The health-system pharmacy administration and leadership combined PGY1/PGY2 program encompasses a 24-month experience that combines rotational and longitudinal experience in pharmacy practice, management, and administration, as well as team oversight and staffing experiences.
We are excited to announce that our combined PGY1/2 Health-System Pharmacy Administration and Leadership (HSPAL) program will now be offering an MS in Healthcare Administration (MHA) from Northwestern University starting in 2024. At NMH, we seek to create well-rounded leaders and an MHA compliments your experiences in pharmacy leadership with courses and networking opportunities focused on the healthcare system as a whole. This program will run over the two years of your residency
The rotation and entrance requirements for the HSPAL PGY1 will be the same as the traditional NMH PGY1 program, but include more administration-focused electives. This will allow the resident to get an exceptional PGY1 experience while jumpstarting their HSPAL PGY2. Please refer to the Postgraduate Year One Residency Program information page for full details on requirements and PGY1 program components.
The resident will have the opportunity to learn from multiple departmental leaders at Northwestern Memorial Hospital. Learning experiences may include but are not limited to:
Inpatient pharmacy operations
Ambulatory pharmacy operations
Finance and resource management
Clinical practice management
Oncology pharmacy management
Technician and union employee management
Specialty pharmacy management
Investigational Drug Services
Required PGY2 Rotations
Finance and Resource Management
Health System Leadership
Recruitment and Human Resources
Medication Safety and Drug Policy (longitudinal)
Pharmacy Practice (longitudinal)
Practice Management (longitudinal)
Specialty Pharmacy Administration*
*If not completed as part of PGY1 residency year
Additional PGY2 Activities
Participation in a longitudinal research project, which will be presented at a national or regional meeting
Participation in noon conference held throughout the year
Precepting PGY1 residents and students on administrative rotations throughout the year
Actively participating in a Pharmacy and Therapeutics subcommittee
Participating in a local or national pharmacy organization outside of Northwestern Memorial Hospital such as Vizient, Illinois Council of Health-System Pharmacists, or ASHP
Managing a service line, group of pharmacy department employees, or work group
Participation in weekday and weekend administration on-call duties
Attend regional and national pharmacy conferences throughout the year in addition to the ASHP Midyear Clinical Meeting
PGY2 Staffing Component
Every third weekend, Saturday and Sunday plus one winter holiday (Thanksgiving, Christmas, or New Year’s) and one summer holiday (Memorial Day, 4th of July, or Labor Day). The area of staffing will be determined based on resident experience and opportunity/availability.
Pharmacy Department’s Mission
The department's mission statement, goals and objectives are complimentary to the hospital’s goals.
To deliver the safest, highest quality, most effective and efficient patient care while developing the best people, advancing research, and integrating pharmacy services to successfully coordinate care across the Northwestern Medicine enterprise.
Department of Pharmacy Scope of Patient Care Services
The Department of Pharmacy is an integrated department with a centralized structure that provides service to all patients requiring medication therapy, regardless of diagnosis or acuity within the NM Health System. All services are conducted in accordance with accepted ethical and professional standards of practice and meet all legal requirements.
Pharmacist patient care services are provided to all patients in the NM Health System who receive medications. Pharmacists provide collaborative and interdisciplinary care in a cost-effective, evidence-based manner to improve patient outcomes. Clinical pharmacists bring extensive knowledge and experience to teams within the specialties of Solid Organ Transplantation, Internal M...edicine, Hematology/Oncology, Bone Marrow Transplant, Emergency Medicine, Critical Care, Infectious Diseases, Psychiatry, Nutrition, Cardiology, Anticoagulation, Specialty Pharmacy, as well as Ambulatory Care services.
Upon admission, a pharmacist reviews each patient’s medical record and ascertains an accurate admission medication history through interviewing the patient or caregiver, or consulting other resources as necessary to obtain accurate, up-to-date information. All new medication orders are reviewed for appropriateness by a pharmacist to determine the presence of medication therapy problems in a patient’s current medication therapy. Pharmaceutical needs of the patient are reassessed on an as-needed basis as the patient's condition changes. Ongoing assessment of the individual patient’s needs through patient interviews, participation on medical rounds, review of the electronic medical record, review of medication profiles and laboratory data, and consultation with team members ensures optimum medication therapy is prescribed. In addition, pharmacists coordinate the ordering, timing, and evaluation of serum drug concentrations, adjust doses for altered renal function, intermittent dialysis, and continuous renal replacement therapy, convert routes of medication administration, modify therapy to standardized doses as needed, and provide recommendations for pharmacokinetic follow-up for appropriate drugs. Pharmacists direct appropriate medication use and administration through the development and maintenance of guidelines, protocols, and other references for clinical personnel. Pharmacists initiate (prescribe) drug therapy regimens as authorized by protocols, including the ordering of laboratory tests to monitor drug therapy for safety and efficacy. Pharmacists also adjust medication start times to reflect appropriate continuity of care based upon medication history information obtained from the patient or other sources. Patient progress and recommendations regarding medication use are communicated to the primary provider and documented in pharmacy monitoring notes and in progress notes in the permanent medical record. Pharmacists provide education to patients and their representatives as deemed necessary for new medication starts and upon discharge. Pharmacists assist in the monitoring, prevention, reporting and coordination of performance improvement activities across the continuum of care. Pharmacists especially provide oversight for adverse drug events, drug interactions, and medication errors. Pharmacists develop, maintain, monitor, and enforce medication use policies, guidelines, and formulary restrictions in order to decrease variability, improve quality, and decrease cost. Pharmacists assist in optimizing the use of automation and information technology to further enable the development of the professional role of the pharmacist and the clinical services they provide by promoting the efficient use of healthcare resources.
Center for Medication Use Policy (CMUP) is involved in medication management efforts by supporting the Pharmacy and Therapeutics (P&T) committees, managing the Formulary, and participating in therapeutic protocol development and medication use evaluations. The CMUP team provides drug information support to the pharmacy department and other NM staff.
The Department of Pharmacy ensures that medications ordered for patients are available and packaged in a ready-to-administer form. In addition to dispensing unit dose medications, they also compound IV solutions and repackage medications that are not available in unit dose packaging. Satellite pharmacies are located in strategic locations to ensure proximal access to patient care areas. Two central pharmacies are open 24 hours per day 365 days a year.
Policy and Guideline Development
Medication use policies, treatment guidelines, and target drug monitoring programs are continuously developed, updated and implemented to ensure that medication use is safe, efficacious, and cost effective. The Department of Pharmacy provides background information, data, and recommendations to the System Pharmacy and Therapeutics (P&T) Committee and its subcommittees to support the development of guidelines and policies.
Information Technology and Finance
The Department of Pharmacy is responsible for multiple financial aspects of medication management including the contracting, purchasing, billing, budgeting and inventory management of drugs. Our informatics pharmacists play a vital role in the implementation, revision and ongoing maintenance of information technology to manage the medication use process. The Department assumes responsibility for the medication content within information systems and many of the clinical and decision support applications. Automated equipment used to dispense medications is managed by the Pharmacy as well. Clinical content of systems used to administer medications such as bedside bar-coding systems and smart pumps are developed and maintained by the informatics team as well.
Education and Research
Our department maintains American Society of Health-System Pharmacists (ASHP) accredited PGY-1 and PGY-2 pharmacy residency programs. We currently have 11 PGY-1 residents and 12 PGY-2 residents in programs including Infectious Diseases, Critical Care, Cardiology, Solid Organ Transplantation, Oncology, Ambulatory Care, Emergency Medicine, Medication-Use Safety & Policy, and Health System Pharmacy Administration. We are currently contracted with area colleges of pharmacy and accept students at various levels in their pharmacy education for experiential education. Trainees and pharmacy staff also conduct research that investigates various aspects of the medication use process and clinical outcomes, either in conjunction with other providers or through the Institution Review Board at Northwestern University. Investigational drug pharmacies and pharmacists manage all investigational drugs utilized at NM Health system.
Numerous accredited CE programs are offered to pharmacy staff throughout the year. In addition, formal and informal education is provided by our pharmacists and trainees to medical students, hospitalists, physician assistants, nurse practitioners, nurses, and medical residents.