Managed Care Pharmacy Residency

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Organization Type: 
Not For Profit
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Lecture/Didactic
Independent Study
Self Reflection Activities
Experiential not including services to patients
Experiential including clinical contact with patients
Other
Other Element(s): 
Precepting students, pharmacy business applications
Program Description: 

Group Health Cooperative offers a postgraduate year one residency program in managed care pharmacy that includes a series of core of required learning experiences.  The residency offers experience in population-based care such as formulary management, pharmacy benefit management, contracted network relations, medication use management strategies, medication therapy management, prior authorization, pharmacy benefit design, and medication safety.

By working within patient-centered medical home model care delivery teams, residents also have the opportunity to develop and implement clinical practice guidelines, ensure quality and safety of medication use, and create patient-specific pharmaceutical care plans.

Upon completion of the program, residents will be prepared for specific pharmacy positions such as clinical program manager, formulary, utilization management, medication therapy management, pharmacy benefits, and clinical review.

Program outcomes include:

  • Design and implement clinical programs to enhance the efficacy of patient care
  • Ensure safety and quality of the medication use system
  • Provide medication and practice-related information, education, and/or training
  • Collaborate with plan sponsors to design effective benefit structures to service a specific population's needs
  • Exercise leadership and practice management skills
  • Demonstrate project management skills
  • Manage the drug distribution process for the organization's members
Evaluated: 
Yes
Program Results: 

This program is accredited through the American Society of Health System Pharmacists Residency programs and the practice holds patient-centered medical home recognition from the National Committee of Quality Assurance.

Targeted Professions
Pharmacy: 
Ambulatory Care
Internal Medicine
Pediatrics
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Advocacy for patient-centered integrated care
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Population-based approaches to health care delivery
Risk identification
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Health information technology, including e-communications with patients & other providers
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Business models for patient-centered integrated care
Evidence-based practice
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated November 15, 2013

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.

 

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