The Clinical Pharmacist - Geriatric Patient Aligned Care Team (Geri PACT) practices in both the outpatient pharmacy and a clinical setting. They are responsible for providing pharmacy services to the outpatient Geri PACT practice setting within Geriatric and Extended Care (GEC) Service and other PACT teams and specialty care services. They are responsible for a major area of interest and practice in the outpatient PACT setting as an integral member of multidisciplinary teams. Duties include, but are not limited to: Clinical: Provides patient-centered care, and provision of drug information service to the outpatient Geri PACT, PACT clinics, and to other areas as requested. Applies evidence-based pharmacotherapeutics and appropriate guideline criteria (e.g. Beers Criteria) to optimize and ensure prescribing of safe and effective medication regimens in the geriatric population. Serves as a consultant for geriatric pharmacotherapeutic related issues. Provides pharmaceutical services to focus on therapeutic drug monitoring. Evaluates the risk-benefit ratio of therapeutic alternatives. Develops and analyzes medication regimens to ensure the most effective, least toxic, and most cost effective treatment plan. Performs in depth, patient-specific medication reconciliation to maximize safe and effective treatment, to reduce polypharmacy, and to improve Veteran adherence. Participates in the Adverse Drug Reaction (ADR) reporting program and reports medication errors to ensure Veteran safety. Recognizes adverse drug reactions to medications, and makes appropriate changes in therapy. Communicates, adjudicates, and completes formulary changes, drug safety alerts, drug shortages, and drug conversion plans made by the National Pharmacy Benefits Management group, Pharmacy, Nutrition, and Therapeutics Committee, and Pharmacy Service leaders. Provides dosing recommendations including pharmacokinetic dosing, based on age, renal or hepatic dosing, as well as, usual recommended starting doses, titrations, and maximum dosing. Understands pharmacokinetic and pharmacodynamics differences in various patient populations especially geriatric Veterans. Documents clinical pharmacy interventions and recommendations in the computerized medical record via an electronic progress note, pharmacy profile, or consult section and completes encounters to ensure workload capture. Assists in development of outcome monitoring parameters to assess the impact of clinical pharmacy services and for quality improvement. Reviews, interprets, and verifies medication orders for appropriateness. Serves as subject matter expert for oncology medication selection and adjudicates oncology Prior Authorization Drug Requests (PADR's). Education: Provides education and in-services in the area of geriatric medicine, pharmacotherapy and related subjects to providers, nursing, pharmacy staff, and other health care professionals as appropriate. Works directly with patients, families, and caregivers to provide medication and disease state education necessary to achieve the desired outcomes; education and communication are on-going and continue throughout the care of the patient to help assure that the care plan is achieved. Provides medication counseling to educate and verify a patient's understanding of a medication indication, proper use, expected medication outcomes, and how to obtain refills; performs medication reconciliation to ensure an updated medication profile. Conducts comprehensive medication counseling and education for Veteran patients and family members on complicated medication regimens or for those having difficulty with their medication regimens. Administrative: Attends team meetings, conferences, and other activities as required for the purpose of making recommendations and providing consultation in geriatric and primary care medication related matters. Collaborates with Clinical Pharmacy Specialists on a daily basis to complete clinical activities, maintain continuity of care with patients and staff, and ensure clinic coverage. Works with multidisciplinary teams to develop, implement, evaluate, and update geriatric CPRS order sets, menus, and quick orders to promote best practice care. Promotes Pharmacy Clinical Services philosophy of multidisciplinary teamwork and customer service. Encourages pharmacy activities that support the pharmacy mission. Collaborates with pharmacy supervisors, leadership, and staff to develop processes for more efficient prescription processing and formulary management within pharmacy service and specialty areas of practice. Research: Assists medical staff in developing, conducting, and presenting the results of medication use evaluations and outcome measures related to geriatric clinical programs. Fosters and assists with the development and implementation of pharmacy based, Veteran-centric research studies. Provides investigational drug information to medical, nursing, and other professional staff and investigational drug counseling to Veteran patients when appropriate. Work Schedule: 8AM - 4:30PM, Monday - Friday, occasional Saturdays and Holidays. Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Pharmacist (Geriatric PACT)/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.