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Champions of Age-Friendly Care: A Talk with an ASCP Past President | Geriatric Pharmacy Podcast · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession. Welcome to the Pharmacy Podcast Network.
• 0:28
  Speaker 1: We have an aging population taking more medications than ever before.
• 0:32
  Speaker 1: On this podcast, I will interview experts in geriatric medicine
• 0:35
  Speaker 1: to gain insights so we can provide optimal care to
• 0:38
  Speaker 1: patients in their golden ears. I'm your host, doctor Tammer Ruggles,
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  Speaker 1: and this is the Geriatric Pharmacy Focus.
• 0:48
  Speaker 2: Hello listeners, and welcome to the Geriatric Pharmacy Focus. With
• 0:52
  Speaker 2: me today is doctor Deborah Malito, a board certified geriatric
• 0:55
  Speaker 2: pharmacist and a fellow of the Meyerican Society of Consultant Pharmacists.
• 1:00
  Speaker 2: She is the director of Clinical Services and consultant Services
• 1:04
  Speaker 2: for Diamond Pharmacy Services, and she's also the Chief Antibiotic
• 1:08
  Speaker 2: Stewardship Officer. And we've had her on the podcast before
• 1:11
  Speaker 2: on antimicrobial stewardship back when it was called the LTC
• 1:15
  Speaker 2: Pharmacy Podcast, and we did an episode on antimicrobial stewardship.
• 1:19
  Speaker 2: But today is going to be really fun because doctor
• 1:22
  Speaker 2: Malito was one of the past presidents of the American
• 1:25
  Speaker 2: Society of Consultant Pharmacists and We recently had our annual
• 1:29
  Speaker 2: meeting in California in November. I believe it was, gosh,
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  Speaker 2: October November, I can't even remember now, but I wanted
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  Speaker 2: to have Mliitol with me to day just to talk
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  Speaker 2: about what it's like to be a past president, how
• 1:44
  Speaker 2: she was involved, and then we're also going to get
• 1:46
  Speaker 2: into how she's a champion for the age friendly movement. So,
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  Speaker 2: doctor Murido, welcome to the podcast today.
• 1:54
  Speaker 3: Oh thank you, Tamraz. Wonderful to be invited. I've listened
• 1:59
  Speaker 3: to your podcast. You always do such a good job,
• 2:02
  Speaker 3: So thank you for having me.
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  Speaker 2: Oh yeah, I appreciate that. So you're past president of
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  Speaker 2: the American Society Consult Pharmacies, and so I'm always curious.
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  Speaker 2: You know, there's not many people who can say they've
• 2:14
  Speaker 2: been president of a professional organization like that. So how
• 2:18
  Speaker 2: did you get involved with ACP and then what just
• 2:21
  Speaker 2: inspired you to run for president?
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  Speaker 3: Okay, well that's a little bit of a story. I'll
• 2:26
  Speaker 3: try to keep it brief, but you know, I've always
• 2:29
  Speaker 3: felt that now wherever I was in my in the
• 2:32
  Speaker 3: pharmacy profession, it was important to be part of a
• 2:35
  Speaker 3: bigger group. And I always tell my students that you know,
• 2:40
  Speaker 3: pick an organization and you know, join it because you'll
• 2:44
  Speaker 3: hear more about what's going on, whether it be at
• 2:47
  Speaker 3: the local, regional, or national level, that you may not
• 2:51
  Speaker 3: necessarily know about if you weren't a member of that organization.
• 2:56
  Speaker 3: So I worked in a hospital setting for several years
• 2:59
  Speaker 3: and I've belong to the American Siut of Health System
• 3:03
  Speaker 3: Pharmacists and I got a lot out of that. I
• 3:07
  Speaker 3: was very involved at the local level and the regional level.
• 3:12
  Speaker 3: And so then when I went to Diamond Pharmacy Services
• 3:16
  Speaker 3: in Indiana, Pennsylvania, and I became the director of the
• 3:20
  Speaker 3: clinical and consultant services for a long term care division,
• 3:24
  Speaker 3: the owner of my company, Gibbs owner, said why don't
• 3:27
  Speaker 3: you come to an ASCP meeting with me? And so
• 3:31
  Speaker 3: I went with him and I liked what I saw
• 3:36
  Speaker 3: what I heard. I met some wonderful people, and I
• 3:40
  Speaker 3: guess the starting point was to join a committee. And
• 3:45
  Speaker 3: so the committee that I joined was the Antimicrobial Stewardship.
• 3:51
  Speaker 3: I think it was called like a task force or
• 3:55
  Speaker 3: something like that, and it was very interesting to me.
• 3:59
  Speaker 3: And the next year the person that had been the
• 4:04
  Speaker 3: chair said, you know, I think you could be the
• 4:06
  Speaker 3: chair of this committee. And I said, Nancy, I don't
• 4:09
  Speaker 3: think I'm ready for that. She goes, oh, you're ready.
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  Speaker 3: And so I became the chair of that committee. And
• 4:14
  Speaker 3: then then I you know, started to hear about what
• 4:17
  Speaker 3: other committees were doing. I got a little more involved
• 4:21
  Speaker 3: with the Dea Committee, the Government Affairs Committee, which is
• 4:26
  Speaker 3: called GHAK. You know, just learning more and more about
• 4:31
  Speaker 3: the organization. And so someone had suggested that maybe I
• 4:37
  Speaker 3: joined the board while I was nominated, and I ran
• 4:42
  Speaker 3: and I didn't win, but I went back to the
• 4:45
  Speaker 3: drawing board and I got more involved by meeting more
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  Speaker 3: people and becoming more involved in some different committees, and
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  Speaker 3: I ran again for the board and I was the
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  Speaker 3: lucky candidate. So I the board terms for ASCP or
• 5:03
  Speaker 3: three years. So I was finishing or I was in
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  Speaker 3: the middle of my second term on the board, and
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  Speaker 3: someone thought that I should run for president. So the
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  Speaker 3: way it works is, you know, you get nominated and
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  Speaker 3: you if you win, you're the president elect for a year,
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  Speaker 3: then you become the president for a year. Then you're
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  Speaker 3: the chair of the board for a year. So I
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  Speaker 3: didn't win first time around, but you know, I just
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  Speaker 3: kept meeting more people and you know, staying involved. And
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  Speaker 3: I ran a second time and I was elected, and
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  Speaker 3: I became the fifty second president of ASCP. And it's
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  Speaker 3: probably been one of the most professionally gratifying things that
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  Speaker 3: I've done. I can I can say that there are
• 5:54
  Speaker 3: some very hard things that I've done in my pharmacy career.
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  Speaker 3: One was going back to school to get my doctorate
• 6:01
  Speaker 3: while I had two small children, was married, working full time.
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  Speaker 3: I don't know how I did it, but it was
• 6:08
  Speaker 3: the best thing I ever did. And then the second
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  Speaker 3: hardest thing was operationalizing the COVID vaccines. When everyone said
• 6:18
  Speaker 3: we can't do this, I said, no, we are going
• 6:21
  Speaker 3: to do this, and so we ended up immunizing thousands
• 6:26
  Speaker 3: of residents in our nursing homes. So those are the
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  Speaker 3: hardest things. But the most gratifying thing professionally was serving
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  Speaker 3: the three year term at ASCP.
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  Speaker 2: Yeah, I'm glad you mentioned that you ran and you
• 6:44
  Speaker 2: didn't win the first time, because that is what happened
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  Speaker 2: to me this go around at ASCP. I ran for
• 6:49
  Speaker 2: the Board of directors and didn't win. So I was
• 6:51
  Speaker 2: encouraging to hear that you just kept trucking along and
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  Speaker 2: then ran again and one, but what are some of
• 6:58
  Speaker 2: the lessons you learned during your time as president?
• 7:03
  Speaker 3: So I had the opportunity to go to every region
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  Speaker 3: of ASCP. We have eight regions. I personally belonged to
• 7:14
  Speaker 3: the Mid Atlantic region since I lived close to Pittsburgh, Pennsylvania,
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  Speaker 3: but I was able because we had a grant to
• 7:22
  Speaker 3: speak on immunizations, and so it was wonderful that I
• 7:27
  Speaker 3: got to go to each region. And I've always said
• 7:31
  Speaker 3: something that was a goal of mine that wherever, whatever
• 7:35
  Speaker 3: meeting I went to, before I left, I would at
• 7:40
  Speaker 3: least talk to everybody in the room, whether it was hello,
• 7:43
  Speaker 3: my name is or sit down and talk to a
• 7:45
  Speaker 3: group of people. It was really important to me that
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  Speaker 3: I know as many people that were members of ASCP
• 7:52
  Speaker 3: as possible. And when I did that, people tended to
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  Speaker 3: tell me things that I know well would not have
• 8:01
  Speaker 3: happened if it would have been to be a zoom call,
• 8:05
  Speaker 3: or maybe not happen at all, because they're like, it's
• 8:08
  Speaker 3: probably not that important, but it was important to me
• 8:10
  Speaker 3: when I heard it. So I think that I was
• 8:13
  Speaker 3: able to bring back very valuable information about what the
• 8:17
  Speaker 3: members wanted and what they were observing, and you know,
• 8:21
  Speaker 3: if they had some suggestions, so I always took those
• 8:23
  Speaker 3: to heart and brought them back to the board meetings.
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  Speaker 2: Yeah, and you're The thing about you, Debor, is that
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  Speaker 2: you're such a good leader and you're such a good
• 8:33
  Speaker 2: listener that it's easy to talk to you. So I
• 8:35
  Speaker 2: could see how people would open up to you and
• 8:38
  Speaker 2: tell you what they would like to see, and that
• 8:40
  Speaker 2: you would listen and bring that back. It's a true
• 8:43
  Speaker 2: quality of a leader, which is why you were such
• 8:45
  Speaker 2: an amazing president. Do you have any favorite memories as president?
• 8:51
  Speaker 3: Well, I think it's the people that I've met along
• 8:54
  Speaker 3: the way. You know, these people just aren't my colleagues,
• 8:58
  Speaker 3: they're my friends. And I've had such adventures. No matter
• 9:04
  Speaker 3: which region I go to, I can I can think
• 9:08
  Speaker 3: about some things that we've done, you know, some different
• 9:12
  Speaker 3: places that we've gone, or some dinners that we've gone to,
• 9:16
  Speaker 3: so most recently in San Diego. You know, I'm an aquarian.
• 9:22
  Speaker 3: My birthdays in February, and I need to see the water,
• 9:27
  Speaker 3: taste the water, feel the water. So I said to
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  Speaker 3: a couple of my friends, you know I'm getting in,
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  Speaker 3: you know, the night before I have to be at
• 9:35
  Speaker 3: a board meeting. I really need to see the ocean,
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  Speaker 3: and so they arrange to make that happen. So I
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  Speaker 3: thought that was great people I've met along the way.
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  Speaker 2: Yeah, and with your involvement, you know in pharmacy as president,
• 9:50
  Speaker 2: where do you see the future of pharmacy going with
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  Speaker 2: AI and robots and there's so much discussion about the
• 9:58
  Speaker 2: pharmacy is going to become obsolete or more clinical or
• 10:01
  Speaker 2: where do you see their role going as pharmacist?
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  Speaker 3: Well, I think that since we're talking about senior care,
• 10:11
  Speaker 3: let's face it, we've never had so many people over
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  Speaker 3: the age of sixty five, you know, then we've ever
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  Speaker 3: had in America. So I think it's ten thousand people
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  Speaker 3: a day are turning sixty five and older. And so
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  Speaker 3: I think that if you were a pharmacy student or
• 10:29
  Speaker 3: somebody that was thinking about going into pharmacy, we have
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  Speaker 3: to start talking to you early on about how to
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  Speaker 3: best take care of the older adult. And I may
• 10:40
  Speaker 3: be a little biased being so involved with ASCP, but
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  Speaker 3: I really think the care of the older adult is
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  Speaker 3: where it's at because no matter where we would work,
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  Speaker 3: whether it be in community or in a university, in
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  Speaker 3: a hospital, in a nursing home, no matter what, we're
• 11:01
  Speaker 3: all taking care of older adults. So I think that
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  Speaker 3: we all need to be very good at that, and
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  Speaker 3: so if we can use AI to help us to
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  Speaker 3: do that, I'm all for it. I think being involved
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  Speaker 3: in advocacy for the profession itself is very important. ASCP
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  Speaker 3: has something called a fly in every year, and I
• 11:28
  Speaker 3: never realized how much I liked that aspect of pharmacy
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  Speaker 3: until I started to go to the fly ins and
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  Speaker 3: you get to meet with you know, the House of Representatives, Congress,
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  Speaker 3: the Senate. It's it's enlightening and you really feel like
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  Speaker 3: your voice is being heard. You always have like an
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  Speaker 3: agenda that you follow, and I would strongly encourage, you know,
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  Speaker 3: anybody that's listening to consider, you know, going to a
• 11:58
  Speaker 3: fly in if you're involved with ASCP or even other
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  Speaker 3: organizations have scheduled clients that they do.
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  Speaker 2: Yeah, that's definitely on my bucket list of things I
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  Speaker 2: would like to do. It seems really need to go
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  Speaker 2: just advocate for a profession and show a lot of
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  Speaker 2: people don't know what pharmacists do. So I think it's
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  Speaker 2: important to also just show people what we do. And
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  Speaker 2: how important we are as part of the healthcare team.
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  Speaker 2: And speaking of older adults, you are the mid Atlantic
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  Speaker 2: champion for asp for the age friendly movement, So tell
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  Speaker 2: us about that age friendly movement.
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  Speaker 3: So that came to be via a grant that ASCP
• 12:39
  Speaker 3: received through the Johnny Hartford Foundation, and it was a
• 12:43
  Speaker 3: sizable grant, and what it stated was that we were
• 12:49
  Speaker 3: charged with having twenty five hundred pharmacists become credentialed in
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  Speaker 3: age friendly so that you could get like a micro
• 12:59
  Speaker 3: bad if you completed the learning modules. And then beyond
• 13:06
  Speaker 3: that we need to get I think it's two hundred
• 13:10
  Speaker 3: and fifty pharmacies as age friendly, and then we can
• 13:15
  Speaker 3: also have long term care facilities become age friendly. So
• 13:20
  Speaker 3: this age friendly movement started in hospitals a couple of
• 13:25
  Speaker 3: years ago and to the point where it's probably going
• 13:31
  Speaker 3: to become a quality measure for hospitals in twenty twenty six.
• 13:35
  Speaker 3: I'm not sure if it's going to be the first
• 13:37
  Speaker 3: quarter or not, but we all know that, you know,
• 13:40
  Speaker 3: the quality measures that hit hospitals will eventually maybe in
• 13:44
  Speaker 3: ten years, hit long term care. But I think we
• 13:48
  Speaker 3: have to pay attention to this. But it's all centered
• 13:52
  Speaker 3: around four ms. The first M is what matters most
• 13:58
  Speaker 3: to the resident and those that care for them. The
• 14:02
  Speaker 3: second one is where pharmacists play a very large role,
• 14:05
  Speaker 3: and that's medications, and that's where we would be looking
• 14:08
  Speaker 3: to make sure that there aren't any interactions, looking at
• 14:13
  Speaker 3: the anticho energy burden, the beers criteria, all things that
• 14:17
  Speaker 3: we do now but now there's a name for it.
• 14:21
  Speaker 3: And then there's mentation. That's the third M where we're
• 14:25
  Speaker 3: making sure that our residents are free of or screen
• 14:30
  Speaker 3: for demension, delirium and depression. And then the final one
• 14:34
  Speaker 3: would be mobility, and that's where I think pharmacists can
• 14:39
  Speaker 3: play a role in looking at you know, doing false
• 14:41
  Speaker 3: assessments we're needed and really getting PT and OT involved.
• 14:47
  Speaker 3: So truly, like if you're looking at this from a
• 14:49
  Speaker 3: long term care perspective in a nursing home, you could
• 14:54
  Speaker 3: see where you could get all those disciplines around the
• 14:56
  Speaker 3: same table while they're doing a care plan to make
• 14:59
  Speaker 3: sure sure that they're saying this new admission. You know
• 15:03
  Speaker 3: what matters most to missus Smith? Well, you know the
• 15:07
  Speaker 3: family member might say a good day, fust make her
• 15:11
  Speaker 3: breakfast and go play bingo, you know, like being very specific,
• 15:15
  Speaker 3: which shouldn't be new to us because we know that
• 15:18
  Speaker 3: CMS MEGA rules stated we need patient specific care, right,
• 15:24
  Speaker 3: So this is not a new concept. It's just putting
• 15:27
  Speaker 3: a lot of different things together for the age friendly
• 15:30
  Speaker 3: movement to take place. And so yes, I was asked
• 15:33
  Speaker 3: to be one of the mid Atle Antique Champions of ASCP,
• 15:38
  Speaker 3: you know, for the AH friendly movement. And so we're
• 15:41
  Speaker 3: charged with, you know, enrolling pharmacists, pharmacies, and long term
• 15:45
  Speaker 3: care facilities into the system.
• 15:50
  Speaker 2: And I would think like specifically long term care facilities, boy,
• 15:53
  Speaker 2: you think all of them would want to be recognized
• 15:55
  Speaker 2: as age friendly because that's who they're taking care of
• 15:58
  Speaker 2: predominantly is our older adult. But when I look at
• 16:01
  Speaker 2: the four ms, pharmacists can be a huge component to
• 16:07
  Speaker 2: all of the ms because medications do affect mobility and
• 16:11
  Speaker 2: they do affect mentation, and medication decisions should be centered around,
• 16:16
  Speaker 2: you know, what matters to the patient. And that was
• 16:19
  Speaker 2: an area that I didn't stress enough at first, was
• 16:24
  Speaker 2: what matters most because you know, as a pharmacist, you
• 16:28
  Speaker 2: can look at a medication list and say, oh, that's
• 16:31
  Speaker 2: highly antique energic that needs to go, or that can
• 16:33
  Speaker 2: cause hypoglycemia. We should change that, and you can kind
• 16:37
  Speaker 2: of just look at the medications and not the whole person.
• 16:41
  Speaker 2: So I love what matters most because when you sit
• 16:45
  Speaker 2: and talk with a patient about their medications, you hear stories.
• 16:49
  Speaker 2: And you know, there was one patient in particular where
• 16:53
  Speaker 2: I really thought they should switch antidepressants because they were
• 16:56
  Speaker 2: on a tricyclic antidepressant. It was highly antiq energic. And
• 17:00
  Speaker 2: the patient said, I don't care what medication you changed,
• 17:02
  Speaker 2: but don't change that one because I went through a
• 17:05
  Speaker 2: very hard time in my life and that that medication
• 17:09
  Speaker 2: made a huge difference and I never want to be
• 17:12
  Speaker 2: without it. So you know, here I am thinking, oh,
• 17:15
  Speaker 2: it's highly anti cornergic, it should go, and here's the
• 17:18
  Speaker 2: patient saying, oh, that that medication matters to me. I
• 17:21
  Speaker 2: don't want that one to go. So that discussion is
• 17:25
  Speaker 2: a big deal. It's very important when you look at
• 17:28
  Speaker 2: optimizing medications.
• 17:30
  Speaker 3: And tim or if I could just add something that
• 17:33
  Speaker 3: he said, wouldn't you think that every long term care
• 17:36
  Speaker 3: facility would want to do this. Yes, you would think that,
• 17:40
  Speaker 3: but some people will say, we can't possibly do one
• 17:44
  Speaker 3: more thing, so we need to break it. Down into
• 17:47
  Speaker 3: smaller bits. And so the recommendation really is when you're,
• 17:52
  Speaker 3: you know, introducing this at a long term care facility
• 17:56
  Speaker 3: or wherever you're introducing it, is let's start with one resident,
• 18:01
  Speaker 3: just one, and if we become proficient and everything seems
• 18:06
  Speaker 3: to be okay with that, then maybe we go to five,
• 18:10
  Speaker 3: or maybe we do a unit. So we don't ever
• 18:13
  Speaker 3: want to overwhelm any any facility because they really do
• 18:17
  Speaker 3: have a lot to do, and so we just really
• 18:20
  Speaker 3: have to break it down into chunks. And there's a
• 18:23
  Speaker 3: very nice work book that accompanies this movement that it's
• 18:27
  Speaker 3: Paige by page and if you follow that, it's not
• 18:31
  Speaker 3: so overwhelming.
• 18:33
  Speaker 2: I love that One day I was overwhelmed at work
• 18:36
  Speaker 2: and Mike Corker said, how do you eat an elephant?
• 18:40
  Speaker 2: And like, what are you talking about? She said, she said,
• 18:43
  Speaker 2: one bite at a time, and then she ended up
• 18:46
  Speaker 2: giving me a little stuffed elephant that I have at
• 18:49
  Speaker 2: my desk at work. But yes, I think when we
• 18:52
  Speaker 2: look at yeah, you know, becoming age friendly as a whole,
• 18:56
  Speaker 2: maybe it is overwhelming. But I love that you brought
• 18:58
  Speaker 2: up how there is a lot to be done in
• 19:01
  Speaker 2: our long term care facilities and they do have, you know,
• 19:04
  Speaker 2: sometimes staffing issues in a large workload. So breaking it
• 19:08
  Speaker 2: down and into bites or usable steps is a great idea.
• 19:14
  Speaker 3: So how can.
• 19:16
  Speaker 2: We incorporate as pharmacists, how can we incorporate the fourums
• 19:20
  Speaker 2: just into our daily practice?
• 19:22
  Speaker 3: Well, I think that we are already doing it. I
• 19:27
  Speaker 3: just think we need to bring in other professionals that
• 19:31
  Speaker 3: we work with and educate them about what we're doing
• 19:35
  Speaker 3: and how they can help. So I know that pt
• 19:39
  Speaker 3: in the different facilities, I think they're wonderful, you know,
• 19:41
  Speaker 3: with what they do with the residents. But if you're
• 19:44
  Speaker 3: you know, sitting there consulting, perhaps in the nursing unit,
• 19:48
  Speaker 3: and they're sitting next to you, you can, you know,
• 19:50
  Speaker 3: strike up a conversation with them. Social workers are really
• 19:55
  Speaker 3: important in this process, and I really like to see
• 19:59
  Speaker 3: them at the table and them understanding what we're trying
• 20:03
  Speaker 3: to do, because they pretty much do some of that
• 20:05
  Speaker 3: work already, like I said, with the care plan when
• 20:08
  Speaker 3: someone's admitted or whenever there's a change of condition. I
• 20:13
  Speaker 3: think any time that you can talk about it as
• 20:15
  Speaker 3: a group is helpful, and speaking about it at a
• 20:20
  Speaker 3: quality assurance, performance improvement meeting like copy on a quarterly basis.
• 20:25
  Speaker 3: Always having it on your agenda is also very useful
• 20:28
  Speaker 3: because you never know, you know, there might be somebody
• 20:31
  Speaker 3: new to the group where someone hears something a little
• 20:33
  Speaker 3: bit differently and they're like, you know what, I want
• 20:35
  Speaker 3: to hear more about that. I've actually had management groups
• 20:41
  Speaker 3: here about the AH Friendly movement and ask me if
• 20:45
  Speaker 3: I could, you know, sit down and talk with them
• 20:47
  Speaker 3: because they want to introduce it to all of their facilities.
• 20:51
  Speaker 3: So that's always good when that happens. So any chance
• 20:54
  Speaker 3: that I'm getting to speak in front of a group
• 20:58
  Speaker 3: about the AH Friendly move meant I'm taking advantage of.
• 21:02
  Speaker 3: So I've got a few presentations coming up in February
• 21:07
  Speaker 3: for different groups. One's a pharmacist group and one is
• 21:10
  Speaker 3: a nursing group, so you know, the presentations will be
• 21:14
  Speaker 3: a little bit different, but not totally. A lot of
• 21:17
  Speaker 3: the concepts would be the same, you know, no matter
• 21:19
  Speaker 3: with whom you're speaking.
• 21:21
  Speaker 2: Yeah, and you can almost incorporate the four ms into
• 21:24
  Speaker 2: any type of presentation or education session that you're giving,
• 21:30
  Speaker 2: which is nice. That can always be a slide on
• 21:32
  Speaker 2: there is incorporating the four ms into antibiotic stewardship or
• 21:36
  Speaker 2: you know, whatever it might be.
• 21:38
  Speaker 3: Well, actually, there are some pharmaceutical companies that are incorporating
• 21:45
  Speaker 3: four ms into specific medications, and there are some disease
• 21:49
  Speaker 3: states that are incorporating it into their guidelines. So it's
• 21:55
  Speaker 3: really it's wherever we are taking care of voter adults, whatever,
• 22:02
  Speaker 3: whatever way we're talking about it, we should be including it.
• 22:06
  Speaker 3: So whether we're writing, you know, something on psychotropic stewardship
• 22:11
  Speaker 3: or you know, as you said, antimicraibiel stewardship, the forems
• 22:16
  Speaker 3: could be incorporated.
• 22:18
  Speaker 2: Yeah, you bring up a good point. The Diabetes Standards
• 22:21
  Speaker 2: of Care and Diabetes twenty twenty six guidelines were just
• 22:23
  Speaker 2: published in December, and there is the fore ms are
• 22:26
  Speaker 2: in the section thirteen of older adults in the Diabetes
• 22:30
  Speaker 2: guidelines too, So I love it. It's it's really becoming
• 22:34
  Speaker 2: more and more prominent in guidelines and people are talking
• 22:37
  Speaker 2: about it more. And then the best part about it
• 22:39
  Speaker 2: is it just it takes care of the whole person,
• 22:41
  Speaker 2: where you're not just looking at one thing, You're looking
• 22:43
  Speaker 2: at the whole person, which is what we want to
• 22:46
  Speaker 2: do in healthcare. So if pharmacists want to become get
• 22:51
  Speaker 2: that age friendly badge, or if facilities want to become
• 22:54
  Speaker 2: age friendly, what are steps they can take to get
• 22:57
  Speaker 2: to that direction.
• 23:00
  Speaker 3: For pharmacists, if you go to the ASCP website into
• 23:05
  Speaker 3: the Learning resource Center, you can see the four modules.
• 23:09
  Speaker 3: There are specific ones like what matters most Module, Medications, Mentation,
• 23:14
  Speaker 3: and Mobility. You complete those and then there's a little
• 23:20
  Speaker 3: survey that you take and then you can get your badge.
• 23:24
  Speaker 3: And what we've done at my pharmacy is we've added
• 23:28
  Speaker 3: H Friendly Pharmacists to any pharmacists that completed all of
• 23:32
  Speaker 3: that and they could show me their badge, so that's
• 23:35
  Speaker 3: right in their email signature. We also recommend that you
• 23:39
  Speaker 3: use that in your LinkedIn profile. So those are some
• 23:42
  Speaker 3: ways of being recognized. As far as the facility goes,
• 23:46
  Speaker 3: there is a workbook that is phase one and phase two.
• 23:51
  Speaker 3: Phase one is where you pretty much go page by
• 23:54
  Speaker 3: page and complete the requirements and they're very well thought out,
• 24:00
  Speaker 3: they're easy to follow, and then once you demonstrate that
• 24:03
  Speaker 3: you have that concept understood, then you can apply for
• 24:08
  Speaker 3: Phase two, which is when a facility can then say
• 24:12
  Speaker 3: they're an age friendly facility. They can market it, they
• 24:16
  Speaker 3: can put banners up, you know, things like that, so
• 24:18
  Speaker 3: they have to show competency through finishing phase one to
• 24:23
  Speaker 3: become official at phase two.
• 24:28
  Speaker 2: Fantastic. And I will say, you know, for the pharmacist
• 24:32
  Speaker 2: side of things, it's not a ton of work to
• 24:35
  Speaker 2: get the badge and you'll learn a lot. It's fairly
• 24:38
  Speaker 2: easy modules but it's great stuff to know. And then
• 24:40
  Speaker 2: you can, you know, put your Age Friendly banner on
• 24:45
  Speaker 2: your LinkedIn profile or whatever profile to help market yourself
• 24:48
  Speaker 2: as an age friendly pharmacist. And it's free, correct.
• 24:51
  Speaker 3: It is free.
• 24:52
  Speaker 2: Yeah, so even if you're not a member of ACP,
• 24:55
  Speaker 2: you can go get that badge and market yourself and
• 25:00
  Speaker 2: learn quite a bit along the way.
• 25:02
  Speaker 3: Yeah, it's all good. It's very positive.
• 25:06
  Speaker 2: Yeah. So any final thoughts today Deborah and being an
• 25:09
  Speaker 2: age friendly pharmacist or anything pharmacy related for that matter.
• 25:15
  Speaker 3: Oh wow. Well, I think that as long as you
• 25:20
  Speaker 3: have the desire to keep learning, then great, you know,
• 25:25
  Speaker 3: keep doing what you're doing. I say that to my
• 25:28
  Speaker 3: students all the time, Like, pharmacy has never been boring
• 25:31
  Speaker 3: to me. There's either been a new medication, a new indication,
• 25:36
  Speaker 3: a new guideline, and to me that's so exciting. I
• 25:41
  Speaker 3: just think that there's still a lot, lot more for
• 25:44
  Speaker 3: even myself to learn. So you know, just keep taking
• 25:49
  Speaker 3: the CE and going to conferences and belonging to a
• 25:53
  Speaker 3: professional organization.
• 25:55
  Speaker 2: Yeah, I love it.
• 25:56
  Speaker 3: I agree.
• 25:57
  Speaker 2: It's never been boring to me either. And it's so
• 25:59
  Speaker 2: fun when new guidelines or information comes out and you
• 26:02
  Speaker 2: can geek out on it.
• 26:04
  Speaker 3: Yeah, for sure. Like when the new I think it
• 26:08
  Speaker 3: was a c miss make Room'm like, oh my goodness,
• 26:10
  Speaker 3: it's eight hundred and thirty three pages, but here we go.
• 26:13
  Speaker 2: Yep, here we go. And that's when we didn't have
• 26:16
  Speaker 2: Chad Gpt to summarize it for us. Right. Oh that's awesome. Well,
• 26:21
  Speaker 2: thanks so much for being here, and everyone head over
• 26:24
  Speaker 2: to ASCP and get your Age Friendly Pharmacist badge