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VA Pharmacy Benefits Management National Conference “Achieving Excellence” March 24-28, 2008 Joy L. Meier, Pharm.D. How Will the Roles of Education and Research in VA Pharmacy be Enhanced?. Timeline Definitions. Horizon 1 (H1): 1 year Horizon 2 (H2): 2 - 5 years Horizon 3 (H3): > 5 years.

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VA Pharmacy Benefits Management National Conference “Achieving Excellence”March 24-28, 2008

Joy L. Meier, Pharm.D.

How Will the Roles of Education and Research in VA Pharmacy be Enhanced?


Timeline definitions
Timeline Definitions

  • Horizon 1 (H1): 1 year

  • Horizon 2 (H2): 2 - 5 years

  • Horizon 3 (H3): > 5 years


Bold Audacious Goal #1:

Be better than perfect at educating pharmacists in patient health risk assessment, health promotion, and outcomes management and to have the research capabilities to measure impact of these services

  • Employ, develop and retain the best trained, credentialed core of pharmacists and technicians to:

    • 1) Implement advanced practice

    • 2) Ensure the optimal use of medications

    • 3) Precept and mentor trainees

  • Foster high-quality work environment

  • Promote life-long learners who take charge of their own professional development

  • Develop a VA staffing model that supports education and research

  • Enhance the practice of pharmacy technician in dispensing and clinical roles

  • Strengthen relationship with academia


Pharmacist inquiry
Pharmacist Inquiry

  • Number completing: 198

  • GS-12 or GS-13: 75%

  • Degree (%)

    • PharmD: 66 MS: 12 PhD: 2

  • Post graduate training completed (%)

    • Residency: 70

    • Fellowship: 6

  • Board Certified (%): 41

    • Pharmacotherapy: 50

    • Psychiatric: 8

    • Geriatrics: 8

    • CDE: 5

  • College faculty appointment: 70%

  • Future tracking using VetPro


Pharmacist future goals
Pharmacist: Future Goals

H2 Increase % of pharmacists with advanced degrees and certification by 2%/year

H2 Standardized associated step increases

H2 Increase the number of facilities and pharmacists with academic affiliations

H3 All of pharmacists have advanced degrees or current applicable certification


Technician inquiry
Technician Inquiry

  • 92 stations completed survey

  • 2231 technicians

  • Duty Assignment (%)

    • Outpatient 49 Clinical 2

    • Inpatient 35 ADPAC 1

    • Procurement 7

  • Grade (%): 4/5/6: 86 7/8: 13

  • Advanced Training (%)

    • Vocational training 41

    • AA degree 5

  • Certification (%) 44


Technician future goals
Technician: Future Goals

H2 Increase % of technicians with advanced degrees and certification by 2%/year

  • DoD/VA Technician certification program

    H2 Standardized associated step increases

    H3 Establish at least one ASHP-accredited technician training program in each VISN.


Residents
Residents

  • Established 12 member residency field advisory group

  • Established monthly conference call with all residency directors

  • VACO increased the number of pharmacy residencies: 29% increase in 4 years

    AY05 AY06 AY07 AY08 AY09

    276 282 342 357 408

  • Clinical pharmacist meeting, Minneapolis, August 2007


Residents future goals
Residents: Future Goals

H2 Establish selected distance learning programs for pharmacy residency training

H2 Establish pharmacy residency program at any VAMC without a current program and currently having a medical post-graduate program.

H2 Explore partnering for multi-site residencies

H3 Maintain ASHP-accredited residency positions within VA at minimum of 20% of all programs


Bold Audacious Goal #2:

Be the premier health-care system forpharmacy research, with sufficient pharmacist researchers in VA to coordinate needed clinical research that parallels practice needs

  • Coordinate core national pharmacy research program – multi-center studies

  • Promote high quality research within VA

  • Increase the use of VA computerized database to facilitate research activities

  • Use computerized database to improve patient safety


Pbm research steering committee
PBM Research Steering Committee

H1 Coordinate multi-center studies

Travaprost MUE – includes residents

H1 Template for voluntary submission of research ideas

  • MUE template developed – Muriel Burk

    H1 Mechanism (website) for dissemination of research ideas

  • Initial network of individuals with specific areas of interest

    H1 project management skills training course for residents and staff

  • In development

    H2 National foundation for pharmacy research funds


Research
Research

H2 Increase collaboration with

  • Existing centers of excellence - GRECC, ERIC, VIREC, MIREC

  • Non-profit research organizations within VA

  • Other federal agencies

    H2 Increase/establish pharmacy fellowship programs

    H3 Establish centers of excellence for pharmacy research


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