Health-system pharmacy

1. Presented by: Members of the Maryland Society of Health-Systems Pharmacy Health-system pharmacy

2. Objectives • Define Health-System pharmacist • Detail the different roles of a hospital pharmacist • Identify additional qualifications and credentials • List national and local organizations • Discuss the ASHP 2015 Initiative • Open forum discussion

3. What is a Health-System Pharmacist? • Practice settings include: • Hospital • Ambulatory care clinic • Long-term care facility • Home care • Health maintenance organizations • Other components of the health-system

4. Health System Pharmacist Responsibilities • Provide pharmaceutical care • Direct, patient-centered provision of medication-related care to achieve definite outcomes to improve quality of life • Reduce medication errors • Eighth leading cause of death in the U.S. • 400,000 preventable medication-related injuries occur annually in hospitals • Estimated $3.5 billion annual costs for in-hospital medication errors

5. Hospital Pharmacist Roles • Management • Pharmacy manager • Operations manager • Clinical coordinator • Staff pharmacists • Verification of orders and dispensed medications • Compounding • Centralized/decentralized patient care models • Medical emergency response • Committee and medication use evaluation involvement • Formalized clinical services • Intern • Medication preparation and dispensing • Medication use evaluation and research involvement

6. Hospital Pharmacist Roles • Clinical pharmacist • Integral part of multidisciplinary team • Every dollar invested in a rounding clinical pharmacist saves $252.11 in total cost of care • Select, recommend, and monitor drug therapy • Additional responsibilities: • Education • Research • Antibiotic stewardship • Policy development • Medication error analysis • Formulary management • Infusion pump medication libraries • Computerized medication order sets • Potential specialties • Anticoagulation, Cardiology, Critical Care, Drug Information, Emergency Medicine, Infectious Diseases, Informatics, Internal Medicine, Management, Medication Safety, Oncology, Out- Patient Care Clinics, Pediatrics, Transplant

7. Clinical Pharmacy ServicesAssociated with Reduced Mortality Number deaths reduced per 1,000 Hospital Admissions

8. Additional Qualifications/Credentials • Board of pharmaceutical specialties (BPS) • Improve patient care by recognizing specialized knowledge, training, and skills • Certified specialties • Pharmacotherapy (BCPS) • Added qualifications in infectious diseases and cardiology • Oncology (BCOP) • Nutrition support (BCNSP) • Nuclear pharmacy • Psychiatric pharmacy

9. Additional Qualifications/Credentials • Patient care certification programs • Diabetes educator (CDE) • Vaccine administration • Basic life support (BLS) • Advanced cardiac life support (ACLS) • Basic disaster life support (BDLS) • Administrative • MBA • MPH

10. National Organizations • American Society of Health-System Pharmacists (ASHP) • Only Health-System pharmacy organization • American Pharmacy Association (APhA) • American College of Clinical Pharmacy (ACCP)

11. ASHP Mission • To help people make the best use of medications • To advance and support the professional practice of pharmacists in hospitals and health systems and serve as their collective voice on issues related to medication use and public health

12. ASHP Vision • Pharmacy practice in hospitals and health systems in which pharmacists will: • Significantly enhance patients’ health-related quality of life by exercising leadership in improving both the use of medications by individuals and the overall process of medication use. • Manage patient medication therapy and provide related patient care and public health services. • Be the primary individuals responsible for medication use and drug distribution systems. • Be recognized as patient care providers and sought out by patients to help them achieve the most benefit from their therapy.

13. ASHP Vision (cont.) • Pharmacy practice in hospitals and health systems in which pharmacists will: • Take a leadership role to continuously improve and redesign the medication-use process with the goal of achieving significant advances in: • Patient safety • Health-related outcomes • Prudent use of human resources • Efficiency • Lead evidence-based medication use programs to implement best practices. • Have an image among patients, health professionals, administrators, and public policy makers as caring and compassionate medication-use experts.

14. Pharmacy Practice Model Initiative • Challenges in the US health care system • Growing number of eligible patients • Impact of healthcare reform • Increased complexity of drug therapy • Recognition of pharmacists as drug experts • Public access

15. Pharmacy Practice Model Initiative • Seven basic principles • Every patient deserves a pharmacist • Delivery of consistent care • Adequate pharmacist staffing • Ability to prioritize work • Balance between value added vs. enjoyable tasks • Consistency with scheduling and practice area • The pharmacist is first responsible to the patient

16. Local Organizations • Maryland Society of Health System Pharmacists (MSHP) • MISSION • MSHP consists of practitioners of health system pharmacy, technicians, students, and other MSHP members. MSHP enables the health-system pharmacy community to improve patient outcomes by supporting education, research, advocacy, development, and integration of pharmacy practitioners as integral members of the health care team • VISION • To be recognized as the leading organization in Maryland promoting excellence, accountability and leadership through education, research and the practice of pharmacy to improve patient outcomes

17. MSHP Committees • Antimicrobial stewardship • Career and leadership development • Constitution, policies and procedures • Education and research • Emergency preparedness • Finance • Legislative affairs • Medication and patient safety • Monthly and bi-annual programs • Membership • Nomination and awards • Public affairs • Student mentorship • Website

18. Get Involved! • ASHP membership • Technicians and pharmacy students: www.ashp.org • Benefits: • Enhance clinical and leadership skills • Continuing education opportunities and subscription to AJHP • Participate in policy development • Attend midyear clinical meeting and summer meeting • Access to residency and career placement services • Student membership • UMB ASHP/MSHP student chapter promotes student awareness of pharmacy practice and provides career information • http://www2.pharmacy.umaryland.edu/studentorg/ashp/

19. Get Involved! • MSHP membership • Technicians and pharmacy students: www.mshp.org • Benefits: • Monthly programs, CE credit, and newsletter provide educational opportunities • Professional forum for networking • MSHP student mentorship program • Legislative representation • Public relations and community service • Hospital pharmacy technician • Provide patient care • Obtain valuable skills • Opportunity to build resume • Network with healthcare professionals

20. Open Forum • John Lindsley, PharmD, BCPS, MSHP Public Affairs Co-Chair jlindsl1@jhmi.edu • Jessica Crow, PharmD, BCPS, CNSC, MSHP Public Affairs Co-Chair jcrow3@jhmi.edu • Emily Pherson, PharmD, Pharmacotherapy Resident edotter2@jhmi.edu • Ellen Tal Placido, PharmD, Health-Systems Pharmacy Administration Resident btalpla1@jhmi.edu