make part of a system/institution
• To ensure sustenance/longevity
• To protect the formulary
Requirements
• Institutional commitment to support formulary
• Budgetary allocation for MTC activities
• Capacity building especially training of
pharmacists and other stakeholders
• Elevate profile of the MTC
• Regular sensitization esp of new staff
CULTURE CHANGE
• Consider where we are coming from
• Persuading all clinicians to adopt the formulary
• Enhancement of communication between
pharmacy and prescribers
• System of sanctions may be considered
•
THANK YOU