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VA Pharmacy Benefits Management National Conference “Achieving Excellence” March 24-28, 2008

VA Pharmacy Benefits Management National Conference “Achieving Excellence” March 24-28, 2008 Joy L. Meier, Pharm.D. How Will the Roles of Education and Research in VA Pharmacy be Enhanced?. Timeline Definitions. Horizon 1 (H1): 1 year Horizon 2 (H2): 2 - 5 years Horizon 3 (H3): > 5 years.

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VA Pharmacy Benefits Management National Conference “Achieving Excellence” March 24-28, 2008

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  1. VA Pharmacy Benefits Management National Conference “Achieving Excellence”March 24-28, 2008 Joy L. Meier, Pharm.D. How Will the Roles of Education and Research in VA Pharmacy be Enhanced?

  2. Timeline Definitions • Horizon 1 (H1): 1 year • Horizon 2 (H2): 2 - 5 years • Horizon 3 (H3): > 5 years

  3. Bold Audacious Goal #1: Be better than perfect at educating pharmacists in patient health risk assessment, health promotion, and outcomes management and to have the research capabilities to measure impact of these services • Employ, develop and retain the best trained, credentialed core of pharmacists and technicians to: • 1) Implement advanced practice • 2) Ensure the optimal use of medications • 3) Precept and mentor trainees • Foster high-quality work environment • Promote life-long learners who take charge of their own professional development • Develop a VA staffing model that supports education and research • Enhance the practice of pharmacy technician in dispensing and clinical roles • Strengthen relationship with academia

  4. Pharmacist Inquiry • Number completing: 198 • GS-12 or GS-13: 75% • Degree (%) • PharmD: 66 MS: 12 PhD: 2 • Post graduate training completed (%) • Residency: 70 • Fellowship: 6 • Board Certified (%): 41 • Pharmacotherapy: 50 • Psychiatric: 8 • Geriatrics: 8 • CDE: 5 • College faculty appointment: 70% • Future tracking using VetPro

  5. Pharmacist: Future Goals H2 Increase % of pharmacists with advanced degrees and certification by 2%/year H2 Standardized associated step increases H2 Increase the number of facilities and pharmacists with academic affiliations H3 All of pharmacists have advanced degrees or current applicable certification

  6. Technician Inquiry • 92 stations completed survey • 2231 technicians • Duty Assignment (%) • Outpatient 49 Clinical 2 • Inpatient 35 ADPAC 1 • Procurement 7 • Grade (%): 4/5/6: 86 7/8: 13 • Advanced Training (%) • Vocational training 41 • AA degree 5 • Certification (%) 44

  7. Technician: Future Goals H2 Increase % of technicians with advanced degrees and certification by 2%/year • DoD/VA Technician certification program H2 Standardized associated step increases H3 Establish at least one ASHP-accredited technician training program in each VISN.

  8. Residents • Established 12 member residency field advisory group • Established monthly conference call with all residency directors • VACO increased the number of pharmacy residencies: 29% increase in 4 years AY05 AY06 AY07 AY08 AY09 276 282 342 357 408 • Clinical pharmacist meeting, Minneapolis, August 2007

  9. Residents: Future Goals H2 Establish selected distance learning programs for pharmacy residency training H2 Establish pharmacy residency program at any VAMC without a current program and currently having a medical post-graduate program. H2 Explore partnering for multi-site residencies H3 Maintain ASHP-accredited residency positions within VA at minimum of 20% of all programs

  10. Bold Audacious Goal #2: Be the premier health-care system forpharmacy research, with sufficient pharmacist researchers in VA to coordinate needed clinical research that parallels practice needs • Coordinate core national pharmacy research program – multi-center studies • Promote high quality research within VA • Increase the use of VA computerized database to facilitate research activities • Use computerized database to improve patient safety

  11. PBM Research Steering Committee H1 Coordinate multi-center studies Travaprost MUE – includes residents H1 Template for voluntary submission of research ideas • MUE template developed – Muriel Burk H1 Mechanism (website) for dissemination of research ideas • Initial network of individuals with specific areas of interest H1 project management skills training course for residents and staff • In development H2 National foundation for pharmacy research funds

  12. Research H2 Increase collaboration with • Existing centers of excellence - GRECC, ERIC, VIREC, MIREC • Non-profit research organizations within VA • Other federal agencies H2 Increase/establish pharmacy fellowship programs H3 Establish centers of excellence for pharmacy research

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