Hospital Pharmacy

The Role of Pharmacists in the Health Care System
The Role of Pharmacists in the Health Care System
The Role of Pharmacists in the
The Role of Pharmacists in the
Hospital Setting
Hospital Setting
Presentation to the Interim Joint Committee on Health and Welfar Presentation to the Interim Joint Committee on Health and Welfare e
October 18, 2006 October 18, 2006
John A. Armitstead, MS, RPh, FASHP
President, Kentucky Society of Health-System Pharmacists
Director of Pharmacy Services, University of Kentucky Hospital
Assistant Dean, University of Kentucky, College of Pharmacy
Kentucky Hospitals
• 121 hospitals
– (120 counties in KY)
• 17,000 beds
• 600,000 admissions
• 9,400,000 outpatient visits
• $6,000,000,000 in expenses
• Population of Kentucky
Over 4.2 Million
Hospital Pharmacy in Kentucky
Hospital Pharmacy in Kentucky
• Approximately 10% of Kentucky
pharmacists practice in hospitals
• Kentucky Society of Health-System Pharmacists (KSHP)
– www.kshp.org
– Professional society , over 300 members
– Mission: To assist KSHP members in the provision of
pharmaceutical care in organized health care settings
throughout the Commonwealth of Kentucky.
Selected Types of Institutional
Practice for Pharmacists
• Hospitals
• Nursing Homes
• Long Term and Extended Care Facilities
• Intermediate Care Facilities
• Assisted Living Facilities
• Correctional Facilities
• Behavioral and Mental Health Facilities
• Ambulatory Care Facilities
• Home Care Providers
Hospital Classifications
• Ownership
– Government - Federal, State, City, County
– Private
•Church Operated/Affiliated, Corporation
• Not-for Profit or For Profit
• Types of Care - Primary, Secondary, Tertiary
• Acute or Chronic
• General or Specialty
• Teaching Affiliation(s)
The Role of Pharmacists in the Hospital Setting The Role of Pharmacists in the Hospital Setting
Medication Distribution and Control
• Medication Orders
• Formulary
Development
• Medication
Administration
• Extemporaneous
Compounding
• Compounding Sterile
Products
• Unit Dose Packaging
• Medication Storage
• Minimizing Adverse
Drug Reactions
• Eliminating
Medication Errors
• Managing Drug
Product Recalls
• Controlling Drug
Samples
The Role of Pharmacists in the Hospital Setting The Role of Pharmacists in the Hospital Setting
Medication Distribution and
Control
• Cytotoxic and
Hazardous Drug
Products
• Controlled Substances
• Non-Approved
Substances
• Medication Storage
Area Inspections
• Floor Stock
• Disaster Services
• Counter-terrorism
Services
• Medical Emergency
Management
• Drug Delivery
Systems
• Automated Dispensing
Machines
The Role of Pharmacists in the Hospital Setting The Role of Pharmacists in the Hospital Setting
Facilities, Equipment and
Information Resources
• Medication Storage
• Packaging and Compounding
• Cytotoxic and Hazardous Drug Products
• Consultation Space
• Office and Meeting Space
• Automation/Computerization
• Record Maintenance
The Role of Pharmacists in the Hospital Setting The Role of Pharmacists in the Hospital Setting
Leadership and Practice
Management
• Education and Training
• Mission
• Support Personnel
• Work Schedules and
Assignments
• Education and Training
• Recruitment
• Orientation
• Performance Evaluation
• Position Descriptions
• Policies and Procedures
• Operations Manuals
• Drug Expenditures
• Workload and Financial
Performance
• Committee Involvement
• Quality Improvement
• Laws and Regulations
• Patient Confidentiality
The Role of Pharmacists in the Hospital Setting The Role of Pharmacists in the Hospital Setting
Optimizing Medication Therapy
• Medication Histories
• Medication Orders
• Medication Therapy
Monitoring
• Minimizing Bacterial
Resistance
• Collaborative Pharmacist
Consultations
• Medical Record
Documentation
• Medication Use
Evaluation
• Medication Use Policy
Development
• Pharmaceutical Care
Provision
• Continuity of Care
• Clinical Care Plans
• Immunization
Programs
Pharmacy Presence in
UK HealthCare - Chandler Medical Center
Main or Satellite Pharm
Clinical Pharmacist
Administration
UK HealthCare Pharmacy Services
(Pharmacist Participation in Collaborative Medical Rounds)
• Pulmonary
• Medicine
• Surgery
• Trauma
• Adult Oncology
• Pediatrics
• Pediatric Oncology
• Emergency Medicine
• Cardio-Thoracic Surgery
• Solid Organ Transplant
• Bone Marrow Transplant
• Nutritional Support
• Infectious Disease
• Neurosurgery/Neurology
• Psychiatry
• Nephrology
• Family Medicine
• Cardiology
The Role of Pharmacists in the Hospital Setting The Role of Pharmacists in the Hospital Setting
Drug Information and Education
• Drug Information Requests
• Reference Materials for Drugs
• Medication Therapy Monographs
• Patient Education
• Dissemination of Drug Information
• Pharmacy and Therapeutics Committee
Support/Analysis
– (Drug Policy Development)
The Role of Pharmacists in the Hospital Setting The Role of Pharmacists in the Hospital Setting
Research
• Policies and Procedures
• Distribution and Control
• Institutional Review Board
• Scientific Contribution
– Pharmacy Research
– Medical Staff Support
– Multidisciplinary Research
The Role of Pharmacists in the Health Care System The Role of Pharmacists in the Health Care System
The Role of Pharmacists in the
The Role of Pharmacists in the
Hospital Setting
Hospital Setting
• The traditional role of pharmacists in the hospital setting is
well established
• Medication Distribution and Control
• Facilities, Equipment and Information Resources
• Leadership and Practice Management
• Kentucky pharmacists have been leaders in the innovative
and developing roles for pharmacists
• Optimizing Medication Therapy
• Drug Information and Education
• Research
• Development/refinement of collaborative medication
therapy management with physicians, nurses and allied
health providers will continue to enhance the lives of those
in the Commonwealth