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Ph S iPharmacy Services
Annual Report FY 08p
July 1 2007 through June 30 2008July 1, 2007 through June 30, 2008
“Top Ten” Inpatient Pharmacyp p yIMMUNE GLOBULIN $2,087,061PIPERACILLIN/TAZOBACTAM $904,783ENOXAPARIN $837,584ALBUMIN $614,459IODIXANOL $509,226LYMPHOCYTE IMMUNE GLOB $461,789FACTOR VIIA $359,205THROMBIN $315,019IOHEXOL $299,221ARGATROBAN $288,399
“Top Ten” Markey Outpatientp y p
BEVACIZUMAB $2 879 188BEVACIZUMAB $2,879,188 PEGFILGRASTIM $1,520,956 RITUXIMAB $989 258RITUXIMAB $989,258 TRASTUZUMAB $946,469 DOCETAXEL $612,854DOCETAXEL $612,854 DARBEPOETIN ALFA $552,282 OXALIPLATIN $410,159 ZOLEDRONIC ACID $364,354 PEMETREXED $284,240
$CETUXIMAB $272,348
“Top Ten” KCP & SHPp
ATAZANAVIR $2 301 488ATAZANAVIR $2,301,488 EMTRICITABINE/TENOFOVIR/EFAVIRENZ $1,808,988 EMTRICITABINE/TENOFOVIR $1 747 446EMTRICITABINE/TENOFOVIR $1,747,446 LAMIVUDINE/ZIDOVUDINE $850,820 LOPINAVIR/RITONAVIR $810,587LOPINAVIR/RITONAVIR $810,587 ABACAVIR/LAMIVUDINE/ZIDOVUDINE $772,997 ABACAVIR/LAMIVUDINE $734,829 EFAVIRENZ $594,945 FOSAMPRENAVIR $555,320
$TACROLIMUS $465,679
Non-Pyxis Doses* DispensedNon Pyxis Doses DispensedCompared to 2003 1.2 Million
Doses
*Non-Pyxis doses = all doses dispensed other than Pyxis.
Inpatient CPOE and Time toInpatient CPOE and Time to Pharmacy Order Perfection
12
14
16
tion
6
8
10
es to
Perfect
2
4
6
Minute
00 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 Dayy
Average time to order perfection 8.4 minutes!
eMAR Goes Live
• Electronic documentation of medication administration is now made in Sunrise Clinical Manager (SCM).
• Special thanks to Gary Coutts R PhSpecial thanks to Gary Coutts, R.Ph., Clinical System Coordinator, ICIS Projects as well as the support and effort of hundredsas well as the support and effort of hundreds of nursing, pharmacy and IT personnel.
Carousel ProjectBarcode MedicationBarcode Medication
Barcode Medication AdministrationBarcode Medication Administration
Inpatient Efficiency ProjectsInpatient Efficiency Projects
• Outsource compounding of IV CompoundingOutsource compounding of IV Compounding– Extended dating
Decrease in internal workload– Decrease in internal workload• Outsource of unit dose packaging for oral
lid d li idsolids and liquids– Standardized labeling– Extended dating– Decrease in internal workload
Technician of the Year NomineesTechnician of the Year Nominees• Heather BowmanHeather Bowman• Karla Bertagnole
Will Th
All worthy of this• Will Thomas
• Tina Coleman
of this recognition
• Angela Chula• Rich Dobias
but only one can be Rich Dobias
• Brian GarlandP l tt B
selected.• Paulette Bryan• Steve DeSpain
Pharmacy Technician f h Y FY08of the Year FY08
K lKarla BertagnoleBertagnole,
CPhTCPhT KCP Technician Supervisor
Kentucky Clinic PharmacyKentucky Clinic Pharmacy
July 2007-June 2008
• $30 million re en e• $30 million revenue
• $10 million in net revenue• $10 million in net revenue
• 236 551 prescriptions processed236,551 prescriptions processed
Kentucky Clinic Pharmacy -Kentucky Clinic Pharmacy KADAP
• 35044 KADAP Rxs Dispensed (36% increase from FY07)
• Served up to 989 patients per month (avg. 900)
• 11129 Packages shipped to KADAP recipients (15% increase over FY07)
• $3.98 million net revenue (28% increase over FY07))
Kentucky Clinic Pharmacy
Vaccine Administration
• Zostavax 182 Doses givenFl d P l f W lk i• Flu and Pneumococcal for Walk-ins
• Flu and Pneumococcal Clinic
New Staff Hired - KCP
Travis Albrecht Krista WhalenTristan Fetterhoff Margaret YoungTristan Fetterhoff Margaret Young Heather Hesselson Susan JohnsonSusan JohnsonSharon MackeyAlana MarcrumAlana MarcrumClaire Simpson
Ne Staff Hired InpatientNew Staff Hired - Inpatient• Aaron Abell• Eyob Adane
• Justin McMillan• Gwen MooreEyob Adane
• Amy Agee• Heather Bowman• Lyndsey Caudel
Gwen Moore• Sean Music• Yatin Patel• Leslie Rafferty-Ferrelly y
• Chris Congleton• Rock Daniels• Bonnie Embry
y• Jason Rose• Dustie Rodgers• Philip Schwieterman
• Irene Feltner• Kyle Fletcher• Paul Gannon
L li H d
• Cherelle Shields• Mitch Sloan• Latondra Smith
L T l• Leslie Hammond• Patsy Hudgins• Ryan Kluempke• Seth Larkin
• Lauren Taylor• Morgan Tunnell• Ashley Wedding• Dale Whitby• Seth Larkin
• Amber Lawson• Dale Whitby• Lindsay Wilson
Unforgettable Staff Who Have Left• Josephine Ayayee• Tyler Baker
• Laura Kangas • Jared Patricky
• Cheryle Bowling• Kendra Caudill
• Greg Mateyoke• Ryan Pearcy
• Kim Embry• Kerry & Phil Empey
J i G id
• Margarita Somov• Esen Stephens
A d S i• Justin Grider• Gabe Hardy• Rebecca Johnston
• Amanda Swint• Christy Taylor• Randy Williams• Rebecca Johnston
• LeAnne Ashby• Ines Delambert
• Randy Williams • Jonathan Ho• Casey Whittakeres e be
• Cayci DotsonC sey W e
• Sharon Mackey
Did you know?
• UK Residency Program graduates
• Congratulations to Dr. Hatton the first UK
have more Dean and College Department Chair positions than
“R” to be named Chair at UK!
Chair positions than any other residency program nationallyprogram nationally.
Pharmacy College Admissions• Jonathan Ho• Casey Whittakery• Tyler Lanham
Nursing School AdmissionsNursing School AdmissionsTanita HenryyLindsey Mays
Weddings and New Arrivals• Weddings Lori Proeschel & Steve Dunn
• Babies• Celia Adams
Brian HowellRyan Kluempke
• Tim Clifford • Julie & Jeremy Flynn
Jennifer Richardson • Crystal Martin• Dylan Russell
• Engagements • Katie Carothers
y
Robert P. Rapp Best Practice ppAward Nominees
(PHARMACIST OF THE YEAR)(PHARMACIST OF THE YEAR)•Amber Lawson• Dorathea Andrews
• Mike Torbey
•Amber Lawson• Lucy Wells•Tracy Macaulay
• Amy Billimoria• Julie Chang
•Tracy Macaulay•Lori Proeschel •Cindy Morrisong
• Patience Fort• Amanda Turner
•Cindy Morrison•Amol Mujumdar•Tom SmithAmanda Turner
• Sharon Bertram •Tom Smith
Robert P. Rapp Best Practice Award20082008
Pharmacist of the Year
Tom Smith RPhTom Smith, RPhNight Shift Pharmacist
Coming Soong• Second Emergency Department Pharmacist
PositionPosition– Kyle Weant, PharmD, BCPS (August)
Ph P ti P Di t• Pharmacy Practice Program Director Selection (from Specialists)
• Education and Scholarship Program Director Selection (from Specialists)
UK HealthCareClinical Pharmacist Specialist
Director of Pharmacy Services• CPS –
Cardiothoracic• CPS –
Pulmonary/MICU• CPS Neuroscience p
360º Reporting Structure
Program Director
Associate Director of Pharmacy Services• AD for Decentral
• CPS – TDM/Internal Medicine (2)
• CPS – Hem/Oncology• CPS – BMT
• Tenure Track CPS Faculty
• Oncology
• CPS – Neuroscience• CPS – Infectious
Diseases • CPS – Cardiology
(2)• CPS – Nutritional
Support• CPS – Transplant• CPS - Emergency
Medicine (2)• Tenure Track CPS
Faculty Program Director – Pharmacy
Practice
Program Director – Education and
Scholarship
Director or Associate Director
of Pharmacy ServicesDirector or Assoc Director
FY09 PE Coordinator
gy• AD for KCH • CPS – Pediatric
Hem/Oncology• AD for KCP
• CPS - Ambulatory
Faculty• Trauma• MUP
• Pediatrics
Input From PPS Department Chair
Clinical Pharmacist Pharmacists/
Pharmacy T h i i
Patient Care Managers/ Allied
H l hSelected by SpecialistSelected by SpecialistPharmacist
SpecialistTechniciansHealthSelected by Specialist
Attending Physicians
Fellow/Resident Physicians
Pharmacy Residents
Residency Program DirectorsFor Applicable Programs
(Specialist Served as Preceptor)Selected by Specialist
Residents Preceptored
Revised 7/9/08
Coming Soong• Nutritional Supplements and Formula
dispensing transferred from Food Services todispensing transferred from Food Services to Pharmacy ServicesP i B C d d R filli P• Pyxis Bar Coded Refilling Process– Headed to BCMA in FY10
• Controlled Room Temperature in the Central Pharmacy IV Room– More USP 797 Compliance
• Markey Outpatient Pharmacy Renovationy p y– Window treatment, pass through window and door
Coming Soong• REVISION OF ASHP 2015 Goals and
ObjectivesObjectives– 5 DELTED
5 ADDED– 5 ADDED– 5 REVISED
6 G l 31 Obj ti– 6 Goals, 31 Objectives– ONE PROFESSION
htt // h k d /Ph / df/UK ASHP 2015 df– http://www.hosp.uky.edu/Pharmacy/pdf/UK_ASHP_2015.pdf
Coming Soon g• Opening of the NEW Student Health
Pharmacy (August)Pharmacy (August)• Affiliate Hospital Relationships
G S i i– Good Samaritan Hospital– Clark Regional Medical Center– Markey Cancer Center Affiliates– Others?
• Possible Correctional Facility Pharmacy Services
• Ambulatory Services Strategic Plan
Coming Soong• ICIS Clinical Documentation Modules
Student Access– Student Access• New Computer System for Outpatient
PhPharmacy• Conversion from WORx to Sunrise
Medication Manager (possibly in FY10)
Topping Out Ceremony for the NewTopping Out Ceremony for the New College of Pharmacy Building
• Topping OutAugust 2008
• Target OpeningTarget OpeningJanuary 2010
Coming NOW! g• Farewell but not Goodbye
Lucy Wells Associate Director of Pharmacy– Lucy Wells, Associate Director of Pharmacy –KCP
• Recruitment of Assistant Director of Ph S i KCPPharmacy Services - KCP
Coming NOW! g• Appointment of Robert Kuhn, PharmD as
Associate Director of Pharmacy ServicesAssociate Director of Pharmacy Services –Kentucky Children’s Hospital Pharmacy