Integration of a clinical pharmacist into the hematology–oncology clinics at an academic medical center

2011 ◽  
Vol 68 (7) ◽  
pp. 613-619 ◽  
Author(s):  
John M. Valgus ◽  
Aimee Faso ◽  
Kelly M. Gregory ◽  
Sandra Jarr ◽  
Scott Savage ◽  
...  
Keyword(s):  
Clinical Pharmacist ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

Development of a specialty medication prior-authorization service at an urban academic medical center

2016 ◽  
Vol 73 (15) ◽  
pp. 1174-1179 ◽  
Author(s):  
Michelle T. Martin ◽  
Elena Telebak ◽  
Paige A. Taylor ◽  
Olga Volozhina
Keyword(s):  
Clinical Pharmacist ◽  
Medical Center ◽  
Academic Medical Center ◽  
Hcv Infection ◽  
Pharmacy Students ◽  
Insurance Companies ◽  
Prior Authorization ◽  
Assistance Programs ◽  
Academic Medical ◽  
Specialty Medication

Abstract Purpose The project in which a clinical pharmacist enlisted the help of pharmacy students to create a team responsible for prior-authorization (PA) paperwork associated with hepatitis C virus (HCV) infection treatment is described. Summary Many insurance companies require completion of a time-consuming PA process for approval of high-cost specialty medications, such as those used in the treatment of HCV infection. A clinical pharmacist at an urban academic medical center recruited pharmacy students to assist with and streamline the HCV medication PA process. After training, the students developed a protocol to increase the efficiency of completing PA requests, appealing denials, obtaining PA extensions, and documenting progress in the electronic medical record to ensure continuity of care. The PA team collaborated with clinicians to document proof of medical need and worked with insurers, pharmacies, and patients to achieve timely approval and receipt of medications. From June 2014 to March 2015, three students spent 240 hours developing the PA protocol and completing 88 PA requests, with an overall medication approval rate of 87.7%; 18 patients were also referred to medication assistance programs. The PA team’s work allowed the clinical pharmacist to spend more time on clinical activities and scholarship, while the students increased their knowledge of HCV disease and HCV-targeted therapies and improved their skills in written and verbal communication with patients, providers, and insurance companies. Conclusion Pharmacy students successfully implemented a PA team to manage prescription approval for HCV medications with assistance from a clinical pharmacist.

Evaluation of a Clinical Pharmacist-Led Automated Dispensing Cabinet Stewardship Program at a Tertiary Academic Medical Center

2019 ◽  
Vol 33 (5) ◽  
pp. 576-579
Author(s):  
Kenneth E. Lupi ◽  
Kevin M. Day ◽  
James F. Gilmore ◽  
Jeremy R. DeGrado
Keyword(s):  
Clinical Pharmacist ◽  
Medical Center ◽  
Academic Medical Center ◽  
Inventory Cost ◽  
Specific Patient ◽  
Clinical Pharmacists ◽  
Pharmacy Department ◽  
Stewardship Program ◽  
Academic Medical ◽  
Inpatient Units

Background: There is little guidance regarding the best methodology or frequency to optimize automated dispensing cabinets. Clinical pharmacists are in the unique position to make decisions regarding automated dispensing cabinet inventory to best serve their specific patient population. Objective: The purpose of this evaluation was to determine if automated dispensing cabinet optimization by clinical pharmacists would affect the number of dispenses from central pharmacy, number of stockouts, and inventory cost. Methods: A retrospective analysis was completed to evaluate the quantity of medications dispensed from a central pharmacy department over 2 separate 2-month periods, with optimization of automated dispensing cabinets occurring in between. The differences in quantity of medications dispensed and redispensed, as well as the number of stockouts and inventory cost on all automated dispensing cabinets, were compared pre- and postintervention. Results: There were 1132 medication additions, 262 medication removals, and 167 medication par level adjustments. Medications dispensed from central pharmacy were decreased by 12% from the preintervention group to the postintervention group. The number of stockouts per cabinet per day also decreased from 0.75 to 0.61 in the pre- and postintervention groups, respectively. The inventory-at-par cost level was decreased by 15%. Conclusion and Relevance: Automated dispensing cabinet optimization by clinical pharmacists led to increased medication availability on inpatient units and decreased the number of dispenses from central pharmacy. Simple yet meaningful interventions can be taken to improve multiple medication distribution metrics simultaneously.

Gender differences in career progress and satisfaction in an academic medical center

2002 ◽  
Vol 2 (3) ◽  
pp. 95-104 ◽  
Author(s):  
JoAnn Manson ◽  
Beverly Rockhill ◽  
Margery Resnick ◽  
Eleanor Shore ◽  
Carol Nadelson ◽  
...  
Keyword(s):  
Gender Differences ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Career Progress

Mo1760 Assessment of Postoperative Complications in Patients With IBD. A Single Academic Medical Center Experience

2013 ◽  
Vol 144 (5) ◽  
pp. S-1109 ◽  
Author(s):  
Samantha J. Quade ◽  
Joshua Mourot ◽  
Anita Afzali ◽  
Mika N. Sinanan ◽  
Scott D. Lee ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical
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