The primary responsibility of the Anticoagulation Supervisor is to assume responsibility for the administration and operations of anticoagulation management services at the VA Portland Health Care System (VAPORHCS), encompassing inpatient and outpatient services. The primary responsibility of the Anticoagulation Supervisor is to assume responsibility for the administration and operations of anticoagulation management services at VAPORHCS, encompassing inpatient and outpatient services as outlined in VHA Directive 1033. This pharmacist oversees the daily work of anticoagulation clinical pharmacy staff, participates in all Pharmacy Service activities including clinically oriented programs, regulatory and quality assurance activities, and coordinates all functions and activities within the section to ensure they coincide with other sections and the overall goals and mission of Pharmacy Service. The supervisor responsibilities include integration of pharmacy services with all outpatient and inpatient divisions including but not limited to primary care, mental health, specialty services, community care and coordinate the facility Anticoagulation management services. In addition, the position is responsible for the management of the facility Anticoagulation Program. Duties will include, but are limited to: Program Management/Administrative a. Serves as a leader and subject matter expert in the oversight, design, implementation, and function of the anticoagulation management program. b. Develops facility policy related to use of anticoagulants. This encompasses policies to govern practice within the anticoagulation management program but may also include policies relating to the use of anticoagulants in other areas, i.e. surgical or specialty areas. c. Promotes learning and unified practice for the anticoagulation management program through activities such as education initiatives, regular staff meetings, and journal clubs. d. Develops quality assurance criteria, monitors and evaluates quality of anticoagulation care provided by VAPORHCS and reports results to appropriate facility governing body, i.e. Pharmacy and Therapeutics Committee. e. Responsible for supervision and management of VAPORHCS Anticoagulation Clinic staff which includes scheduling, reviewing consults, providing patient care, and assuring appropriate coverage for the clinic. f. Ensures compliance of the Anticoagulation Management Program with all regulatory and accrediting body requirements, i.e. The Joint Commission, FDA, ASHP, DEA, OIG, etc. Clinical a. Maintaining a clinical practice is expected in order to sustain proficiency of clinical skills. The incumbent will be responsible for managing a clinical practice within area of expertise which might include reviewing consults, providing direct patient care, and assuring coverage for the clinical services when on leave. b. As a provider in area of clinical practice expertise, evaluates patients and monitors response to drug therapy. Makes changes in drug therapy within scope of practice as needed depending on assessment of appropriate laboratory and clinical monitors. Also recommends patients for referral, when presenting with other medical signs and symptoms, to appropriate clinic and/or provider. Educates patients on their drug therapy with respect to compliance and dietary restrictions, heightening awareness of toxicity and interactions with other medications. c. Responsible for the review of medication regimens within area of clinical practice and notifying providers of any findings that might require action that include but are not limited to: i. Misuse of medication, i.e., abuse, overuse, or underuse ii. Inappropriate dose, dose interval, or dosage form iii. Drug and/or pharmacologic duplication iv. Adverse drug-drug, drug-lab, or drug-food interactions v. Adverse drug reactions vi. Suboptimal response vii. Suboptimal therapeutic regimen d. Initiates alternative drug therapies designed to reduce cost of medications while still ensuring optimal therapeutic response. Education a. Coordinates the facility education program for clinical staff directly involved in caring for patients receiving anticoagulation therapy, i.e. clinical pharmacists, clinical pharmacy specialists, pharmacy technicians, registered dietitians, nurses, APRNs, physician assistants, and physicians. b. Proactively provides ongoing communication related to the pharmacy programs under their supervision to professional staff via P&T meetings, Medical Staff Meetings, Pharmacy Staff Meetings and individualized meetings as appropriate. c. Maintain competency in best practice, medication management, and other areas related to the clinical area of supervision. d. Supports Chief of Pharmacy and Chief of Staff in aligning VA providers to support organizational stewardship. Work Schedule: Mon-Fri- 8:00AM-4:30PM This position is eligible for partial telework with an anticipated requirement of on-site work one day every one to two weeks. This position is not remote work eligible, so the employee must reside in the Portland area. 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.