A state affiliate’s utilization of ASHP’s Practice Advancement Initiative 2030 to identify current state of practice and a process to prioritize goal achievement

2021 ◽  
Author(s):  
Tyler A Vest ◽  
Lorna F Doucette ◽  
Stephen F Eckel
Keyword(s):  
North Carolina ◽  
Health System ◽  
Pharmacy Practice ◽  
Self Assessment ◽  
The North ◽  
Current State ◽  
Innovative Program ◽  
State Affiliate ◽  
American Society ◽  
Pharmacy Leaders

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose The American Society of Health-System Pharmacists (ASHP) has been a long-standing supporter of advancing pharmacy practice, specifically in the area of pharmacy practice models. In 2019, ASHP began the planning to launch PAI (Practice Advancement Initiative) 2030. PAI 2030 describes and details a bold vision for patient care, medication use, and pharmacy practice over the next decade. This work represents an ambitious goal to continue to advance the profession of pharmacy for the betterment of our patients. While much has been accomplished with the PAI, there is little literature on PAI 2030 (the authors are unaware of any published examples). Summary The purpose of the article is to explain a novel state affiliate’s prioritization of ASHP’s PAI 2030 recommendations. In the spring of 2020, the North Carolina Association of Pharmacists (NCAP), the North Carolina state affiliate of ASHP, began discussions around PAI 2030. In the fall of 2020, prior to the NCAP Annual Convention, health-system pharmacy leaders within NCAP developed a questionnaire to serve as a PAI 2030 self-assessment. This approach allowed a state affiliate to implement an innovative program to act on the recommendations from PAI 2030. After the prioritization, health-system pharmacy leaders engaged in discussion to comment on what recommendations have been identified. The goal of this discussion was to provide NCAP a direction to pursue focused efforts to support recommendations of PAI 2030. Ultimately, NCAP seeks that this statewide approach would help advance pharmacy practice, and improve pharmacy practice across the state of North Carolina in collaboration with NCAP. Conclusion This discussion illustrates how a state affiliate has pursued implementing PAI 2030. This approach provides a strategy for state affiliates in addressing the recommendations within PAI 2030. A novel statewide approach can help marshal resources to advance practice when health systems partner with a state affiliate.

Evaluation of burnout among hospital and health-system pharmacists in North Carolina

2020 ◽  
Vol 77 (6) ◽  
pp. 441-448 ◽  
Author(s):  
Kai Kang ◽  
Randy Absher ◽  
Robert P Granko
Keyword(s):  
At Risk ◽  
North Carolina ◽  
Health System ◽  
Maslach Burnout Inventory ◽  
Female Gender ◽  
Personal Accomplishment ◽  
The North ◽  
Current State ◽  
Increased Risk ◽  
Two Factors

Abstract Purpose To assess the current state of burnout among pharmacists who work in hospital and health-system settings in North Carolina. Methods The Maslach Burnout Inventory-Human Services Survey for Medical Professionals was used to assess burnout in this study. This survey measures 3 subscales of burnout: emotional exhaustion, depersonalization, and personal accomplishment. In addition to the Maslach Burnout Inventory, the survey asked questions addressing various modifiable and nonmodifiable demographic factors. To distribute the survey, an email listserv of all pharmacists licensed in the state was obtained from the North Carolina Board of Pharmacy. The survey was distributed through email in June 2018. A follow-up email encouraging participation in the survey was sent 2 weeks later. The survey was open for a total of 4 weeks. Results The survey was delivered to 2,524 pharmacists; 380 responses were received (15.1% response rate). Of the 380 individuals who responded, 357 completed the entire survey (93.9% completion rate), and 198 pharmacists (55.5%) were at risk for burnout. Following multivariate logistic regression, 3 factors were significantly associated with increased risk of burnout: female gender, working in a primarily distribution role, and longer hours worked per week. Two factors were significantly associated with decreased risk of burnout: being aware of burnout resources and working 4 to 6 months with learners. Conclusion The results of this statewide survey revealed that more than half of hospital and health system–based pharmacists are at risk for burnout.

scholarly journals Pharmacy resident teaching in psychiatry and neurology for pharmacy programs in the United States

2018 ◽  
Vol 8 (4) ◽  
pp. 163-168
Author(s):  
Victoria M. Cho ◽  
Julie A. Dopheide
Keyword(s):  
Health System ◽  
Assessment Tool ◽  
Pharmacy Practice ◽  
The United States ◽  
Electronic Survey ◽  
Resident Teaching ◽  
Resident Assessment ◽  
Teaching Psychiatry ◽  
American Society

Abstract Introduction: The American Society of Health-System Pharmacists' Postgraduate Year 1 and Year 2 Residency Accreditation Standards require that residents demonstrate effective teaching skills. The College of Psychiatric and Neurologic Pharmacists' survey of pharmacy program curricula assessed resident teaching in psychiatry and neurology, however, results were not published. The objective of this article is to describe resident teaching in psychiatry and neurology curricula as reported by responses to the college's survey. Methods: An electronic survey was sent to a curricular representative from each of 133 US pharmacy programs accredited as of July 2015. Programs were asked to report on psychiatry and neurology curricular content, faculty credentials, and types of teaching activities, including resident teaching. Results: Fifty-six percent (75/133) of programs responded to the survey. Fifty out of 75 (67%) distinct pharmacy programs reported utilizing residents for teaching topics in psychiatry and neurology. Residents were twice as likely to teach didactic topics in psychiatry (n = 44) compared to neurology (n = 22). Three times as many residents were involved in precepting psychiatric Advanced Pharmacy Practice Experiences (n = 37) compared to neurology Advanced Pharmacy Practice Experiences (n = 12). Discussion: Residents are involved in both didactic and experiential teaching with more residents teaching psychiatry content compared to neurology content. Authors recommend utilizing the American Society of Health-System Pharmacists' electronic resident assessment tool, PharmAcademic®, to capture the quantity and quality of resident teaching across accredited programs.

Survey of Health-System Pharmacy Leadership Pathways: A 10-Year Revisit

2021 ◽  
pp. 089719002098609
Author(s):  
Adam M. Jones ◽  
Sacha Pollard Deloney ◽  
John S. Clark
Keyword(s):  
Leadership Development ◽  
Health System ◽  
Interpersonal Skills ◽  
Pharmacy Practice ◽  
Budget Management ◽  
Leadership Positions ◽  
Skill Sets ◽  
Job Experience ◽  
Pharmacy Leaders ◽  
Question Survey

Objective: To compare health-system pharmacy leadership pathways and opinions in the last decade. Methods: A 33 question survey was recreated from the 2009 survey of health-system pharmacy leadership pathways and reviewed and modified by the original creators. In November 2019, investigators sent two invites to complete a QualtricsXM survey to individuals listed on the ASHP Connect Pharmacy Practice Leaders listserver. The survey closed on December 15, 2019. Results: Two-hundred-thirteen pharmacy leaders responded to the survey. Survey respondents identified completing a pharmacy practice (PGY1) residency as the most common health-system pharmacy leadership pathway. Respondents stated on-the-job experience contributed most to their leadership development. Interpersonal skills (20%), human resource management (19%), and finance and budget management (13%) were classified as the most valuable skill-sets to a health-systems leader. Thirty-nine percent of eligible respondents stated they were interested in seeking a health-system pharmacy director position and 23% stated they may be interested. The majority of directors stated that they preferred to hire those with previous on-the job experience into leadership positions. Conclusion: Regardless of leadership pathway, those interested in pursuing health-system pharmacy leadership positions should pursue as much on-the-job experience as possible, build relationships through networking, and find a strong, helpful mentor.

North Carolina’s multi-institutional pharmacogenomics efforts with the North Carolina Precision Health Collaborative

2021 ◽  
Vol 22 (2) ◽  
pp. 73-80
Author(s):  
Jai N Patel ◽  
Deepak Voora ◽  
Gillian Bell ◽  
Jill Bates ◽  
Amber Cipriani ◽  
...  
Keyword(s):  
North Carolina ◽  
Health System ◽  
Clinical Implementation ◽  
The North ◽  
Chapel Hill ◽  
Working Together ◽  
Duke University ◽  
The University ◽  
Precision Health ◽  
Health Experts

The North Carolina Precision Health Collaborative is an interdisciplinary, public-private consortium of precision health experts who strategically align statewide resources and strengths to elevate precision health in the state and beyond. Pharmacogenomics (PGx) is a key area of focus for the North Carolina Precision Health Collaborative. Experts from Atrium Health’s Levine Cancer Institute, Duke University/Duke Health System, Mission Health and the University of North Carolina (UNC) at Chapel Hill/UNC Health System have collaborated since 2017 to implement strategic PGx initiatives, including basic sciences research, translational research and clinical implementation of germline testing into practice and policy. This institutional profile highlights major PGx programs and initiatives across these organizations and how the collaborative is working together to advance PGx science and implementation.

Gap analysis of emergency department pharmacy services within a multistate, multihospital integrated health system

2021 ◽  
Author(s):  
Riley C J Poe ◽  
Garrett W Fouth ◽  
Ellen N Revak
Keyword(s):  
Emergency Department ◽  
Best Practices ◽  
Health System ◽  
Gap Analysis ◽  
Professional Organizations ◽  
Pharmacy Services ◽  
Gap Closure ◽  
Survey Results ◽  
American Society ◽  
Pharmacy Leaders

Abstract Purpose The purpose of this project was to identify current emergency medicine pharmacist (EMP) practices at each site and create a plan to integrate, align, and optimize pharmacy services across the health system with established American Society of Health-System Pharmacists (ASHP) best practices for EMPs. Summary Initially, a review was performed of the literature and guidelines from professional organizations relating to EMPs. A survey was distributed across the health system to assess EMP services at each site, and survey results were used to conduct a gap analysis, comparing current practices to established ASHP best practices. The survey identified unique components of each site, including the patient population served and EMP coverage and responsibilities. To prioritize, design, and execute the gap closure plan, a systemwide EMP workgroup was created. The workgroup formulated a toolkit to provide pharmacy leaders, pharmacy informatics, and EMPs resources to facilitate alignment on the prioritized areas. Conclusion This project successfully identified gaps in EMP services and alignment with best practices across the health system. Through prioritization of essential EMP responsibilities, workflow standardization, and EHR optimization, a gap closure plan was formulated to align with ASHP best practices.

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