CEimpact Podcast

Expanding the Pharmacy Technician Role via Community Health Worker Training

September 09, 2024

A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of the community they serve. CHWs act as a bridge between health and social services and the community, helping to improve health outcomes and access to care.

Our goal during this episode is to discuss why training pharmacy technicians to step into the role of a Community Health Worker has been imperative to meeting the health equity demands in local communities.
 
Jen Moulton, BSPharm
President
CEimpact

Meredith Ayers, CPhT-Adv, CHW
Development Specialist
Bremo Pharmacy
 
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CPE Information
 
Learning Objectives
Upon successful completion of this knowledge-based activity, participants should be able to:
1. Evaluate the role and impact of pharmacy-placed Community Health Workers (CHWs) on patient outcomes and community health.
2. Describe a plan to integrate CHWs into pharmacy practice by cross-training pharmacy technicians.

0.05 CEU/0.5 Hr
UAN: 0107-0000-24-260-H04-P
Initial release date: 9/9/2024
Expiration date: 9/9/2025
Additional CPE details can be found here.

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Speaker 1:

Hey, ce Plan members from CE Impact. This is Game Changers. I'm Jen Moulton and I am super excited today to have with me Marity Ayers to talk with us about something that is impacting all of us, all of our healthcare practices, all of it and that is health equity. We've been hearing a lot about that and we're really excited to have some conversation around that today. So thank you for joining us, meridy. Thank you, jen. Yes, I am super excited. I know you are a trainer for our community health worker course, so we'll get into that a little bit as well.

Speaker 1:

But you know, this conversation about health equity is everywhere and we've all heard that the zip code in which you live really dictates your health care outcomes, which can feel scary and it feel it kind of can feel like that can't be changed. But I think, with community health workers and some of the things that we're doing within community pharmacies, as well as other pharmacy practices, we're really making an impact there and it's translating to better health outcomes, which is really cool. So the other thing that is really cool I think that we're going to talk about today is that technicians have really been the driver of this in pharmacy practices, which is so exciting on many different levels, so let's get into it. So, if you don't mind, I would like to start in the beginning. Tell us a little bit about how you became a pharmacy technician.

Speaker 2:

So I am currently in Richmond, virginia, but I grew up in a very small town about an hour and a half west of Richmond, a very small town, think kind of Mayberry and I started at the afterschool job.

Speaker 2:

So you had the hardware store, you had the pharmacy, and so I picked the pharmacy and I was 15. And I remember being there and everybody knows everybody, and somebody came in who I knew, a customer, and she didn't come all the way to the counter, I was a clerk and she stopped at the pharmacist station and talked to the owner, who's also the pharmacist, and I remember them discussing something and then he passed her her prescriptions, she passed him a check and then she left and I just remember being inquisitive but didn't say anything and just kind of shrugged it off. And the owner came over to me afterwards and said you know what, sometimes we just do things we need to do for our community and it turns out he was going to hold her check until she was paid later that week and I will never forget that, and that was in 1999, 98, 99.

Speaker 1:

And I will never forget it.

Speaker 2:

I know, I know I'll be 40 on Monday and I've never forgotten that conversation. And I've only worked for independent pharmacies ever since. And when I moved to Richmond in 2002 to go attend Virginia Commonwealth University for something entirely not related to pharmacy, I worked for an independent pharmacy prior to to Brimo, which is where I'm at now, and it's been nothing. But what I've wanted to do is help people and serve underserved people and even those that are, you know are well off. But you know things you don't realize that they do need. And that conversation happened when I realized independent pharmacy was what I wanted to do with just helping. And you know, you don't know what you don't know in those open conversations and those open questions. So it was great to have the opportunity to move into the pharmacy technician role and then now community healthcare worker, yeah yeah, so rewarding.

Speaker 1:

I love that and I'm sure you feel fulfilled every time you get in that role. Hard sentence to say. So tell me a little bit about the practice that you're in right now, and I know your role is a little bit non-traditional, so we'll kind of talk about that as we get into this. But I just want to set the stage people, and so they can kind of get a sense of where it is that you practice and some of the patients that you serve.

Speaker 2:

So I am in a very non-traditional role and it's funny because I think almost every position I've had at every independent I've worked at has been non-traditional and that's kind of how I like it. But I'm considered the development specialist, which everybody here says means I'm the professional friend maker. But so our pharmacy, we're an independent community pharmacy here in Richmond, the capital of the Commonwealth of Virginia, and we are situated kind of like in the Interstate 95, 64 corridor, which is a very busy area of the city. But there's a lot of other pharmacies around us and there's a lot of a lot going on, a lot of different demographics, and so we serve a lot of different types of communities.

Speaker 2:

And what we kind of realized was we're the most accessible healthcare provider there is out there Somebody can walk in it's not even our patient most of the time and they're like, hey, where can I go find this? Do you happen to know where I can get food tomorrow? What's this rash on my elbow? And it's just a natural progression to be like, hey, let's provide those resources in a more organized way. I guess you could say, and that's really what's going on and we're having them and having it in everyday conversations with you know other programs that we offer and then building on that with with more, with opportunities through our sync or things like that.

Speaker 1:

And and just making it a all the fall to winter seasons. But they were talking about how there's just these huge waits, and you know, to see a physician and I just every time I hear that I'm like, but the pharmacy is right there, so we need to serve that, so we are right there.

Speaker 1:

I love that. So I think it's just a natural progression about what community health workers do, particularly in your pharmacy practice, but then also maybe if there's something beyond that scope I know. So we have a community health worker, see, impact has a community health worker training, a skills training course for technicians, and you're an educator in that program. So I know you know it very well like the back of your hand. But what are some of the things that you do in your pharmacy as community health workers?

Speaker 2:

So we do have a few programs. Right now we are working closely with a Stroke Smart program. We're able to pass out information for people to be familiar with. When somebody's having a stroke, what are the steps to take we pass out information to familiarize yourself when that's happening and you can target audiences with that and also everybody should be educated on that. There's also a smoking cessation program that we educate our customers on as well as the general public. They don't have to be somebody that necessarily walks through our door and the way we deliver that is different each time. It kind of depends on what the program looks like.

Speaker 2:

We actually had a program that is not as heavily done now but it was back when it started. Started was a kind of telehealth type of situation where if they had a certain payer program, they could come to us. Instead of utilizing and clogging up the ER, they could come to us and utilize a telehealth program with a physician. So, our CHW, you can help them with setting up the computer, things like that. We didn't necessarily sit in on the actual appointment but we could facilitate that appointment for them and that was great for avoiding clogging up the system basically, and that was great.

Speaker 2:

We did have a really good success story with that and he ended up, was able to get his medications affordably, avoided an ambulance ride, avoided going to the ER, came back, gave us all hugs. I mean, you couldn't have asked for a better story there and I've had multiple students come through that. We share a resource share at the beginning of each class and it's so cool the things that they're learning in their communities and the courses from people across all states. And they mentioned something and I'm like, if you think about it, guys, you might have something very similar in your state or in your, your county or even in your neighborhood. So you know, don't reinvent the wheel, these things are probably already there. So double check.

Speaker 1:

So you really serve as sort of a triage for anybody who comes in the door. So you mentioned earlier they didn't know where to get food tomorrow. So like, is there an example of of that? Like, what would you do if somebody said I know sometimes those situations come up because they're choosing to pay for their medications or they're choosing to pay for food, and sometimes that comes up in a conversation and and then it's like opens the door for that, you know, to dig in a little bit deeper and help them solve that problem. So triage or problem solver, so what would that conversation look like if somebody said that to you?

Speaker 2:

Right, and really knowing those, those open questions and keeping it open to get more information, and saying you know what, and nobody should have to choose between those two. Right, and we know that. And and they do have to choose, unfortunately sometimes they do um, so knowing what are those resources. And so with the course that you know, we offer um, keeping that, we call it the binder, right, um, the resource binder and um. For myself, when I, when I went through the course, I kept it electronic because I'm I'm a paper free type of gal, but I have a PDF binder.

Speaker 2:

But people keep actual binders in their pharmacies now where we can flip through and be like, okay, they're looking for a food source, let me go through and see what's the closest. And so here in Richmond we have a few different options. There's like the neighborhood refrigerators and the kind of larger scale food sources and things like that, and people just don't know what they don't know. And being able to get somebody, get a name to them, not just here's the address, go, getting them somebody, a contact to get them there, and then the transportation and all the things that requires to get them there, so that conversation turns into a real relationship and not just a contact, and here you're on your own.

Speaker 1:

Yeah, yeah. So some people would say like this is what a social worker does, right, so how? How is this different?

Speaker 2:

It's closely related. However, we're we're not in the business of, we're not there to counsel in the aspect of a pharmacist counseling. We don't do that. Still, it's not our scope. We're not there to counsel, but it's not our scope of practice to do any of those types of things. Our scope is to provide the resource and maybe to follow up to make sure that resource came through. We're not there to get personally attached. We're there to make sure people are getting what they need in our communities. That in our communities, that's our job. But you know, we need to make sure people are being taken care of and that's really what pharmacy has been doing all along and this is just an extension. This is, you know, the arm of it.

Speaker 1:

Yeah Well, and I think so.

Speaker 1:

You know we've heard so much about social determinants of health, which I think is so good.

Speaker 1:

You know, in the past years that's really risen to the top of you know one of the issues in health care and I think because it does relate to health care, I mean you think about if you don't have access to clean water or food, or you know just all of transportation to a doctor's appointment or transportation to the pharmacy, or you know there's all of those things that do impact health outcomes.

Speaker 1:

You know, if we think about people who are healthy, they make an effort to do that. Sometimes that costs a lot of money to do that, and so you know just providing those same opportunities to people so that they have the same opportunities for health. So I think it does relate so much you know, back to the pharmacy, because I've had people ask me that question Well, how is that different from a social worker? It's like, well, not necessarily, but it's in the pharmacy, and so we can relate it back to their health care. And we do know all of those resources as well. We know what medications they're on, we know their disease states, and so you might know some of the situations that could help them to be a healthier individual.

Speaker 2:

Exactly Definitely. And knowing those things is is the healthcare obviously goes hand in hand with their, with their life stories and what they're probably going to run into in the future too.

Speaker 1:

Yeah, yeah, and so it. You know it sounds altruistic and it's like all of us listening. You're like, well, yeah, I want to do that, I want to provide that, but where's the money to do that? You know, we even talk about that in the pharmacy standpoint, like we all want to provide clinical services and medication therapy management, but where is the time and the reimbursement for that time? So can you talk a little bit about that? You know, I don't know what it looks like at your pharmacy or just in general, you know some of the billing and reimbursement for those services.

Speaker 2:

So it is still touch and go. It kind of depends on how creative you can get here. Virginia is one of the states where you do have to get creative. There are codes you can put in, but it's not necessarily like a fee for service. It's more about the quality. So there are programs out there you can get involved with and it's more about providing the quality and putting it in with maybe non-traditional payers, not your traditional insurance payers, or things like that.

Speaker 2:

Maybe there is an opportunity for employer payers or partnering with another, maybe with the food provider, and saying, hey, we can partner here with this. We have health events quite a bit and there's people who want to join us and say, hey, I'd like to bring more people into your pharmacy and so that automatically is a footprint that's going to bring more revenue to you. And sometimes it's not even about bringing the dollar amount for the service, it's about being seen and that automatically doing the right thing brings the money. So it's kind of a back and forth and with offering the other services that we have, that also brings it in and says, hey, we're funneling things away from the huge health care clog, so that's going to automatically help us on our bottom line and help alleviate a little bit of the stress off of the local health care system.

Speaker 1:

Yeah, yeah, that's a really good point. You know, we often say if it's good for the patient, it's good for pharmacy, and I think that does translate. You're right, and I think that's really how a lot of this started in pharmacy practices, where they were just doing the right thing for the patient at the time and it got noticed. And I know there's a lot of states that we're working with that have state-funded grants as well that reimburse the pharmacies, and I know CPSN has a health equity section and they are working to get a lot of programs up and running through that network as well.

Speaker 2:

Yes, and we do have. We are a member of that and we do have an opportunity coming up in the next month or so, so that'll be happening and those are great opportunities to jump on. Jake's a great person to know to jump into those opportunities and really just getting the creativity of it. And, like I mentioned, like we incorporated it with our, our extinct program, and there's there's monthly touch points, even if it's more than monthly, kind of saying, hey, do you have access to this, do you have access to this, and you have access to this. And that creates opportunity for payers, for payer, opportunities for yourself. And eventually we'll get to the point where it could be a coding type of situation here in Virginia. But we're not there yet here for us as providers. But we're going to get creative. We always have a pharmacy.

Speaker 1:

Well, there didn't used to be a code for immunizations either. So, exactly, and hopefully we won't have to wait as long. Well, and so you talk a little bit about getting creative. Can you talk about what you teach in the community health worker course? Because I think we do talk about. You know, when you say get creative to pharmacists and pharmacy technicians, sometimes that can be a little scary. We're kind of that. Yeah, we're not the creative type for the most part, so that can be a little scary, but I know we do talk about that in the training and so maybe you could talk a little bit about that as well. As what are some of the education requirements in order to be a CHW?

Speaker 2:

To be a CHW. So my course I teach the cultural humility section of the CHW course, which is one of my favorites, and if anybody decides to take the course, you may get tired of me because I'm so passionate about it.

Speaker 2:

I forget how you get passionate about things I don't't know but it's one of my favorite topics and it was my favorite topic as a student when I took it as well. But so for the course that we have from CE impact, you have to be a pharmacy technician. You don't have to be a pharmacy technician to be a CHW. But I love that CE impacts course dives into it from a pharmacy technician to be a CHW. But I love that CE-MPEX course dives into it from the pharmacy technician aspect because we have the healthcare background and traditionally CHWs don't necessarily have to have that healthcare background. They're there to provide the community-based approach.

Speaker 2:

But we have that already. And then to have the healthcare background is already awesome so we can approach it coming from both sides, and so it's so comprehensive that to have that is amazing. And then we can really just dive in and help the community. Already we're already in the community. We can help improve health outcomes, which I think is an amazing approach on CE impacts. And then technicians are just doing amazing things. We're immunizing, we're CHWing, we're I think I just made that word up.

Speaker 3:

We're doing all the things. Good word.

Speaker 2:

We're personalizing it to making it something you know, and I've partnered with some CHW groups here in Virginia that don't have the healthcare background necessarily, and they love that we're getting involved, um. But the requirement is really to have that professionalism and training, um to be able to, to keep it professional and to maintain the relationship and not cross those boundaries, and we talk about that quite a bit in the course to keep it that way. I think it's very important to keep people along their path and we talk about it in my course, especially to make sure that the interactions are appropriate and to make sure that they're being successful. It's really hard when somebody doesn't have transportation to not say, hey, I'll give you a ride after work and you can, but you shouldn't, and it's not sustainable either.

Speaker 1:

It's not sustainable.

Speaker 2:

It's not sustainable either, but you really want to. You want to do those things and I'm pretty sure I'd be the one to do it, I'd be the first one to volunteer. But you know, yeah, I have to teach that class and I can't do it.

Speaker 1:

Well, I think it's a good point that that the technician in the pharmacy is a true community health worker. You know, I think of other people like, whether they're in a church or a community center or somewhere like that. They're a community worker and I think that's great, but what we're addressing as community health workers are the health aspects of it, correct? So I think that's a really good distinction that you mentioned, and I think it's huge.

Speaker 2:

It's a huge shift towards more efficient, patient-centered health care. It's just a huge game changer. We're running low on PCP access. We just if anything we can do to shift access would be great.

Speaker 1:

Yeah, yeah. So how do you implement that within your workflow at your pharmacy? I mean, what does that look like if a patient comes in? Do they get triaged over to a community health worker, or does that come up in conversation with the pharmacist? How does that typically? And it's probably different every time, but how does it typically look?

Speaker 2:

It doesn't always look like you think it might. Somebody's probably not going to come in and say, hey, I need to see a CHW. Yeah, right, right, and maybe one day because everything I would say, everything, I would say 90% of the things we do here is appointment based From our prescriptions to our weight loss clinic, to our compression clinic, to our vaccines, everything is appointment based and maybe we'll get to the point where they come in for a CHW appointment. Come in for a CHW appointment, but right now, when somebody comes in and they're probably coming in for one of those other things, they probably don't realize that we are CHWing them at the same time, but it looks like them coming in and the questions are being asked appropriately because we've had the proper training.

Speaker 2:

And so we have two other CHWs on staff and they are already, whether they realize it or not. They've been so well trained that they are so alert to the questions they need to be asking that they're already just triaging it in their brain in the conversation they're having. It's not even that they are in a separate appointment. They are in the appointment for what they're already doing or just at a regular conversation at the counter. So they're already triaging it there and providing the resources as they need them. So at this point we're not at a come in for a CHW appointment. We're just providing it in our normal conversations. And other people are trained to know that if they run into something that would require that CHW conversation, they know to triage it and it's still not even alert. Like I need the CHW, it's. I know this person has that answer. Yeah, yeah, it's just kind of a cool transition, yeah.

Speaker 1:

Yeah, that is really cool and I had not thought about it before. But as you were talking, I was kind of thinking in my head. You know, as a pharmacist, we're trained to be thinking about the clinical intervention, right. So we're thinking, okay, there is likely a medication therapy problem here, like, no matter what the service we're providing, there's probably some kind of medication therapy problem. And if there's not, great. But like it's our job to kind of rule that out. And so you're thinking about it from the same way, but from those aspects of social determinants, of health and what more you can do for that patient, kind of in, you know, in more of that space. So that's a really cool. I had not thought about it that way. It's the mindset that you have going into that conversation.

Speaker 2:

Technicians technicians no, workflow technicians know logistics, so it's a natural progression to throw us into this with that natural like we don't need to change up the workflow necessarily, we just need to integrate it, and that goes with most things. Now, that doesn't mean they're everything at us, but that just means we're going to integrate it.

Speaker 2:

I know, and we're doing it, we're killing it, but we're going to integrate it. We tried, I know, and we're doing it, we're killing it, but we're going to naturally integrate it into our conversations, and this is something that we were already doing. Yeah, we just had to sharpen the knife and keep going. And everybody who I followed up with I followed up with a handful, because there's been a lot of students, but they're doing a great job I mean a lot of students, but they're doing a great job I mean, and a lot of people. I think Missouri, oh my gosh, amazing out there. Yeah, so cool, so much going on there. And then I'm excited about the project we have going on with the, with the CPSN here in Virginia, and just so much going on, it's going to be amazing.

Speaker 1:

Yeah, yeah, well, I think it's. You know it goes to whatever you pay attention to, gets changed and monitored and managed, and you know the outcomes are there. So you said you know, now you're, you're going in with that mindset and you're thinking about it, whereas you know before those things existed but you were just like, okay, whatever, like you know, you're just biome. So I think that's a really good point too. Is you're you're aware of all? You know that patient as a whole, patient, not just their medication, therapy problems, but all the other things that surround it.

Speaker 1:

I think that's a really good way to think about it.

Speaker 1:

So can you, as as we start to wrap up, can you give me one or two examples? You know, sometimes I think it's a little bit abstract if we haven't seen it in action, and I know that every practice looks a little bit different. You know the way you said, you know the patients come in and the way it gets triaged is totally different. But can you give me maybe one or two examples that either you've experienced as a CHW or maybe had a student report? Because I know, you know, I'm in the lucky spot about every Tuesday night we do a CHW. In the lucky spot, about every Tuesday night we do a CHW. It's a live course over the course of I think it's 12 weeks, 12 weeks, 16 weeks, and so every every Wednesday I'm always looking forward to those messages of oh my gosh, this got reported last night, it was so cool and it's just. You know, sometimes I'm tearful because they've had such an impact on patients. So can you maybe share one or two of those examples?

Speaker 2:

Okay.

Speaker 2:

So one of my favorites for myself personally when I was a student was so we're here at Brimo and we're kind of in like a old school strip mall in our parking lot and I'm so embarrassed by this it's been here just as long as we are is an adult daycare center and they've been here forever and I knew them. I knew they were here. I spent about six hours with them for part of my training and I knew they were there and I knew what an adult daycare center was. But I spent the six hours with them for part of my training and I was like, wow. But I spent the six hours with them for part of my training and I was like, wow, this is cool, like I didn't realize the social work aspect that went into it and the resources that they also provided and they were also able to give me, and that actually was a relationship that's been built on since I finished the class that we've been able to kind of partner back and forth ever since then and I knew them. But now we're like best friends. We talk every day about how can we help Mr So-and-so and how can I help you with this and can we collaborate on this event to get more people involved. It's just been amazing. And they I can literally, if I walk outside I can touch their wall. They were that close and it just never dawned on me until I was like, hey, can I come shadow for about six hours. And they were so genuinely kind to let me do it. And it wasn't even just shadowing, they, let me kind of just be involved. It was so neat, um.

Speaker 2:

And then I had somebody here who was finishing up her course and she sat. She went to do um finishing up her course and she sat. She went to do um some of her hours at it's called the daily planet and that is. They help, they do a lot of different things. They're a free health clinic, but she sat in with some um, they help get antipsychotic injections, things like that when you're coming out of prison, things like that. And she just said it was a game changer. Again, we knew it was here. Yeah, we knew it wasn't far. We had referred people there before. We just didn't know all the things they had and they had so much more than what we knew. And now there's a relationship there and it's the relationship building that really makes the difference for the patients and the community coming in and out, and so now we've built on top of that, and so you just don't realize.

Speaker 1:

Yeah, you don't know what you don't know, yeah exactly, and that's one of that is one of my favorite things about the program is you do some of that work in your community, and so it's really like, even though it's a virtual program, you're getting your hands dirty in your community and finding out who those resources are and networking with them so that you have that. So I think that is just a really cool aspect. Even for that, you know, even if you don't implement it full board, I think just knowing who those resources are and having that relationship established is cool.

Speaker 1:

One of the other examples that I remember and I'm probably not getting all the details right, because it's been probably a year since this example came up, but it just it sticks with me and it's one that I share a lot was somebody who came in and they were a couple months late on getting their refill, and so the technician was asking you know, why have you not gotten this refilled?

Speaker 1:

And they said well, I only have this amount of money to spend every month and so it's a choice for me whether I'm going to pay for food or my rent or, you know, my medications, and I just haven't been able to do it the last couple of months. And they started asking questions, realized this person was a veteran and had some other situations where they should have been accessing money and it ended up that they got them. I think it was like two to three times as much money every month than they were bringing in and I mean that's a total life game changer when you think about the amount of money that that was. And that was just by asking some questions and putting them in touch with different resources. So you know, it wasn't necessarily a healthcare interaction, but it impacted their healthcare because now they have resources. But it was right.

Speaker 2:

Because they can afford their medications.

Speaker 1:

They can probably, you know, afford other things that you know healthier food and you know other things that relate to a healthy lifestyle. So I just I just remember thinking that and thinking that happened in a pharmacy like that would never have been discovered anywhere else. You know that person would have not brought up that issue at church, they wouldn't have brought it up at a you know community center like it happened, because it happened in the pharmacy. So I just thought that was. That's one example that I give a lot just so impactful, oh my gosh that quality outcome is huge, huge huge and so far reaching no-transcript

Speaker 1:

so I, you know, we've talked a little bit about our course. We've talked a little bit about what community health workers look like. I just think it's such an emerging field per se. I think it's so cool that technicians are in this space, and it's really a way for technicians to elevate their role and really have the impact that they should have in the pharmacy, so I think that is also so awesome. What would you say as we wrap up? Because I ask everybody this, because the name of this podcast is Game Changers. So what is the game changer here? Like, what do you think is the thing that is changing the game in this space, in the health equity space?

Speaker 2:

I think that it's changing the mindset of not only adopting the physical approach of the healthcare world, but a holistic approach, like we're not looking at just somebody's physical medication, health in the pharmacy, but we're looking at everything. We're looking at their social, their economical, their, the influence of everything and how all of it affects their health.

Speaker 1:

Yeah.

Speaker 2:

And we're not just the pharmacy anymore, that's dispensing the medication, but we're looking at all of the influences, so like it's a huge game changer.

Speaker 1:

I love that. I love that because I think healthcare has been. It is siloed, a little bit Like you know you go to a physician to get a diagnosis, you go, you know you think about the pharmacy as just dispensing your medications, but really we are the epicenter of that. You know we're kind of the spoke where everything else kind of comes from that. So that's so great. I love how you said that. Thank you, it could be, I mean, it could be pivotal, absolutely. Yeah, it is. I think it's. So it's not just a game changer in this aspect, but it's a game changer for people's healthcare.

Speaker 3:

Right For sure, definitely For the system truly, yeah yeah, so cool.

Speaker 1:

Well, Meredith, thank you so much for being with us today. I really appreciate. You know, I think we talk about community health worker and people don't necessarily understand exactly what that means. So thank you for putting those puzzle pieces together for people. I think when they can see your face and hear your voice and hear all the things that you're doing, not just to teach future community health workers but also putting those things into practice in your pharmacy, it's just really really cool. So, thank you for being with us. I really appreciate it. Thank you so much for having me. Yes, absolutely, and we'll probably have you again, so stay tuned. Thank you all right, so that's it for this week. If you're a ce plan member, be sure to claim your c credit for this episode by logging in at CEimpactcom. Don't forget to get your CE credit for this and, as always, have a great week and keep learning. We'll talk to you next week.

Speaker 3:

Thanks for listening in. Claim your CE credit by clicking on the link in the show notes and check out CE Impact's other education at CEImpactcom, where we curate the most important information in pharmacy and medicine to deliver straight to you. Join today to connect your learning to practice.