New service with 4+ year history of concept build and work force requests. Concept proven with resident rotations, as well as ASHP Pharmacy Leadership Institute project.
Daily responsibilities will include, but are not limited to the following: medication histories/reconciliation, enrolling patients in Meds-2-Beds, discharge counseling, working with healthcare team when financial barriers are identified (PA, formulary changes, patient assistance, etc.), and discharge follow up for identified patients. Additional responsibilities will include precepting residents (PGY1 and PGY2) and students, committee/PI work, staff education, etc.
The typical day for this service includes patient engagement as directed by program goals and strategies, precepting pharmacy residents and students, and maintaining relationships with Norton community pharmacies and Norton Specialty Pharmacy to solve problems and overcome barriers. TOC pharmacists can expect to develop rapport with a wide range of prescribers, including inpatient and ambulatory providers (NMG), as well as care management personnel.
Target Populations: High risk patients meeting pre-specified criteria will be identified by a TOC patient list within EMR. This list will assist in prioritizing patients based on score. Examples of criteria that may pull a patient to this list include: 1) 30 day readmission risk; 2) number of pre-admission medications (polypharmacy); 3) specific inpatient/outpatient high risk or specialty medications; 4) chronic disease states/co-morbidities; 5) lab or test results linked to chronic diseases that benefit from pharmacist involvement/oversight.
The TOC program will work to continually optimize technology and the electronic medical record to better identify patients, as well as to effectively and efficiently communicate with providers and patients. This will be an evolutionary process.
Prescription Capture (utilizing Meds to Beds)
Revenue from prescription capture
Readmission rates for those patients receiving TOC services
Reporting/Schedule: The TOC pharmacists will report to Clinical Manager, with ultimate responsibility to Adult Clinical Director. TOC schedule will consist of 5 days/week (8.5 hour shifts) with every 3rd weekend.
Laptop and office space will be provided
Transitions of Care Clinical Pharmacy Specialists will ideally possess PGY2 training in ambulatory care or internal medicine or minimally PGY1 training with at least 1-year experience in transition of care services or ambulatory care services. Candidates should have a strong clinical knowledge of chronic disease state management; excellent patient interview and counseling skills; flexibility; be self-motivated; ability to build relationships with members of the healthcare team (providers, nurses, care managers, pharmacists, etc); and knowledge of community and specialty pharmacy workflows.
About Norton Healthcare
For more than 130 years, Norton Healthcare’s faith heritage has guided its mission to provide quality health care to all those it serves. Today, Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The hospital and health care system is Louisville’s fourth largest employer, providing care at more than 250 locations throughout Kentucky and Southern Indiana. The Louisville-based not-for-profit system includes five Louisville hospitals with 1,837 licensed beds; seven outpatient centers; 14 Norton Immediate Care Centers; more than 14,600 employees; nearly 1,000 employed medical providers; and approximately 2,000 total physicians on its medical staff. Hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. In 2018 Norton Healthcare was named by Healthiest Employers as the fourth healthiest place to work in the country. More information about Norton Healthcare is available at NortonHealthcare.com.