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Department of Pharmacy Services Strategic Partner Review Session February 17, 2011. Heather Kokko, PharmD, MBA Director of Pharmacy Services. Kelly Crowley, PharmD Manager Ambulatory Pharmacy Services. Christopher Fortier, PharmD Manager Pharmacy Support Services.
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Department of Pharmacy ServicesStrategic PartnerReview SessionFebruary 17, 2011 Heather Kokko, PharmD, MBA Director of Pharmacy Services Kelly Crowley, PharmD Manager Ambulatory Pharmacy Services Christopher Fortier, PharmD Manager Pharmacy Support Services Matthew Maughan, PharmD Manager Children’s Hospital Pharmacy Services Joseph Mazur, PharmD, BCPS Manager Clinical Pharmacy Services Joel Melroy, PharmD, MS, BCPS Manager Adult Inpatient Pharmacy Services Kelli Garrison, PharmD, BCPS Manager Medication Use Policy and Informatics
Tab 1 • COM Departments involved • SP Strategic Goals (3-5 year big bets) • 2010-2011 Progress towards Strategic Goals • What is going well in the Department? • Opportunities for improvement in the Department • Input on SL as a structure Tab 2 – Dashboard Tab 3 –Monthly Report Card (LEM goals) YTD Tab 4 – 5/10 Plans
COM Departments involved in the Department • All service lines and departments are “customers” of the Department of Pharmacy Services • Anesthesia & Perioperative Medicine • Surgery • Gynecology • Neurosurgery • Oral Surgery • Orthopedic Surgery • Ophthalmology • Otolaryngology • Radiology/ Radiation Oncology • Department of Gastroenterology • Heart & Vascular • Psychiatry
Department of Pharmacy ServicesBig Bets (3-5 year strategic goals) Common Big Bet Redesigning our Pharmacy Practice Model to create a optimum practice environment for our patients, employees and medical colleagues. Clinical Pharmacy Services Develop minimum pharmacy services for all patients Develop best practice pharmacy services for high- risk patients Develop continuum of care models for patients upon discharge from the Medical Center Distributive Pharmacy Services Assess and develop an optimum medication distribution model for all inpatient areas of the Medical Center Develop a mail order pharmacy for employees and high-return patients
2010-2011 Progress towards Big Bets Common Big Bet Redesigning our Pharmacy Practice Model to create a optimum practice environment for our patients, employees and medical colleagues. The Pharmacy Management Team has had preliminary meetings to define the scope of practice we intend to provide to patients. We are working with our staff members to discuss “tough questions” and determine the best operational plan to accomplish our clinical and distributive roles.
What is going well in the Department? • The staff are EXTREMELY engaged in the changes we are making • Our relationships with colleagues from other departments is strong and we are working together well in most cases • Our administrators have been very supportive of our initiatives and help us accomplish our goals • Recipient of 3 NATIONAL BEST PRACTICES AWARDS in last 3 years • 2008 ASHP Best Practice for the PGY1 Residency Program • 2009 ASHP Best Practice for Collaborative Drug Therapy Management • 2010 ASHP Best Practice for Medication Excellence
Opportunities for improvement in the Department • Balance between accreditation or regulatory standards and physician practice concerns • Ex. Medications brought to clinic by patients • Disconnect between service line medical directors and department chairs or faculty • Ex. Medication Guidelines • Resident physician education and engagement • Ex. Policy changes and orientation • Ex. Medication reconciliation pilot (positive example) • Partnering with physicians in quality improvement and research projects to improve medication safety • Ex. Medication Safety and Improvement Committee • Ex. Medication Use Evaluation results
Input on SL as a structure • Positives • Strong commitment to patients • Focus on quality projects for individual groups • Clearly defined administrative leader • Negatives • Inconsistency in educational roll out • Silo effect • Difficult to attend all SL’s meetings • Strategic Partners often not included in the plan of the SLs. • Ex. Procedure areas in the Children’s Hospital • Ex. North Area pediatric services
Tab 2Department Dashboard – Inpatient and Clinic Pharmacy Services
Tab 2Department Dashboard – Inpatient and Clinic Pharmacy Services
Tab 2Department Dashboard – Inpatient and Clinic Pharmacy Services
Tab 3Goal Performance • Executive Summary – Annual LEM performance • Executive Summary – 2011 Pillar performance YTD • Monthly Report Card
Tab 45/10 Performance YTD • 5/10 Plan Executive Summary • 5/10 Performance YTD
Department of Pharmacy ServicesStrategic PartnerReview SessionFebruary 17, 2011 Heather Kokko, PharmD, MBA Director of Pharmacy Services Kelly Crowley, PharmD Manager Ambulatory Pharmacy Services Christopher Fortier, PharmD Manager Pharmacy Support Services Matthew Maughan, PharmD Manager Children’s Hospital Pharmacy Services Joseph Mazur, PharmD, BCPS Manager Clinical Pharmacy Services Joel Melroy, PharmD, MS, BCPS Manager Adult Inpatient Pharmacy Services Kelli Garrison, PharmD, BCPS Manager Medication Use Policy and Informatics
