Extensivist Clinical Pharmacist

Employment Type:Full timeShift:

Description:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.

GENERAL SUMMARY AND PURPOSE:

Responsible for providing comprehensive medication management services for patients cared for by the Saint Alphonsus Medical Group Clinics. Works collaboratively with physicians, advanced practice providers, staff and other health care professionals to provide medication management, education, and care coordination across the health care continuum. Focuses on supporting patients upon discharge from an acute care setting and providing medical management of high and rising risk patients associated with the Saint Alphonsus Medical Group Clinics, through collaborative practice agreements. Is an integral member of the health care team who works to ensure that excellent patient experience, patient safety, best practices and high quality standards of care are maintained across the continuum of care. Responsibilities include assisting the Saint Alphonsus Medical Group Clinic providers and staff in developing and coordinating a wide range of self-management support and chronic-care management activities for the clinic's affected patient population.

The focus will be on patients with complex medical needs, patients on extensive medication regimens, and patients who have high and rising risk conditions.

Success will be measured by the results of the process and outcome performance measures around patient experience, reducing readmissions and unnecessary hospitalizations of the population of patients cared for in the clinic. Supports the overall efforts of care coordination and population health management teams across the healthcare system.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

Currently licensed in good standing with the Board of Pharmacy in Idaho required; licensed in Oregon preferred. PharmD required. Bachelor's Degree in Pharmacy and 3 years of experience may be considered in lieu of PharmD. Residency training: Post Graduate Year 1 preferred. Board Certification in Pharmacotherapy or Ambulatory Care preferred. Minimum of 2 years of practice experience at patient care level required. Previous experience in both acute care and community or long-term care pharmacy strongly preferred. Must have active driving privileges. If, during the course of employment, driving privileges change or colleague receives a driving citation, the colleague is required to notify their supervisor and/or HR.

ESSENTIAL FUNCTIONS:

Knows, understands, incorporates, and demonstrates the Organizational Mission, Core Values, and Vision in behaviors, practices, policies and decisions. Ability to successfully complete generic and department-specific skills validation and competency testing. Computer skills, including end-user level knowledge of commercial database and spreadsheet programs. Excellent physician communication skills. Critical thinking skills and ability to analyze complex data sets. Ability to implement evidence-based interventions and protocols for chronic conditions. Ability to affect change, work as a productive and effective team member, and adapt to changing needs/priorities Demonstrated customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals. Demonstrated ability to work autonomously and be directly accountable for practice. Demonstrated ability to influence and negotiate individual and group decision-making. Demonstrated ability to function effectively in a fluid, dynamic, and rapidly changing environment. Demonstrated leadership qualities including time management, verbal and written communication skills, listening skills, problem solving, critical thinking, analysis skills and decision-making, priority setting, work delegation, and work organization. Demonstrated ability to develop positive, longitudinal relationships and set appropriate boundaries with patients/families. Communication: Monitors therapy for appropriateness, dosage, effectiveness, interactions, and

adverse drug reactions. Works with health care team to optimize pharmacotherapy opportunities,

formulary adherence, reduction in poly pharmacy and associated drug cost. Demonstrates knowledge of clinical paths (e.g., stroke path) and order sets. Reviews and acts upon automated surveillance and clinical decision support tools. Documents suspected adverse drug events, interventions, QAR’s, and initiates other organizational and/or departmental required documentation. Participates in interdisciplinary rounds and discharge counseling. Assists with medication utilization evaluations. Provides feedback related to clinical pharmacy risk issues and clinical pharmacy risk reduction. Seeks feedback from staff, physicians, and other leaders and shares concerns appropriately.

Compliance: Supports department and system-wide requirements for compliance with Saint Alphonsus Health System policies, regulatory and accreditation-related programs, and quality/performance improvement efforts within the organization. Successfully completes, in required timeframes, annual competency requirements to support training and education, accreditation, and licensure. Actions are consistently directed toward and aligned with departmental and organizational mission, goals, and objectives, departmental initiatives and interests in the delivery of services, and the fulfillment of job responsibilities. Business Acumen: Pharmacy Mission, Vision, Values, and Standards of Excellence: Expected to uphold the SAHS pharmacy team mission to ensure safe, effective, and affordable medication use in our communities, one person at a time. Expected to perform in a manner consistent with the vision of the SAHS Pharmacy to optimize medication management across all dimensions of care, every time. Provides the highest and most remarkable quality of service by actively supporting, demonstrating, or participating in. Provides guidance and direction for patient education and the Safe Med Program. Patient Assessment: Identifies high risk patients as defined by the evidence-based literature or from internal databases including patients with complex medication history, multiple chronic conditions, and or identified as having suffered complications of an adverse drug event. Review identified patients’ medications and clinical conditions for complication-prone regimens, redundant medications, overt contraindicated medications and allergies, or complicating substances such as herbal products and supplements and make recommendations, as appropriate, to the attending physician for any quality or safety interventions. Ensures optimal medication therapy choice based on patient characteristics including concomitant medications and clinical conditions as per evidence-based clinical practice guidelines. Makes recommendations to the appropriate provider if applicable. Completes medication reconciliation of list within E.H.R. Patient Education: Educates identified patients on the management of their disease states and appropriate medication use with emphasis on adherence and identifying/resolving medication related problems. Enhances communication between acute and ambulatory care providers and between specialty care providers when multiple providers may be involved in a patient’s care. Provides both verbal and written educational materials depending on patient preference in keeping with appropriate health literacy. Utilizes tools such as Ask Me 3 and Teach Back to ensure patient understanding. Staff Development: Facilitates learning experiences to meet identified learning needs. Supports staff development through sharing of information/educational resources. Educates staff associated with the Saint Alphonsus Extensivist Clinic on medication related issues. Provides medication updates through electronic methods, newsletters and presentations to providers and staff as applicable. Leadership: Provides guidance and direction related to professional practice. Provides feedback and support to all members of the care team which may include: CMA, Pharmacy Technician, pharmacy residents, and Pharmacy Students. Accepts responsibility for positions supervised and includes orienting, training, evaluation, disciplinary counseling, and maintenance of applicable records with the Manager of the Safe Med Program. Continuous Improvement: Supports the development and implementation of policies and procedures across the system consistent with practice and regulatory requirements. Serves as a resource and consultant for improvement efforts. Supports and facilitates process improvement in the organization and across the system. Participates in improvement efforts. Professionalism: Promotes collaborative professional relationships with the medical staff and other healthcare professionals. Participates in community/professional organizations as appropriate. Models professional behavior and supports all members of the care team in creating the environment for professional practice.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.