Supportive and Preventive Medicine

Vaccine administration

vi.

Telehealth and telepharmacy services

Medication supply

Identify necessary antidotes, critical medications and alternatives, as well as necessary par

levels

ii.

Ensure proper preparation and handling of medications

iii.

Maintain effective distribution systems

iv.

Compile accurate therapeutic and patient records

Develop diagnosis and treatment guidelines and/or policies

ii.

Coordinate efforts with local and state health departments

iii.

Incorporate medication expertise in policy decisions at local and state level

While pharmacists are well-suited to perform the aforementioned tasks, in a disaster response it is

also necessary to consider which tasks would most benefit from pharmacist input and which tasks

may be delegated to other healthcare professionals

quality-of-life. SDoH encompass five domains of modifiable and non-modifiable factors (Healthy People

2030, HHS, Office of Disease Prevention and Health Promotion, https://health.gov/healthypeople):

Economic stability—employment, food insecurity, housing instability, poverty

enrollment, high school graduation, language and literary

Health care access and quality—access to health services and primary care, health literacy

Neighborhood and built environment—access to foods that support a healthy diet, crime and violence,

environmental conditions, housing quality

Social and community context—civic participation, discrimination, incarceration, social cohesion,

culture, family

outcomes and costs by identifying opportunities for societal improvement (HHS, Office of the Assistant

Secretary for Planning and Evaluation. Building the Evidence Base for Social Determinants of Health Inter-

ventions, https://aspe.hhs.gov/reports/building-evidence-base-social-determinants-health-interventions)

Some professional societies, such as the American Thoracic Society and American Heart Association,

recommend training of clinicians to facilitate patient screening for SDoH; however, formal curricula

and potential interventions to address these gaps, as well as to identify other population differences

ICU recovery clinics are in an excellent position to pave the way towards addressing SDoH by engaging

with patients and caregivers about the challenges they face in post-ICU care