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CPO Update

CPO Update. 2012 COF College Park, MD. USPHS Pharmacy Workforce. Commissioned Corps Pharmacists ~ 1200 PHS Pharmacists (including civil service) ~ 1700. Other = AHRQ, CDC, DOD, CMS, HRSA, NIH, OS, PSC, SAMHSA. 1200 Officers • 15 Agencies/OPDIVS • 4 Departments …and growing.

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CPO Update

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  1. CPO Update 2012 COF College Park, MD

  2. USPHS Pharmacy Workforce • Commissioned Corps Pharmacists ~ 1200 • PHS Pharmacists (including civil service) ~ 1700 Other = AHRQ, CDC, DOD, CMS, HRSA, NIH, OS, PSC, SAMHSA 1200 Officers • 15 Agencies/OPDIVS • 4 Departments …and growing Leadership, Service, Integrity, Excellence

  3. PharmPAC leadership Chair: CDR Peter Diak (Peter.Diak@fda.hhs.gov) Chair Elect: CDR Mike Crockett (mcrockett@bop.gov) Readiness Application process ‘Recruitment’ philosophy USPHS Commissioned Corps Pharmacy input on Department and Agency pharmacy-related initiatives USPHS Pharmacy Update Leadership, Service, Integrity, Excellence

  4. 2011 National Drug Control Strategy: Call-to-Action on Prescription Drug Abuse Illegal Pharmacy Internet Use Medication Adherence Partnership for Patients Million Hearts Campaign HHS Pharmacy-Related Initiatives Leadership, Service, Integrity, Excellence

  5. Extensive stakeholder and public input Aligns and focuses on evidence-based prevention and health promotion Moves from focus on sickness and disease to prevention and wellness U.S. Public Health Service Pharmacy Prevention Strategy National Prevention Strategy Leadership, Service, Integrity, Excellence

  6. Administrative Update Division of Commissioned Corps Personnel and Readiness (DCCPR) Consolidation includes Office of Force Readiness and Deployment (OFRD) Office of Commissioned Corps Operations (OCCO) Office of Commissioned Corps Force Management (OCCFM) Office of Reserve Affairs (ORA) All operations of the Corps Work directly with RADM Lushniak (DSG) and OSG/OASH on strategic decisions Leadership, Service, Integrity, Excellence

  7. Accountability Structure Leadership, Service, Integrity, Excellence

  8. DCCPR FY12/13 Budget Impact Leadership, Service, Integrity, Excellence FY11: had two expected funding streams totaled $23,108,203 FY12: one major appropriated funding stream (CCI) was zeroed out. Second funding stream (SSF) also reduced. FY12 available funds for DCCPR/DSI was $14,318,959 All funds now consolidated under SSF fund FY13: another $1.1M budget cut funds to ~ $13.4M Funds cut 40% in FY12 Hiring freeze at Corps HQ since May 2010

  9. DCCPR FTE/Staff History (Oct 1, 2012 represents actual estimated staff count for DCCPR/DSI) Leadership, Service, Integrity, Excellence

  10. DCCPR FY12 Outcomes • Streamlined functions, consolidated 4 flag offices into one, reduced personnel budget • Implemented Customer Service Aims • CAD 5 Focus Areas • Completed/implemented new billet system • Continue with DOD mental health partnership • Continue to maintain functions as best possible • OBC continues, now trained over 2500 officers Leadership, Service, Integrity, Excellence

  11. Domestic Training/Response Missions • Community Health and Service-oriented Missions(CHASM) • Operation Lone Star: Mission/San Juan, TX, 2011 • Operation Nexus: Paducah/Pikeville, KY, 2011 • Operation Foothold: Pine Ridge, SD, 2011 • Rosebud: Rosebud, SD (July 1-10, 2012) Leadership, Service, Integrity, Excellence

  12. CPO Strategic Goals • Advance the profession and position it to support successful health reform • Expand and enhance internal and external pharmacy partnerships • Recruit, retain and develop future pharmacists and health leaders 1 2 3

  13. Next Steps • Advance the Profession

  14. Report to the Surgeon General We are moving beyond discussion. Report’s release and support from Dr. Benjamin has commenced a wave of momentum (and a ‘review’ of how we practice)

  15. Next Steps • Report to the Surgeon General • IMPACT in 2012 • CMS regulation amendment • National Health Service Corps SLRP: 1st time • Organizations • APhA policy amendments via House of Delegates • Mission/vision statement revision: APhA, ASHP, NASPA, JCPP, AACP • State pharmacy associations: actions (e.g., PA provider status) and modeling of language for scope • CDC/APhA Foundation white paper on health policy and public education related to nomenclature/scope

  16. Next Steps • IMPACT (cont’d) in 2012 • Academia • Transformation in pharmacy education • Mission statement changes • Curriculum adjustments • Student pharmacists’ positions on post-graduate training (APhA-ASP) • Multiple publications: Medscape, U.S. Medicine, Pharmacy Today, etc. • Speaking engagements (30+): 25 states, 2 countries, viral impact • Potential translation into 6 different languages

  17. Next Steps Mobilize PHS Pharmacy I challenge all of you to engage and accomplish! We are being sought after… Seize opportunity to partner wherever possible on pharmacy initiatives Function as expert consultants on pharmacy practice – leverage your practice environment and take responsibility to connect the dots Utilize consistent message regarding our expanded scopes Help lead the profession

  18. Expand Partnerships

  19. Expanded Partnerships • Enhanced partnerships subsequent to the Report to Surgeon General • Pharmacy professional organizations (within U.S. & international). Ex: NASPA, APhA, ASHP, etc. • ALL state pharmacist associations • Academia • Pharmacist-physician • HRSA: Patient Safety & Clinical Pharmacy Services Collaborative • 4th year, > 170 community-based teams • 48 states, plus D.C., Puerto Rico, Virgin Islands

  20. Expanded Partnerships • IHS • IHS-VA Consolidated Mail Outpatient Pharmacy • IHS-DOD Pharmacy Technician Training Program • Ongoing clinical programs and NCPS • BOP: ongoing clinical program expansion (e.g., HIV Pharmacy Program) • CDC: pharmacy policy consortium, outreach project on chronic care • CMS: regulation amendment naming pharmacists as medical staff • FDA: new OTC paradigm initiative

  21. Federal Pharmacist Vision Federal Pharmacists are essential to health care access and delivery in the United States; recognized as health care providers of patient-centered primary and specialty care, and as trusted public health leaders. As experts in medication use and comprehensive pharmacy services, we promote wellness, prevent and manage disease, ensure patient safety, and optimize health outcomes in collaboration with the health care team.

  22. Federal Pharmacist Vision & Scope of Practice • Scope of Practice • Finalized on 10 February 2012 • Describes state of pharmacy practice when the Federal Pharmacist Vision has been achieved • Adopted by PHS, Army, Navy, Air Force, and VA • Adopted by APhA Board in guiding policy expansion • Updating OPM federal pharmacist position description standards to align with vision and scope of practice

  23. Next Steps • Recruit and Retain

  24. Recruit and Retain • Category Outreach (Publications, Speaking) • Letters, certificates • UPOCs (49), student awards (65), OBC (433), etc. • Participated in OBC each month in FY12 • Recruitment model programs (e.g., UPOC, student award initiative with PPAC) • Commissioned Corps Pharmacy Mentoring Network (CCPMN) • 2011: 37 paired • Continue to go above and beyond

  25. Pride and Responsibility • Performance is the platform • Need to be diplomatic, responsive, accountable • Develop the right culture for our Corps • Know our capacity, adapt to the focus/need • Understand the ‘bigger picture’ • Remember WHO you are as a uniformed officer • Inspire – it motivates • Build sincere bridges

  26. RADM Scott Giberson • U.S. Assistant Surgeon General • Chief Professional Officer, Pharmacy • Director, Commissioned Corps Personnel and Readiness Questions and Answers

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