Lessons learned from a pharmacy practice model change at an academic medical center

Knoer, Scott J.; Pastor III, John D.; Phelps, Pamela K.
November 2010
American Journal of Health-System Pharmacy;11/1/2010, Vol. 67 Issue 21, p1862
Academic Journal
Purpose. The development and implementation of a new pharmacy practice model at an academic medical center are described. Summary. Before the model change, decentralized pharmacists responsible for order entry and verification and clinical specialists were both present on the care units. Staff pharmacists were responsible for medication distribution and sterile product preparation. The decentralized pharmacists handling orders were not able to use their clinical training, the practice model was inefficient, and few clinical services were available during evenings and weekends. A task force representing all pharmacy department roles developed a process and guiding principles for the model change, collected data, and decided on a model. Teams consisting of decentralized pharmacists, decentralized pharmacy technicians, and team leaders now work together to meet patients' pharmacy needs and further departmental safety, quality, and cost-saving goals. Decentralized service hours have been expanded through operational efficiencies, including use of automation (e.g., computerized provider order entry, wireless computers on wheels used during rounds with physician teams). Nine clinical specialist positions were replaced by five team leader positions and four pharmacists functioning in decentralized roles. Additional staff pharmacist positions were shifted into decentralized roles, and the hospital was divided into areas served by teams including five to eight pharmacists. Technicians are directly responsible for medication distribution. No individual's job was eliminated. Conclusion. The new practice model allowed better alignment of staff with departmental goals, expanded pharmacy hours and services, more efficient medication distribution, improved employee engagement, and a staff succession plan.


Related Articles

  • Experience with a "tech-check-tech" program in an academic medical center. Reed, Michael; Thomley, Sylvia; Ludwig, Brad; Rough, Steve // American Journal of Health-System Pharmacy;10/1/2011, Vol. 68 Issue 19, p1820 

    Purpose. A "tech-check-tech" (TCT) program to support unit dose drug distribution at an academic medical center is described. Summary. In April 2004, the University of Wisconsin Hospital and Clinics implemented a TCT program to provide validated pharmacy technicians with the opportunity to serve...

  • Perspective of a Float Pool Model in Ambulatory Care. Hemann, Michele; Davidson, Gwen // MEDSURG Nursing;May/Jun2012, Vol. 21 Issue 3, p164 

    During challenging economic times, health care organizations need to function as efficiently and cost-effectively as possible. Use of a float model may help nurses meet patient care demands in the ambulatory setting.

  • Pharmacy practice model for academic medical centers. Bush, Paul W.; Ashby, Daniel M.; Guharoy, Roy; Knoer, Scott; Rough, Steven; Stevenson, James G.; Wiest, Michelle // American Journal of Health-System Pharmacy;11/1/2010, Vol. 67 Issue 21, p1856 

    The article features the formation of a pharmacy model task force by the University Health System Consortium (UHC) which aims to determine the pharmacy services to be provided to patients in U.S. academic medical centers (AMCs) and to analyze the role of pharmacists in providing those services....

  • Frontline Pharmacist. Pharmacist-run zoledronic acid clinic. Traina, Andrea N.; Kane, Michael P.; Bakst, Gary; Abelseth, Jill M.; Busch, Robert S. // American Journal of Health-System Pharmacy;8/1/2011, Vol. 68 Issue 15, p1399 

    The article discusses a pharmacist run zoledronic acid clinic, The Endocrine Group, LLP, that implemented on the treatment and usage of zoledronic acid which is contraindicated in patients with a past of significant bone, joint, or muscle pain and for patients with an increased risk of...

  • SMART LEADERSHIP! WEINSTOCK, MATTHEW // H&HN: Hospitals & Health Networks;Sep2010, Vol. 84 Issue 9, p28 

    The article presents an overview of the impact that health care reform legislation which has been passed in the U.S. in 2010 will have on the standards of medical care that are seen at U.S. hospitals. A discussion of methods and advice that hospitals can use to ensure that they are in compliance...

  • Impact of health information technology on detection of potential adverse drug events at the ordering stage. Roberts, Lance L.; Ward, Marcia M.; Brokel, Jane M.; Wakefield, Douglas S.; Crandall, Donald K.; Conlon, Paul // American Journal of Health-System Pharmacy;11/1/2010, Vol. 67 Issue 21, p1838 

    Purpose. The impact of implementing commercially available health care information technologies at hospitals in a large health system on the identification of potential adverse drug events (ADEs) at the medication ordering stage was studied. Methods. All hospitals in the health system had...

  • Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Weant, Kyle A.; Humphries, Roger L.; Hite, Kimberly; Armitstead, John A. // American Journal of Health-System Pharmacy;11/1/2010, Vol. 67 Issue 21, p1851 

    Purpose. The effect of an emergency medicine (EM) clinical pharmacist on medication-error reporting in an emergency department (ED) was studied. Methods. The medication-error reports for patients seen at a university's ED between September 1, 2005, and February 28, 2009, were retrospectively...

  • Critical requirements for health-system pharmacy practice models that achieve optimal use of medicines. Shane, Rita // American Journal of Health-System Pharmacy;6/15/2011, Vol. 68 Issue 12, p1101 

    Information about using the health-system pharmacy practice models to achieve optimal use of medicines is presented. The article focuses on how proper use of medicines, leadership and practice management, proper equipments, facilities provided will help improve health care system. The Essential...

  • Letter to a new director of pharmacy. Tribble, Dennis A. // American Journal of Health-System Pharmacy;7/1/2011, Vol. 68 Issue 13, p1257 

    In the article the author discusses his experience of working as a director of pharmacy in a midsized community hospital, and offers advice to new pharmacy directors on how to improve the medication-use process. He emphasizes on looking for opportunities, being data driven and developing working...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics