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Epp4 Idm Winter 2021 Final

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Instructional Design Map

Course Name and Number

PHRC 5964 Essentials of Professional Practice 4 Course Description


This is the fourth of a five-course sequence that prepares the student to develop the knowledge and problem-solving skills needed to become a practice-ready
professional who can apply concepts to manage the quality and safety of the medication use process and deliver patient-centered care. The course addresses the
operations and services of hospital and community pharmacy. It explores different pharmacy practice models and sites of care.

Entrustable Professional Activities


This course will prepare you to perform the following pharmacist entrusted professional activities:
1. Patient Care Provider
 Collect information to identify a patient’s medication-related problems and health-related needs
2. Practice Manager
 Oversee the pharmacy operations for an assigned work shift
3. Population Health Promoter
 Minimizes adverse drug events and medication errors
 Maximize the appropriate use of medications in a population

Pharmacists’ Patient Care Process


This course addresses the following parts of the Pharmacists’ Patient Care Process:
1. Collect
2. Assess
3. Plan
4. Implement
5. Follow-up and evaluate
Course Objectives:
Upon successful completion of this course, students will be expected to:

1. Compare and contrast the components of the medication use process for community and hospital pharmacy.
2. Compare and contrast the regulatory agencies, quality standards and metrics for community and hospital pharmacy.
3. Compare and contrast the role and responsibilities of the pharmacist in different practice settings.
4. Describe basic pharmacy operational activities and the evolving clinical roles in pharmacy practice both in community and institutional practice.
5. Apply administrative skills to meet regulatory expectations.

Instructional Design Map


Instructional Learning Outcomes: (EPA, Course and Module Contact
Module #/Date Unit Topic Faculty
Method Objectives) Hours
Module 1 Instructional The Medication Use Process-Hospital and
EPAs: Practice Manager: 1,2,3 Dr. Alvarez, McGory
Method/ Community Pharmacy
Course Objectives: 1,2,4,5 and Pansuria
Assessments
Week 1
Introduction:
March 3, 2021  Course expectations, syllabus, review 1. Outline course expectations Dr. Alvarez 0.5 hr
 Submit Roster Reconciliation
Statement
Complete Prior to Self-study View Videos 1. Describe each component of the
March 3, 2021
 Introduction-Course expectations, medication use process. Dr. McGory 1.5hrs
syllabus 2. List the major steps in the pathway
 Medication Use Process-Overview medications take from the
manufacturer to the consumer.
o Continuation from Patient Care
Basics 3. Compare and contrast the prescription
o Difference between the drug outlets. (All of them-including
clinics, hospitals, etc.)
Pharmacists’ Patient Care
Process and the Medication 4. Define the role and responsibility of
Use Process. pharmacy/pharmacists in the
o Product Selection, medication use process.
Procurement/ Storage 5. Outline measures used to address drug
(Pharmacy Supply Chain) shortages.
o Prescribing
o Transcribing
o Preparing and Dispensing
o Administration (pharmacist’s
involvement and oversight)
o Monitoring and Evaluation
o Responsibility of the pharmacy.
o Role/responsibility of
pharmacists in different
settings (pharmacy manager,
director of pharmacy,
consultant, clinical
coordinator, clinical
pharmacist, pharmacy team,
healthcare team, etc.)
 Core Readiness Activities
o Pharmacy Supply Chain
Due March 2, 2021 Assessment Quiz-Online #1 (Covers self-study material for 0
@ 11:59 pm week 1)
March 3, 2021 Live Lecture/ Hospital Based Medication Use Process, Part 1 1. Describe how hospitals and hospital Dr. McGory 2 hrs
10:10 am-12:00 pm pharmacies are categorized and
Discussion 1. Overview of Hospitals and
Hospital Pharmacy organized.
Required
Attendance (organizational charts for 2. Explain the purpose and steps of a hospital
hospital and pharmacy—role of formulary process.
pharmacy in institution, floor 3. Describe stocking, storage requirements,
stock, satellite pharmacies, and inventory control of drugs in a
central pharmacies, etc.) hospital pharmacy.
2. Product Selection/Procurement/ 4. Evaluate policies for managing
Storage investigational drugs.
o Formulary and 5. Critique Computerized Prescriber Order
formulary process Entry (CPOE).
o Stocking (how drugs are 6. Outline the process of preparing and
stocked manufacturer, dispensing (reviewing, validating and
generic, brand, fast filling) a mediation order in a hospital
movers, controlled and pharmacy.
noncontrolled drugs, 7. Describe the role of pharmacy in the
shortages, etc.) medication administration process.
o Inventory control
o Storage requirements—
refrigeration, bar
coding, outdates, waste,
etc.)
3. Prescribing/Transcribing (E-
prescribing) Activity-
Prescribing/Transcribing (E-
prescribing)
4. Preparing and Dispensing
o Process of filling of an order
(including compounding)
o labeling, packaging,
repackaging, investigational
drugs
o Use of technology in
process—bar codes, robots,
automated point-of-use
systems, etc.
5. Administration (pharmacist’s
involvement and oversight)
Week 2
Complete during Self-Study View Video: Hospital Based Medication Use 1. Define medication errors, common causes, Dr. McGory 2 hrs
March 4-9, 2021 Process, Part 2 types of errors, reporting procedures and
1. Monitoring and Evaluation strategies used to prevent them.
2. Describe the importance of non-punitive
o Managing Risks
approach in reporting medication errors.
 How to identify errors
3. Identify where in the medication use
 Reporting Adverse drug process, problems or errors may occur and
reactions what professional and/or fiscal impact
 Monitoring outcomes (e.g. these may have.
DUE, MUEs) of Clinical 4. Discuss how a systematic mechanism of
(cognitive) Services identifying and documenting quality
Due March 9, 2021 related events (QRE) and analysis (root-
Assessment Quiz-Online #2 (Covers self-study material for 0
@ 11:59 pm cause) can help improve quality in the
week 2)
medication use process
5. Discuss differences between the
March 10, 2021 Live Discussion/  Drug Shortage Recommendation (Actor 2 hrs
“medication use process (errors)” and
10:10 am -12:00 pm Team Activity Interview)
“medication-related problems.”
Required  ADR Report (Actor Interview) 6. Outline the process of adverse drug
Assessment Due Attendance reaction reporting.
March 10, 2021 @
7. Prepare an adverse drug reaction report.
11:59 pm
Week 3
Complete during Self-Study View Video: 1. Discuss orienting and expectations of a Dr. Alvarez 2 hrs
recently graduated pharmacist
March 11-16, 2021  Pharmacy Operations: Pharmacist 2. Discuss mandatory and optional
orientation and trainings, permits, trainings and certifications requirements
licenses, and signage, and 3. Describe the roles of different staff
merchandising and layout members
4. Describe pharmacy layout and
merchandising
Due March 16, 2021 Assessment Quiz-Online #3 (Covers self-study material for 5. Identify required permits, licenses, and 0
@ 11:59 pm week 3) signage.
6. Discuss mandatory and optional
trainings and certifications (CPA, TT,
FWA, OSHA, CPR, FL Shots, Combat
Methamphetamine, Cultural Diversity,
Code of Conduct/Ethic, HIPAA, Conflict
of Interest, etc.)
March 17, 2021 Discussion/  Discussion of Self – Study materials and 1. Discuss rationale for policies and 2 hrs
how they pertain to development of procedures, and how they benefit the
10:10 am-12:00 pm Activity
policies and procedures pharmacy team.
Required 2. Discuss medication receipt, handling,
Assessment Attendance  Team activity: write a brief policy and
storage, return/destruction, and
procedure (topic assigned per group)
Due March 17, 2021 accounting of inventory.
@ 11:59 pm 3. Discuss inventory management
procedures.
4. Develop policy and procedure.
Week 4
Complete during Self-Study The Medication Use Process Part 3- 1. Describe how community pharmacies Dr. Pansuria 2 hrs
March 18-23, 2021 Community Pharmacy Video are categorized (e.g. chain,
1. Overview of Community Pharmacy independent, mass market, etc.) and
(chain, independent, mass the types of services each provides.
merchant, mail order, physician 2. Describe stocking, storage requirements,
point-of-care) and inventory control of drugs in a
2. Product Selection/Procurement/ community pharmacy.
Storage o Differentiate inventory management
o Selection (generic, brand) requirements of controlled and non-
controlled substances
o Stocking (how drugs are
3. Track the movement of a prescription from
stocked manufacturer, generic,
brand, fast movers, controlled the prescriber to the pharmacy.
and noncontrolled drugs, etc.) 4. Outline the process of preparing and
o Inventory control dispensing (reviewing, validating and
filling) a prescription in a community
o Storage requirements—
pharmacy.
refrigeration, bar coding,
5. Describe the role of pharmacy in the
outdates, etc.)
3. Prescribing/Transcribing medication administration process.
4. Preparing and Dispensing 6. Identify where in the community pharmacy
medication use process, problems or
o Process of filling a prescription--
errors may occur.
workflow (including
compounding) 7. Discuss strategies to improve quality and
safety in community pharmacy practice.
o labeling, packaging, repackaging
o Use of technology in process—
bar codes, robotics, etc.
o Patient storage
5. Administration (pharmacist’s
involvement and oversight)
6. Monitoring and Evaluation
o Managing Risks
 How to identify errors
 Reporting Adverse drug
reactions
 Monitoring outcomes (e.g.
DUR)
o Role of Clinical (cognitive)
Services
Due March 23, 2021 Assessment Quiz-Online #4 (Covers self-study material for 0
@ 11:59 pm week 4)
March 24, 2021 Live Class Medication Use Process Comparison 1. Compare and contrast components of Drs. Pansuria/McGory 2 hrs
10:10 am-12:00pm Activity/ (Hospital and Community Pharmacy— the medication use process in
Assessment Medication Error Comparison) community and hospital pharmacies.
Assessment Due
March 24, 2021 @ Required a. Drug stocking and storage
11:59 pm Attendance requirements/procedures
b. Inventory control
c. Measures used to address drug
shortages
d. Packaging/repackaging of
medications
e. Prescribing/transcribing
f. Process of preparing and dispensing
(reviewing, validating and filling) a
prescription/medication order
i. Use of technology (robotics,
automated point-of-use systems,
etc.)
g. Drug administration and oversight
h. Managing risk
i. Cognitive services
2. Compare and contrast the role and
responsibility of pharmacy/pharmacists in
community and hospital pharmacy.
Week 5
Complete during Self-Study View Video: 1. Discuss pharmacists’ clinical services in Dr. Alvarez 2 hrs
 Components within Pharmacy the community pharmacy (C-Vs and
March 25-30, 2021
Operations: Standing Orders, prescribing, CPA, TT, chronic care
Pharmacist’s Clinical Services, and management).
Documentation and Recordkeeping 2. Discuss current standing orders and
Quiz-Online #5 (covers self-study material for protocols utilized in pharmacy practice.
Due March 30, 2021 Assessment 3. Discuss documentation of pharmacy 0
@ 11:59 pm week 5)
services and recordkeeping.
March 31, 2021 Live Lecture/  Interventional plan to impact STAR/HEDIS 1. Evaluate strategies to improve quality 2 hrs
report outcomes and service in pharmacy practice.
10:10 am – 12:00 pm Activity
2. Compare and contrast metrics used to
Required evaluate services in pharmacy practice.
Due March 31, 2021 Attendance 3. Critique quality metrics in differentiating
@ 11:59 pm performance.
4. Discuss the correlation between STARS
and EQUIPP.

Module 2 Instructional Other Sites and Models of Care EPAs: Practice Manager: 1,2,3 Dr. Hale and
Method/ Course Objectives: 3 Moreau
Assessments

Week 6
Complete during Self-Study Other Sites and Models of Care 1. Compare and contrast the healthcare and Dr. Hale 2 hrs
April 1-6, 2021 pharmacy services provided at different
sites of care (e.g., Home Care, LTC,
Ambulatory Care).
2. Describe the responsibilities of
pharmacy/pharmacist at each site or
Due April 6, 2021 @ Assessment Quiz-Online #6 (Covers self-study material for model of care. 0
11:59 pm week 6) 3. Compare and contrast the characteristics
of emerging health care models.
Comparison of Sites of Care
April 7, 2021 Live Class  Define accountable care 2 hrs
 Services provided overall
10:10 am – 12:00 pm Activity organization (ACO) and management
 Pharmacy services provided services organization (MSO)
Required
 Who pays for care.  Differentiate between fee-
Attendance
 Role and pharmacy oversight for-service and performance-based
 Evaluate pharmacy services proposal for an healthcare models.
MSO/ACO  Identify the role of each
member of the healthcare team in
enhancing the quality of care.
4. Evaluate the components of a pharmacy
service proposal.
Week 7
Complete during Self-Study View Video: 1. Define medication reconciliation and Dr. Moreau 2 hrs
April 8-13, 2021  Transition of Care transitions of care
 Medication Reconciliation 2. Recognize common medication
related problems that can occur
during transitions of care
3. Apply the medication reconciliation
process during transitions of care
Due April 13, 2021 @ Assessment Quiz-Online #7 (Covers self-study material 0
4. Review pharmacist-led interventions
11:59 pm for week 7)
to prevent medication related
problems
April 14, 2021 Live Class Team Activity: Medication Reconciliation 5. Explain quality measures related 2 hrs
Activity/ (patient moving through different levels of care to medication reconciliation.
10:10 am-12:00 pm
Assessment in an institution (use a profile)

Assessment Due
April 14, 2021 @ Required
11:59 pm Attendance
April 16 10:10 -12:00 Live via Zoom Exam Review Dr. McGory, 2
pm Only Pansuria, Moreau,
Alvarez
April 19, 2021 Exam-Live #1 (Covers material for Week 1-7)
10:10 am-12:00 pm

Total Contact Hours in Course: 30 hours


Assessments/Grading
List below all course assessments and how grades are calculated
Module Date Assessment Grade
Percentage
Class Activities

1 March 10, 2021 @ Drug Shortage Recommendation and ADR Report 5


11:59 pm
1 March 17, 2021 @ Policy and Procedure Development 5
11:59 pm
1 March 24, 2021 @ Medication Use Process Comparison 5
11:59 pm
1 March 31, 2021 @ Interventional plan to impact STAR/HEDIS report outcomes 5
11:59 pm
2 April 7, 2021 @ 11:59 Pharmacy services proposal for MSO/ACO 5
pm
2 April 14, 2021 @ 11:59 Medication Reconciliation 5
pm
Quizzes

1-2 See Instructional Design Quiz-Online #1-7 (5% each) 35


Map
Exam

1-2 April 19, 2021 Exam-Live #1 35


10:10 am-12:00 pm
Total 100%

Assessment
Graded:

Class Activities: There will be six team-based class activities with assessments. Each activity assessment is worth 5% of the final course
grade. Students are expected to complete the assessments in class but have until the end of the day to submit them. Guidelines for each
activity/assessment is provided in Canvas. Class attendance is required to complete the activity. Late submissions will not be accepted.
Quizzes: There will be seven individual quizzes in the course. These quizzes are completed online and evaluate the self-study material. Due
date/time are provided in Grading Criteria table. Each quiz is worth 5% of the final course grade. There are no make-ups for quizzes.

Examination: There will be one examination in the course. The exam will cover material from Modules 1-7. The exam will account for 35%
of the final course grade.

Non-Graded: None

Instructional Methods
The course is provided using a combination of synchronous (live face-to-face and Zoom videoconferencing) and asynchronous (Self-study
online) delivery to students at multiple campuses. Faculty from different campuses will be used to deliver the course. The course is
divided into modules which are designed to present different areas of practice. Course content is delivered using a variety of
teaching/learning methods including self-study, lectures, class activities and assignments. On days when students are not attending class,
they will be interacting with material asynchronously through self-study. Students are expected to read and/or view assigned materials
prior to coming to class. Self-study is an expected component of the course.

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