Pharmacy Practice Residency – Year 3

Janet Silvester, RPh, MBA, FASHP

Operations Committee

October 13, 2009

What have we achieved? 4 residents have completed the program

R1 – ED pharmacist in 100 bed ED at Carilion R2 – employed by MJH – first as a night pharmacist

replacing Elaine Kroner and now in a regular slot R3 – Completing a PGY2 residency at University of

Washington Hospital in Seattle in Primary Care R4 – Working in Maryland in ambulatory practice

2 residents at MJH currently (3rd class) Received 3 year ASHP accreditation in

September 2008!!!

Activities Journal Club monthly in conjunction with UVa residents Formal educational presentations routinely Collaboration with UVA

Our residents have done rotations at UVa TCV Post Op, toxicology (poison control), ambulatory

UVa resident has come here Administrative rotation

Longitudinal rotation with Wellness/MTM program with Joe Connor This year implementing the lipid program as a research project and

presenting as a poster at Midyear Clinical meeting in December Medication Use evaluation as part of Drug Information rotation

– present routinely at P&T Committee Present their research projects at Eastern States Residency

Conference in the spring Round out our clinical coverage on weekends – adds a 5th

pharmacist to the weekend coverage – staffing every other weekend – satisfier for pharmacists

Rotations Internal Medicine Critical Care Oncology/Palliative Care Drug Information/Med Safety Administration Ortho/Spine Ambulatory Care (Wellness and MTM

w/Joe) Sterile Compounding IS (mini rotation) Elective

Benefits Enhance practice model

Research projects Raise level of practice

of existing staff

Recruitment tool Saved us $25,000 in recruitment fees when Elaine

retired from her night position – 1st year of residency

Enhance reputation of MJH More visible in pharmacy profession Every MJH resident that goes on to do well reflects

positively on MJH

Medicare GME Funding2006

estimates2008

ActualDifference

Total Direct Education Costs

$215,545 $246,432 ($30,887)

Medicare Reimbursement (estimated)

($140,820) ($144,466) ($3,646)

Staffing Contribution by residents (8 hours per week each)

($45,793) ($50,752) ($4,959)

Teaching and Administrative time (salary dollars exist today)

($113,865) ($129,841) ($15,976)

Net Costs Associated with Pharmacy Practice Residency Program

($84,933) ($78,627) $6,306

Total cost and reimbursement Total Direct and Indirect Costs

$320,535 – only $92,803 new Total Reimbursed

$144,466 Percentage of Direct cost reimbursed

58.62% Percentage of Indirect cost reimbursed

45.07%

Success!!!