Highlights of the Cleveland Clinic Pharmacy Practice Model Summit

Knoer, Scott J.; Weber, Robert J.; Witmer, David R.; Zilz, David A.; Ashby, Daniel M.; Rough, Steve; Stevenson, James G.; Bush, Paul W.; Daniels, Rowell; Calabrese, Sam V.; Chen, David

doi:10.2146/ajhp120433

Cited by 8 publications

(6 citation statements)

References 4 publications

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“…3 In July 2011, the Cleveland Clinic hosted its own pharmacy practice model summit to launch its practice model initiative throughout its 10 hospitals and 17 family health centers/ambulatory surgery centers. 4 The summit highlighted various pharmacy practices at other institutions where pharmacy services had changed to achieve the goals of the PPMI. In particular, the presentations by James Stevenson at the University of Michigan and Rowell Daniels at the University of North Carolina highlighted the use of students in new roles that foster the ability of pharmacy departments to provide more direct patient care activities.…”

Section: Introductionmentioning

confidence: 99%

Advancing the pharmacy practice model in a community teaching hospital by expanding student rotations

Delgado

Kernan

Knoer

2014

American Journal of Health-System Pharmacy

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The implementation of an LLM and partnering with local colleges of pharmacy have improved pharmacy practice at CCF by allowing pharmacy students to work as pharmacist extenders in providing comprehensive pharmacy services to many patients who would not otherwise be reached. This approach has improved HCAHPS scores within the "communication of medication" domain, increased overall patient interventions, and allowed expansion of CCF's discharge prescription program.

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Section: Introductionmentioning

confidence: 99%

Advancing the pharmacy practice model in a community teaching hospital by expanding student rotations

Delgado

Kernan

Knoer

2014

American Journal of Health-System Pharmacy

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“…In addition, refining clinical pharmacy specialist roles provides for a focus on unique populations . Other examples of transformation were discussed at a PPMI summit in Cleveland . For departments unprepared to embark on a major overhaul, pilot programs comparing smaller‐scale changes have been used.…”

Section: Creating Changementioning

confidence: 99%

“…36 Other examples of transformation were discussed at a PPMI summit in Cleveland. 37 For departments unprepared to embark on a major overhaul, pilot programs comparing smaller-scale changes have been used. In a 2012 report, a pharmacist-only model was compared with a pharmacist-technician model for impact on patient care interventions in two nursing units over a 2-week period.…”

Section: Creating Changementioning

confidence: 99%

Impact of the Pharmacy Practice Model Initiative on Clinical Pharmacy Specialist Practice

et al. 2016

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This paper describes the goals of the American Society of Health-System Pharmacists' Pharmacy Practice Model Initiative (PPMI) and its recommendations for health-system pharmacy practice transformation to meet future patient care needs and elevate the role of pharmacists as patient care providers. PPMI envisions a future in which pharmacists have greater responsibility for medication-related outcomes and technicians assume greater responsibility for product-related activities. Although the PPMI recommendations have elevated the level of practice in many settings, they also potentially affect existing clinical pharmacists, in general, and clinical pharmacy specialists, in particular. Moreover, although more consistent patient care can be achieved with an expanded team of pharmacist providers, the role of clinical pharmacy specialists must not be diminished, especially in the care of complex patients and populations. Specialist practitioners with advanced training and credentials must be available to model and train pharmacists in generalist positions, residents, and students. Indeed, specialist practitioners are often the innovators and practice leaders. Negotiation between hospitals and pharmacy schools is needed to ensure a continuing role for academic clinical pharmacists and their contributions as educators and researchers. Lessons can be applied from disciplines such as nursing and medicine, which have developed new models of care involving effective collaboration between generalists and specialists. Several different pharmacy practice models have been described to meet the PPMI goals, based on available personnel and local goals. Studies measuring the impact of these new practice models are needed.

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“…Residents may be more likely to remember what confuses a student new to a practice setting and provide increased coaching and role modeling to the novice APPE student. Student pharmacists benefit from an attending pharmacist's expert opinion when thinking through options in difficult situations, 15 but may more quickly integrate into the interprofessional team when acting independently as the primary pharmacist for that team. Other potential benefits of a hierarchical model similar to the medical attending model include increasing the number of institutional experiences offered to student pharmacists, increasing the number of resident pharmacists, increasing the availability of pharmacy services in different medical services, and expanding pharmacy presence as a whole throughout the medical center.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Student Experience in an Attending Pharmacist Model General Medicine Advanced Pharmacy Practice Experience

O’Sullivan

Lau

et al. 2017

American Journal of Pharmaceutical Education

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Objective. To characterize and determine the quality of the student experience in an attending pharmacist model (APM). Methods. In-depth interviews were conducted with students completing an advanced pharmacy practice experience (APPE) at two general medicine services using the APM over a 2-year time period. Quantitative information about student learning and interprofessional interactions were extracted from student evaluations of the site. Data from the mixed model were analyzed to identify strengths of the APM and areas needing improvement. Results. Strengths of the APM included positive student interaction with the pharmacy resident and more students reporting full integration in and accountability to the interprofessional team for patient outcomes compared to students in non-teaching models. A few students at one site reported a need for greater delineation of expectations, more initial support from preceptors, and initial responsibility for fewer patients. These factors were modified before the second APM year and subsequent reports from students at this site were uniformly positive. Students at the second site did not note areas needing improvement. The APM increased student capacity at both sites. Conclusion.The attending pharmacist model provided a high quality learning experience for students, particularly with regard to integration into and accountability for patient outcomes to the interprofessional team. Qualitative research methods enabled precise detection of areas needing improvement at one site and confirmed that changes made at that site improved the student experience.

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Highlights of the Cleveland Clinic Pharmacy Practice Model Summit

Cited by 8 publications

References 4 publications

Advancing the pharmacy practice model in a community teaching hospital by expanding student rotations

Advancing the pharmacy practice model in a community teaching hospital by expanding student rotations

Impact of the Pharmacy Practice Model Initiative on Clinical Pharmacy Specialist Practice

Analysis of the Student Experience in an Attending Pharmacist Model General Medicine Advanced Pharmacy Practice Experience

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