Pharmacy Services

Pharmacy Services Residency

Pharmacy Informatics

 (PGY1 Elective Rotation)

Preceptor:

David ElHalta, PharmD
Bryan Edvalson, PharmD
Bryce Knight, PharmD
Nicholas Link, PharmD

 
Site Description:

The University of Utah Hospitals & Clinics serves inpatients and outpatients at University Hospital, Huntsman Cancer Hospital, Orthopaedic Hospital, and University Neuropsychiatric Hospital (UNI) along with associated ambulatory clinics in those institutions. Omnicell® and Automed® technologies are provided across most of the hospitals and clinics and support the distribution process of medications to patients. Alaris® smart pumps and also used to insure accurate and safe administration of IV admixtures. The hospitals employ CPOE and electronic medical records using Cerner technology. The community-based clinics use EPIC to document patient information.

 
Rotation Description:

Residents will be trained in the safe and effective use of information technology and automated systems including assessment, planning and appropriate use of various technologies. This rotation will include time for projects, informatics meetings, and technology training.

 
RLS Goals:

R2.1.3 Identify opportunities for improvement of the medication-use system.

R2.1.4 Participate in medication event reporting and monitoring

R2.2.1 Identify changes needed to improve patient care and/or the medication-use system

R2.2.2 Develop a plan to improve the patient care and/or the medication-use system

 
Activities Evaluated:

Rotation Activity

RLS Goal

Teaching Methods

Describe the functionality and inter-operability of automated and information systems within the pharmacy. Review override reports on two nursing units and make recommendations as to appropriate over-ridable medications. Attend assigned meetings to support a more complete understanding of the informatics systems at University Hospitals and Clinics.

R2.1.3

I, C

Describe how informatics and technology relate to patient safety in the medication use process. Describe the flow of orders within the pharmacy and indicate points of potential failure and how technology can enhance patient safety. Observe the workflow of central and decentralized pharmacy operations with regard to technology and informatics, and demonstrate proficiency with using the Epic (EHR) and RxWorksPro in dispensing medications safely.

R2.2.1
R2.2.2

I, C

Demonstrate how to optimize drug storage and usage in automated dispensing cabinets. Perform a cabinet optimization project on at least 2 different nursing units.

R2.1.4

M, F

Describe and demonstrate the process for doing a compliance audit of patient’s medication charges.

R2.1.3
R2.1.4

I, C, M, F

Teaching Methods include: I=direct instruction, C=coaching, M=modeling, and F=facilitation

 
Readings and Preparatory Work:

“The Pharmacy Informatics Primer.” By Doina Dumitru, ASHP

 
Project/Presentation Description:

Projects will be determined for residents based on institutional needs and resident interests at the time of the rotation.

 
Typical Daily/Weekly/Monthly Activities:

The resident will split their time between projects, technology training, related technology and automation meeting attendance, and evaluations. The resident will receive a calendar of meeting times and project deadlines at the beginning of the rotation.

8:00 – 4:30, Monday through Friday
Attend monthly CSAC Meeting
Attend quarterly TIAC meeting
Attend monthly Medication Safety meetings
Attend monthly pharmacy IT staff meeting
Attend monthly Pharmacy IT Focus Group
Attend weekly Willow Inpatient Coordination meeting
Other meetings as assigned
Formal evaluation meeting at midpoint and last day

 
Evaluation:

The resident will receive feedback on a regular basis regarding their progress through the rotation. A full summative evaluation will be recorded in PharmAcademics at the conclusion of the rotation and completion of all projects.

Updated March 2016