070.00.99 Ark. Code R. 006

Current through Register Vol. 49, No. 10, October, 2024
Rule 070.00.99-006 - 09-01: Disease State Management
09-01:DISEASE STATE MANAGEMENT
09-01-0001 -AREAS OF PRACTICE IN DISEASE STATE MANAGEMENT

The Board of Pharmacy will recognize the following areas of practice in Disease State Management. This list may be expanded, as standard exams in other areas become available.

1. Asthma
2. Anticoagulation Therapy
3. Diabetes
4. Dyslipidemia
09-01-0002-QUALIFICATIONS, RESOURCES, AND RECORD KEEPING REQUIRED FOR CREDENTIALING IN A DISEASE STATE MANAGEMENT AREA.
A. To obtain a credential in an area of disease state management a pharmacist must meet the following qualifications:
1. Be a licensed pharmacist in the state of Arkansas
2. Achieve a passing score on an examination approved by the Board of Pharmacy that tests for the minimum standards of competency as identified in Section 09 -01. Said examination should be the nationally recognized standard as approved by the Arkansas State Board of Pharmacy.
3. Achieve a passing score on an Arkansas State Board of Pharmacy approved practical examination in the area of disease state management.
4. Complete all required applications and pay all required fees.
B. Resource requirements for the provision of Disease State Management services shall include-but are not limited to the following:
1. Maintain a distinct area that provides privacy for the provision of disease state management services.
2. Maintain references that include a current copy/edition of applicable national practice guidelines and such other resources as may be necessary for the provision of optimal care.
3. Maintain devices, supplies, furniture, and equipment as may be needed for the provision of optimal care.
C. Record keeping requirements for Disease State Management.

The pharmacist, holding a credential in Disease State Management, shall record, maintain, and transfer data essential to the continuity of care and consistent with all applicable state and federal laws and regulations; and these records and all related files shall be available to the Arkansas State Board of Pharmacy inspectors and professional staff upon request. Additionally, a transferable pharmaceutical care record is to be maintained and is to include:

1. The written request for consultation from the patient's physician.
2. The physician approved protocol and/or patient care plan, which is to recognize all concomitant diseases and the patient's complete medication history/profile.
3. Pharmacy progress notes.
4. Laboratory data.
09-01-0003 -MINIMUM COMPETENCIES AND STANDARDS TO BE MET BY THE COMPETENCY EXAMINATIONS FOR DISEASE STATE MANAGEMENT
a. Minimum Competencies for Pharmaceutical Care in all Disease State Management areas:
1. The pharmacist shall be capable of identifying and accessing the patient's current health status, health-related needs and problems, and desired therapeutic outcomes.
2. The pharmacist shall be capable of implementing, and evaluating a pharmaceutical care plan that assures the appropriateness of the patient's medication(s), dosing regimens, dosage forms, routes of administration, and delivery systems.
3. The pharmacist shall be capable of communicating appropriate information to the patient and/or caregiver and other health care professionals regarding prescription or non-prescription medications and/or medical devices, disease states, or medical conditions, and the maintenance of health and wellness.
4. The pharmacist shall be capable of monitoring and documenting the patient's progress toward identified endpoints and outcomes of the pharmaceutical care plan and shall intervene when appropriate.

Disease state specific competency requirements are revised periodically and are furnished at the time of application for the respective exams or upon request to the Board.

09-01-0004 -PROCEDURES FOR INITIAL APPLICATION FOR AND RENEWAL OF CREDENTIALS IN DISEASE STATE MANAGEMENT.
a. APPLICATION FOR EXAMINATION IN AN AREA OF DISEASE STATE MANAGEMENT
1. An applicant for examination in an area of Disease State Management must complete an application supplied by the Arkansas State Board of Pharmacy at least 30 days prior to the date that the applicant plans to take the examination.
2. All fees for examination must be received with the application for examination.
3. The applicant must supply all information requested on the application including, but not limited to: Name, Arkansas License Number, and Disease State for which the application is being made. If an applicant is applying for a credential in more than one area, one application can be made identifying ail areas to be tested and the fee for all tests can be included in one check,
b. INITIAL APPLICATION FOR A CREDENTIAL IN AN AREA OF DISEASE STATE MANAGEMENT
1. An application for a credential in an area of Disease State Management, supplied by the Arkansas State Board of Pharmacy, should be submitted to the Arkansas State Board of Pharmacy. Said application should include.
a. Name of Applicant
b. Arkansas Pharmacist License Number of Applicant
c. Fee for credential as identified in Regulation 01-00-0007(23).
d. Proof of successful completion of a Board of Pharmacy recognized examination on competency standards for the area of Disease State Management for which the applicant is applying.
e. Proof of successful completion of a practical examination recognized by the Arkansas State Board of Pharmacy in the area of Disease State Management for which the applicant is applying.
09-01-0005 -RENEWAL OF CREDENTIAL IN DISEASE STATE MANAGEMENT AREAS.

A pharmacist must renew the credential in Disease State Management yearly. The credential will expire on August 31 of every year.

A pharmacist who holds a credential in a disease state must follow these procedures to renew the credential:

1. Complete the application for renewal of the credential in a disease state that is supplied by the Arkansas State Board of Pharmacy.
2. The application should be mailed to the credential holder by August 1 of each year. If not received by August 31, the credential will be voided and the Board of Pharmacy will make notice, to all interested parties, that the credential is no longer valid.
3. The application shall include the renewal fee as identified in § 17-92-108(a) (20).
09-01-0006 -CONTINUED COMPETENCE

If the qualifications for issuing a credential in a specific disease area are redefined by the Arkansas State Board of Pharmacy, the Arkansas State Board of Pharmacy may require additional training and assessment of pharmacists, who hold a credential in that Disease State, before renewal of the credential is issued. Sufficient notice, by the Arkansas State Board of Pharmacy, should be given to the pharmacists holding the credential being redefined. (Adopted 8/19/99)

070.00.99 Ark. Code R. 006

9/9/1999