Pharmacy Management Hospital by rst60617

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									                                      Institutional Pharmacy Practice Class
                                                     Phar6232
                                                    Spring 2009

                                           Tuesday Mornings from 8:00 a.m. to 9:55 a.m.
                                                         Room WDH 7-193/195

Readings: all readings are located on the ASHP web site under Best Practices unless indicated otherwise ( www.ashp.org)

     1. Class Overview                                                Jan. 20       1 hr                Scott Knoer

     2.   Data/Financial Management                      Jan. 27      1 hr                     Brent Kosel
           Benchmarking
           Budgeting
           Productivity
           Workload
           Interventions
                                                                   th
          Readings: Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 20, Financial Management and
          Cost Control.

          Investigational Studies                        Jan. 27        1 hr.                   Darlette Luke
           Drug Control
           Records
           Registry/study management
           Regulatory requirements
           IRB
          Readings: 1. ASHP Guidelines on Clinical Drug Research.
          Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 390.
          http://www.ashp.org/DocLibrary/BestPractices/ASHPGuidelinesClinicalDrugResearch.aspx
                                                                    th
          Readings: Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 30, Investigational Drugs in the
          Hospital.

     3. Compliance                                      Feb. 3        1 hr                     Kelli Meyer
        Regulatory compliance
        Billing
                                                                  th
        Readings: Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 12, Using Practice Standards to
        Improve Patient Safety, Quality of Care, and Advance Pharmacy Practice in Hospitals and Health Systems.

          Post Doctorate Pharmacy Education              Feb. 3         1 hr                    Sue Haight
                                                         th
          Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 13, Residency Training for Practice

     4. IV admixture systems, Chemotherapy and Parenteral Nutrition        Feb. 10      2 hr    Craig Else
          Systems
          Automation
          QA/Sterility
          Chemotherapy
          Parenteral Nutrition
         Readings:
         1. ASHP Discussion Guide for Compounding Sterile Preparations (USP 797)
             http://www.ashp.org/s_ashp/docs/files/DiscGuide797-2008.pdf
         2. Guidelines on Quality Assurance for Pharmacy-Prepared Sterile Products
             Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 58. OR
             http://www.ashp.org/DocLibrary/BestPractices/QualityAssurance.aspx
         3. ASHP Guidelines on Preventing Medication Errors with Antineoplastic Agents
             Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 172 OR

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               http://www.ashp.org/DocLibrary/BestPractices/MedMis_Gdl_Antineo.aspx
          4.   ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral
               Nutrition Admixtures
               Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 172 OR
               http://www.ashp.org/DocLibrary/BestPractices/ASHPGuidelinesSafeUseofAutomatedCompoundingDevice
               sforthePreparationofParenteralNutritionAdmixtures.aspx
                                                                th
          5. Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 28, Sterile Preparations and
               Admixture Services.
          Optional:
          ASHP Technical Assistance Bulletin on Handling Cytotoxic and Hazardous Drugs
          http://www.baxa.com/resources/docs/technicalPapers/ASHPTechBulltn.pdf
          Safe Practices for Parenteral Nutrition Formulations
          http://findarticles.com/p/articles/mi_qa3762/is_199803/ai_n8795686

     5. Pharmacy Benefits Management                   Feb. 17        2 hr                     Steve Johnson
        Readings: http://www.gao.gov/new.items/d03196.pdf
                                                       th
        Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 6, Evolution of the Management of U.S.
        Health Care: Managing Costs to Care Management.

     6. Pharmacy Roles                                               Feb. 24                 Pam Phelps
          Org. structures, reporting relationships
          Expanding roles of technicians
          Staff pharmacist and clinical roles – Practice Models
          Residency Training
          Specialty roles
          Certification, credentialing
          Future
         Readings: White Paper on Pharmacy Technicians – ASHP Endorsed Document
         http://www.ashp.org/bestpractices/pharm-mgmt/HR_End_WPTechs.pdf -inactive website
         http://www.ashp.org/DocLibrary/BestPractices/WhitePaperonPharmacyTechnicians.aspx
         Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 336
                                                          th
         Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 3 and 35, The Pharmacy Staff and
         Specialization in Pharmacy

     7. Medication Distribution Systems                Mar. 3 2 hr            Scott Knoer / Gina Lemke
         Overview of Systems (Pro/Con)                                       Site visit –     UMMC Pharmacy
         Automation – central, decentral                                                      St. Lukes Hospital
         Satellites
         Decentral vs. Central
         Bar Coding
         Computers
         Chemotherapy
                                                                  th
        Readings: Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapters 24 and 27, Automation in
        Practice and Medication Distribution Systems.
        Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 4-8, 13-23

     8. Purchasing/Procurement and Inventory Management Mar. 10               90 min Steve Kastendieck/Ric Giese
         GPO
         Use of GPO and wholesaler
         Inventory Control
         Pharmacy Industry Relations
         Shortages
                                                                  th
        Readings: Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 21, Purchasing and Inventory Control.
        Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 26-34
        http://www.ashp.org/DocLibrary/BestPractices/ASHPGuidelinesManagingDrugProductShortages.aspx

          Pharmacy Management Services                                          Mar. 10   30 min Steve Kastendieck/Ric Giese


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          SPRING BREAK March 16 - 20

     9. Performance Improvement & Quality Assurance                             Mar. 24          2 hr   Chris Jolowsky
          PDCA
          Flow charting and PI methods
          Root cause analysis
          FMEA

     10. Drug Use Management                            Mar. 31                  2 hr         Kristi Gullickson
          P&T
          Formulary
          DUE
          Cost Control strategies
         Readings: 1. ASHP Technical Assistance Bulletin on Drug Formularies,
         2. ASHP Technical Assistance Bulletin on the Evaluation of Drugs for Formularies,
            http://www.ashp.org/s_ashp/docs/files/BP07/Form_TAB_EvalDrugs.pdf
         3. Principles of a Sound Drug Formulary System – ASHP Endorsed Document
                                                                    th
         Readings: Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 36, Evidence-Based Medicine.

     11. Medication Safety                                Apr. 7          2 hr                  Lance Swearingen
          IOM Report
          The National Quality Agenda
          Role of ISMP
          Role of JCAHO
          Errors and ADE tracking
          JCAHO Patient Safety Goals
         Readings:
                                                                       th
         1. Readings: Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 18, Medication Safety
         2. Wayne S. Bohenek and Stephen R. Grossbart, Pharmacists’ role in improving quality of care
             Am. J. Health Syst. Pharm., Aug 2008; 65: 1566 - 1570.
         3. ASHP Guidelines on Preventing Medication Errors in Hospitals,
             Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 163 OR
             http://www.ashp.org/DocLibrary/BestPractices/MedMis_Gdl_Hosp.aspx
         4. Recommendations from the National Coordinating Council for Medication Error Reporting and Prevention,
         5. JCAHO National Patient Safety Goals – JCAHO web site:
         http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/08_hap_npsgs.htm
         6. Visit the ISMP web site at ISMP.org

     12. Bio terrorism                                   Apr. 14       1 hr                       Chuck Cooper
         Ambulatory Care Pharmacy                        Apr. 14       1 hr                       Kyle Skiermont
         Readings:
                                                            th
         1. Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 40, Integrity of the U.S. Drug Supply.
         2. ASHP Guidelines: Minimum Standard for Pharmaceutical Services in Ambulatory Care
            Best Practices for Hospital & Health-System pharmacy, 2008-2009 edition, p. 362 OR
             http://www.ashp.org/DocLibrary/BestPractices/ASHPGuidelinesMinimumStandardforPharmaceuticalServic
             esinAmbulatoryCare.aspx

     13. Managing People                                              Apr. 21             2hr           Paul Krogh
         Developing and Managing People

     14. Professional Associations/Regulatory                         Apr.28              2 hr          Bonnie Senst
         *      ASHP Best Practices
         *      JCAHO and other accreditation
         *      CMS/DOH
         *      Residency Accreditation
         *      Regulatory - federal, state, DEA, other
         Readings:


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                                                                           th
          1. Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapters 12 and 34, Using Practice Standards
          to Improve Patient Safety, Quality of Care, and Advance Pharmacy Practice in Hospitals and Health Systems
          and Legal Aspects of Institutional Pharmacy Practice


          2. ASHP 2015
          http://www.ashp.org/s_ashp/quart3.asp?CID=420&DID=462

          JCAHO National Patient Safety Goals - JCAHO web site: (same as lecture7)
          http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/08_hap_npsgs.htm
                                                                                th
     15. Leadership                                     May 5             2 hr                   Scott Knoer
          Sr Leadership’s Expectation of Pharmacy
          Establishing Credibility and Trust
         1. Leadership Skills for a High Performance Pharmacy, Zilz, et al, Am J Health-Syst Pharm—Vol 61 Dec 1,
             2004
                                                           th
         2. Brown, TR. Handbook of Institutional Pharmacy 4 edition, Chapter 17, Leadership


 Instructor name                      Affiliation                                    E-mail          Phone
 Chuck Cooper                 Fairview Home Infusion             Ccooper4@fairview.org            612-672-7487
 Sue Haight                   T.A. UMMC, F                       Shaight1@fairview.org            Pager : 612-
                                                                                                  899-7592
 Craig Else                   Fairview Ridges                    Celse1@fairview.org              952-892-2152
 Ric Giese                    Pharmacy Healthcare                rgiese@pharmhs.com               612-207-9609
 Kristi Gullickson            Abbott Northwestern                Kristi.Gullickson@allina.com     612-863-4906
                              Hospital
 Ron Hadsall                  University of Minnesota            Hadsa001@umn.edu                 612-624-2487
 Chris Jolowsky               United Hospital                    Jolow1@umn.edu
 Steve Kastendieck            Abbott Northwestern                Steven.kastendieck@allina.com    612-863-8602
                              Hospital
 Scott Knoer                  UMMC, Fairview                     Sknoer1@fairview.org             612-273-5103
 Noele Owen                   Scott’s Admin. Asst.               Nowen1@fairview.org              612-273-6832
 Steve Johnson                Prime Therapeutics                 SJohnson@primetherapeutics.com
 Brent Kosel                  Mercy & Unity Hospitals            Brent.Kosel@allina.com           763-236-7537
 Gina Lemke                   St. Lukes Hospital, Duluth         glemke@slhduluth.com             218-249-5292

 Darlette Luke                UMMC, Fairview                     Dluke1@fairview.org              612-273-6212
 Kelli Meyer                  Allina Compliance                  Kelli.meyer@allina.com           651-241-8938
 Bonnie Senst                 Mercy & Unity Hospitals            Bonnie.senst@allina.com          763-236-4137
 Kyle Skiermont               Fairview Pharmacy Svs              Kskierm1@fairview.org            612-672-7021
 Lance Swearingen             Fairview Northland                 Lsweari1@fairview.org            763-389-6625
                              Hospital

Class Time/Location: Wednesday mornings, Moos Tower 5-125 (Please call Scott Knoer for specific directions to
room. Phone number listed below)

Class Lead:
Scott Knoer Phone: 612-273-5103
Sue Haight (TA): Pager: 612-899-7592

Class size: To date total


Speakers Schedule: Speakers may trade dates (be careful of one hour versus two-hour slots/topics). If trade, please
       e-mail Scott in advance to notify students of reading change. Speakers with site visits should e-mail students
       with directions, map, and location in advance.


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Readings: Pre-class reading is included in the class (1 hour is recommended per class). If speakers have additional
readings or want to include or substitute reading information, please contact Scott more than one week in advance of
the class so he can give to students the prior week or e-mail to them.

Parking There is parking available in the Washington Ave. Ramp next to the Radison Hotel. Bring your ticket in as
Scott will have parking validation stamp. Weaver-Densford Hall (College of Pharmacy) is across Washington Ave.
(right across the street). Moos Tower is connected to WDH.
http://www1.umn.edu/pts/maps/ebcolr.htm - see on-line map of campus.

Audiovisual: An overhead, laptop and PPT projector are available in the room

Grading: FYI
15 points class attendance
85 points for abstract of previous weeks lecture = 12 hand-ins for 7 points each

Thank you again for your participation!

Scott Knoer, M.S., Pharm.D.
Director of Pharmacy
University of Minnesota Medical Center, Fairview
Clinical Asst. Professor, University of Minnesota College of Pharmacy




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