Community Pharmacist Practice Assessments

The community pharmacist practice assessment criteria focuses on four key areas:

  • patient assessment
  • decision making
  • documentation
  • communication and education

For each area, specific performance indicators — which describe the minimum practice requirement for all community pharmacists — are identified. The guidance section of the criteria illustrates how the performance indicator will apply in practice and provides examples of activities that support each standard.

Through a combination of observation and retrospective review of documentation, practice advisors evaluate the processes in place for each of these areas with respect to new and refill prescriptions, adaptations, pharmacist authorized renewals and professional services (e.g., medication reviews, minor ailments, vaccination services).

Specific documentation needs to be submitted at least two weeks ahead of the scheduled practice assessment date. Please see the FAQs below for information on what and how to submit.

Practice Assessment Selection Criteria

As of October 1, 2024, the College has the authority to select Part A registrants to participate in the Quality Assurance Program based on risk rather than random selection. This allows the Quality Assurance Program to focus on risk-based, right-touch selection criteria. Risk factors may include the registrant’s workplace environment, the type of services provided, past conduct, previous Quality Assurance Program outcomes, and the time elapsed since their last Quality Assurance Program activity.

Beginning January 1, 2025, Part A community pharmacists will be selected for a practice assessment if:

  • Eight or more years have passed since their last practice assessment, or
  • They have never completed a practice assessment
Resources

Key resources to support preparation for the practice assessment include:

 

Document Submission for the Community Pharmacist Practice Assessment

You must demonstrate how you meet the Standards of Practice during your assessment. The primary way that you do this is by sharing and discussing examples with your practice advisor that are representative of your everyday practice.  If you cannot provide and discuss appropriate examples during the assessment, you risk falling below in a key performance indicator, which could require the completion of additional quality assurance activities.

Submitting your documentation at least two weeks ahead of time means you will be better prepared and also supports a more efficient assessment.  If your documentation is not submitted ahead of time, does not meet the requirements for your role/practice setting or is not sufficient to assess your practice, the practice advisor will expect you to screen share practice examples during the assessment. Therefore, you must ensure you have authorization to share this information, including access to patient profiles at the pharmacy.

The deadline to submit your documents is 2 weeks prior to your assessment date; however, you may submit your documents earlier if you choose.

We take patient privacy very seriously at the College. All document submissions containing personal health information (patient name, etc.) are done via an encrypted web portal or Microsoft’s SharePoint platform. The encrypted web portal has end-to-end security, meaning all information is secure from the moment you send the email to the moment we receive it at the College. SharePoint allows files to be securely collected from external parties without granting access to the folder’s contents.

Redaction of patient information should be done according to your organization’s policies. Practice advisors do not need access to patient identities to perform the assessment. However, it is important for you to know the identity of your patients to provide any additional information during the assessment. If redacted copies are sent to OCP, you should keep a record of the patient’s name for your own use.

If you are using a personal device for any part of the submission, you should be redacting your documents. If redacting, do so fully and on a copy, not the original documents. Be vigilant for the presence of patient identifiers; these may appear in water marks found on prescriptions. Failure to fully redact, when necessary, may result in a privacy breach.

You may need to forward the SharePoint link to your work email for ease of sending documentation after redaction.

Please submit the following 8 patient care examples:

  1. New Prescriptions – 2 examples (1 regular prescription & 1 opioid prescription)
  2. Refill Prescriptions – 2 examples (1 regular prescription & 1 opioid prescription)
  3. Pharmacist Authorized Renewals – 2 examples
  4. Adaptation – 1 example*
  5. Professional Service – 1 example (medication review; prescribing that was initiated by you such as minor ailment, smoking cessation, Paxlovid® or Tamiflu® prescribing)

*In the absence of an adaptation, please submit an additional drug therapy problem (see question below)

For each example, please provide:

  1. Prescription
  2. Hardcopy
  3. Screenshot of when you have completed a clinical verification/therapeutic check (showing software generated DUR messages)
  4. Patient profile
  5. Any other documentation or notes made at the time (counselling notes, notes on the patient profile, correspondence with the prescriber, DTP notes, assessment notes, follow-up notes, etc.)

Documentation should be submitted exactly as it looked when you completed it – do not send a separate summary.

Key Points: 

  • Select examples for different patients and different medications.
  • Select recent examples (i.e. within the last three months).
  • Select examples that best demonstrate each of the 4 domains.
  • “New” Prescription = A medication that is brand new for the patient.
  • Ideally, select opioid examples used for pain management.
  • An opioid is NOT a controlled drug, benzodiazepine or other targeted substance.

If you have a specialty role, or you are unable to provide the requested examples, please contact your practice advisor.

A DTP is an event or circumstance involving drug treatment that interferes with the optimization of pharmaceutical care. These are broken down into 7 categories, grouped into four pharmacotherapy needs: Indication, Effectiveness, Safety and Use (or adherence) – IESU/IESA

DTP Not a DTP
  1. Unnecessary drug therapy
  2. Wrong drug
  3. Dose too low
  4. Dose too high
  5. Adverse drug reaction
  6. Inappropriate adherence
  7. Need additional drug therapy
  1. Prescription clarification
  2. Back orders
  3. Illegible prescriber handwriting
  4. Early releases for controlled substances

 

It is important to highlight how you identify and actively manage drug therapy problems (DTPs) to help improve patient outcomes.

A few DTPs must be included within your patient examples to demonstrate how you identify and manage DTPs to help improve patient outcomes.

You need to include different types of DTPs across your examples and be able to demonstrate collaboration with the original prescriber.

Considerations for the Selection of Examples 

All patient care examples must be examples of YOUR work. You will be expected to answer questions about your process in each of the following areas:

  • Clinical check
  • Counselling or patient conversation
  • DTP identification and management
  • Prescriber communication
  • Follow up

For all the requested documentation, you should either:

  • scan the documents and save the screenshots as PDFs (strongly preferred), or
  • take a picture and save as a JPG.

Please ensure the quality of the picture is of good clarity and reasonable size so the practice advisor can read it easily.

For PDFs, use 1 PDF per example (i.e., include all documents for 1 example in the same PDF). Documents should be well organized, so it is easy to figure out what happened.

To ensure that the practice advisor knows which documents correspond to which type of patient care activity, we ask that you please NAME the document attachments to indicate this clearly.

  • For example: NEW RX opioid 1 or MEDSCHECK 2 or NEWLY ROSTERED PATIENT, etc.

If a drug therapy problem is included in the example, please indicate with “DTP”.

  • For example: New Rx 2 with DTP, Refill 1 with DTP

No. Please submit your documentation exactly as it looked when you completed it. We are trying to assess your everyday practice. You will be given the chance to elaborate during the practice assessment.

Documentation submission is done via Microsoft SharePoint. 

You will receive an email from ocpdocumentation@ocpinfo.com containing all of the document submission requirements and where you’ll be asked to submit your documents using the Microsoft SharePoint file request link.

You’ll be asked to upload all of your documents directly from your device. To do so, follow these steps:

  1. Once you click on the Microsoft SharePoint file request link, a new page will open
  2. Click “Select Files” and browse the appropriate folder on your device
  3. Select the first example and click “Open”
  4. If you need to add additional files, select “Add more files”
  5. Select the next example and click “Open”
  6. Repeat this process until all of your files are uploaded.
  7. Once you verify all of your documents appear, type your name in the text box (if it isn’t already pre-filled in) and click “Upload”

Please note that once your submission is uploaded, you won’t be able to access the documents, so please ensure that you have them available during your assessment.

When completing the submission:

  • Send all of your documents in on the same day.
  • Include a list of examples you have submitted and the number of pages for each example so your submission can be reconciled.

Once your submission is uploaded, you’ll be notified immediately by an on-screen message that your files were received successfully. Further communication will only be sent if your submission is incomplete.

The submission link will automatically close 90 days after it is sent.  This timeline will not affect any documents you have previously submitted for your practice assessment. Your documents will remain on file until your assessment date.   If you require an additional submission link to be sent, please email ocpdocumentation@ocpinfo.com to request one.

All documents submitted to the practice advisor for the purpose of the practice assessment will be securely destroyed 15 days after the assessment documentation has been uploaded to OCP’s Customer Relationship Management (CRM) system according to OCP’s Records Retention Schedule and Privacy Management practices.

The College is committed to providing the highest level of security, controls and integrity to support the safe transfer of the information you provide.

Microsoft SharePoint’s file request feature allows files to be securely collected from external parties without granting access to the folder’s contents. The designated link provided to you does not allow any user to view, edit or download any existing files. Access is provided solely for the purpose of file uploads.

More information on the security standards and data encryption used in SharePoint is available in this Microsoft article.