The Clinical Pharmacy Specialist in PACT provides comprehensive medication management optimizing medication therapy, & promoting health & disease prevention to Veterans. Has credentials required for approval of Scope of Practice with prescribing authority by the PSB. Serves as an advanced practice provider practitioner under a scope of practice functioning to initiate, modify or discontinue medication therapy. Serves as a consultant for intensive medication therapy management. 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: (1) 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. (2) 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. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Grade Determinations: GS 13, In addition to meeting the basic requirements for employment you must also meet the following: Experience: one year of experience as a Licensed Clinical Pharmacist (equivalent to at least the GS12 level or pay band in the Federal service) that includes performing the following duties: reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record to identify and solve medication-related problems; contacting providers as appropriate; documenting recommendations and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. Demonstrated Knowledge, Skills, and Abilities: Knowledge of professional pharmacy practice. Ability to communicate orally and in writing to both patients and health care staff. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred experience: Completion of an ASHP accredited PGY-1 Pharmacy residency with additional training (PGY-2) or direct patient care experience functioning under an independent scope of practice providing comprehensive medication management. Preferred credentials include relevant Board of Pharmaceutical Specialties certification, CDE, or BC-ADM. References: VA Handbook 5005/55 Part II Appendix G15 dated June 7, 2012 Licensed Pharmacist Qualification Standard The full performance level of this vacancy is GS-13. Physical Requirements: The work requires regular and recurring physical exertion, involving standing or sitting for prolonged periods of time, typing, walking distances within the medical center, lifting/carrying (up to 40 pounds) of pharmaceutical supplies, and bending/stooping/stretching. ["Medication therapy management: Initiate, modify and monitor pharmaceutical care plans pertaining to medical conditions managed in the primary care setting. Assess the appropriateness and effectiveness of patients' medication regimens by reviewing medical records, other interdisciplinary communications and interviewing/examining the patients as appropriate. This includes assessment of patient presentation of signs, symptoms, laboratory test findings and diagnoses. Therapeutic drug regimens take a risk versus benefit and cost versus benefit and patient-centered approach. Evaluation and management of medication-related issues will be provided in a timely fashion, and be based on published treatment guidelines, evidence-based medicine, patient factors, and formulary issues and follow sound medical and pharmaceutical practices. Medication therapy management and management drug therapy-related issues may be carried out by the following actions by the CPS: Makes direct changes to medication regimen (eg. Medication initiation, dose adjustment and deletions. Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of physical and laboratory parameters. Orders lab tests as necessary to monitor regimen. Recommendations to responsible provider for adjustments to the medication regimen. Referral back to provider or consult request to appropriate specialist when conditions necessitate and are outside the scope for the CPS. Education to patients and/or caregiver regarding patients' medical conditions and on proper use and care of their medications. The medication treatment plan and therapeutic endpoints will be communicated with the PCP. Provide direct patient care via telephone, VA video Connect (VVC), and face-to-face encounters. Serves as a consultant to other providers for intensive medication therapy management services. Provides general educational programs for staff and patient-specific evaluation and recommendations. Recommended therapeutic drug regimens take a risk versus benefit, cost versus benefit and patient-centered approach. Requests for assistance regarding medication-related issues will be provided in a timely fashion and be based on published treatment guidelines, evidence-based medicine, patient factors, and formulary issues and follow sound medical and pharmaceutical practices. Appropriately documents in the patient's medical record, including medication history, physical examination, and ongoing patient specific monitoring of therapy. Conducts in-service education programs for physicians, nursing, pharmacy staff and others as assigned. The incumbent is responsible for providing the medical center's staff with accurate, comprehensive information about drugs and their use. Educates and trains other health care disciplines (e.g., housestaff, nurses, dietetics) on the safe, rational, and cost-effective use of medications. Participates in the training of pharmacy residents and students. Maintains and improves professional competency by keeping up with information on new drugs, new drug therapies, and innovations in pharmacy practice and must demonstrate the knowledge and skills necessary to provide care appropriate for the area of practice specialty. Assists Pharmacy and Primary Care Services in accomplishing the facility's mission and goals as related to the provision of pharmaceutical care. Contributes to medical center committees when assigned to provide thoroughly investigated, unbiased, well-documented drug information. Contributes to the development and implementation of Pharmacy or medical center policies to improve drug usage and patient outcomes. Participates in scholarly and QM activities to improve safe and effective medication use and clinical pharmacy functions. Interacts with the internal/external customers in a manner that proactively enhances customer service and satisfaction. Advocates and reinforces the importance and value of customer service. Exhibits courtesy, tact, cooperation and respect for veterans, their families, visitors, and other staff at all times. Responsible for physical security of the pharmacy and assuring that all aspects of drug control, drug accountability, and drug security are maximized and are in accordance with local medical center policies and other applicable VA, DEA, State, and Federal regulations. Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy, and VHA policy. Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Work Schedule: Monday-Friday 8:00am-4:30pm\nTelework: Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial 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.