Cleveland Clinic Pharmacy-Clinical-Specialist-Geriatrics in Cleveland, Ohio
The Center for Geriatric medicine is a consult service specializing in diagnosing and treating complex conditions in the elderly. The geriatrics team provides clinic-based consultations at main campus and regional Family Health Center locations. The team anticipates increased consultation volume following 2018 implementation of Mini-Cog screenings in primary care. Additionally, the team operates an inpatient consultation service at main campus.
Percentage reduction in PIMS (Potentially inappropriate medications) for high risk geriatric patients (HRGPs) (Age > 80 with >/= 40% risk of readmission)
% Decrease in atypical antipsychotic use for HRGPs.
% Reduction in HRGP 30-day readmissions
% Reduction in HRGP falls related to PIMS
Average provider time saved for initial and follow-up consultation visits, including post-discharge visits
1 FTE pharmacist allocated to Center for Geriatric Medicine practice under and consult agreement permitting the pharmacist to add, modify, or discontinue medications and order and interpret laboratory assessments as needed for consulted conditions (TBD). The pharmacist will see patients newly referred to the geriatrics team in an integrated initial appointment with the provider. Thereafter, follow-up plans will be jointly determined, in which the pharmacist may or may not provide ongoing counseling to the patient or directly manage medication therapy per consult agreement. The pharmacist will be proactively involved in post-discharge appointments to provide medication reconciliation and counseling prior to the geriatrics visit. The pharmacist will remain available for drug information, education, and research activities in partnership with the geriatrics team.
Monday through Friday, 8 hour clinic days. Schedule subset to change based on clinic needs.
Manage medication use by consult pursuant to consult agreement
Immediate availability for pharmacotherapy consultations
Patient counseling/education related to medication therapy
Participation in medication histories and reconciliation
Participation in geriatrics multidisciplinary quality improvement initiatives
Participation in geriatrics-related research and scholarly activities
Education of clinical staff including nursing, physicians, pharmacists, pharmacy residents, medical residents, and pharmacy students
Implementation and Expansion:
Service priority is main campus providers, regional providers, inpatient consult team as time permits.
Provides clinical pharmacy services to patients of all ages within in the specialty area. Interacts with physicians and nurses to make recommendations regarding drug therapy of patients. Educates staff pharmacists, technicians, pharmacy students, post graduate trainees, allied health professionals, nurses and physicians in pharmacotherapy within in the specialty area.
Performs pharmacotherapeutic monitoring and provision of pharmaceutical care for patients in the area of service responsibility in a routine, continuous manner, taking into account the age and clinical condition of each patient.
Provides general and patient specific drug information to patients, physicians, nurses and, and other health care professionals.
Interacts routinely with physicians, nurses, and other health care professionals to provide optimal pharmaceutical care to patients.
Supports pharmacists and technicians educational development by participating in departmental staff development programs and provides leadership in the education of staff involved in providing pharmaceutical care to patients.
Supports staff pharmacists in providing pharmaceutical care to patients by direct interaction, and formal educational programs.
Supports and participates in pharmaceutical related research in area of specialty.
Maintains expertise in areas of practice through continual learning, journal review and other educational activities.
Educates staff pharmacists, technicians, pharmacy students, post graduate trainees, allied health professionals, nurses and physicians in pharmacotherapy within in the specialty area.
Other duties as assigned.
Requires Doctor of Pharmacy degree plus appropriate residency or fellowship training.
If hired for a specialty area where specialty residency training is available, then specialty residency is required.
- Current State licensure as a Registered Pharmacist (RPh) or eligible for reciprocation in current State within 90 days of hire.
Complexity of Work:
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment.
Demonstrates a service orientation toward patients, staff, and visitors.
Conveys a positive, professional image at all times.
Significant experience as a clinical specialist, practitioner or coordinator which includes providing pharmaceutical care and performing pharmacotherapeutic monitoring.
Minimum of five years experience may offset advanced education requirement.
Manual dexterity to operate office equipment.
May require periods of sitting, standing and the ability to walk to various locations to attend meetings.
Must have normal or corrected vision.
Must have ability to clearly communicate verbally by phone or in person.
Personal Protective Equipment:
- Follows standard precautions using personal protective equipment as required.
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities