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Characteristics Contributing to a Pharmacy Services Excellence Model in a Large Health System
L Hayley Burgess1, Sara Fletcher1, Mandelin K Cooper1,2
1HCA Healthcare, Clinical Operations Group, Nashville, TN.
HCA Healthcare Journal of Medicine
|July 10, 2023
Summary
Pharmacy departments with accredited residency programs and board-certified pharmacists achieve higher clinical metric performance. These characteristics are key to developing a center of excellence in pharmacy services.
Area of Science:
- Health Services Research
- Pharmacy Practice
Background:
- Establishing a center of excellence (COE) in pharmacy services is crucial for enhancing patient care within large health systems.
- Identifying key characteristics of high-performing pharmacy departments is essential for developing a scalable COE model.
Purpose of the Study:
- To identify characteristics that contribute to and promote a pharmacy services center of excellence model in a large health system.
- To correlate specific pharmacy department attributes with clinical pharmacy metric performance.
Main Methods:
- A survey was conducted in 2019 of 161 acute care pharmacy departments within a large health system.
- Data collected included pharmacy practice models, pharmacist training, and certifications.
- Results were combined with clinical pharmacy metric performance and centralized electronic data.
Main Results:
- Hospitals with top-performing pharmacy services demonstrated greater participation in interdisciplinary rounds.
- Departments with accredited pharmacy residency programs had significantly more clinical pharmacy metrics at goal.
- These departments also employed more board-certified pharmacists and pharmacists with postgraduate training (PGY1 and PGY2).
Conclusions:
- Key characteristics of a pharmacy services COE include "at goal" clinical pharmacy metrics, dedicated clinical pharmacist time, accredited residency programs, and advanced pharmacist training.
- Accredited pharmacy residency training programs were significantly associated with achieving "at goal" clinical pharmacy metric status.
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