UNIVERSITY OF MICHIGAN – DEPARTMENT OF PHARMACY SERVICES

 

ANNUAL REPORT FY2006

 


Pharmacy Home Page   |   ( Complete report in .PDF format - 404kb )

Welcome From the Department of Pharmacy Services   |   Inpatient Drug Distribution Services   |   Clinical Pharmacy Services
Ambulatory Pharmacy Services   |   Medication Safety   |   Drug Information and Investigation Services
Research and Education   |   HomeMed Services   |   Computerization and Automation
Continuous Quality Improvement   |   Purchasing, Inventory, Management, and Distribution   |   Business Operations


AMBULATORY PHARMACY SERVICES

Ambulatory Pharmacy Services encompass three separate outpatient pharmacies as well as two infusion pharmacies. The infusion pharmacies are located in the Cancer Center and the Canton Health Center. In addition to dispensing functions, the pharmacy staff supports many pharmaceutical care activities for the University of Michigan Hospitals and Health Services (UMHHS) ambulatory areas.  All pharmacies provide the following services:

 

·         Clinical review of prescription

·         Physician consultation and drug information provision

·         Patient consultation

·        

Art Poremba, RPh, MS

Ambulatory Pharmacy Services Manager

 
Reimbursement assistance

 

 

Outpatient Pharmacies

The Ambulatory Care Pharmacy and the Cancer Center Pharmacy are located on the main campus, adjacent to the University Hospital.  A third pharmacy services our East Ann Arbor Health Center.

The population served by these pharmacies include those patients receiving care from UMHHS, patients discharged from the hospital and/or our emergency department and employees.  A customer satisfaction survey of employees, dependents and retirees was conducted by the University Staff Benefits Office for those individuals who utilized the Employee Prescription Plan.  This survey reflected our dedication to patient services with the University of Michigan pharmacies ranked highest in terms of customer satisfaction.

Ambulatory staff provide consultative services to approximately 115 ambulatory sites related to compliance with medication management standards.  Sites frequently contact pharmacy staff for assistance with new drug availability, reimbursement support and individual patient drug related support.  Additional services include the training of site staff to complete self-review for accreditating agencies, annual on-site consultation visits, and tracking of compliance with monthly self inspections.  The process of self-evaluation, with appropriate validation, has increased monthly site inspection compliance rates from 45% to 98%.

Ambulatory pharmacy representatives participate on several committees including:

 

·         Ambulatory Formulary Committee

·         Cancer Center Pharmacy Committee

·         Cancer Center Clinical Operations Committee

·         Cancer Center Operations Committee

·         University of Michigan Pharmacy Benefits Committee

·         Ambulatory Services JCAHO Readiness Committee

 

In addition to these activities, ambulatory pharmacy staff are involved in iCARE – the University of Michigan’s academic detailing program, as well as initiatives to improve the cost and quality of pharmacy services provided to university employees, dependents, and retirees with a prescription drug benefit carve-out.

Pharmacy Demographics and Services

 

Ambulatory Care Pharmacy

·         Prescription volume = 280 / day

·         Utilizes ScriptPro automation

·         Discharge prescriptions account for 20% of volume

·         Compounding services provided-generally about 5 compounds per day

·         Generic dispense rate equals 60% which exceeds standards

Cancer Center Pharmacy

·         Prescription volume = 110 / day

·         Supports a high volume of investigational drug protocols

·         Generic dispense rate equals 60% which exceeds standards

East Ann Arbor Pharmacy

·         Prescription volume = 85 / day

·         Supports U of M speciality pharmacy program

·         Generic dispense rate equals 65% which exceeds standards

Cancer Center Infusion Pharmacy

·         Supports 50 patient chairs/beds, representing 130-180 patients per day

·         Approximately 35,000 infusion procedures annually

·         Significant support provided for investigational drug protocols

·         Utilizes Phaseal technology to safeguard employees from chemotherapy exposure

·         Emphasis on patient safety by tracking compliance with independent pharmacist  double checks of new orders entered. Results indicate 98-100% compliance

·         Pharmacists monitor patient laboratory results and recommend dose adjustments when appropriate

·         Provide nursing education for new medication

Canton Health Center Infusion Pharmacy

·         Opened in June 2006

·         Primary support is for oncology patients; however other infusion needs are also supported

·         Initial capacity is 6 chairs with expansion up to 10 chairs

·         On-site infusion pharmacy services