Clinical Pharmacy Specialist, Primary Care (PACT)
Principle Duties and
Responsibilities:
Clinical Program Management:
The Patient Aligned Care Team (PACT) Clinical Pharmacist Specialist coordinates, develops, manages and controls the chronic disease state management clinical pharmacy services, specifically at the John J. Pershing VA Medical Center and other PACT services as needed, caring for Veterans in order to increase patient access to clinical services and improve overall patient care, in accordance with his or her scope of practice and per PACT Business Rules. Provides chronic disease state management clinical pharmacy services to PACT patients through use of the following, but not limited to:
consultations, face-to-face visits, telephone visits, Clinical Video Telehealth (CVT), VA Video Connect (VVC), Care Coordination Home Telehealth (CCHT), Group Education Visits/Shared Medical Appointments, and secure messaging if appropriate. Provides input to Associate Chief of Pharmacy, Clinical Services and Chief of Pharmacy in establishing and accomplishing the pharmacy's missions and goals. Clinical Practice (Patient Care) in accordance with scope of practice. 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. 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. Prescriptive Authority:
The authority to initiate, modify, or discontinue medications without co-signature of a provider. This authority shall be limited to the following criteria:
May initiate, modify, or discontinue medications in accordance with scope of practice. Prescriptions may be initiated for over-the-counter (OTC) medications or expendable medical supplies. Prescriptions may be discontinued as appropriate if the patient is no longer using the medication, the medication is being replaced by another provider, if the medication is adding no therapeutic benefit or the patient is not tolerating the medication. This is to provide an action statement for the pharmaceutical care administered to the veteran population that has an age range of late teens to one hundred plus years. The mean age is normally above 60 years of age or the geriatric patient. It is understood that each patient/consumer is different and age alone does not make geriatric. The following is the pharmaceutical care, in part, that will provide general cognitive, physical, emotional and chronological maturation of geriatric patients. General Pharmacy Functions:
May participate in Inpatient dispensing. Dispenses medication to hospital inpatients and CLC residents through medication management systems. (i.e. unit dose, automatic replenishment, ward stock, IV admixture, total parenteral nutrition, chemotherapy). Dispensing is accomplished by using professional knowledge of the principles and practices of selecting and compounding and dispensing pharmaceutical products according to VA policies and procedures to ensure optimum efficiency and compliance with regulations. May participate in Outpatient dispensing. Dispenses medication, dietary supplements and medical supplies to eligible outpatients at pharmacy window and by mail. Dispensing is accomplished by using professional knowledge of the principles and practices of selecting and compounding and dispensing pharmaceutical products according to VA policies and procedures to ensure optimum efficiency and compliance with regulations. May participate in Controlled Substance dispensing. Issuing and accounting for all controlled substances per hospital and VA policies. Will provide strict security of all controlled substances by reviewing all orders, prescriptions and records. Work Schedule:
Monday - Monday - Friday 8:
00 am - 4:
30 pm, rotating 9:
30 am - 6 pm less frequently. Rotating weekends and holidays. Financial Disclosure Report:
Not required Basic Requirements:
Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b. 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). c. 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. d. Previous clinical experience and/or completion of a Post-Graduate Year 1 (PGY1) residency. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations:
GS-13 Clinical Pharmacy Specialist. (a) Experience. Must have 1 year of experience equivalent to the next lower grade level (GS-12)l. Examples of this experience includes:
handling routine medication-related activities in accordance with local, and national policies, 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; and providing oversight of technical staff in all aspects of medication distribution. (b) Assignments. Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. 1. Clinical Pharmacy Specialist. The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients. A CPS plays a defined role in budgetary execution and serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following:
designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Pharmacists assigned to this position must demonstrate the following KSAs:
a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. References:
VA HANDBOOK 5005/55 PART II APPENDIX G15 The full performance level of this vacancy is GS-13. Physical Requirements:
Moderate lifting, 15-44 pounds, Moderate carrying, 15-44 pounds, Use of fingers, Both hands required, Walking 4 hours, Standing 4hours, Repeated bending 4hours, Near vision correctable at 13 to 16 to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Ability to distinguish basic colors, Hearing (aid permitted), Working on ladders or scaffolding, Working closely with others, Working alone, Protracted or irregular hours of work
Estimated Salary: $20 to $28 per hour based on qualifications.
Responsibilities:
Clinical Program Management:
The Patient Aligned Care Team (PACT) Clinical Pharmacist Specialist coordinates, develops, manages and controls the chronic disease state management clinical pharmacy services, specifically at the John J. Pershing VA Medical Center and other PACT services as needed, caring for Veterans in order to increase patient access to clinical services and improve overall patient care, in accordance with his or her scope of practice and per PACT Business Rules. Provides chronic disease state management clinical pharmacy services to PACT patients through use of the following, but not limited to:
consultations, face-to-face visits, telephone visits, Clinical Video Telehealth (CVT), VA Video Connect (VVC), Care Coordination Home Telehealth (CCHT), Group Education Visits/Shared Medical Appointments, and secure messaging if appropriate. Provides input to Associate Chief of Pharmacy, Clinical Services and Chief of Pharmacy in establishing and accomplishing the pharmacy's missions and goals. Clinical Practice (Patient Care) in accordance with scope of practice. 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. 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. Prescriptive Authority:
The authority to initiate, modify, or discontinue medications without co-signature of a provider. This authority shall be limited to the following criteria:
May initiate, modify, or discontinue medications in accordance with scope of practice. Prescriptions may be initiated for over-the-counter (OTC) medications or expendable medical supplies. Prescriptions may be discontinued as appropriate if the patient is no longer using the medication, the medication is being replaced by another provider, if the medication is adding no therapeutic benefit or the patient is not tolerating the medication. This is to provide an action statement for the pharmaceutical care administered to the veteran population that has an age range of late teens to one hundred plus years. The mean age is normally above 60 years of age or the geriatric patient. It is understood that each patient/consumer is different and age alone does not make geriatric. The following is the pharmaceutical care, in part, that will provide general cognitive, physical, emotional and chronological maturation of geriatric patients. General Pharmacy Functions:
May participate in Inpatient dispensing. Dispenses medication to hospital inpatients and CLC residents through medication management systems. (i.e. unit dose, automatic replenishment, ward stock, IV admixture, total parenteral nutrition, chemotherapy). Dispensing is accomplished by using professional knowledge of the principles and practices of selecting and compounding and dispensing pharmaceutical products according to VA policies and procedures to ensure optimum efficiency and compliance with regulations. May participate in Outpatient dispensing. Dispenses medication, dietary supplements and medical supplies to eligible outpatients at pharmacy window and by mail. Dispensing is accomplished by using professional knowledge of the principles and practices of selecting and compounding and dispensing pharmaceutical products according to VA policies and procedures to ensure optimum efficiency and compliance with regulations. May participate in Controlled Substance dispensing. Issuing and accounting for all controlled substances per hospital and VA policies. Will provide strict security of all controlled substances by reviewing all orders, prescriptions and records. Work Schedule:
Monday - Monday - Friday 8:
00 am - 4:
30 pm, rotating 9:
30 am - 6 pm less frequently. Rotating weekends and holidays. Financial Disclosure Report:
Not required Basic Requirements:
Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b. 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). c. 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. d. Previous clinical experience and/or completion of a Post-Graduate Year 1 (PGY1) residency. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations:
GS-13 Clinical Pharmacy Specialist. (a) Experience. Must have 1 year of experience equivalent to the next lower grade level (GS-12)l. Examples of this experience includes:
handling routine medication-related activities in accordance with local, and national policies, 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; and providing oversight of technical staff in all aspects of medication distribution. (b) Assignments. Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. 1. Clinical Pharmacy Specialist. The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients. A CPS plays a defined role in budgetary execution and serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following:
designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Pharmacists assigned to this position must demonstrate the following KSAs:
a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. References:
VA HANDBOOK 5005/55 PART II APPENDIX G15 The full performance level of this vacancy is GS-13. Physical Requirements:
Moderate lifting, 15-44 pounds, Moderate carrying, 15-44 pounds, Use of fingers, Both hands required, Walking 4 hours, Standing 4hours, Repeated bending 4hours, Near vision correctable at 13 to 16 to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Ability to distinguish basic colors, Hearing (aid permitted), Working on ladders or scaffolding, Working closely with others, Working alone, Protracted or irregular hours of work
- Department:
0660 Pharmacist - Salary Range:
$119,280 to $155,069 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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