Congratulations to Charity Dorathea Andrews, Pharm.D. Clinical

8/11/2009
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Congratulations to Charity Dorathea Andrews, Pharm.D. Clinical Staff Pharmacist at UK HealthCare for being a ac st at U ea t Ca e o be g
selected as Blue Grass Pharmacists Association (BGPhA) Pharmacist of the Year 2008. 1
8/11/2009
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Congratulations to g
Stephanie Sutphin, Pharm.D., BCOP, Pharmacy Clinical Specialist ‐ Oncology in the Markey Cancer Center, for becoming a Board Certified Oncology Pharmacist. Congratulations to Dorathea Andrews, Pharm.D., BCPS, Karen Garlitz, Pharm.D., BCPS, and MyChan Nguyen, Pharm.D., BCPS who have recently become Board Certified Pharmacotherapy Specialists. 2
8/11/2009
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Congratulations to our recently g
y
Board Certified PGY2 Residents including Russ Judd, Pharm.D. BCPS, Deanna McMahon, Pharm.D., BCPS, Chris Paciullo, Pharm.D., BCPS, Rachel Stratman, Pharm.D., BCPS who have recently become Board Certified Pharmacotherapy Specialists. Jared H. Combs
Brenda G. Jones
3
8/11/2009
Ten Years
John A. Armitstead
Richard Dobias
Coralie Galucci
Rebecca Reagan
Fifteen Years
Sharon Bertram
Beth Webb
Thanks for your years of outstanding service and for your care of our patients. 4
8/11/2009
Fixed Exp ‐
Pyxis & ScriptPro
3%
Personnel & Benefits
16%
Variable Supply (Drugs)
81%
Inpatient Drugs Dispensed p
g
p
11,112,148 Outpatient Drugs Dispensed 1,882,312 Prescriptions Filled (KCP/UHS) 206 748 206,748 KADAP Prescriptions Dispensed 20,805 5
8/11/2009
$25,000,000
$23,317,936
$20,831,962
, 3 ,9
$20,000,000
$15,000,000
$9,674,472
$10,000,000
$5,000,000
$0
$242,623
340b (Infusion 340b (KCP)
Ctr)
340b (Markey OP)
Novation (Hosp IP)
Infusion Center opened in March 2009
Novation, PHS, $30,749,058
$24,844,450
FY 2009 Cardinal Purchases
6
8/11/2009
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Pharmacy Services began responsibility for distributing nutritional products including adult and pediatric enteral tube feeding supplements and infant formulas. IMMUNE GLOBULIN
PIPERACILLIN/TAZOBACTAM
ENOXAPARIN
ALBUMIN LYMPHOCYTE IG
IODIXANOL
AZACITIDINE
FILGRASTIM
DAPTOMYCIN
DECITABINE
$2,326,713
$1 101 233
$1,101,233
$869,737
$790,280
$643,221
$519,933
$472,523
47 ,5 3
$466,560
$445,768
$429,610
7
8/11/2009
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Congratulations to Robert Kuhn, Pharm.D., C
t l ti t R b t K h Ph
D Professor of Pharmacy Practice and now Associate Director of Pharmacy Services for Kentucky Children’s Hospital. Due to the need to have pharmacotherapy issues addressed to the highest level Bob has addressed to the highest level, Bob has assumed administrative responsibilities for the Kentucky Children’s Hospital Pharmacy. INFLIXIMAB
RITUXIMAB
ZOLEDRONIC
NATALIZUMAB
FILGRASTIM
CEFOTETAN DISODIUM
AMPHOTERICIN B LIPOSOME
ABATACEPT
IRON SUCROSE COMPLEX
ZOLEDRONIC ACID
$149,632
$33,150
$19,847
$8,628
$6,688
$4,187
$3,045
$3,025
$2,226
$2,027
8
8/11/2009
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The Student and Employee p y
Health Services Pharmacy
satellite opened Monday in the new University Health Services building. This pharmacy serves the UK student population and UK employees for Workers Care related prescriptions.
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Congratulations to Daniel Grantz, Pharm.D., our new Assistant Director of Pharmacy Services ‐ Kentucky Clinic Pharmacy (KCP). 9
8/11/2009
ATAZANAVIR
$2,915,065
EMTRICITAB/TENOFOVIR /EFAVIRENZ $2,664,172
$2 664 172
EMTRICITABINE/TENOFOVIR
$2,108,563
ABACAVIR/LAMIVUDINE
$1,102,335
LOPINAVIR/RITONAVIR
$947,303
ABACAVIR/LAMIVUD/ZIDOVUDINE
$733,059
LAMIVUDINE/ZIDOVUDINE
$
$725,605
6
FOSAMPRENAVIR
$689,142
TACROLIMUS
$633,762
EFAVIRENZ
$569,901
BEVACIZUMAB
RITUXIMAB
PEGFILGRASTIM
TRASTUZUMAB
DOCETAXEL
OXALIPLATIN
PEMETREXED
DARBEPOETIN
CETUXIMAB
ZOLEDRONIC ACID
$2,012,126
$1,244,101
$1,240,354
$921,308
$546,780
$381,757
$375,750
$363,335
$317,127
$313,360
10
8/11/2009
ANTIRETROVIRALS
ANTINEOPLASTIC SERUMS
HEMATOPOIETIC IMMUNOSUPPRESSIVE ANTICOAGULANTS
PENICILLINS
ANTIBACTERIALS
ROENTGENOGRAPHY
ANTIRHEUMATICS
$14,696,286
$9,611,364
$2,743,590
$2,664,687
$2,181,374
$1,840,480
$1,345,700
$1,236,919
$1,217,820
$1,098,991
Cost of Drugs Vended
Inventory Turns
25
20
$500,000 $400,000 15
$300,000 10
$200,000 5
$100,000 Jul‐09
Mar‐09
Nov‐08
Jul‐08
Mar‐08
Nov‐07
Jul‐07
Mar‐07
Jul‐06
Nov‐06
Mar‐06
Nov‐05
Jul‐05
Mar‐05
0
Nov‐04
$0 Jul‐04
Cost of Drugs
$600,000 Inventory Turns
$700,000 11
8/11/2009
Jun08
Jun09
Avera
age # Orders per Hour
140
120
100
80
60
4
40
20
0
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Hour of the Day
Average time to order perfection Æ 6.8 minutes!
Decrease of 18.5% over Jun08!
12
8/11/2009
140
Number of ADR's
120
100
80
60
40
20
0
300
250
200
150
100
F‐I
E
D
C
B
50
A
0
13
8/11/2009
6000
# of Consults
5000
4000
3000
2000
1000
Pharmacy Clinical Consults
0
900
800
# of Consults
700
600
500
400
300
200
KCP Clinical Consults
100
0
Jul‐07
Oct‐07
Jan‐08
Apr‐08
Jul‐08
Oct‐08
Jan‐09
Apr‐09
14
# Students
8/11/2009
50
45
40
35
30
25
20
15
10
5
0
PGY2 Residents
PGY1 Residents
IPPE Students
APPE Students
Jul. Aug. Sep. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May. 08 08 08 08 08 08 09 09 09 09 09
15
8/11/2009
Total Reported FY09
p
9
$1,300,000
Number of Initiatives Started
28
Indigent Drug Replacement
g
g p
$538,695
Just‐In‐Time Inventory (Carousel)
$107,500
Novation Contract Compliance
$86,000
$86 000
Conversions to Conversions to MiniBag
MiniBag Plus
$100,000
16
8/11/2009
Factor VIIa Guidelines
Darbepoetin Dosage – Best Practice
Infusion Center – Move from Inpatient
Others TBA
Paid (FTE)
Budgeted (FTE)
160
150
140
130
120
110
5/9/09
3/28/09
2/14/09
1/3/09
11/22/08
10/11/08
8/30/08
7/19/08
6/7/08
4/26/08
3/15/08
2/2/08
12/22/07
11/10/07
9/29/07
8/18/07
7/7/07
100
17
8/11/2009
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Assigns a “Pharmacy Intensity” of drug g
y
y
g
expense based on MS‐DRG
Weighs the “PI” based on the number of visits per MS‐DRG
Ann Hamlin and Finance working on refining this standard you may not know what it is this standard, you may not know what it is now, but we will!
Ryan Mynatt, Pharm.D. (R#357), was y
y
,
( 357),
awarded the James Rhodes Award for 2009 from the University of Kentucky College of Pharmacy. 18
8/11/2009
19
8/11/2009
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April 2009 –
p
9 Retirement announced
Dean Roberts moves to a faculty position
9 years of collaboration and leadership
Interim Dean Pat McNamara, PhD announced
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Robert Rapp, Pharm.D., FCCP, was pp,
,
,
awarded the American College of Clinical Pharmacy (ACCP) Parker Medal for Distinguished Service to the Profession of Pharmacy at the ACCP Annual Meeting in Louisville ACCP Annual Meeting in Louisville, Kentucky.
20
8/11/2009
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Congratulations to Craig Martin Pharm.D. BCPS who has been selected to serve as the Education and Scholarship Program Director (ESPD) and P. Shane Winstead Pharm.D. who has been selected as the Pharmacy Practice Program Director (PPPD) for University of Kentucky HealthCare Pharmacy Services. Congratulations to Jared Combs, Pharm.D. who was recently appointed by the Kentucky Board of Pharmacy to serve on the Pharmacist th Ph
i t Recovery Network (PRN) Committee. 21
8/11/2009
22
8/11/2009
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Outstanding Resident – Deanna McMahon
ƒ Extra Mile Award Extra Mile Award – Tara McCabe
ƒ Impact Award – Russ Judd
ƒ Preceptor of the Year – Kyle Weant
Chief Resident
Critical Care
Pediatrics
Critical Care
Infectious Diseases
23
8/11/2009
PGY1 ‐ Pharmacy Practice Residents
y
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Craig J. Beavers – University of Kentucky Melissa A. Nestor – University of Georgia
Komal A. Pandya – U California, San Francisco
Andrew L. Rogalski – University of Georgia
Kathryn M Ruf – University of Kentucky
Kathryn M. Ruf –
Kelly A. Walsh – University of Southern Nevada •
Jennifer Ashton, Pharm.D. – Critical Care – U of Florida and Shands
at the University of Florida
•
Sal Bottiglieri, Pharm.D. – Oncology – Albany College of Pharmacy and Moses Cone Health System
•
Kena Lanham, Pharm.D. – Cardiology – UK and Saint Joseph HealthCare
•
Tracy Krause, Pharm.D. – Oncology – Philadelphia College of Pharmacy and Penn State Milton S. Hershey Medical Center
•
Ashley Newland, Pharm.D. – Oncology – University of Toledo and Lahey Clinic Medical Center
•
Alexandra Oschman, Pharm.D. – Pediatrics – Purdue and Children's Mercy Hospital and Clinics
24
8/11/2009
2 0 0 8
Ray R. Maddox, BS, PharmD, FASHP (R#44) •
Congratulations to Michael Farley, Pharm.D., Internal Medicine PGY2 Resident, for being selected for the Resident/Fellow Award of the ACCP Adult Medicine PRN for his research entitled: "Characterization of a 24 hour Characterization of a 24 hour pharmacist managed direct thrombin inhibitor (DTI) program". 25
8/11/2009
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Congratulations to Charity Dorathea Andrews Pharm D Dorathea Andrews, Pharm.D. and Amy Billimoria, Pharm.D., Clinical Staff Pharmacists at UK HealthCare for serving as President and President‐Elect of the Blue Grass Pharmacists Association. ƒ
Congratulations to Robert Rapp, Pharm D FCCP and John A Pharm.D. FCCP, and John A. Armitstead, M.S., RPh, FASHP for their recent awards at the Kentucky Society of Health‐System Pharmacists meeting. Bob recognized by a Special Achievement Award, John was recognized as a Fellow of the Kentucky i d F ll f h K
k Society of Health‐System Pharmacists (FKSHP) and Aaron was installed as a new Board of Director Member.
26
8/11/2009
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Congratulations to Jeremy Flynn, Pharm.D., BCPS who has been selected by the American College of Clinical Pharmacy (ACCP) Board of Regents as the recipient of the College's 2009 New Clinical Practitioner Award. Congratulations to Russ Judd, Pharm.D., Infectious Diseases (PGY2) Specialty Pharmacy Resident, who was selected by the University HealthSystem Consortium to serve on the UHC Pharmacy Practice Advancement Committee. 27
8/11/2009
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Initiated in November 2006 with our first Emergency Medicine Clinical Pharmacist Specialist, David Santrock, Pharm.D., Pharmacy Services now completes the Emergency Department Pharmacist Team with the addition of Kyle Weant Pharm D BCPS the addition of Kyle Weant, Pharm.D., BCPS. ƒ
Congratulations to Robert Kuhn, Pharm D and T Michael Farley Pharm.D., and T. Michael Farley, Pharm.D. for their Kentucky Society of Health‐System Pharmacists (KSHP) Awards! Dr. Kuhn was named KSHP Pharmacist of the Year. Dr. ear Dr Farley was named KSHP Resident of the Year!
28
8/11/2009
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Robert Adams
Ban Al‐Attar
B Al Att
Angela Chula
Rock Daniels
Steve Despain
Richard Dobias
Jim Eads
Jennifer Grate
• Tanita Henry
• Brian Howell
B i H
ll
• Patsy Hudgins
• Terry Manley
• Jason Rose
• Loretta Underhill
• Ashley Wedding
All worthy of this recognition but only one can be selected.
Terry Manley
Night Shift Pharmacy Technician
29
8/11/2009
Mohamed Alwan
B Al Att
Ban Al‐Attar
Edward Alex Wilday
Qian Zhao
Tai England
Kyle Pijut
Tara Schutte
M Wh l
Mary Wheeler
Tim Fuqua
Daniel Grantz
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Reagan Baum
R
B
Amy Bean
Thomas Carter
John Drury Elise Fleishaker
Brandon Fugate
Ranjlene Govind
Terrin Hampton
Tricia Haynes
Heather Hesselson
Dan Johnson
Tara McCabe
Elizabeth Merriman
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Elizabeth Milam
Bryce Phelps
Stephen Polley
Alicia Robinson
Lana Sabadash
Kristin Vollman
Kyle Weant
Solomon Whiting
Rachel Wilson Jason Yancey
Brian Yarber
Shane Young
Sonya Zieba
30
8/11/2009
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Aaron Abell
Allison Balko (August)
Justin Balko (August)
Leslie Ferrell
Kyle Fletcher
Michelle Fraley
Kentra Johnson
Rebecca Johnston
LeAnne Kelly
Tristan Fetterhoff
Krista Whalen
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Weddings ƒ
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Heather Bowman Drury
Katie Carothers
Julia Bergant Gibson
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Engagements ƒ
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Jaclyn Armitstead
Aaron Cook
Irene Feltner
Anna Hitron
Tracy Macaulay & Philip Schwieterman
Rachel Stratman
Lisa Thompson
Kyle Weant & Mallika Patel
Josh Elder
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Kenix Lai
Virginia Ledford
Emily Newman
Mychan Nguyen
Nancy Pedigo
Robert Rapp
Kristian Ray
Will Thomas
Mike Torbey
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Babies
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Phil & Kerry Empey (Tatum)
Phil & K
E
(T
)
Sheila Ghrayib (grandmother/Kaya ) Dan Lewis (Matthew)
Crystal Martin
Jason Rose (Bailey & Bradley)
Amanda Spritz (Cooper)
Dan Grantz (Jackson)
Susie Johnson (Will)
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31
8/11/2009
Retirement
ƒ Gayle Banks (August 28, 2009)
ƒ Robert P. Rapp (June 30, 2009)
School Admissions
ƒ Elise Fleishaker
ƒ UK College of Pharmacy
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Krista Whalen ƒ UK College of Dentistry
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Travis Albrecht
ƒ UK College of Pharmacy
ƒ Dorathea Andrews
ƒ Sharon Bertram
ƒ Patience Fort
ƒ Coralie Gallucci
ƒ Susie Johnson
ƒ Amber Lawson
ƒ Cindy Morrison
ƒ Lori Proeschel
32
8/11/2009
Sharon Bertram, RPh
Kentucky Clinic Pharmacist
33
8/11/2009
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Replace Inpatient Pharmacy Computer p
p
y
p
System with Sunrise Pharmacy (SRx)
▪ September 2009 ƒ
Replace Outpatient Pharmacy Computer System (PCSi)
▪ November 2009
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Evaluation of TUG delivery system
Re‐engineering of patient care unit and impact on medication delivery
Press Ganey initiatives identified as opportunities for organizational improvement ii f
i i
li
Address UHC Pharmacy Indicators ▪ Pharmacy Intensity Score Calculation
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Evaluate Omnicell versus Pyxis Standardization ▪ with Materials Management
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Construct Pharmacy Storage and Nutritional Prep area project
34
8/11/2009
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Initiate Refill Clinic for Internal Medicine Group and Others
USP 797 Modifications
▪ All Chemotherapy Pharmacy Sites Split Chemo Prep with Non‐Chemo Prep
▪ Peds and Central FY09
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Pyxis Bar Code Reader Implementation Pediatric Standardized Dosing/Unit Dose for All Medications
Implement BCM (barcode medications) ▪ for all doses leaving the inpatient pharmacy
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Medication Reconciliation
▪ Computerized Version in SCM
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Obtain 340B Pricing for Inpatients
Evaluate Provision of Pharmacy Services for Correctional System Inmates
▪ With College of Pharmacy ƒ
Development of Comprehensive Ambulatory Plan for Pharmacy Services
▪ With College of Pharmacy ƒ
Implement Sentry 340b Split Software
35
8/11/2009
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Planning the New Patient Care Facility
Peds
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ED
Adult
View coming north on Limestone
ED Opens July 2010
36
8/11/2009
Thanks for coming t th
to the
2009
Pharmacy Services Annual Report
37