HealthJune 17, 2025

Retail pharmacies strive to break information silos and create a community of care for patients

Without access to complete patient data, community pharmacists are learning how to promote holistic health and build their own connected systems through aligned solutions and collaborative outreach.

You don’t have to look far to uncover the power pharmacists have to make their patients’ lives better.

Not long ago, I was in an airport waiting for my flight when I struck up a conversation with a gentleman who, upon finding out I was a pharmacist, told me that his wife takes a specialty medication that's on allocation. He explained that, in their small hometown, there were only two pharmacists in the whole area. Despite working for different businesses in entirely different sectors of pharmacy, these pharmacists remained in constant touch, not only with him and his wife but with each other, to make sure they could always get her the quantity of drugs she needed for that month.

Those two pharmacists changed that patient’s – and her family’s – life.

Maybe this sounds like a rare case of pharmacists going above and beyond to help a patient. But to many pharmacists, prioritizing this sort of holistic treatment is simply part of their everyday approach to providing patient care. For community retail pharmacists, becoming more involved in their patients’ preventive care and medication counseling means also becoming more connected with other providers and healthcare organizations, finding ways to break through information silos to help create a community of care for their patients.

The power of retail pharmacists on the care team

In recent years, retail pharmacies have expanded beyond medication transactions to become a “one-stop-shop” for health and wellness services, such as providing immunizations and screenings and supporting chronic disease management. Since pharmacies already have footprints within communities, they have the opportunity to continue to expand their role in their patients’ healthcare journeys by becoming more engaged with local community resources and providers.

Both the need and the desire for pharmacist caregivers is there:

  • According to the Association of American Medical Colleges (AAMC), the United States could face a physician shortage of up to 86,000 by 2036, including a shortage of 20,200–40,400 primary care physicians and 10,100–19,900 physicians in surgical specialties. This will increase the difficulty in accessing appropriate or timely health system-based care for many patients.
  • Approximately 30 million people in the continental U.S. live in healthcare deserts without close or consistent access to health systems, clinics, or medical offices, requiring them to rely on telehealth or their local pharmacy for non-emergent care.
  • According to the Wolters Kluwer Pharmacy Next survey, 58% of Americans are likely to visit a local pharmacy as a first step when faced with a non-emergency medical issue, and up to 81% say they trust a pharmacist to diagnose minor illnesses and prescribe medications to treat them.
  • That trust is higher in younger generations: More than half of Gen Z and Millennials (56% and 54%, respectively) have visited a local pharmacy to receive care in the past year, compared to 40% of Gen X and 35% of Boomers.
  • 79% of Americans say they trust their local pharmacy to provide care more than clinic staff at department stores.

Community retail pharmacies have the opportunity and the expertise to impact the health and wellness of consumer populations that are eager and in need of their services. However, challenges arise in how to ensure care remains consistent and coordinated with the rest of a patient’s providers and team.

Challenges posed by siloed records and access to information

Information-sharing and integration are barriers that keep community retail pharmacies from being able to truly coordinate with the health systems with whom they share patients.

Hospital-owned retail pharmacies have the advantage of having access to the EHR, so those pharmacists can log in and read the progress note from the last visit or easily message the clinic if they have questions, but I have not heard of any traditional community-based pharmacy having that kind of access to medical records.

That's part of the gap in care that currently is hard for pharmacists and providers to overcome.

Without the automatic electronic connections that system-linked organizations enjoy, independent pharmacies have to embrace their role as a hub of the community and really start to build those relationships with providers in their community to optimize service delivery and streamline whatever back-and-forth regularly occurs. For example, if the pharmacy is able to offer services around prior authorization and take on some of those administrative burdens on behalf of the provider, they are likely able to embed themselves more into the decision-making and care delivery process.

While there may not be any more technologically advanced initiatives on the horizon for community pharmacists to break through information silos and share more patient data with health systems, an upstream solution may be forming in the initiative to embed pharmacists in multidisciplinary frontline care teams in health systems and hospitals. Some health systems are expanding their embedded clinic pharmacists because if they can influence decisions at the time the provider is writing prescriptions, many important pharmacy questions will be addressed upfront, and it’s less likely the retail team is going to need to make those time-consuming callbacks that delay care.

Paying for pharmacy services

An additional challenge pharmacies face is that, even as they expand their patient care services and care community collaborations, they aren't designated as providers by the Centers for Medicare & Medicaid Services (CMS), which means they can’t bill for many of those services. While 41 states now mandate some form of payment for pharmacists' clinical services, gaps still exist in achieving widespread financial recognition for their contributions.

Generally speaking, the way CMS and government decisions go, the commercial sector is likely to follow. Until there is legislative and systemic support for a reimbursement infrastructure for pharmacy-provided clinical services, retail pharmacies are not incentivized to provide this additional care.

Federal recognition of pharmacy services as reimbursable care would provide the financial footing necessary for community pharmacies to sustain their patient-focused models.

Retail pharmacy embraces a community-involved approach

Even though community retail pharmacies operate separately from most healthcare systems, they are still challenged by many of the same systemic issues that face large healthcare organizations, such as rising costs, staff shortages, and fragmented information. These community-based care hubs can also benefit from a systems-thinking approach, which, instead of addressing individual pressure points, asks leaders to consider the broader ecosystem within which the challenges lie and look for solutions that lead to organizational efficiencies and team alignment.

As part of their community-involved approach to care, pharmacies can work to create consistent patient experiences that help reduce variations across their healthcare journey.

Evidence-based solutions offer pharmacists consistent access to the latest recommendations and guidance to help promote informed decision-making that aligns with the information providers and payers are consulting ecosystem-wide. This helps unify care teams even when they are working in different sectors of healthcare, and it can help standardize care practices to reduce potentially harmful variations and streamline processes.

One of the most meaningful ways retail pharmacies can engage and empower patients is by providing evidence-based education and counseling. This kind of ongoing support – especially for high-touch patients with complex chronic conditions – can drive medication adherence and help improve outcomes. Studies show 40% of people want to be more involved in their own care decision-making, and 80% of patients have follow-up questions after a care appointment. Community pharmacies can help address these needs for their patients by providing easy-to-consume digital education in formats and media that patients prefer, aligning with recommendations they receive from their care teams across the ecosystem.

When the evidence pharmacists and providers are using to support their decisions further aligns with patient engagement and medication education content, it creates additional consistency to encourage patients to trust the counseling they are receiving from their community pharmacists and feel more confident in being active participants in their own healthcare decisions.

To learn more about how a system focused on evidence can better support retail pharmacy, download the Wolters Kluwer Health Point-of-care Report: Applying systems thinking to clinical information.

Complete the form below to download the Wolters Kluwer Health Point-of-care Report
Staci Hermann
Vice President, Embedded Clinical Decision Support Content at Wolters Kluwer, Health
Staci A. Hermann, PharmD, MS, FASHP, FACHE, joined Wolters Kluwer in 2024 and currently serves as Vice President, Clinical Content.
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