The Medication Utilization Strategy Pharmacist leads optimization of medication utilization to ensure safe, clinically effective and cost-effective medication use across UVA Medical Center. This position will oversee utilization of medications to identify and support development of medication use guidelines, policies or protocols regarding optimal medication use. This position supports the Pharmacy and Therapeutics Committee and subcommittees to include Formulary management and oversight, facilitation of committees, and development of drug monographs/MUEs/formulary reviews/pharmacoeconomic analysis/and best practice recommendations to the committees.
This position will develop clinical and operational drug shortage management strategies to ensure optimal use of available medications in collaboration with clinical and operational pharmacy teams. This position will collect, analyze and disseminate information on medication utilization and integrate with systems and processes, including clinical, safety, prescribing, administration, procurement and distribution systems, to optimize medication use across UVA Medical Center. This position will identify opportunities for stewardship of high-cost or high-use medications to limit waste, generate revenue or reduce overall cost of care. Executes approved action plans and continuously tracks progress of stewardship initiatives. Additional responsibilities may include strategic partnerships with Service Line leaders, representation on Medical Center committees, and collaboration on department and interprofessional initiatives.
Position Compensation Range: $47.00 - $70.50 Hourly
Optimizes medication utilization. Leads the department in identification and development of medication utilization optimization initiatives. Identifies high-cost, high-volume and/or high-risk drugs to monitor appropriate use and develop strategies to optimize use. Develops structured medication use initiatives through collaboration with clinical pharmacy teams, operational teams, pharmacy informatics, departmental leadership and medical staff. Participates inand leads the development of medication use management programs, including clinical guidelines, policies, protocols and other drug use programs, to optimize utilization. Performs routine audits to evaluate compliance to and quantify impact of institutional guidelines and initiatives. Prioritizes medications and classes for analysis and review to develop a value-driven formulary. Identifies and completes medication use evaluations (MUEs), which includes ensuring appropriate medication use through routine monitoring. Identifies, reviews and monitors medications with restricted Formulary status for adherence to health system restrictions. Develop drug-shortage management strategies through collaboration with clinical pharmacy coordinators, operational teams, pharmacy informatics, department leadership, and medical and nursing staff.
Provides Formulary management oversight and support to the UVA Pharmacy and Therapeutics (P&T) Committee and Subcommittees. Prepares and/or oversees the preparation of evidence-based drug evaluations and class reviews for P&T committee review. Supports and facilitates P&T Committee and subcommittees, including development of drug evaluations/MUEs/formulary reviews/pharmaceoeconomic analysis/and best practice recommendations. Supports development and enforcement of the health-system Formulary. Performs ongoing annual Formulary reviews and provides evidence-based recommendations based on optimal medication safety, efficacy and utilization. Evaluates current Formulary agents using external benchmarking for quality, safety and efficacy. Designs CPOE templates for new Formulary agents and facilitates changes to CPOE related to formulary management optimization. Reviews non-Formulary utilization reports and identifies opportunities to reduce non-formulary utilization in collaboration with clinical pharmacists. Establishes a monitoring system to assess drug utilization/restriction/clinical practice guideline adherence on a routine basis and reports results to optimize formulary management. Maintains online Formulary. Monitors new drug development/pipeline and proactively anticipates impact to formulary management.
Enhances quality of delivery of care. Supports the Mission, Vision and Values of the Department of Pharmacy Services. Actively participates in the development and implementation of performance/quality improvement and patient safety activities for service area, Pharmacy and Medical Center. Identifies potential technical or patient care issues and accepts accountability for follow-up and resolution of issues through recommendations and implementation of resolution. Communicates effectively to lead initiatives involving patient care areas, pharmacy operations, procurement, distribution and clinical teams. Devises methods to quantify impact of new and existing initiatives (e.g., formulary management, guidelines, protocols, critical pathways, shortage mitigation, etc.) that have been implemented. Reports quality concerns, medication errors and adverse drug reactions, as appropriate to internal and external reporting systems (e.g., Be Safe, ISMP, etc). Participates in root cause analysis or other quality initiatives (e.g., Be Safe A3) as requested. Represents Pharmacy on institutional/practice area committees and quality support teams. Recommends modifications to improve the CPOE system and reduce medication ordering, preparation or administration errors. Demonstrates understanding of front-line pharmacy staffing areas and staffs in areas when applicable to support optimization of front-line workflows related to utilization, safety and quality of care.
Supports educational mission. Provides didactic and experiential training to pharmacy students and residents. Conforms to requirements of Pharmacy Residency Learning System: Develops goals and objectives for each rotation, assigns learning activities for each objective, completes and submits summative resident evaluations electronically to the program director within time limits identified in current Residency Advisory Committee (RAC) policy, completes and submits formative evaluations (snapshots) to the program director within time limits identified in current RAC policy, and incorporates the four preceptor roles (direct instruction, modeling, coaching and facilitation) into all learning experiences (rotations). Consistently attends pharmacy residency seminars and presentations. Provides didactic and/or experiential training to pharmacy students: Provides goals of learning expectations to pharmacy students; completes and submits student evaluations to the Pharmacy School in a timely fashion. Provides in-services/lectures to healthcare professionals in training (medical, nursing, pharmacy). Provides service to institutional/departmental committees related to education and training. Submits and precepts medication use evaluation (MUE) topics and residency project ideas. Serves as pharmacy residency preceptor in any of the following areas: project, MUE, presentations or as year-long advisor.
Engages in professional self-development, scholarly and professional activities. Completes required continuing education credits and submits pharmacist license renewal to State Board of Pharmacy on time. Completes competency requirements in a timely manner. Actively participates in goal-setting at the beginning of the performance appraisal period. Establishes regular meetings with manager and provides updates regarding progress on goals and initiatives. Enhances professional and technical knowledge/competency by attending class work/other training or journal clubs. Attends professional meetings (funding permitted); identifies one meeting/year to attend and provides formal feedback to pharmacy staff regarding key items from the meeting. Attains/maintains professional certifications. Participates in multidisciplinary and departmental research initiatives. Submits publications to newsletters, bulletins and/or professional journals. Provides in-services/lectures to healthcare professionals. Demonstrates active membership and service (committee/council/commission/task force member or elected/appointed officer) in local, state or national pharmacy organizations.
EDUCATION: Doctor of Pharmacy required.
EXPERIENCE: PGY-1 required, PGY-2 preferred (HSPA, Managed Care, Informatics, Medication Use Safety, Drug Information, Medication Systems, Medication Management or other) or 3 years of hospital pharmacy experience.
LICENSURE: Commonwealth of Virginia State Board of Pharmacy License.
Job requires sitting for prolonged periods and frequently walking. Proficient communicative, auditory and visual skills. Attention to detail and ability to write legibly. May be exposed to chemicals, blood/body fluids and infectious disease.
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