Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.
Position:Pharmacy Clinical Specialist - Hospital at Home Program
Schedule: Full-Time, Exempt
This is an exciting opportunity for a pharmacist to join Boston Medical Center, a large academic medical center, as a Clinical Specialist on a brand new Hospital at Home service scheduled to go live in April 2024. The Clinical Specialist will be the onsite pharmacy representative for the Hospital at Home program. They will be remotely integrated into the care team to provide clinical pharmacy services to a diverse patient population while taking into account the nuances of delivering care to patients in their own home. The patient population will closely resemble those on an inpatient internal medicine unit; all patients will require true inpatient level of care, but will have stable disease states that lend to keeping them in their home. The pharmacist will communicate with the care team and the patient via teleconferencing and will perform all standard aspects of inpatient pharmacy care: medication history and patient-supplied medication validation, order verification, drug therapy optimization, therapeutic drug monitoring, patient counseling, etc. As the lead pharmacist for this program, the Clinical Specialist will help shape the way pharmacy provides care for this unique patient population.
Distributive and operational responsibilities
Ensures all medications are handled in the manner established by the Formulary Management Committee, applicable accreditation standards, state and federal regulations, and the Massachusetts Board of Pharmacy.
Reviews and verifies medication orders, reviews patient charts, evaluates applicable laboratory data to identify or prevent drug-related problems or toxicity. For each medication, the pharmacist evaluates the order for appropriateness including but not limited to dose, route and frequency for clinical indication and organ function, screening for drug interactions, therapeutic duplication, allergy history, and recommending use of formulary drugs or alternative cost-effective therapy when possible.
Works closely with the central pharmacist and technicians to ensure accurate and timely acquisition, distribution and control of all medications, including investigational drugs. Collaborates with the Pharmacy Purchasing team on special medication needs.
Adheres to all protocols and policies related to controlled substances.
Supervises the activities of supportive personnel including student interns and technicians.
Uses designated pharmacy automation and/or barcoding systems to document checking of any medication or sterile product prior to dispensing.
Direct patient care
Rotates through different clinical shifts with a specific core practice area
Makes recommendations to optimize pharmacotherapy within the context of a multidisciplinary team
Provides effective transition of care needs including, but not limited to, medication reconciliation, discharge counseling, facilitating medication to bedside, and completing post-discharge telephone calls.
Prevents patient harm by promoting the safe use of medications
Identifies and reports medication-related events
Performs daily targeted interventions to decrease risk of readmission, optimize therapy, and improve medication safety
Serves as a pharmacy liaison to the BMC staff by ensuring the connectivity between clinical and distributive services.
Documents all patient care activities
Education and training
Serves as a preceptor for residents and students
Assists in the orientation and training of new pharmacists, residents, interns and technicians as assigned.
Provides timely and accurate drug information, training, and education to patients and health care providers
Collaborates on resident projects
Participates in formulary management activities (e.g. monograph preparation, medication use evaluations, etc.)
Enacts drug shortage action plans
Follows departmental policies and procedures to promote cost-effective medication use
Identifies opportunities for improvement in patient care or the medication use process
Takes an active role in the development and implementation of quality improvement projects
May serve on hospital multidisciplinary committees as assigned
Maintains own professional and specialized competency through continuing education as set forth by the Department of Pharmacy and the Massachusetts Board of Pharmacy
Conforms to Boston Medical Center's standards of conduct so that the best possible customer service and patient care experience is provided:
Conducts interpersonal relationships with patients, visitors, physicians and fellow employees in a courteous and customer friendly manner.
Takes corrective action to improve performance on problem areas.
Maintains all designated hospital information confidential at all times.
Follows established hospital infection control and safety procedures.
Utilizes hospital's behavioral standards as the basis for decision making and to support the hospital's mission and goals.
Responsible for the creation and maintenance of a healthy work environment. A healthy work environment is one where people feel supported, held accountable, where standards are applied and expectations are clear. A healthy work environment is one where leadership supports and leads, models behavioral standards and sets the example for how to do all things right. Critical responsibilities related to this:
Being engaged in the department, including managing up, owning team decisions, and communicating and supporting departmental and or organizational initiatives.
Hold self and others to the highest ethical standards, and act with honor above all.
Performs other duties as needed.
Requires a Doctorate of Pharmacy or Bachelors of Science in Pharmacy with an advanced degree, and a PGY1 pharmacy residency (or at least three years of equivalent work experience); PGY2 training in Internal Medicine or similar (e.g. cardiology, pharmacotherapy) preferred.
Certificates, Licenses, Registrations Required
Work requires a valid license to practice pharmacy in the Commonwealth of Massachusetts. MA pharmacist licensure must be complete and verified within 30 days of hire.
Board of Pharmacy Specialties certification is preferred
(As detailed in the educational section above).
Knowledge And Skills
Strong clinical knowledge pertinent to the specific practice area
Effective project management
Knowledge and application of biostatistics and improvement science
Strong interpersonal skills when interacting with patients and colleagues
Involvement in local, regional, or national professional organizations is encouraged
Proficient with Microsoft Office including Word, Excel and Outlook, and web browsers
Excellent attention to detail
Effective verbal and written communication skills; must be proficient in the English; additional language skills are beneficial
Boston Medical Center (BMC) is a private, not-for-profit, 514-bed, academic medical center located in Boston’s historic South End. BMC is the largest safety net hospital and busiest trauma and emergency services center in New England. BMC provides a fully integrated continuum of outpatient, specialty, and inpatient services, with providers in more than 70 medical specialties and subspecialties. The institution is the primary teaching affiliate for Boston University School of Medicine.