Transitions of Care Pharmacy Team Lead

• Aug 2014 - Present

• Assess therapy plans for 1,600+ patients yearly for diagnoses related to CMS Readmission Reduction Program, identifying acute and chronic medications for guideline-based therapy and patients with high risk for readmission based on LACE and Charleson scores.• Coordinate care plans with inpatient and outpatient physicians, nurses, case managers, respiratory therapists, and other pharmacies.• Ensure patients and caregivers receive relevant diagnosis and discharge education via interdisciplinary counseling.• Recommend therapeutic interchange for high-cost medications (i.e., antibiotics and anticoagulants) to decrease length of stay and/or risk of readmission due to medication non-adherence.• Refer patients to population health resources regarding social determinants of health.• Establish and coordinate Providence St. Mary admission medication History program to serve 5,000 patients per year, managing three medication history technicians, establishing medication information sharing protocols, and developing training. Show less

Medical, Surgery, Obstetrics, and ICU Clinical Pharmacist

• Jul 2014 - Present

• Review 30 to 50 patient profiles per shift to monitor change in lab values, vital signs, renal function, hepatic function, nutrition status, and mental status to evaluate medications based on patient state (dosage, routes, durations, and possible alternatives).• Provide clinical interventions, such as dosage adjustments, formulary adjustments, change in formulation of medication (IV/PO), escalation of therapy, discontinuation of therapy to decrease medication costs and length of stay and improve patient experience.• Serve as a clinical resource and consultant, interfacing with providers and making evidence-based recommendations regarding medication therapies, dose antibiotics, anticoagulation, and other therapies.• Oversee up to four pharmacy technicians in sterile IV compounding drug preparation via PharmacyKeeper medication system.• Input medication-related errors and near misses into Datix error reporting system.• Mix IV additive solutions using aseptic technique and standard compounding practices per USP 797 and USP 800 guidelines.• Support cancer center pharmacists in assessing chemotherapy plans for correct drugs and dosages based on patient parameters. Show less

Southeast Washington Population Health Supporting Pharmacist

• May 2020 - Present

• Assess readmission data in a multidisciplinary team, resulting in six improved services and decreasing in readmissions in heart failure, pneumonia, chronic obstructive pulmonary disease, acute myocardial infarction, and total joint replacement.• Facilitate monthly meetings with local heart failure nurse navigator, heart failure nurse practitioner, cardiology practice manager, and regional STEMI telemedicine program coordinator, decreasing heart failure exacerbation in readmission O/E from >1 to <1.• Support implementation of heart failure remote patient monitoring program with an expected enrollment of 25 patients. Show less

Pharmacy Representative, Orthopedics Value Stream Team

• Jun 2020 - Present

• Use Lean and Six Sigma principles to lead 22 core and eight ad-hoc team members in identifying medication-related practice changes in pre-admission, intra-operative, and post-discharge care plans to comply with bundle-payment architecture.• Identified that patients are missing post-discharge thromboembolism prophylaxis and pain control by several hours to days due to backup in filling at local pharmacy and asked physician to prescribe these prior to surgery, decreasing complaints.• Developed patient education materials to decrease chance of post-surgical thromboembolism and opioid overdose.• Increased medication compliance through partnership with seven orthopedic surgery providers and area pharmacies.• Obtained The Joint Commission Total Joint Center of Excellence program certification in 2022. Show less

Co-Chair, Residency Preceptorship Committee

• Nov 2018 - Present

• Establish preceptor development structure, role of residency program director and preceptors, eligibility criteria, and resources in accordance with American Society of Health-Systems Pharmacists (ASHP) standards.• Define strategies to improve quality of learning experiences and ensure a high level of competency for all PGY1 residency preceptors.• Guide preceptors to develop biannual plans and preceptorship goals using Habits of Preceptors rubric.

Pharmacy Intern, Regency Family Pharmacy

• Aug 2010 - May 2012