Responsible for all hospital pharmacy operations, including 2 UT class B pharmacy licenses, 2 sterile compounding clean rooms, a hazardous medication negative pressure room, and extensive outpatient services. Responsible for a $12 million budget in annual expenses. Staff included 26 pharmacist and technician FTEs.• Extensive experience working with physician groups and leadership including hospitalists, anesthesia, surgery, hematology, and various other specialties.• Responsible for compliance including Joint Commission and State surveys. Operate a 24-hour sterile compounding clean room.• Responsible for 340B program compliance.• Actively engaged pharmacy department in Intermountain Continuous Improvement activities using Intermountain’s system which is similar to Lean methodology.• Inpatient areas served include medical care, surgical care, transitional care, behavioral health, mother-baby, labor and deliver, ICU and NICU, and interventional cardiology.• Outpatient areas served include surgical suite, dialysis, hematology and oncology, endoscopy, emergency services, a free-standing and separately licensed cancer center and infusion therapy.

Description: Responsibility for ambulatory care services across the health system.- Responsibility for outpatient pharmacy integration including refill and prior authorization services, primary care integration consistent with the PCMH model of healthcare delivery, retail pharmacy, home infusion, and anticoagulation clinics.- Develop and oversee execution for a fiscally responsible strategic vision for pharmacy across a geographically large rural health system.- Coordinate the credentialing and privileging of pharmacists.- Utilize lean methodology to improve efficiency while maintaining quality.- Develop and maintain positive relationships with ambulatory pharmacy managers, physician and clinic leadership, and hospital executive leadership.- Total personnel responsibility: Responsibility for 72 FTEs, matrix responsibility for 10 additional FTEs.

Description: Management of ambulatory care services across the health system.- Coordinate the credentialing and privileging of pharmacists in preparation for recognition by law as providers that must be paid for cognitive services provided directly to patients.Coordinate expansion of pharmacy services to primary care within the health system. Responsible for expansion to primary care in which pharmacists play an integral role in the PCMH model of care.- Utilize lean methodology to improve efficiency while maintaining quality.- Develop and maintain positive relationships with physician and clinic leadership.- Manage anticoagulation services for the health system including 7 sites, home visits, and televideo services to reach a rural population.- Total personnel responsibility: Direct managment of 36 FTEs and matrix responsibility for 10 additional FTEs.

Activities and learning experiences (longitudinal experience)• Investigated budget variances monthly and assisted in developing monthly variance report.• Obtained a working knowledge of purchasing and procurement principles, including inventory management, continuous monitoring and improvement, and cost containment.

Activities and learning experiences (longitudinal experience):• Investigated and documented numerous medication errors.• Analyzed quarterly action items from the Institute for Safe Medication Practices to assure institutional compliance.• Participated in Joint Commission visit preparation and compliance assessments, including auditing to assure and document compliance in action areas.• Audited for compliance to numerous policies and procedures. Created follow-up plans for areas needing improvement, including education, communication, and targeted coaching.

Activities and learning experiences (longitudinal experience):• Participated in the preparation of all materials for Pharmacy and Therapeutics committee (P&T) meetings. Successfully facilitated one full P&T meeting.• Edited and published online quarterly newsletter entitled Pharmacy@General containing clinical updates, pertinent safety and quality information, pharmacy policy and procedure information, and other pharmacy updates.• Researched and developed a memo informing the billing department of changes to laws regulating pharmacists billing for services in an ambulatory care setting.

Activities and learning experiences (longitudinal experience):• Participated in implementation of new workflows related to information technology, including support and participation in the ‘go-live’ process.• Participated in the building process of new medication additions to formulary, protocol orders, and order sets.• Continuously worked closely with the pharmacy informatics team to improve processes within the pharmacy to enhance quality and safety.

Activities and learning experiences:• Successfully created and managed the pharmacy operations schedule for pharmacy personnel, including 67 pharmacists.• Carried out disciplinary actions involving pharmacy personnel.• Assumed full responsibility for pharmacy operations.• Participated in the implementation of new automation technology, including workflow transformation and integration, testing and troubleshooting.• Participated in a yellow-belt project to improve workflow within the outpatient pharmacy.

Activities and learning experiences (longitudinal experience):• Successfully created, submitted, and presented proposals to hospital administration requesting personnel resources for innovative programs within the pharmacy department.• Developed project management skills while leading the implementation of a discharge prescription bedside delivery service.• Accurately completed and submitted a multi-cost center pharmacy budget, including the negotiation and approval process through hospital finance and administration. Budget included 2 new cost centers.• Successfully wrote job descriptions for newly created positions within the pharmacy department.• Acted as chief resident for a pharmacy practice management PGY1 class of seven residents.• Participated with the Director in all other aspects of pharmacy department management.

• Completed outpatient interviews and management for anticoagulation and diabetes in accordance with collaborative practice agreements.• Reviewed all pertinent data to formulate treatment plans in order to reach therapeutic goals and laboratory targets through medication therapy adjustment and management.

• Planned improvements to the PGY1 and PGY2 residency experience with the residency program and clinical directors. • Created weekend staffing schedule and training schedule for all residents. • Assisted to facilitate on-boarding of new PGY1 residency class. • Completed on-boarding process for the transition to PGY2 administrative residency year.

• Evaluated appropriateness of chemotherapy doses and symptom management medications. Reviewed laboratory data pre-chemotherapy infusion to ensure safe use. • Performed double-checks on all prepared chemotherapy medications.• Counseled patients on side effect management techniques for chemotherapy regimens.

• Rounded daily with the palliative care team, working to reach therapeutic and symptom control goals through medication therapy recommendations and management.• Facilitated successful transitions to the next appropriate level of care.

• Prepared and edited annual report for pharmacy director and hospital administration.• Updated and evaluated the pharmacy dashboard.

• Rounded daily with the intensive care team, working to reach therapeutic goals and laboratory targets through medication therapy recommendations and management.• Reviewed all pertinent data to formulate treatment plans and facilitate successful transitions to the next appropriate level of care.• Documented activities and interventions into the patient medical record.

• Successfully completed discharge medication reconciliation for patients leaving the hospital with a diagnosis of heart failure. Counseled patients on all medications before discharge.• Reviewed patient data to ensure core measure compliance.• Completed diabetes needs assessments on qualifying patients daily. Ordered diabetes education or recommended endocrinology consults as appropriate.

• Rounded with internal medicine team, working to reach therapeutic goals and laboratory targets through medication therapy recommendations and management and documenting in the patient medical record.• Assumed full preceptor responsibilities for an APPE pharmacy student, including continual performance feedback and final evaluation.

• Researched and developed residency and Master’s degree innovation project.

• Reviewed pertinent laboratory and microbiology data to assist in the formulation of treatment plans in collaboration with other team members.• Documented activities into the patient medical record.

• Rounded daily with inpatient family medicine team, working to reach therapeutic goals and laboratory targets through medication therapy recommendations and management. • Managed anticoagulation, hypertension, and diabetes in an outpatient clinic through collaborative practice.• Completed post-discharge transition of care visits.• Worked with clinic physicians to complete continuous medication reconciliation on patients.

• Under the preceptorship of the Chief Experience Officer, evaluated and designed improvements to the hospital approach for improving HCAHPS scores as they relate to communication about medications.• Spent time rounding and planning with nursing directors in the hospital in order to establish collaborative working relationships with the pharmacy department.

• Participated as a member of the pain management team.• Reviewed patient data, assessment data, and online controlled substance database to formulate treatment plans, documenting activities into the patient medical record. • Interviewed patients in the outpatient pain clinic and recommended appropriate treatment plans.

• Participated in weekly leadership article discussions. • Became familiar with philosophies of leadership, management, pharmacy practice, patient care, and self-development.

Regularly completed 30 day reviews on patient charts, making recommendations to providers as needed. Formally and informally answered drug information consultations, including two formal write-ups. Participated in psychiatric consultation rounds for the Minnesota Vet’s Home. Assisted in data collection regarding antipsychotic and psychotropic usage on the rehabilitation unit.

Rotation focused primarily on outpatient pharmacy management. Participated in a pharmacy liaison program. Improved transitions of care by providing a consistent thread of communication between the outpatient pharmacy, the patient, and the inpatient primary care team. Participated in or observed various other management aspects of the institution’s outpatient pharmacy.

Completed vancomycin, glucose management, and anticoagulation consultations each morning, and adjusted therapy according to physician collaborative practice agreements. Provided stroke and anticoagulation teaching to patients in both English and Spanish. Completed multiple journal clubs and patient presentations during rotation. Topic discussions 2-3 times per week. Designed and formulated a drug information pocket card for nurses to aid them in educating patients about medicines, and thus improve HCAHPS scores.

Participated in Trauma I and II, ASSERT I and II, and code situations in the emergency department. Drew up medications for rapid sequence intubation, stroke, and other conditions seen in the ED. Participated in full arrest situations including timing, epinephrine preparation, and high quality CPR. Followed up on culture results for patients who had been in the ED. Topic discussions daily. Researched and wrote a drug consultation on the effects of desmopressin in reversing clopidogrel.

Performed a medication use evaluation and a retrospective study on Ofirmev® use and its effect on opioid doses in surgical patients. Prepared and presented a review of codeine for the hospital system pharmacy and therapeutics committee and recommended restriction of the drug to non-pediatric patients in the system’s formulary. Developed and presented technician CEs, journal club, patient presentations. Performed medication reconciliation, patient counseling, and rounded on patients. Provided feedback and suggestions for intervention to physicians when appropriate.

Rounded daily with the infectious disease consult team. Provided recommendations on drug dosing, choice of therapy, appropriate and stewardly use of anti-infective medications, and answered pharmaceutical questions that were asked by the attending and resident physicians. Provided educational seminars at the request of the resident physicians. Led topic discussions on various infectious disease guidelines.

Participated in pharmacy and therapeutics committee meetings at multiple levels within the institution. Developed a dynamic storage and tracking system for the overstock area in central pharmacy in order to track those medications that were stockpiled due to drug shortage situations. Participated in all meetings attended by the regional director of pharmacy. Learned about budgeting, how a pharmacy budget flexes, workflow in the hospital, the role of clinical pharmacists in the hospital and region, and the roll of pharmacy in interdisciplinary, comprehensive patient care.

Perform front-end and back-end safety reviews on prescriptions. Perform screenings and administer vaccinations as appropriate. Counsel patients about over-the-counter and prescription medications. Entered patient profile information and third party information into Walgreen’s IntercomPlus prescription software. Resolve insurance billing issues by troubleshooting billing process and calling insurance companies. Receive oral prescriptions from physician offices, hard copies from patients, and transfers from pharmacies. Transfer prescriptions to pharmacies. Receive controlled substance orders.

Counseled patients about over the counter and prescription medications. Received prescriptions from physician offices and patients. Received transfer prescriptions from pharmacies and transferred prescriptions to pharmacies.

Counseled patients about over the counter and prescription medications. Received prescriptions from physician offices and patients. Received transfer prescriptions from pharmacies and transferred prescriptions to pharmacies. Received CII orders. Entered patient profile information and third party information into InterCom Plus prescription software.

Counseled patients about over the counter and prescription medications. Received prescription orders from physician offices. Received transfer prescriptions from pharmacies and transferred prescriptions to pharmacies. Generated, wrote, and sent DEA 222 orders. Entered patient profile information and third party information into Kroger prescription software.

Genetic sequencing laboratory. Testing was performed for cancer patients and potential cancer patients. PCR and electrophoresis.