Hospital Pharmacy - July/August 2018 - 251
251
Arthur et al.
Table 3. Completion Plan for Management and Leadership Experience Revision.
Action item
JDI or PDSA
Projects addressing Goal R3.1: Demonstrate leadership skills
Educate residents and preceptors on the
JDI
importance of leadership activities
Establish list of topic discussions for the
JDI
administration learning experience
Confirm PPM&L topics
JDI
Pilot collaborative precepting among
PDSA
pharmacy administration preceptors
Projects addressing Goal R3.2: Demonstrate management skills
Utilize huddle board for process
JDI
improvement ideas
Make IRB tip sheet
JDI
Establish standard process for identifying/
JDI
assigning/continuing resident projects
to facilitate completion of the
department's strategic plan
Adjust timing of yellow belt training
JDI
Owner of action item
Target completion date
Project status
Chief resident and
Residency Advisory
Council
2 PGY1s
1/1/2015
Completed in 2015
1/15/2015
Completed in 2015
2 PGY1s
3 PGY1s
1/15/2015
4/30/2015
Completed in 2015
Completed in 2015
All residents
1/1/2015
Completed in 2015
2 PGY2s
1 PGY1 and 1 PGY2
1/15/2015
5/1/2015
Completed in 2015
Completed in 2015
Residency Advisory
8/28/2015
Completed in 2015
Council and lean trainer
Projects addressing Goal E2.1: Apply leadership and practice management skills to contribute to management of pharmacy services
Revise staff development program
PDSA
3 PGY1s
6/30/2016
Completed in 2016
Increase residents' roles in PGY1
JDI
RAC
11/30/2016
Completed in 2017
interview process
Note. JDI = just do it; PDSA = plan, do, study, act; IRB = Investigational Review Board.
program. The residents did make some advancements on this
action item, as they developed an ongoing list of educational
topics for the residents to present to the staff. This list of
topic ideas was not communicated to the clinical coordinator,
RPDs, or to residents who were preparing their staff development presentations. In addition, a system for vetting topics
and a plan for increasing supervisor support and interest for
staff attendance at these sessions was not developed. This
action plan was then assigned to the 2015-2016 residents
who piloted a more spontaneous staff development program,
providing topics needed by the department, and utilizing
various educational techniques instead of giving programs at
a predetermined schedule or with a required format. This
pilot program was adopted as the new staff development program and is still in existence today.
The second action item that remained to be completed
involved increasing the residents' roles in the PGY1 interview process. For the several years prior, PGY1 residents had
attended the candidate interview breakfasts and lunches and
assisted with individual interviews and hospital tours. During
the yellow belt project, the residents indicated a desire to be
more involved with the application review process and to participate in telephone screening interviews to understand the
tools the department has developed to select the strongest
candidates within the applicant pool. A failure to communicate the ideas to the RAC or RPDs resulted in an incomplete
action item. These ideas were eventually brought forth to the
RAC and RPDs and were implemented in January 2017.
Progress on the revisions of the management and leadership experience was measured in Box 8, the Confirmed State,
by conducting a crosswalk between the PGY1 standards and
the new rotation activities to ensure the goals and objectives
were met for both required and elective competencies within
the new standard (Tables 4 and 5).14,15 A voice of the customer analysis was also conducted to obtain feedback from
the 2015-2016 PGY1 residents. An electronic word document survey was distributed asking residents to indicate
either full, partial, or no understanding of 39 different core
topics included in the administration learning experience
description (Table 6). Residents were also asked to indicate
how they learned about the topic (either on the administration rotation or through other meetings occurring throughout
the year) and by what methods (discussions, readings, etc).
Four of the 6 PGY1 residents completed the survey. For 10
of the topics (25.6%), several residents indicated "no understanding." These 10 topics included how performance
requirements are formulated, evaluated, communicated, and
acted upon; formulary making bodies; techniques for forecasting and monitoring budgets; contract negotiating bodies
and principles of contract adherence; process for handling
backorders; procurement of specialty drugs; developing a
residency program; pharmacy organization memberships;
compliance with controlled substance regulations; and prescription drug monitoring programs. "No opportunity for
exposure" was selected by some residents for the following 9
topics: workload and productivity monitoring, scheduling
Table of Contents for the Digital Edition of Hospital Pharmacy - July/August 2018
Ed Board
TOC
Antibiotic Stewardship: The Health of the World Depends on It
ISMP Medication Error Report Analysis: CycloSPORINE Dispensing Errors
ISMP Adverse Drug Reactions
Summaries of Safety Labeling Changes Approved By FDA: Boxed Warnings Highlights January-March 2018
Restructuring a Pharmacy Department: Leadership Strategies for Managing Organizational Change
Angiotensin II
RxLegal: A Rapid Review of Right-To-Try
New Medications in the Treatment of Hereditary Transthyretin Amyloidosis
Significant Published Articles for Pharmacy Nutrition Support Practice in 2017
Utilization of Lean Techniques in Pharmacy Residency Training: Modifying the PGY1 Management and Leadership Experience
Impact of a Clinical Decision Support Tool on Cancer Pain Management in Opioid-Tolerant Inpatients
Lyme Carditis: A Case Report and Review of Management
Impact of the Implementation of Project Re-Engineered Discharge for Heart Failure patients at a Veterans Affairs Hospital at the Central Arkansas Veterans Healthcare System
Evaluation of Oritavancin Use at a Community Hospital
Hospital Pharmacy - July/August 2018 - Cover1
Hospital Pharmacy - July/August 2018 - Cover2
Hospital Pharmacy - July/August 2018 - 201
Hospital Pharmacy - July/August 2018 - 202
Hospital Pharmacy - July/August 2018 - 203
Hospital Pharmacy - July/August 2018 - 204
Hospital Pharmacy - July/August 2018 - 205
Hospital Pharmacy - July/August 2018 - Ed Board
Hospital Pharmacy - July/August 2018 - 207
Hospital Pharmacy - July/August 2018 - TOC
Hospital Pharmacy - July/August 2018 - 209
Hospital Pharmacy - July/August 2018 - 210
Hospital Pharmacy - July/August 2018 - 211
Hospital Pharmacy - July/August 2018 - 212
Hospital Pharmacy - July/August 2018 - 213
Hospital Pharmacy - July/August 2018 - Antibiotic Stewardship: The Health of the World Depends on It
Hospital Pharmacy - July/August 2018 - 215
Hospital Pharmacy - July/August 2018 - 216
Hospital Pharmacy - July/August 2018 - ISMP Medication Error Report Analysis: CycloSPORINE Dispensing Errors
Hospital Pharmacy - July/August 2018 - 218
Hospital Pharmacy - July/August 2018 - 219
Hospital Pharmacy - July/August 2018 - ISMP Adverse Drug Reactions
Hospital Pharmacy - July/August 2018 - 221
Hospital Pharmacy - July/August 2018 - 222
Hospital Pharmacy - July/August 2018 - Summaries of Safety Labeling Changes Approved By FDA: Boxed Warnings Highlights January-March 2018
Hospital Pharmacy - July/August 2018 - 224
Hospital Pharmacy - July/August 2018 - Restructuring a Pharmacy Department: Leadership Strategies for Managing Organizational Change
Hospital Pharmacy - July/August 2018 - 226
Hospital Pharmacy - July/August 2018 - 227
Hospital Pharmacy - July/August 2018 - 228
Hospital Pharmacy - July/August 2018 - 229
Hospital Pharmacy - July/August 2018 - Angiotensin II
Hospital Pharmacy - July/August 2018 - 231
Hospital Pharmacy - July/August 2018 - 232
Hospital Pharmacy - July/August 2018 - 233
Hospital Pharmacy - July/August 2018 - RxLegal: A Rapid Review of Right-To-Try
Hospital Pharmacy - July/August 2018 - 235
Hospital Pharmacy - July/August 2018 - New Medications in the Treatment of Hereditary Transthyretin Amyloidosis
Hospital Pharmacy - July/August 2018 - 237
Hospital Pharmacy - July/August 2018 - 238
Hospital Pharmacy - July/August 2018 - Significant Published Articles for Pharmacy Nutrition Support Practice in 2017
Hospital Pharmacy - July/August 2018 - 240
Hospital Pharmacy - July/August 2018 - 241
Hospital Pharmacy - July/August 2018 - 242
Hospital Pharmacy - July/August 2018 - 243
Hospital Pharmacy - July/August 2018 - 244
Hospital Pharmacy - July/August 2018 - 245
Hospital Pharmacy - July/August 2018 - 246
Hospital Pharmacy - July/August 2018 - Utilization of Lean Techniques in Pharmacy Residency Training: Modifying the PGY1 Management and Leadership Experience
Hospital Pharmacy - July/August 2018 - 248
Hospital Pharmacy - July/August 2018 - 249
Hospital Pharmacy - July/August 2018 - 250
Hospital Pharmacy - July/August 2018 - 251
Hospital Pharmacy - July/August 2018 - 252
Hospital Pharmacy - July/August 2018 - 253
Hospital Pharmacy - July/August 2018 - 254
Hospital Pharmacy - July/August 2018 - 255
Hospital Pharmacy - July/August 2018 - Impact of a Clinical Decision Support Tool on Cancer Pain Management in Opioid-Tolerant Inpatients
Hospital Pharmacy - July/August 2018 - 257
Hospital Pharmacy - July/August 2018 - 258
Hospital Pharmacy - July/August 2018 - 259
Hospital Pharmacy - July/August 2018 - 260
Hospital Pharmacy - July/August 2018 - 261
Hospital Pharmacy - July/August 2018 - 262
Hospital Pharmacy - July/August 2018 - Lyme Carditis: A Case Report and Review of Management
Hospital Pharmacy - July/August 2018 - 264
Hospital Pharmacy - July/August 2018 - 265
Hospital Pharmacy - July/August 2018 - Impact of the Implementation of Project Re-Engineered Discharge for Heart Failure patients at a Veterans Affairs Hospital at the Central Arkansas Veterans Healthcare System
Hospital Pharmacy - July/August 2018 - 267
Hospital Pharmacy - July/August 2018 - 268
Hospital Pharmacy - July/August 2018 - 269
Hospital Pharmacy - July/August 2018 - 270
Hospital Pharmacy - July/August 2018 - 271
Hospital Pharmacy - July/August 2018 - Evaluation of Oritavancin Use at a Community Hospital
Hospital Pharmacy - July/August 2018 - 273
Hospital Pharmacy - July/August 2018 - 274
Hospital Pharmacy - July/August 2018 - 275
Hospital Pharmacy - July/August 2018 - 276
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