Clinical Pharmacist-Population Health Management Office

Duke University Hospital Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area. Inaddition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Working Hours:

• 8:00 am - 5:00 pm

 

General Description of the Job Class

The clinical pharmacists will provide innovative pharmacy services to patients served by the Population Health Management Office (PHMO). Specifically, the clinical pharmacists will assist PHMO interdisciplinary teams in preventing initial inpatient admissions, preventing hospital readmissions, and decreasing inpatient and outpatient spending. The clinical pharmacist shall serve as a resource for PHMO healthcare providers and staff.  A clinical practice may be maintained at a primary care clinic. The position also requires precepting pharmacy students and residents.

 

Duties and Responsibilities of this Level

Clinical Pharmacist Responsibilities

 

Clinical Practice:

• Participates in clinic, care management activities, and provides clinical pharmacy services and oversight for safe use of medication. This includes prescribing and monitoring of medications within the scope of practice designed collaboratively with physician colleagues. This may include, but is not limited  to:

  • Completes/Reviews medication reconciliation

  • Provides medication counseling

  • Prescribe and adjust medications as permitted through collaborative practice agreement

  • Screens for drug interactions, therapeutic duplications, omissions, etc.

  • Monitors patients  for therapeutic  and/or adverse response to medication

  • Coordinates patient  care with other outpatient or inpatient  teams

  • Ensures continuity of care and access with all medications

  • Performs home visits for high-risk/high-priority  patients

  • Serves as resource to PHMO providers, care managers, and other healthcare professionals to provide medication reviews and to assist in medication reconciliation activities for high-risk PHMO patients.

  • Assists in identifying and developing interventions for PHMO patients that are not meeting PHMO target quality measures.

  • Serves as resource to PHMO network providers and care managers to assist in addressing medication access and medication adherence challenges.

  • Refers patients to patient assistance programs as needed.

  • Proactively assesses and ensures medication adherence.

  • Serves as a resource to PHMO providers and care managers for general drug information and Medicare pharmacy policy.

  • Provides educational in-services on medication-related topics to patients, PHMO care managers and other healthcare professionals.

  • May provide discharge counseling and education for select high-risk PHMO patients, either face-to-face or telephonically.

  • Provides both direct patient care and hospital follow-up telephonic services to PHMO patients as determined with consultation with PHMO Chief Medical Officer.

  • Provides support to improve safety and to reduce risk to patients. Reports events and/or concerns to SRS system.

  • Provides oversight of cost-effective use of medications and treatments. This includes risk reduction and correct utilization of resources to optimize care.

  • Provides leadership in developing guidelines, order forms, and critical pathways to improve the care and safety of patients.

  • Provides leadership to maintain TJC accreditation standards within the realm of medication use at clinical practice site.

  • Represents specific concerns for Informat