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What is PAI?
ASHP's Practice Advancement Initiative (PAI), formerly the Pharmacy Practice Model Initiative (PPMI), aspires to transform how pharmacists care for patients by empowering the pharmacy team to take responsibility for medication-use outcomes. The PAI originally was based on the results of two consensus-building conferences – one focused on acute care and another on ambulatory care.

PAI, which began in 2010, is a partnership between ASHP and the ASHP Foundation. It aims to integrate pharmacists into healthcare teams by leveraging the skills of pharmacy technicians, promoting pharmacist credentialing and training, encouraging the appropriate use of medication-safety technology, and ensuring pharmacists are leaders in medication use.

What is PAI 2030?
Since its inception in 2010, ASHP’s PAI has resulted in a remarkable partnership with ASHP state affiliates and pharmacists in diverse practice settings to help drive pharmacy practice change at a local level.

To build on this momentum, ASHP has launched PAI 2030, which includes 59 streamlined and updated recommendations to promote optimal, safe, and effective medication use, expand pharmacist and technician roles, and implement the latest technologies.

The original PAI recommendations remain an essential foundation of PAI 2030. The revised set of concepts are aspirational rather than prescriptive so practitioners can customize implementation plans for their institutional setting and revise as conditions evolve. 

What is the goal of PAI 2030?
The goal of PAI 2030 is to significantly advance the health and well-being of people by supporting patient-centered care delivery models that optimize the most effective use of pharmacists as direct patient care providers.

The guidance offered by the 59 PAI 2030 recommendations, which take into account environment trends that are likely to affect the pharmacy enterprise, will help pharmacists, health systems, and pharmacy leaders in their ongoing pursuit of optimal, safe, and effective use of medications.

What are PAI 2030’s themes for practice change?

  • Optimize care via pharmacist-provided comprehensive medication management.
  • Advance pharmacy technician roles.
  • Harness data to improve patient health.
  • Integrate pharmacy enterprise for convenient and cost-effective care.
  • Adopt personalized, targeted therapies.
  • Public health opportunities in social determinants, chronic illness, and addiction.

What are PAI 2030’s primary domains?

  • Patient-centered care
  • Pharmacist’s role, education, and training
  • Technology and data science
  • Pharmacy technician’s role, education, and training
  • Leadership in medication use and safety

How can ASHP members get involved in PAI 2030?
Opportunities abound for members to get involved in PAI activities at the national, state, or local practice levels.

At the national level, members can get involved with PAI in a number of ways:

At the state level, members can participate in PAI task forces to address high-priority patient care issues as well as participate in state affiliate planning activities for PAI 2030.

At the local level, members can educate co-workers and learners about PAI 2030 and get them engaged. Members can also collaborate with key stakeholders such as physicians, nurses, and administrators. This will help increase public, regulatory, and health professionals’ understanding of pharmacists’ roles and value as an integral member of the interprofessional team.

Complete and encourage completion of the PAI 2030 Self-Assessment Tool to identify the greatest opportunities for your practice setting, organization, or state to improve patient care outcomes and advance practice.

How can ASHP State Affiliates get involved with PAI 2030?
State affiliates play a major role in PAI 2030.  In the past, many states have utilized the foundational PAI recommendations and legacy self-assessment tools as jumping-off points for discussion about practice advancement in their state.  Promoting PAI 2030, bringing the initiative to affiliate meetings and discussions, and encouraging statewide completion of the PAI 2030 Self-Assessment Tool helps inform readiness posture, creates rallying points or common purpose, and identifies the greatest opportunities to improve patient care outcomes and advance practice.