Clinical Pharmacists assume responsibility and accountability for the provision of safe, effective, and prompt medication therapy. Clinical Pharmacists proficiently provide direct patient-centered care and integrated pharmacy operational services in a decentralized practice setting with physicians, nurses, and other hospital personnel to deliver optimal medication therapy to patients with a broad range of disease states. These clinicians are aligned with target interdisciplinary programs and specialty services to deliver medication therapy management within specialty patient care services and to ensure pharmaceutical care programs are appropriately integrated throughout the institution. Pharmaceutical care services include but are not limited to assessing patient needs, incorporating age and disease specific characteristics into drug therapy and patient education, adjusting care according to patient response, and providing clinical interventions to detect, mitigate, and prevent medication adverse events. Clinical Pharmacists serve as a departmental resources and liaisons to other departments, hospital personnel, or external groups. They proficiently manage and facilitate the appropriate use of medications according to professional and regulatory standards. They also conduct clinical research and practice advancement projects as well as patient care quality and regulatory compliance initiatives designed to improve medication-use processes or pharmacy practice. Clinical Pharmacists provide medication and practice-related education/training and actively serve as preceptors for pharmacy residents and Doctor of Pharmacy students.
PRINCIPAL DUTIES AND RESPONSIBILITIES
The following are essential job functions for Clinical Pharmacists:
Leads assigned patient service lines, clinical areas, and therapeutic programs (10%)
Facilitates pharmaceutical care services, direct patient care programs, medication utilization systems within assigned services and care areas to assure drug utilization activities are aligned with patient care needs, evidence-based best practices, and regulatory standards
Designs and implements new pharmacy programs, quality improvement changes, and continuous quality assurance initiatives to advance the organization’s medication-use systems and promote optimal patient outcomes
Designs and implements stewardship activities and restriction/surveillance programs
Tracks and evaluates assigned pharmacy programs for operational, quality, and financial efficiency and routinely benchmarks against local and national best practices
Actively identifies and reports short- and long-term obstacles to patient care and medication safety, regulatory compliance, or stewardship or resources
Develops and oversees policies and procedures for drug purchasing, drug usage, drug distribution, and drug control
Provides departmental and institutional leadership for medical staff committees/meetings, hospital group/task forces, and approved external programs/organizations
Assures pharmacy is an integral part of the health-care delivery system and facilitates enhancement and expansion of pharmacy services/programs
Delivers direct patient-care and clinical practice, including decentralized and service-based programs (25%)
Maintains proficiency in decentralized pharmacy services and clinical pharmacy programs
Places practice priority on the delivery of patient-centered care
Works as an active member of multidisciplinary team and collaborates with healthcare providers within decentralized patient care areas
Proficiently maintains patient information and efficiently interprets patients’ health care needs including patient problem lists and prioritized pharmacist interventions
Collects and documents accurate patient medication histories and reconcile discrepancies versus orders
Identifies high-risk patients and implements interventions to improve quality and safety
Makes appropriate evidence-based, patient-centered medication recommendations
Implements, evaluates, and redesigns pharmaceutical care plans based on patient progress and evolving goals for medication usage, including drug dosing, monitoring (including nutritional support, pharmacokinetic monitoring, and anticoagulation therapy, etc.)
Provides written documentation in the patient’s medical record when requested or directed
Participates in the management of medical emergencies. Obtains and maintains ACLS certification and/or PALS
Provides discharge medication review, reconciliation, and counseling as appropriate to help with the transition of care
Provides evidence-based medication education to physicians, nurses, and other professionals
Educates patients regarding safe and effective use of medications, possible medication side effects, and the role of prescribed medications in the overall therapeutic care plan
Provides pharmaceutical services throughout the hospital (25%)
Maintains proficiency in hospital computer systems and medication ordering systems
Provides accurate, safe, timely, and appropriate medication therapy based on patient age and needs
Assures timely medication dispensing and accurate medication availability on patient care areas
Interprets, evaluates, and accurately processes medication orders
Identifies, mitigates, prevents, and documents problems with medication orders or therapeutic regimens, including medication errors or adverse drug reactions
Completes critical patient monitoring and reviews patient profile/chart to identify, prevent, or mitigate drug-related problems, improper drug or dose selection, subtherapeutic dosage, over dosage, adverse drug reactions, drug interactions, failure to receive drugs, untreated indications, medication use without an indication, and treatment failures
Communicates effectively and appropriately with health care providers and caregivers (physicians, nurses, etc.) and assures continuity of pharmaceutical care between shifts and among staff
Provides timely, comprehensive, and appropriate drug information to patients and health care providers
Promote the use of the formulary by converting non-formulary medications to formulary agents when possible, evaluate appropriateness of non-formulary medication requests, and support procurement of non-formulary drugs when necessary.
Actively participates in stewardship activities and restricted medication programs
Follows established standard work parameters and maintains standard work environments
Documents pharmacist interventions
Participates in pharmacy operations and medication dispensing (10%)
Maintains proficiency in and actively engages in operational programs, central dispensing pharmacies, satellite dispensing pharmacies, and specialty pharmacy areas as appropriate for job assignment
Facilitates specialty medication procurement, ordering, and dispensing procedures including but not limited to chemotherapy, parenteral nutrition, controlled substances, etc., as appropriate for assignment
Effectively and efficiently utilizes pharmacy automation and supportive technology
Oversees pharmacy operations and technician practice/activities
Facilitates experiential education and practice advancement (25%)
Maintains proficiency in the four preceptor roles and actively emulates education/mentorship skills
Serves as a preceptor/educator for MGH pharmacy residency and student experiential education programs, including maintaining training and experience in pharmacy practice areas appropriate for teaching assignments
Develops student, resident, and staff training experiences/competencies and creates new relationships for teaching and training opportunities
Identifies, designs, and implements improvements in the medication-use system to advance patient safety, maximize therapeutic outcomes, or control costs
Represents the department at hospital meetings, committees, and events as requested
Identify, design, implement, and assess the impact of a practice related project using effective project management skills
Performs other duties as assigned (5%)
Maintain a sustained record of contribution to the total body of knowledge in pharmacy practice through presentations, publications, and professional affiliation activities.
Present poster or platform presentations at state or national forums at least every 24 months.
Submit material worthy for publishing in a peer-reviewed journal at least every 24 months.
Participate as a formal reviewer for a peer-reviewed medical or pharmacy journal.
In addition to the responsibilities as stated above, must also:
Promote excellent customer service by assisting patients, co-workers, medical staff, and other health care providers resolve expressed concerns, demonstrating a welcoming and helpful attitude, and responding in a positive, professional, and courteous manner. Identify customer (patient and health care provider) requirements, both actual and anticipated, and maintain active personal contact and rapport with potential and actual customers. Maintain up-to-date knowledge of contemporary hospital practice and clinical service; trends and innovations in pharmacy leadership; and updates in traditional therapeutics, professional practice standards, or health care regulatory requirements. Maintain a specialized evidence-based knowledge of drug and drug therapy by reviewing relevant professional journals and suggested readings. Participate actively in Department of Pharmacy meetings (attendance and presentation expectations per policy). Demonstrate personal leadership qualities and business acumen essential to operate effectively within the institution and advance the profession and practice of pharmacy.
Clinical Pharmacists report directly to a manager or director within the Department of Pharmacy and work collaboratively with administrative staff, pharmacist staff, and technical staff to support department initiatives.
Clinical Pharmacists have frequent interactions with physicians, nurses, other members of the health care team, students, residents, and external professional groups.
Clinical Pharmacists supervise all support staff (e.g. pharmacy technicians) as needed during the normal course of the work day.
SKILLS & COMPETENCIES REQUIRED:
Knowledge of contemporary hospital/clinical practice and service
Knowledge and understanding of general hospital operations and regulatory compliance.
Strong written and verbal communication skills.
Ability to interact constructively with supervisors, peers, and support personnel.
Ability to integrate clinical and distributive pharmacy services with quality improvement, teaching, research, and professional development activities.
Significant general clinical knowledge and expertise in traditional therapeutics and patient centered care.
Significant knowledge and expertise in advanced pharmacy practice, specialty medication therapy management, and specialty evidence-based medicine in area appropriate for clinical assignments.
Strong teaching and precepting skills and expertise in experiential training.
Completion of ASHP accredited PGY1 Pharmacy Residency required and PGY2 Pediatric Pharmacy Residency preferred.
Clinical pharmacy experience (2-4 years) in a hospital setting preferred (required if no PGY2 residency).
Exceptional aptitude or knowledge may be considered in lieu of experience. Extensive clinical experience and development may be considered in lieu of formal training.
About Massachusetts General Hospital
Founded in 1811, Massachusetts General Hospital (MGH) is a 1,035 bed academic medical center, the third oldest general hospital in the US, a teaching hospital of Harvard Medical School, and conducts the largest hospital-based research program in the country. Mass General has consistently placed among the top hospitals on the U.S. News & World Report Best Hospitals Honor Roll since the survey began in 1990. In 2019, Mass General was named No. 2 in the nation based on our quality of care, patient safety and reputation in 16 clinical specialties. In 2018, Mass General was also re-designated a Magnet hospital, the highest honor for nursing excellence awarded by the American Nurses Credentialing Center.