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