Clinical pharmacy services within a multiprofessional healthcare team
Clinical Pharmacy Services
Transcript of Clinical Pharmacy Services
Clinical Pharmacy Services
An Introduction to the World of Pharmacy
The World of Pharmacy
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HospitalsMedical Group
Central Office
Health PlansHomecare
Most Healthcare
systems have a similar
structure
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Intermountain Medical Group
Retail
Clinics
20 Retail Pharmacies
Primary Care&
Specialty Care
Community Pharmacy
Patient training for diseases such as:
DiabetesAsthmaHypertension
Consult with:PhysiciansNursesPhysician Assistant'sMedical AssistantsPhysical Therapists, etc.
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Community Pharmacy
Detailed & Private Patient Medication Counseling Personal patient help with Medicare D & insurance 3rd parties.Physician & Health Plan formulary issues.Help Prevent Adverse Drug EventsProfessional & Clinical Practice SettingProfessional Experience Programs with Schools of Pharmacy
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Community Pharmacy in an Integrated System
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Part of integrated health system = special benefitsIncreased access to patient informationEasier to monitor patientsHelp transition patients from hospital to homeFor example, Liver transplant patients who have very complex medication regimens
Help ensure patients are on optimal therapyFor example, all patients post heart attack are on the appropriate medications that
are know to improve their outcomesClose to prescribers (or pharmacist may be prescribing under approved protocols)
Develop excellent relationshipsEasier access for questions and recommendations
Ambulatory Pharmacy
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Pharmacist or Physician runPhysical AssessmentPharmacist/Physician agreements for medication ordersOrder lab testsPatient education
Some Pharmacists integrate ambulatory clinics with retailDisease state certificationsBilling for services
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Homecare
Infusion Services
Hospice
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Health Plans
Health Maintenance
Formulary
Health Plan Administration
Disease State Management
Health Plans
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• A typical day….• P&T Presentation
Preparation• Team Based Guideline
Development• Physician Detailing• Drug Expense Trending• Prior Authorization
Review
Brieana Buckley, PharmD. teaching technicians about a new pharmacy benefit.
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Hospitals
22 HospitalsPark City
Riverton
IMC
Urban RuralUNRUCRUSRSWR
PCMC
Urban North Region
Urban Central Region
Urban South Region
Primary Children’s Medical Center
20 – 40 beds
Critical Access
South West Region
Hospital Pharmacy
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Distribution of medicationsHigh level of technology
RobotsAutomatic medication cabinetsMostly technicians under pharmacist supervision
Clinical Patient careEducationDrug information
Adult Critical Care
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Monitor PatientsLabs & Drug levelsPhysical condition (kidney, liver..)
Protocols & Medication ordersSafety issuesMedication effectsMeeting patient outcome goalsRounding with medical teamsPreventing/treating ADEsAssisting with codesDrug InformationResearchTroubleshootingPatient
Rounds
DiscussingPatientissue with RN
Cardiovascular Pharmacy
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Internal Medicine
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Pediatric Pharmacy
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Neonatal Pharmacy
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Education
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PatientsMedical studentsPharmacy studentsPhysiciansPharmacy TechniciansNurse PractitionersRespiratory TherapistsMany others!
Physician teaches students, residents, & Pharmacists about Acute Respiratory Disease
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Central Office
Administration
System-wide Formulary & Purchasing
Clinical Support
Operational Support
Information System Development & Support
Pharmacy Management
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Medication safetyClinical ProgramsFormularyEducationNew initiativesMuch more….!
Data Management
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• Data reports• Clinical reports• Research• Pharmacy & Therapeutics Committee support• Automation Strategy & use
RobotsAutomatic dispensing cabinets
• Drug Use EvaluationVance Loertscher, RPhData Manager
System Development & Implementation
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• Computer system design• Clinical decision support tools• Database design• Database management• System testing• Education & training• Medication order sets• Patient care protocols• Clinical Patient Care tools
Opportunities
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Shadowing - observe
Internships - work
Clerkships - rotation
Residency – post graduate
Certification – post graduate
All provide excellent opportunities to experience the
different avenues of pharmacy
Residency
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Kelly Terrill, Pharmacy Director
Back to the Future
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Lifelong LearningResidency TrainingBoard Certification
PharmacotherapyNuclear PharmacyNutrition SupportOncologyPsychiatryOthers….
Getting Ready….
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There’s a whole world of different options for Pharmacy ProfessionalsExploreShadowNetwork
Many Exciting Opportunities…….Be ProactiveAsk Questions!Let us know how we can help youOpportunities to get involved with the Utah Society of Health-System Pharmacists - USHP (no charge to students)