Drug Use Policy and Performance Improvement
Overview
The resident will gain the knowledge and experience through assisting in the
coordination of the P&T Committee and performance improvement initiatives.
The resident will be responsible to set up the agenda for P&T as well as
developing policies around medication use. The resident will gain knowledge
in determining the level of quality of services within the department and coordinate
improvement initiatives. The resident will learn about accreditation agencies
and the impact they have on drug use policy. Experiences and knowledge will
be attained in the procurement and inventory management processes.
Preceptor
Lance L. Swearingen, M.S., R.Ph
Performance Improvement Manager
Contact information
Pager: (612) 654-3369
Phone: (763) 236-4690
Fax (763) 236-4143
E-mail: Lance.Swearingen@allina.com
Rotation location
Mercy & Unity Hospitals
Hours
Monday - Friday
(Approximate) 0800-1630
Goals
Goal S1: Take personal responsibility for attaining excellence in one’s own ability to provide pharmaceutical care.
Goal S2: Demonstrate ethical conduct in all job-related activities.
Goal S3: Demonstrate the characteristics of a professional.
Goal S6: Use an organized system for staying current with pertinent literature.
Goal S7: Communicate clearly when speaking or writing.
Goal S19: Manage time effectively to fulfill practice responsibilities.
Goal P6: Participate in the components of disease management: identification of need for, and development, implementation and assessment of, treatment guidelines/protocols related to individual and population-based patient care.
Goal P7: Exercise leadership in the health system's continuous quality improvement (CQI) approach to designing a process to prevent medication misadventures and to identify, assess, and manage those that occur.
Goal P9: Participate in the medication-use evaluation (MUE) program in a health system.
Goal P10: Help ensure the health system's ongoing adherence to its medication-use policies.
Goal P12: Understand a process for formulating and delivering programs
Goal M3: Participate in the health system's formulary process.
Goal M4: Participate in the development or modification of policies for the use of medications in a health system.
Goal M5: Understand the principles of a systematic approach to staff development in pharmacy practice.
Goal M6: Work through the political and decision-making structure to accomplish one's practice area goals.
Goal M8: Participate in clinical, humanistic and economic outcomes analyses.
Goal M9: Understand the process of managing the practice area's human resources.
Goal M10: Understand steps that must be taken to ensure departmental compliance with accreditation, legal, regulatory, and safety requirements
Goal M13: Participate in the departmental performance improvement program.
Daily rotation activities
The resident will be assigned projects for the P&T Committee which will
include writing a drug monograph, reporting adverse drug events, developing
policies related to medication use, and developing and performing medication
use evaluations. The resident will meet with Pharmaceutical Sales Representatives
during scheduled appointments. In addition the resident will review recently
released medical literature and present pertinent information to pharmacy staff.
Purchasing contracts will be reviewed, signed and audited to assure compliance
to contracts. Drug cost savings will be tracked during the month and the monthly
pharmacy budget report will be completed and sent to the vice president of operations.
Finally the resident will be assigned a performance improvement initiative which
they will develop, coordinate, and recommend changes to improve pharmacy services
within the organization.
Interaction with health care providers
The resident will routinely interact with the pharmacy manager for performance
improvement and clinical pharmacy managers. In addition the resident will interact
with physicians and nurses on the P&T Committee as well as those who will
be part of performance improvement initiatives at Mercy & Unity Hospitals.
Meeting attendance
The resident will set up a meeting weekly with the preceptor for 30 minutes.
These meetings will allow time for the preceptor to review rotation activities
from the previous week and provide feedback on performance. The resident will
also set up a meeting on the last day of the rotation to review the preceptor
and resident evaluation. Additional meetings include attending the department
meetings, Continuing Medical Education Seminar, Hospitalist Care Improvement
Seminar, Leading Edge Educational Seminar and the P&T Committee (if applicable).
Topics/disease states for discussion
- P&T Committee membership and function/formulary system
- Medication Use Evaluations
- Performance Improvement
- Quality
- Quality and Accreditation Agencies
- Adverse Drug Events
- Managing Drug Shortages
- Group Purchasing Organizations and Drug Wholesalers
- Legal and Regulatory issues around pharmaceutical purchasing
- Inventory Control
Orientation to the rotation - the preceptor will:
- Provide the resident the goals and objectives for the learning experience
- List the activities the resident will be engaged in during the month to
accomplish the goals and objectives (see step 7 of the RLS process)
- Describe how the preceptor will evaluate the resident (e.g., objective data,
criteria based checklist)
- Provide the resident with self evaluation forms (e.g., rotation evaluation
from, criteria based checklist), and
- Communicate how will the resident evaluate the preceptor
- Establish routine meetings during the month to provide feedback and allow
time for clarifying expectations. Monitor the growth and development of the
resident during this time.
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