Ensures appropriate, cost-effective drug utilization and pharmaceutical care while maintaining and enhancing patient care as an interdisciplinary team member in support of patients, providers, and ancillary staff.  Provides members with continuous medication treatment where appropriate per authorization or utilizing authorized protocols supplied by software vendors built in the electronic medical record or authorized KPHI clinical pharmacy protocols.

• Provides pharmaceutical care services for defined high risk patient populations.


• Ensures continuity of pharmaceutical care and optimal utilization of resources to and from acute and ambulatory patient-care settings.  


• Recommends and/or reviews laboratory tests to assess patient response to drug therapy.  


• Identifies medication therapy problems as appropriate.  


• Analyzes requestors drug information need.  


• Employs systematic, efficient, and thorough procedure for retrieving drug information.


• Follows up consistently on drug information recommendations and assesses effectiveness.  


• Performs drug regimen reviews for members as warranted.  


• Assesses patients where necessary and communicates information to physician.


• Provides direct oversight for functions and activities of support personnel to assure responsibilities are performed in accordance with scope of practice and applicable procedures. 


• Adapts effective strategies for communicating with non-English speaking patients or those who are otherwise impaired (e.g., blind, deaf, cognitively impaired, illiterate).


• Designs and recommends pharmacotherapeutic regimens and corresponding monitoring plans to prescribers in way that is systematic, logical, and secures consensus from prescriber and patient.


• Monitors data and modifies pharmacotherapeutic plans as necessary. 


• Documents pharmaceutical care activities in patients' medical records or clinical information system.


• Participates, as appropriate, in development and/or implementation of regional drug initiatives or other formulary management activities.


• Participates in establishing disease state management protocols in coordination with HPMG physicians, Clinic Nursing, and the Pharmacy and Therapeutics committee. 


• Collaborates with inpatient/outpatient pharmacist or established Regional disease management program(s) for follow-up with high-risk discharges. 


• As needed, participates in designing, reviewing, monitoring, or researching clinical drug trials.


• Designs effective medication-use education for patients and caregivers.


• Provides one-on-one counseling to patients and caregivers, including information on drug therapy, adverse effects, compliance, appropriate use, and handling.


• Provides patient-specific verbal or written consultations, including pharmacotherapy and pharmacokinetic, to healthcare practitioners. 


• May perform limited physical examinations, such as blood pressure and glucose measurement, for the purpose of providing medication management services.


• Participates in monitoring and improving relevant outcome measures and/or quality improvement (QI) indicators.


• Defines QI processes. 


• Develops measures to monitor, assures safety and appropriateness.


• Participates in Regional medication management and formulary education programs to promote appropriate, cost-effective prescribing. 


• Participates in task forces, lecture programs and skills certification for patients, providers, pharmacy staff, and support staff at departmental, Regional, national, and international levels as warranted. 


• Establishes relationships with physicians and facility leaders to successfully partner on drug therapy issues.  


• Balances cost and quality issues.


• Participates in didactic or clerkship education of pharmacy students, and/or serves as preceptor of residents as warranted.