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