VA New England is leading the VHA's Primary Care initiative in the Patient Aligned Care Team (PACT) model embedded in an innovative, Whole Health oriented Primary Care Delivery System. The Clinical Pharmacy Specialist (CPS) in Primary Care is assigned in the Primary Care service line functioning as a specialist in medication therapy management. The CSP functions at the highest level of clinical practice as a provider with prescribing privileges as outlined in the scope of practice. Applicants must be fully qualified for this position by the closing date of the announcement. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Education: Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: http://www.acpe-accredit.org/.(NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) OR Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT). Licensure: Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS- 13 Clinical Pharmacy Specialist Experience: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Assignments: Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. Clinical Pharmacy Specialist: The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients. A CPS plays a defined role in budgetary execution and serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. In addition to meeting the specialized experience, selected applicant must meet the following Knowledge, Skills, and Abilities (KSA): Ability to communicate orally and in writing to persuade and influence clinical and management decisions; Expert understanding of regulatory and quality standards for their program area; Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise; Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy; and Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: PGY-2 Primary Care Residency or PGY-1 Pharmacy Practice Residency or Board of Pharmacy Specialties (Ambulatory Care, Pharmacotherapy). Comprehensive knowledge primary care clinical pharmacy practice. This level of knowledge is usually characterized by at least 1 year of experience in the primary care clinical area or advanced training/certification. Comprehensive knowledge of pharmaceutics, pharmacokinetics, pharmacodynamics, pharmacoeconomics, and pharmacotherapeutics. This level of knowledge is characterized by at least 1 year of experience in a specialized clinical area or advanced training/certification. Extensive skill in monitoring and assessing the outcome of drug therapies including physical assessment and interpretation of laboratory and other diagnostic parameters. References: VA Handbook 5005, Part II, Appendix G15, Licensed Pharmacist Qualification Standard) dated June 7, 2012. The full performance level of this vacancy is GS-13. Physical Requirements: Moderate lifting and carrying (15-44 pounds); straight pulling (1 hour); pushing (1 hour) reaching above shoulder; use of fingers; both hands required; walking (2 hours); standing (2 hours); repeated bending (2 hours); both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted). ["The Clinical Pharmacy Specialist (CPS) functions at the highest level of clinical practice, works independently under their individual scope of practice to directly care for patients. A CPS functions as a member of their assigned team(s) and serves as an advanced practice provider to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Scope of Duties: Clinical-Direct Patient Care Activities: Functions as a mid-level provider to provide comprehensive medication management in face-to-face and virtual appointments using their scope of practice with a focus on medication optimization for Veteran care. This includes, but is not limited to, disease states such as: diabetes, hypertension, heart failure, chronic obstructive pulmonary disease (COPD), pain management, substance use disorder and hyperlipidemia. Orders, performs, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Follows-up with patients on lab or test results to discuss the plan of therapy, i.e. changes in medication therapy, monitoring, and additional testing requirements. Serves as an authoritative information source on drugs and their utilization in therapy. Clinical - Indirect Patient Care Activities: Identify patients who may benefit from comprehensive Medication management through population management reports and during team huddles. Assists the Pharmacy Supervisors in the identification and development of new clinical responsibilities for Outpatient Clinical Pharmacists and in the planning to meet their staff development requirements. Performs other administrative duties as assigned by the Chief, and Associate Chief for Clinical Pharmacy Service and the Chief Medical Officer. Participates in the training and in-servicing of pharmacists, pharmacy technicians, pharmacy students, pharmacy residents, and other staff on assigned teams. Work Schedule: Monday - Friday 8:00am - 4:30pm\nTelework: Authorized; on management's discretion.\nVirtual: This is not a virtual position.\nFunctional Statement #: Clinical Pharmacy Specialist PACT/ FS00000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required\nEDRP: Authorized"]
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.