Hospital Pharmacy - April 2018 - 97
97
Gazda et al
landscape. These challenges increase the demand for
advanced training and education of existing and future pharmacy management practitioners, specifically in health-system administration and management.2 A health-system
pharmacy administration (HSPA) residency incorporating a
master of science (MS) with a specialization in health-system administration is a dependable option for molding the
caliber of leaders necessary for long-term health-systems
sustainability and viability. Numerous academic medical
centers have successfully implemented HSPA programs that
have produced qualified, capable, and experienced leaders.
These leaders, however, can find their first employment in
smaller, more rural hospitals and community health-systems
as there is an increasing demand for these hospitals and systems to meet the ever-changing levels of performance efficiency. Data suggest that greater than 50% of all hospitals are
now part of a health-system and even more have engaged in
a collaborative health network to provide care more efficiently. This coupled with the initiatives to transition to quality-based reimbursement models rather than fee-for-service
requires health care leaders who are well trained in the
nuances of today's care environment.4 This exposes a significant opportunity to expand the scope of education and training programs for the development of pharmacy management
practitioners and establish an internal pipeline of well-trained
and experienced administrative residents.1,4
Mick Hunt, who served as president of ASHP in 2001,
stated that a lack of leadership will hinder our professions'
ability to enhance patient safety, optimize care, and impact
our patients. In addition, while the pharmacist shortage
declined with a vacancy rate of 8.9% in 2000 to 5% in 2004,
a severe shortage of pharmacy managers remained with a
vacancy rate increasing from 27% in 2003 to 36% in 2004.1
If sustainable training programs do not produce pharmacy
administrators to fill this gap, these positions will be filled by
other health care professionals such as nurses, physicians, or
MBA graduates, leaving the administrative team without a
pharmacist's leadership expertise, training, and education.
Purpose
Cone Health is a large community teaching health-system
located in Greensboro, North Carolina, supporting approximately 1273 beds across 6 community hospital sites, as well
as 71 physician practices and 3 urgent cares. Cone Health, in
partnership with academic affiliates, hosts a robust teaching
program for student and training physicians, physician assistants, pharmacists, nurse practitioners, and other health care
professionals. The pharmacy residency program at Cone
Health was established in 1968 and is one of the oldest in the
state of North Carolina. Cone Health currently trains 10
PGY1 residents, 5 PGY2 residents, and 2 Combined PGY1/
PGY2 residents across its sites annually. Building off this
long-established and well-respected legacy of training
clinical leaders, Cone Health and its network leadership
developed a strong partnership with the UNC Eshelman
School of Pharmacy allowing for the establishment of a
2-year journey to implement a combined MS/PGY1/PGY2
HSPA residency.
The purpose and intent of the residency is to establish an
educational training program in pharmacy administration that
promotes the growth of pharmacists as future leaders of healthsystem pharmacy and enables the residency graduates to
achieve their career goals through the development of necessary skills to best serve in advanced leadership positions
throughout health care. Because it is based at a community
teaching hospital, the ideal trainee will continue to work in this
sector of pharmacy upon graduation, filling a desperate need.
Value to Candidates and HealthSystems
There is significant demonstrable value of developing an
HSPA program for both the candidate resident and the healthsystem. First is the value added through a 2-year residency
experience combined with a MS, MPH, or MBA experience.
Cone Health partnered with the UNC Eshelman School of
Pharmacy to provide a MS in pharmaceutical sciences, making Cone Health the fifth member of the UNC master's
cohort, including administration residents from UNC
Medical Center, Duke University Hospital, Wake Forest
Baptist Medical Center, and Mission Hospital.5 This master's education supplements the residency's clinical and onsite administrative experiences with in-class leadership and
health-system management understanding.
A strong cohort of HSPA residents also allows significant
networking opportunities through the master's education and
HSPA resident collaborations. This benefits both the resident, who gets exposure and experience from other institutions, and the health-system which gets visibility into other
pharmacy programs and into issues shared by multiple organizations. Health-systems also benefit from HSPA programs
as they establish a high-quality pipeline of pharmacy leaders,
allowing opportunity to recruit talented pharmacists from
around the country and for the development of mutually beneficial relationships between pharmacy residents and healthsystem leaders.4
Tools for Implementation
There are multiple facets that require consideration when
designing a HSPA program, including efficiently allocating
resources. Using students from local pharmacy schools and
students on rotation is a fruitful approach. Cone Health
enlisted an interested group of third-year student pharmacists
at the UNC Eshelman School of Pharmacy enrolled in a
pharmacy practice management course to develop a business
plan for the new residency program. Guided by Cone Health
leadership, the students met with system leadership and outlined the initial building blocks for the development of the
Table of Contents for the Digital Edition of Hospital Pharmacy - April 2018
Ed Board
TOC
HPX
Why Is Burnout a Taboo?
Stability of 2 mg/mL Adenosine Solution in Polyvinyl Chloride and Polyolefin Infusion Bags
Glecaprevir/Pibrentasvir
New Medications in the Treatement of Acute Decompensated Heart Failure
The Prescription Drug User Fee Act: Cause for Concern?
ISMP Medication Error Report Analysis
ISMP Adverse Drug Reactions
Development and Implementation of a Combined Master of Science and PGY1/PGY2 Health-System Pharmacy Administration Residency Program at a Large Community Teaching Hospital
Breadth of Statistical Training Among Pharmacy Residency Programs Across the United States
Antihypertensive Prescription Pattern and Compliance to JNC 7 and JNC 8 at Tertiary Care Government Hospital, Hyderabad, India: A Cross-sectional Retrospective Study
Changes in Pharmacy Residency Training Design Between 2012 and 2017: A Perspective of Academic Medical Centers
Incidence of Hypoglycemia in Burn Patients: A Focus for Process Improvement
Physical Compatibility of Micafungin With Sodium Bicarbonate Hydration Fluids Commonly Used With High-Dose Methotrexate Chemotherapy
Hospital Pharmacy - April 2018 - Cover1
Hospital Pharmacy - April 2018 - Cover2
Hospital Pharmacy - April 2018 - Ed Board
Hospital Pharmacy - April 2018 - TOC
Hospital Pharmacy - April 2018 - HPX
Hospital Pharmacy - April 2018 - Why Is Burnout a Taboo?
Hospital Pharmacy - April 2018 - Stability of 2 mg/mL Adenosine Solution in Polyvinyl Chloride and Polyolefin Infusion Bags
Hospital Pharmacy - April 2018 - 74
Hospital Pharmacy - April 2018 - Glecaprevir/Pibrentasvir
Hospital Pharmacy - April 2018 - 76
Hospital Pharmacy - April 2018 - 77
Hospital Pharmacy - April 2018 - 78
Hospital Pharmacy - April 2018 - 79
Hospital Pharmacy - April 2018 - 80
Hospital Pharmacy - April 2018 - 81
Hospital Pharmacy - April 2018 - 82
Hospital Pharmacy - April 2018 - 83
Hospital Pharmacy - April 2018 - 84
Hospital Pharmacy - April 2018 - New Medications in the Treatement of Acute Decompensated Heart Failure
Hospital Pharmacy - April 2018 - 86
Hospital Pharmacy - April 2018 - 87
Hospital Pharmacy - April 2018 - The Prescription Drug User Fee Act: Cause for Concern?
Hospital Pharmacy - April 2018 - 89
Hospital Pharmacy - April 2018 - ISMP Medication Error Report Analysis
Hospital Pharmacy - April 2018 - 91
Hospital Pharmacy - April 2018 - 92
Hospital Pharmacy - April 2018 - ISMP Adverse Drug Reactions
Hospital Pharmacy - April 2018 - 94
Hospital Pharmacy - April 2018 - 95
Hospital Pharmacy - April 2018 - Development and Implementation of a Combined Master of Science and PGY1/PGY2 Health-System Pharmacy Administration Residency Program at a Large Community Teaching Hospital
Hospital Pharmacy - April 2018 - 97
Hospital Pharmacy - April 2018 - 98
Hospital Pharmacy - April 2018 - 99
Hospital Pharmacy - April 2018 - 100
Hospital Pharmacy - April 2018 - Breadth of Statistical Training Among Pharmacy Residency Programs Across the United States
Hospital Pharmacy - April 2018 - 102
Hospital Pharmacy - April 2018 - 103
Hospital Pharmacy - April 2018 - 104
Hospital Pharmacy - April 2018 - 105
Hospital Pharmacy - April 2018 - 106
Hospital Pharmacy - April 2018 - Antihypertensive Prescription Pattern and Compliance to JNC 7 and JNC 8 at Tertiary Care Government Hospital, Hyderabad, India: A Cross-sectional Retrospective Study
Hospital Pharmacy - April 2018 - 108
Hospital Pharmacy - April 2018 - 109
Hospital Pharmacy - April 2018 - 110
Hospital Pharmacy - April 2018 - 111
Hospital Pharmacy - April 2018 - 112
Hospital Pharmacy - April 2018 - Changes in Pharmacy Residency Training Design Between 2012 and 2017: A Perspective of Academic Medical Centers
Hospital Pharmacy - April 2018 - 114
Hospital Pharmacy - April 2018 - 115
Hospital Pharmacy - April 2018 - 116
Hospital Pharmacy - April 2018 - 117
Hospital Pharmacy - April 2018 - 118
Hospital Pharmacy - April 2018 - 119
Hospital Pharmacy - April 2018 - 120
Hospital Pharmacy - April 2018 - Incidence of Hypoglycemia in Burn Patients: A Focus for Process Improvement
Hospital Pharmacy - April 2018 - 122
Hospital Pharmacy - April 2018 - 123
Hospital Pharmacy - April 2018 - 124
Hospital Pharmacy - April 2018 - Physical Compatibility of Micafungin With Sodium Bicarbonate Hydration Fluids Commonly Used With High-Dose Methotrexate Chemotherapy
Hospital Pharmacy - April 2018 - 126
Hospital Pharmacy - April 2018 - 127
Hospital Pharmacy - April 2018 - 128
Hospital Pharmacy - April 2018 - Cover3
Hospital Pharmacy - April 2018 - Cover4
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2020
https://www.nxtbook.com/nxtbooks/sage/psychologicalscience_demo
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2020
https://www.nxtbook.com/nxtbooks/sage/fai_202009
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_august2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2019
https://www.nxtbook.com/nxtbooks/sage/fai_201909
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_july2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2019
https://www.nxtbook.com/nxtbooks/sage/canadianpharmacistsjournal_05062019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2019
https://www.nxtbook.com/nxtbooks/sage/sri_supplement_201903
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2018
https://www.nxtbook.com/nxtbooks/sage/tec_20180810
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2018
https://www.nxtbook.com/nxtbooks/sage/fai_201807
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2018
https://www.nxtbook.com/nxtbooks/sage/sri_supplement_201803
https://www.nxtbook.com/nxtbooks/sage/slas_discovery_201712
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_november2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_september2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2017
https://www.nxtbook.com/nxtbooks/sage/fai_supplement_201709
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_may2017
https://www.nxtbook.com/nxtbooks/sage/fai_201706
https://www.nxtbook.com/nxtbooks/sage/fai_201607
https://www.nxtbookmedia.com