![Page 1: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/1.jpg)
Clinical Pharmacy Services
An Introduction to the World of Pharmacy
![Page 2: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/2.jpg)
The World of Pharmacy
2© 2006 Intermountain Healthcare
HospitalsMedical Group
Central Office
Health PlansHomecare
Most Healthcare
systems have a similar
structure
![Page 3: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/3.jpg)
3© 2006 Intermountain Healthcare
Intermountain Medical Group
Retail
Clinics
20 Retail Pharmacies
Primary Care&
Specialty Care
![Page 4: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/4.jpg)
Community Pharmacy
Patient training for diseases such as:
DiabetesAsthmaHypertension
Consult with:PhysiciansNursesPhysician Assistant'sMedical AssistantsPhysical Therapists, etc.
4© 2006 Intermountain Healthcare
![Page 5: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/5.jpg)
Community Pharmacy
Detailed & Private Patient Medication Counseling Personal patient help with Medicare D & insurance 3rd parties.Physician & Health Plan formulary issues.Help Prevent Adverse Drug EventsProfessional & Clinical Practice SettingProfessional Experience Programs with Schools of Pharmacy
5© 2006 Intermountain Healthcare
![Page 6: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/6.jpg)
Community Pharmacy in an Integrated System
6© 2006 Intermountain Healthcare
Part of integrated health system = special benefitsIncreased access to patient informationEasier to monitor patientsHelp transition patients from hospital to homeFor example, Liver transplant patients who have very complex medication regimens
Help ensure patients are on optimal therapyFor example, all patients post heart attack are on the appropriate medications that
are know to improve their outcomesClose to prescribers (or pharmacist may be prescribing under approved protocols)
Develop excellent relationshipsEasier access for questions and recommendations
![Page 7: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/7.jpg)
Ambulatory Pharmacy
7© 2006 Intermountain Healthcare
Pharmacist or Physician runPhysical AssessmentPharmacist/Physician agreements for medication ordersOrder lab testsPatient education
Some Pharmacists integrate ambulatory clinics with retailDisease state certificationsBilling for services
![Page 8: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/8.jpg)
8© 2006 Intermountain Healthcare
Homecare
Infusion Services
Hospice
![Page 9: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/9.jpg)
9© 2006 Intermountain Healthcare
Health Plans
Health Maintenance
Formulary
Health Plan Administration
Disease State Management
![Page 10: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/10.jpg)
Health Plans
PRESENTATION NAME HERE 10© 2006 Intermountain Healthcare
• A typical day….• P&T Presentation
Preparation• Team Based Guideline
Development• Physician Detailing• Drug Expense Trending• Prior Authorization
Review
Brieana Buckley, PharmD. teaching technicians about a new pharmacy benefit.
![Page 11: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/11.jpg)
11© 2006 Intermountain Healthcare
Hospitals
22 HospitalsPark City
Riverton
IMC
Urban RuralUNRUCRUSRSWR
PCMC
Urban North Region
Urban Central Region
Urban South Region
Primary Children’s Medical Center
20 – 40 beds
Critical Access
South West Region
![Page 12: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/12.jpg)
Hospital Pharmacy
12© 2006 Intermountain Healthcare
Distribution of medicationsHigh level of technology
RobotsAutomatic medication cabinetsMostly technicians under pharmacist supervision
Clinical Patient careEducationDrug information
![Page 13: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/13.jpg)
Adult Critical Care
13© 2006 Intermountain Healthcare
Monitor PatientsLabs & Drug levelsPhysical condition (kidney, liver..)
Protocols & Medication ordersSafety issuesMedication effectsMeeting patient outcome goalsRounding with medical teamsPreventing/treating ADEsAssisting with codesDrug InformationResearchTroubleshootingPatient
Rounds
DiscussingPatientissue with RN
![Page 14: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/14.jpg)
Cardiovascular Pharmacy
14© 2006 Intermountain Healthcare
![Page 15: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/15.jpg)
Internal Medicine
15© 2006 Intermountain Healthcare
![Page 16: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/16.jpg)
Pediatric Pharmacy
16© 2006 Intermountain Healthcare
![Page 17: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/17.jpg)
Neonatal Pharmacy
17© 2006 Intermountain Healthcare
![Page 18: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/18.jpg)
Education
PRESENTATION NAME HERE 18© 2006 Intermountain Healthcare
PatientsMedical studentsPharmacy studentsPhysiciansPharmacy TechniciansNurse PractitionersRespiratory TherapistsMany others!
Physician teaches students, residents, & Pharmacists about Acute Respiratory Disease
![Page 19: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/19.jpg)
19© 2006 Intermountain Healthcare
Central Office
Administration
System-wide Formulary & Purchasing
Clinical Support
Operational Support
Information System Development & Support
![Page 20: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/20.jpg)
Pharmacy Management
20© 2006 Intermountain Healthcare
Medication safetyClinical ProgramsFormularyEducationNew initiativesMuch more….!
![Page 21: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/21.jpg)
Data Management
PRESENTATION NAME HERE 21© 2006 Intermountain Healthcare
• Data reports• Clinical reports• Research• Pharmacy & Therapeutics Committee support• Automation Strategy & use
RobotsAutomatic dispensing cabinets
• Drug Use EvaluationVance Loertscher, RPhData Manager
![Page 22: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/22.jpg)
System Development & Implementation
PRESENTATION NAME HERE 22© 2006 Intermountain Healthcare
• Computer system design• Clinical decision support tools• Database design• Database management• System testing• Education & training• Medication order sets• Patient care protocols• Clinical Patient Care tools
![Page 23: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/23.jpg)
Opportunities
23© 2006 Intermountain Healthcare
Shadowing - observe
Internships - work
Clerkships - rotation
Residency – post graduate
Certification – post graduate
All provide excellent opportunities to experience the
different avenues of pharmacy
![Page 24: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/24.jpg)
Residency
24© 2006 Intermountain Healthcare
Kelly Terrill, Pharmacy Director
![Page 25: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/25.jpg)
Back to the Future
PRESENTATION NAME HERE 25© 2006 Intermountain Healthcare
Lifelong LearningResidency TrainingBoard Certification
PharmacotherapyNuclear PharmacyNutrition SupportOncologyPsychiatryOthers….
![Page 26: Clinical Pharmacy Services - Weber State Universityfaculty.weber.edu/Ddavies1/Pharmacy/Pre-pharm lectures/Pauline... · Clinical Pharmacy Services An Introduction to the World of](https://reader031.vdocuments.mx/reader031/viewer/2022030417/5aa386387f8b9a84398e7771/html5/thumbnails/26.jpg)
Getting Ready….
26© 2006 Intermountain Healthcare
There’s a whole world of different options for Pharmacy ProfessionalsExploreShadowNetwork
Many Exciting Opportunities…….Be ProactiveAsk Questions!Let us know how we can help youOpportunities to get involved with the Utah Society of Health-System Pharmacists - USHP (no charge to students)