Integrating On-site Pharmacists into Residential Aged Care Facilities

Year project carried out

2024 to 2026

Project summary

Implementing and scaling up the on-site pharmacist model in residential aged care into regional, rural and remote RACFs through a co-design process that develops quality indicators for resident-focused and facility level outcomes. This will lead to a refinement of the model and identification of the facilitators and barriers that impact on implementation and sustainability of the model of care.

This project is funded by Medical Research Future Fund.

Project partners

• Pharmacy Guild of Australia
• PSA
• Choice Aged Care
• SHPA
• National Rural Health Alliance
• REGIS
• ARRCS
  
• SCC
  

Get involved

The OPTIMISER3 Australia team is  recruiting pharmacists and residential aged care homes to take part in this project. Please contact the research team at racfstudy@canberra.edu.au or call us on (02) 6201 2930 if you or your facility are interested in becoming involved.

Research team

• Associate Professor Sam Kosari - Principal Investigator and Associate Professor, Pharmacy
• Professor Rachel Davey - Principal Investigator and Director, Health Research Institute
• Professor Mark Naunton - Principal Investigator and Professor, Pharmacy
• Dr Jane Koerner - Principal Investigator
• Dr Bella St Clair - Postdoctoral Research Fellow
• Mrs Lakeesha Sandamali - PhD Student
• Dr Jennifer Sonter - Research Manager

 

Project summary

Phase 1 of the study is a randomised controlled trial.

Phase 2 that generated robust evidence on the effect of having on-site pharmacists in residential aged care facilities on a range of quality use of medicines indicators. This phase of the study was completed in September 2022 and findings were be released in Feb 2023.

Phase 2 of the study which evaluates the implementation materials will conclude in May 2023.

Project partners

ACT Primary Health Network through the Australian Government's Primary Health Network Program.

Resources

Resources to support RACFs and pharmacists to implement the service and the study evaluation report can be found on the Capital Health Network ACT website.

Publications

Haider I, Kosari S, Naunton M, Niyonsenga T, Peterson GM, Koerner J, Davey R. Quality Use of Medicines Indicators and Associated Factors in Residential Aged Care Facilities: Baseline Findings from the Pharmacists in RACF Study in Australia. J Clin Med. 2022 Sep 1;11(17):5189. doi: 10.3390/jcm11175189. PMID: 36079117; PMCID: PMC9457045.

Batten M, Kosari S, Koerner J, Naunton M, Cargo M. Evaluation approaches, tools and aspects of implementation used in pharmacist interventions in residential aged care facilities: A scoping review. Res Social Adm Pharm. 2022 Oct;18(10):3714-3723. doi: 10.1016/j.sapharm.2022.05.006. Epub 2022 May 10. PMID: 35581128.

Kosari S, Koerner J, Naunton M, Peterson GM, Haider I, Lancsar E, Wright D, Niyonsenga T, Davey R. Integrating pharmacists into aged care facilities to improve the quality use of medicine (PiRACF Study): protocol for a cluster randomised controlled trial. Trials. 2021 Jun 11;22(1):390. doi: 10.1186/s13063-021-05335-0. PMID: 34116708; PMCID: PMC8193166.

Batten, M., Koerner, J., Kosari, S., Naunton, M., Lewis, J., & Strickland, K. (2023). Assessing implementation fidelity of an on-site pharmacist intervention within Australian residential aged care facilities: A mixed methods study. BMC Health Services Research, 23(1), 1-12. [1166]. https://doi.org/10.1186/s12913-023-10172-9

Sudeshika, T., Deeks, L. S., Naunton, M., Peterson, G. M., & Kosari, S. (2023). Evaluating the potential outcomes of pharmacist-led activities in the Australian general practice setting: a prospective observational study. International Journal of Clinical Pharmacy, 45(4), 980-988. https://doi.org/10.1007/s11096-023-01604-x

Batten, M., Kosari, S., Lewis, J., Naunton, M., & Strickland, K. (2023). Exploration of an On-Site Pharmacist Intervention within Australian Residential Aged Care Facilities Using Normalisation Process Theory: A Mixed-Methods Study. Health and Social Care in the Community, 2023, 1-19. [Article ID 4370884]. https://doi.org/10.1155/2023/4370884

Deeks, L. S., Kosari, S., Peterson, G. M., Sudeshika, T., & Naunton, M. (2023). Factors contributing to pharmacists leaving employment in general practice in Australia: an exploratory study. International Journal of Pharmacy Practice, 31(4), 438-441. https://doi.org/10.1093/ijpp/riad023

Haider, I., Kosari, S., Naunton, M., Niyonsenga, T., Koerner, J., Peterson, G., & Davey, R. (2023). Impact of on-site pharmacists in residential aged care facilities on the quality of medicines use: a cluster randomised controlled trial (PiRACF study). Scientific Reports, 13(1), 1-10. [15962]. https://doi.org/10.1038/s41598-023-42894-5

Sudeshika, T., Naunton, M., Peterson, G. M., Deeks, L. S., Guénette, L., Sharma, R., Freeman, C., Niyonsenga, T., & Kosari, S. (2023). Interprofessional Collaboration and Team Effectiveness of Pharmacists in General Practice: a Cross-National Survey. International Journal of Environmental Research and Public Health, 20(1), 1-11. [394]. https://doi.org/10.3390/ijerph20010394

Batten, M., Lewis, J., Naunton, M., Strickland, K., & Kosari, S. (2023). Interprofessional collaboration between prescribers, managers, nursing staff and on-site pharmacists within residential aged care facilities: a mixed-methods study. Age and Ageing, 52(8), 1-10. https://doi.org/10.1093/ageing/afad143

Sudeshika, T., Deeks, L. S., Naunton, M., Peterson, G. M., & Kosari, S. (2023). Interprofessional collaboration within general practice teams following the inclusion of non-dispensing pharmacists. Journal of Pharmaceutical Policy and Practice, 16(1), 49. [49]. https://doi.org/10.1186/s40545-023-00550-3

Deeks, L. S., Naunton, M., Peterson, G. M., Sudeshika, T., Freeman, C., Sharma, R., Leavens, S., & Kosari, S. (2023). Pharmacists in Australian general practice: Discussion of the findings of an evaluation from 2016 to 2021. Journal of Pharmacy Practice and Research, 53(5), 271-281. https://doi.org/10.1002/jppr.1878

Haider, I., Kosari, S., Naunton, M., Koerner, J., Dale, M., Nizamani, S., & Davey, R. (2023). The role of on-site pharmacist in residential aged care facilities: findings from the PiRACF study. Journal of Pharmaceutical Policy and Practice, 16(1), 1-10. [82]. https://doi.org/10.1186/s40545-023-00587-4

Research team

• Associate Professor Sam Kosari - Principal Investigator and Associate Professor, Pharmacy 
• Professor Rachel Davey - Principal Investigator and Director, Health Research Institute 
• Professor Mark Naunton - Principal Investigator and Professor, Pharmacy 
• Dr Jane Koerner - Research/Project Manager 
• Dr Michael Dale - Research Officer 
• Ms Ally Wood - Research Officer 
• Mr Ibrahim Haider - PhD Student 
• Ms Miranda Batten - PhD Student 
• Associate Professor Nasser Bagheri - Principal Investigator and Associate Professor, Health Research Institute 
• Dr Paresh Dawda - Principal Investigator and GP, Prestantia Health 
• Mrs Lakeesha Sandamali - PhD student

 

Project partners

Goodwin

Resources

For Resources, videos and publications please visit the Goodwin website.

Publications

Kosari S, McDerby N, Thomas J, Naunton M. Quality use of medicines in aged care facilities: A need for new models of care. J Clin Pharm Ther. 2018 Aug;43(4):591-593. doi: 10.1111/jcpt.12714. Epub 2018 May 20. PMID: 29781222

McDerby NC, Kosari S, Bail KS, Shield AJ, MacLeod T, Peterson GM, Naunton M (2020). The role of a residential aged care pharmacist: Findings from a pilot study. Australian Journal on Ageing. doi: 10.1111/ajag.12784

McDerby N, Kosari S, Bail K, Shield A, Peterson G, Naunton M (2020). Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators. Medicines, 7(4). doi: 10.3390/medicines7040020

McDerby N, Kosari S, Bail K, Shield A, Peterson G, Naunton M. (2019). The effect of a residential care pharmacist on medication administration practices in aged care: A controlled trial. Journal of Clinical and Hospital Pharmacy, 44, 595-602. doi:doi: 10.1111/jcpt.12822

McDerby N, Kosari S, Bail K, Shield A, Thorpe R, Naunton M. (2019). Residential care pharmacists: another hole plugged in the Swiss cheese. Journal of Pharmacy Practice and Research. doi: 10.1002/jppr.1513

McDerby NC, Kosari S, Bail KS, Shield AJ, MacLeod T, Peterson GM, Naunton M. (2019). Pharmacist-led influenza vaccination services in residential aged care homes: A pilot study. Australasian Journal on Ageing., 38(2), 132-135. doi:doi: 10.1111/ajag.12611

McDerby N, Naunton M, Shield A, Bail K, Kosari S. (2018). Feasibility of Integrating Residential Care Pharmacists into Aged Care Homes to Improve Quality Use of Medicines: Study Protocol for a Non-Randomised Controlled Pilot Trial. International Journal of Environmental Research and Public Health. doi: 10.3390/ijerph15030499.

Research team

• Associate Professor Sam Kosari - Principal Investigator and Associate Professor, Pharmacy 
• Professor Rachel Davey - Principal Investigator and Director, Health Research Institute 
• Professor Mark Naunton - Principal Investigator and Professor, Pharmacy 
• Dr Jane Koerner - Research/Project Manager 
• Dr Michael Dale - Research Officer 
• Ms Ally Wood - Research Officer 
• Mr Ibrahim Haider - PhD Student 
• Ms Miranda Batten - PhD Student 
• Associate Professor Nasser Bagheri - Principal Investigator and Associate Professor, Health Research Institute 
• Dr Paresh Dawda - Principal Investigator and GP, Prestantia Health 
• Mrs Lakeesha Sandamali - PhD student