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Rethinking pharmacy regulation: Core elements of Idaho's transition to a "Standard of Care" approach.

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OBJECTIVE The National Association of Boards of Pharmacy recently established a task force to explore the feasibility of developing regulations based on "standards of care" rather than "prescriptive rule-based regulation."… Click to show full abstract

OBJECTIVE The National Association of Boards of Pharmacy recently established a task force to explore the feasibility of developing regulations based on "standards of care" rather than "prescriptive rule-based regulation." This manuscript describes the Idaho Board of Pharmacy's transition to a standard of care approach to help other jurisdictions considering similar issues. DATA SOURCES Idaho's statutes and regulations related to the practice of pharmacy. SUMMARY The Board sought to update its professional practice standards by transitioning from prescriptive regulations to a "standard of care" model that harmonizes pharmacists education and training with their legal scope of practice. In doing so, the Board expanded practice authority to include prescription adaptation services and independent prescribing of certain drug classes. As the Board approached how to update its facility standards, it pursued 2 primary goals: (1) Make the regulations practice- and technology-agnostic; and (2) Enable decentralization of pharmacy functions to offsite locations. CONCLUSIONS The Board achieved its goal of reducing overall word count and restrictions in its laws. The Board also created a more permissive professional practice standard rooted in a "standard of care" approach that is more closely aligned with the regulatory model employed by the medical and nursing professions.

Keywords: care approach; board; pharmacy; practice; standard care; care

Journal Title: Journal of the American Pharmacists Association : JAPhA
Year Published: 2020

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