Clinical Pharmacy Manager

GENERAL SUMMARY/ OVERVIEW STATEMENT: Clinical Pharmacy Managers are registered pharmacists who function as both clinician and manager dedicated to providing support of medication use systems and delivery of optimal medication therapy throughout Massachusetts General Hospital. Clinical Pharmacy Managers are responsible for overseeing the integration of clinical pharmacy services drug utilization programs and pharmacy operations. They supervise decentralized pharmacy practice and medication use systems dedicated patient service lines and patientcentered pharmaceutical care services and related specialty patient care areas requiring pharmacy support. They actively manage human capital and operational resources to support patient care services medication safety systems regulatory compliance initiatives and quality assurance programs. Clinical Pharmacy Managers set and model the standard for excellence for clinical pharmacy practice and design pharmacy programs to collaboratively advance the Comprehensive Pharmacy Practice model.

PRINCIPAL DUTIES AND RESPONSIBILITIES: The following are essential job functions for Clinical Pharmacy Managers: Essential Job Functions Percent of Time Spent Leads assigned patient service lines clinical areas and therapeutic programs Facilitates pharmaceutical care services direct patient care programs medication utilization systems within assigned services and care areas to assure drug utilization activities are aligned with patient care needs evidencebased best practices and regulatory standards Designs and implements new pharmacy programs quality improvement changes and continuous quality assurance initiatives to advance the organizations medicationuse systems and promote optimal patient outcomes Designs and implements stewardship activities and restriction/surveillance programs Tracks and evaluates assigned pharmacy programs for operational quality and financial efficiency and routinely benchmarks against local and national best practices Actively identifies and reports short and longterm obstacles to patient care and medication safety regulatory compliance or stewardship or resources Develops and oversees policies and procedures for drug purchasing drug usage drug distribution and drug control Provides departmental and institutional leadership for medical staff committees/meetings hospital group/task forces and approved external programs/organizations Assures pharmacy is an integral part of the healthcare delivery system and facilitates enhancement and expansion of pharmacy services/programs

30 Manages human capital and operational resources to support patient care services Manage the activities of pharmacists and technicians who work within their areas Oversee the day to day staffing schedule and pharmacist coverage of patient care service lines and care areas Conduct leader rounding sessions for direct reports Complete performance evaluations for direct reports Design and implement performance improvement plans as needed Accountable for the financial performance and budgetary adherence of their areas

30 Delivers direct patientcare and clinical practice including decentralized and servicebased programs Maintains proficiency in decentralized pharmacy services and clinical pharmacy programs Places practice priority on the delivery of patientcentered care Works as an active member of multidisciplinary team and collaborates with healthcare providers within decentralized patient care areas Establishes collaborative pharmacistpatient relationships Proficiently maintains patient information and efficiently interprets patients health care needs including patient problem lists and prioritized pharmacist interventions Collects and documents accurate patient medication histories and reconcile discrepancies versus orders Identifies highrisk patients and implements interventions to improve quality and safety Makes appropriate evidencebased patientcentered medication recommendations Implements evaluates and redesigns pharmaceutical care plans based on patient progress and evolving goals for medication usage including drug dosing monitoring (including nutritional support pharmacokinetic monitoring and anticoagulation therapy etc. Provides written documentation in the patients medical record when requested or directed Participates in the management of medical emergencies. Obtains and maintains ACLS certification and/or PALS Provides discharge medication review reconciliation and counseling as appropriate Provides evidencebased medication education to physicians nurses and other professionals Educates patients regarding safe and effective use of medications possible medication side effects and the role of prescribed medications in the overall therapeutic care plan 10 Provides pharmaceutical services throughout the hospital Maintains proficiency in hospital computer systems and medication ordering systems Provides accurate safe timely and appropriate medication therapy based on patient age and needs Assures timely medication dispensing and accurate medication availability on patient care areas Interprets evaluates and accurately processes medication orders Identifies mitigates prevents and documents problems with medication orders or therapeutic regimens including medication errors or adverse drug reactions Completes critical patient monitoring and reviews patient profile/chart to identify prevent or mitigate drugrelated problems improper drug or dose selection subtherapeutic dosage over dosage adverse drug reactions drug interactions failure to receive untreated indications medication use without an indication and treatment failures Communicates effectively and appropriately with health care providers and caregivers (physicians nurses etc. and assures continuity of pharmaceutical care between shifts and among staff Provides timely comprehensive and appropriate drug information to patients and health care providers Promote the use of the formulary by converting nonformulary medications to formulary agents when possible evaluate appropriateness of nonformulary medication requests and support procurement of nonformulary when necessary. Actively participates in stewardship activities and restricted medication programs Follows established standard work parameters and maintains standard work environments Documents pharmacist interventions

10 Participates in pharmacy operations and medication dispensing Maintains proficiency in and actively engages in operational programs central dispensing pharmacies satellite dispensing pharmacies and specialty pharmacy areas as appropriate for job assignment Facilitates specialty medication procurement ordering and dispensing procedures including but not limited to chemotherapy parenteral nutrition controlled substances etc as appropriate for assignment Effectively and efficiently utilizes pharmacy automation and supportive technology Oversees pharmacy operations and technician practice/activities 5 Facilitates experiential education and practice advancement Maintains proficiency in the four preceptor roles and actively emulates education/mentorship skills Serves as a preceptor/educator for MGH pharmacy residency and student experiential education programs including maintaining training and experience in pharmacy practice areas appropriate for teaching assignments Develops student resident and staff training experiences/competencies and creates new relationships for teaching and training opportunities Identifies designs and implements improvements in the medicationuse system to advance patient safety maximize therapeutic outcomes or control costs Represents the department at hospital meetings committees and events as requested Identify design implement and assess the impact of a practice related project using effective project management skills

10 Performs other duties as assigned Maintain a sustained record of contribution to the total body of knowledge in pharmacy practice through presentations publications and professional affiliation activities. Present poster or platform presentations at state or national forums at least every 24 months. Submit material worthy for publishing in a peerreviewed journal at least every 24 months. Participate as a formal reviewer for a peerreviewed medical or pharmacy journal. 5 In addition to the responsibilities as stated above must also:Promote excellent customer service by assisting patients coworkers medical staff and other health care providers resolve expressed concerns demonstrating a welcoming and helpful attitude and responding in a positive professional and courteous manner. Identify customer (patient and health care provider) requirements both actual and anticipated and maintain active personal contact and rapport with potential and actual customers. Maintain uptodate knowledge of contemporary hospital practice and clinical service; trends and innovations in pharmacy leadership; and updates in traditional therapeutics professional practice standards or health care regulatory requirements. Participate actively in Department of Pharmacy meetings (attendance and presentation expectations per policy). Demonstrate personal leadership qualities and business acumen essential to operate effectively within the institution and advance the profession and practice of pharmacy.Relationships: Clinical Pharmacy Managers report directly to Associate Chief of Pharmacy within the Department of Pharmacy and work collaboratively with administrative staff pharmacist staff and technical staff to support department initiatives. Clinical Pharmacy Managers have frequent interactions with physicians nurses other members of the healthcare team students residents and external professional groups. Clinical Pharmacy Managers directly supervise pharmacists technicians and other staff as assigned.

SKILLS & COMPETENCIES REQUIRED: Knowledge of contemporary hospital/clinical practice and service Knowledge and understanding of general hospital operations and regulatory compliance. Knowledge of computers (word processing etc. technology and automation systems. Strong written and verbal communication skills. Ability to interact constructively with supervisors peers and support personnel. Ability to define departmental or program problems/needs and associated solutions Ability to integrate clinical and distributive pharmacy services with quality improvement teaching research and professional development activities. Significant general clinical knowledge and expertise in traditional therapeutics and patient centered care. Significant knowledge and expertise in advanced pharmacy practice specialty medication therapy management and specialty evidencebased medicine in area appropriate for clinical assignments. Strong teaching and precepting skills and expertise in experiential training. Strong project and change management skills. Personal leadership qualities and business acumen essential to operate effectively within the institution and advance the profession and practice of pharmacy.

LICENSES CERTIFICATIONS and/or REGISTRATIONS:Current licensure as a pharmacist in the state of Massachusetts (or eligible) ASHP accredited PGY1 Pharmacy Practice PGY2 Specialty Pharmacy or PGY2 HealthSystem Pharmacy Administration residency preferred. Board Certification in area of expertise is required within 18 months of hire (if not already certified)

EDUCATION: Graduate of an ACPE accredited College of Pharmacy Doctor of Pharmacy or other advanced degree required. MHA MBA Masters of Science or other advanced degree highly preferred. EXPERIENCE: Completion of ASHP accredited PGY1 Pharmacy PGY2 Speciality Pharmacy or PGY2 HealthSystem Pharmacy Administration Residency preferred Clinical pharmacy experience 57 years) in a hospital setting. Exceptional aptitude or knowledge may be considered in lieu of experience. Extensive clinical experience and development may be considered in lieu of formal training. Pharmacy leadership experience required with formal leadership training or supervisory experience preferred.

SUPERVISORY RESPONSIBILITY Direct: approximately 20Indirect:Professional Staff Supported:

FISCAL RESPONSIBILITY:Accountable for the financial performance and budgetary adherence of their patient care service lines WORKING CONDITIONS: Able to lift up to 20 lbs. Able to stand for extended periods of time. Able to sit for extended periods of time.