Dr. Houle's research interests are on the role of the pharmacist as a patient care provider, especially related to expanded scope activities such as prescribing and administering injections, and the resulting clinical and economic outcomes of these activities.
Office: PHR 7004
Phone: 519-888-4567, ext.21378
- Clinical and economic outcomes of pharmacist’s full scope of practice activities, including prescribing and administering injections
- Pharmacist-provided care in travel health, immunizations, and anticoagulation
- Systematic reviews of pharmacist interventions
Dr. Houle's research focuses on ensuring the implementation and uptake of pharmacists’ and technicians’ full scope into pharmacy practice, and evaluating the resulting outcomes on patients and the health system. She has an interest in facilitating practice to full scope in community pharmacies, the utilization of all pharmacy team members (including regulated pharmacy technicians) to support patient care activities, and pharmacists' clinical activities, particularly in the areas of travel medicine and immunizations. She also has an interest in remuneration for pharmacists' professional services and the economic analysis of pharmacist interventions.
Current areas of research include:
- Advice, vaccines, pre-travel assessments and care provided by pharmacists for individuals planning travel
- Regulation of pharmacy practice, including discipline and standards of practice
- The impact pharmacists practicing to their full scope can have on easing emergency department utilization for low-acuity reasons
- Outcomes of pharmacists-as-immunizers on vaccination rates, health system costs, and productivity
Dr. Houle is accepting graduate students under exceptional circumstances only.
Dr. Houle teaches undergraduate courses. Course offerings have included:
- PHARM 155: Introduction to Drug Information Fundamentals
- PHARM 329: Professional Practice 5
Dr. Houle is also involved in coordinating the injections training portion of the curriculum.
- Houle SKD, Carter CA, Tsuyuki RT, Grindrod KA. Remunerated patient care services and injections by pharmacists: An international update. J Am Pharm Assoc 2019;59:89-107. doi: 10.1016/j.japh.2018.07.002.
- Houle SKD, Carter CA, Tsuyuki RT, Grindrod KA. Remunerated patient care services and injections by pharmacists: An international update. J Am Pharm Assoc 2019;59:89-107. doi: 10.1016/j.japh.2018.07.002. Can Pharm J 2019;152(2):92-108.
- Houle SKD, Eurich DT. Completion of multiple-dose travel vaccine series and the availability of pharmacist immunizers: A retrospective analysis of administrative data in Alberta, Canada. PLoS ONE 2019;14(1):e0211006. doi: 10.1371/journal.pone.0211006.
- Houle SKD. Is travel health a new destination for pharmacy practice and business? An examination of revenue opportunities from pre-travel consultations. Can Pharm J 2018;151(6):383-7. doi: 10.1177/1715163518803972.
- O’Reilly DJ, Blackhouse G, Burns S, Bowen JM, Burke N, Mehltretter J, Waite NM, Houle SKD. Economic analysis of pharmacist-administered influenza vaccines in Ontario. Clinicoecon Outcomes Res 2018;10:655-63. doi 10.2147/CEOR.S167500.
- Bancsi A, Houle SKD, Grindrod KA. Getting it in the right spot: SIRVA and other injection site events. Can Pharm J 2018;151(5):295-9. doi 10.1177/1715163518790771.
- Foong EA, Grindrod KA, Houle SKD. Will I lose my license for that? A closer look at Canadian disciplinary hearings and what it means for pharmacists’ practice to full scope. Can Pharm J 2018;151(5):332-44. doi 10.1177/1715163518790773.
- Houle SKD. Pharmacy travel health services: current perspectives and future prospects. Integr Pharm Res Pract 2018;7:13-20.
- Houle SKD, Bascom CS, Rosenthal MM. Clinical outcomes and satisfaction with a pharmacist-managed travel clinic in Alberta, Canada. Trav Med Infect Dis 2018;23:21-26.
- Houle SKD. Canadian pharmacists as immunizers – Addressing questions related to this new scope of practice. Can J Public Health 2017;108(4):e418-e420. doi: 10.17269/CJPH.108.6119.
- Foong EA, Edwards D, Houle SKD, Grindrod KA. Ready or not? Pharmacist perceptions of a changing scope of practice before it happens. Can Pharm J 2017;150(6):387-96.
- Rosenthal MM, Desai N, Houle SKD. Pharmacists’ perceptions of pay for performance versus fee-for-service remuneration for the management of hypertension through pharmacist prescribing. Int J Pharm Pract 2017;25(5): 388-93.
- Houle SKD, MacKeigan L. Home Care Pharmacy Practice in Canada: A Cross-Sectional Survey of Services Provided, Remuneration, Barriers, and Facilitators. Can J Hosp Pharm 2017;70(4):294-300.
- Houle SKD, Charrois TL, McAlister FA, Kolber MR, Rosenthal MM, Lewanczuk R, Campbell NRC, Tsuyuki RT. Pay-for-performance remuneration for pharmacist prescribers’ management of hypertension: A sub-study of the RxACTION trial. Can Pharm J 2016;149(6):345-51.
- Houle SKD, Charrois TL, Faruquee CF, Tsuyuki R, Rosenthal MM. A randomized controlled study of practice facilitation to improve the provision of medication management services in Alberta community pharmacies. Res Soc Admin Pharm doi: 10.1016/j.sapharm.2016.02.013.
- Ziegler B, Alsabbagh W, Houle S, Wenger L, Church D, Waite N. Protecting our patients by protecting ourselves: An analysis of the personal influenza immunization rate of Ontario community pharmacists. Can Pharm J 10.1177/1715163516651630.
- Tsuyuki RT, Houle SKD, Charrois TL, Kolber MR, Rosenthal MM, Lewanczuk R, Cooney D, McAlister FA. A randomized trial of the effect of pharmacist prescribing on improving blood pressure in the community: The Alberta clinical trial in optimizing hypertension (RxACTION). Circulation 2015;132:93-100.
- Rosenthal MA, Houle SKD, Eberhart G, Tsuyuki RT. Prescribing by pharmacists in Alberta and its relation to culture and personality traits. Res Soc Admin Pharm 2015;11(3):401-11.
- Bascom CS, Rosenthal MA, Houle SKD. Are pharmacists ready for a greater role in travel health? An evaluation of the knowledge and confidence in providing travel health advice of pharmacists practicing in a community pharmacy chain in Alberta, Canada. J Trav Med 2015;22(2):99-104.
- Houle SKD, Rosenthal MM, Tsuyuki RT. A case study in mobilizing all pharmacy team members in the community setting: A clinical facilitation role for pharmacy technicians. Can Pharm J 2014;147(2):85-88.
- Lyster RL, Houle SKD. Abnormal vaginal bleeding following pharmacist prescribing of metformin leads to the detection of complex endometrial hyperplasia. Ann Pharmacother 2013;47(11):1581-3.
- Houle SKD, Grindrod KA, Chatterley T, Tsuyuki RT. Publicly Funded Remuneration for the Administration of Injections by Pharmacists: An International Review. Can Pharm J 2013;146(6):353-64.
- Houle SKD, McAlister FA, Jackevicius CA, Chuck AW, Tsuyuki RT. Does Performance-Based Remuneration for Individual Health Care Practitioners Impact Patient Care? A Systematic Review. Ann Intern Med 2012;157:889-99.
- Houle SKD, Chuck AW, McAlister FA, Tsuyuki RT. Effect of a pharmacist-managed hypertension program on health system costs: an evaluation of the Study of Cardiovascular Risk Intervention by Pharmacists-Hypertension (SCRIP-HTN). Pharmacotherapy 2012;32(6):527-37.
Awards and Distinctions
- 2019 Associate Member, Faculty of Travel Medicine, Royal College of Physicians and Surgeons of Glasgow
- 2018 Certificate in Travel HealthTM, International Society of Travel Medicine
- 2015 Wellspring Pharmacy Leadership Award, Canadian Foundation for Pharmacy
- 2015 Best Paper Award (2014), Canadian Pharmacists Journal
- 2013 Magnum Opus Award, Canadian Healthcare Network
- 2012 Outstanding Poster Presentation Award, Young Investigators Forum, Institute of Circulatory and Respiratory Health – Canadian Institutes of Health Research
- 2012 Doctoral Research Award (Hypertension Priority Area), Canadian Institutes of Health Research
- 2011 Best Research Poster by a Doctoral Student, Canadian Hypertension Congress, Hypertension Canada
- 2011 Queen Elizabeth II Scholarship – Master’s Level, University of Alberta
- 2011 Graduate Student Scholarship, Alberta Advanced Education and Technology - Government of Alberta
- 2010 Walter H. Johns Graduate Fellowship, University of Alberta Faculty of Graduate Studies and Research
- 2010 Frederick Banting and Charles Best Canada Graduate Scholarship – Master’s Level, Canadian Institutes of Health Research
- 2009 Queen Elizabeth II Scholarship – Master’s Level, University of Alberta
University of Waterloo Affiliations
- Cross-appointed to the School of Public Health and Health Systems at the University of Waterloo
- Member of the Network for Aging Research
Professional Associations and Service
- Licensed pharmacist (Ontario College of Pharmacists) with a practice at the International Travel and Immunizations Clinic, Centre for Family Medicine, Kitchener, Ontario
- Member of the Pharmacist Professional Group of the International Society of Travel Medicine, and the Canadian Association for Immunization Research, Evaluation and Education
- Chair of the Canadian Pharmacy Practice Research Group Executive Committee
- Editorial Board Member, Research in Social and Administrative Pharmacy (RSAP) journal
- Member, Canadian Pharmacists Association National Pharmacy Practice Research Working Group.
- Executive committee member, and co-lead of the Pharmacists as Immunizers project and the Development of community pharmacies as connected health hubs project. Ontario Pharmacy Evidence Network (OPEN)
- Columnist (Travel Health), Pharmacy Practice + Business magazine
The following news stories and multimedia have featured Dr. Houle's research:
November 21, 2018 - Don’t let fear of disciplinary action keep you from expanded scope activities
November 1, 2018: video on Traveller's Diarrhea
December 2, 2016: Ontario expanding the number of vaccines available at pharmacies
July 25, 2014: Access to birth control isn't just about doctors (op-ed co-authored by Dr. Houle)
2006 Bachelor of Science in Pharmacy (University of Saskatchewan)
2014 Post-Baccalaureate Certificate in Teaching and Learning in Higher Education (University of Alberta)
2014 PhD Experimental Medicine (University of Alberta)