Ph S iPharmacy Services

Annual Report FY 08p

July 1 2007 through June 30 2008July 1, 2007 through June 30, 2008

WBCWBC

RBCPlateletsPlatelets

“Top Ten” Inpatient Pharmacyp p yIMMUNE GLOBULIN $2,087,061PIPERACILLIN/TAZOBACTAM $904,783ENOXAPARIN  $837,584ALBUMIN  $614,459IODIXANOL $509,226LYMPHOCYTE IMMUNE GLOB $461,789FACTOR VIIA $359,205THROMBIN $315,019IOHEXOL $299,221ARGATROBAN $288,399

“Top Ten” Markey Outpatientp y p

BEVACIZUMAB $2 879 188BEVACIZUMAB $2,879,188 PEGFILGRASTIM $1,520,956 RITUXIMAB $989 258RITUXIMAB $989,258 TRASTUZUMAB $946,469 DOCETAXEL $612,854DOCETAXEL $612,854 DARBEPOETIN ALFA $552,282 OXALIPLATIN $410,159 ZOLEDRONIC ACID $364,354 PEMETREXED $284,240 

$CETUXIMAB $272,348 

“Top Ten” KCP & SHPp

ATAZANAVIR $2 301 488ATAZANAVIR  $2,301,488 EMTRICITABINE/TENOFOVIR/EFAVIRENZ $1,808,988 EMTRICITABINE/TENOFOVIR $1 747 446EMTRICITABINE/TENOFOVIR  $1,747,446 LAMIVUDINE/ZIDOVUDINE $850,820 LOPINAVIR/RITONAVIR $810,587LOPINAVIR/RITONAVIR $810,587 ABACAVIR/LAMIVUDINE/ZIDOVUDINE $772,997 ABACAVIR/LAMIVUDINE $734,829 EFAVIRENZ $594,945 FOSAMPRENAVIR  $555,320 

$TACROLIMUS  $465,679 

Pharmacy Expenses FY 2008 y p$ 61,000,000+

3.5 Million Doses in 2008C i t 2003Comparison to 2003

150% IIncrease

Non-Pyxis Doses* DispensedNon Pyxis Doses DispensedCompared to 2003 1.2 Million

Doses

*Non-Pyxis doses = all doses dispensed other than Pyxis.

Pharmacy Revenuey$150,053,523

Pyxis MedStation MetricsPyxis MedStation Metrics

Inpatient Orders In by Time of Dayp y yJune 2008

Inpatient CPOE and Time toInpatient CPOE and Time to Pharmacy Order Perfection

12

14

16

tion

6

8

10

es to

 Perfect

2

4

6

Minute

00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

Hour of the Dayy

Average time to order perfection 8.4 minutes!

Hospital Pharmacy Clinical ConsultsConsults

Medication Error Reporting

eMAR Goes Live

• Electronic documentation of medication administration is now made in Sunrise Clinical Manager (SCM).

• Special thanks to Gary Coutts R PhSpecial thanks to Gary Coutts, R.Ph., Clinical System Coordinator, ICIS Projects as well as the support and effort of hundredsas well as the support and effort of hundreds of nursing, pharmacy and IT personnel.

Adverse Drug ReactionAdverse Drug Reaction Reporting

Carousel ProjectBarcode MedicationBarcode Medication

Barcode Medication AdministrationBarcode Medication Administration

Inpatient Efficiency ProjectsInpatient Efficiency Projects

• Outsource compounding of IV CompoundingOutsource compounding of IV Compounding– Extended dating

Decrease in internal workload– Decrease in internal workload• Outsource of unit dose packaging for oral

lid d li idsolids and liquids– Standardized labeling– Extended dating– Decrease in internal workload

Technician of the Year NomineesTechnician of the Year Nominees• Heather BowmanHeather Bowman• Karla Bertagnole

Will Th

All worthy of this• Will Thomas

• Tina Coleman

of this recognition

• Angela Chula• Rich Dobias

but only one can be Rich Dobias

• Brian GarlandP l tt B

selected.• Paulette Bryan• Steve DeSpain

Pharmacy Technician f h Y FY08of the Year FY08

K lKarla BertagnoleBertagnole,

CPhTCPhT KCP Technician Supervisor

Kentucky Clinic PharmacyKentucky Clinic Pharmacy

July 2007-June 2008

• $30 million re en e• $30 million revenue

• $10 million in net revenue• $10 million in net revenue

• 236 551 prescriptions processed236,551 prescriptions processed

Kentucky Clinic Pharmacy -Kentucky Clinic Pharmacy KADAP

• 35044 KADAP Rxs Dispensed (36% increase from FY07)

• Served up to 989 patients per month (avg. 900)

• 11129 Packages shipped to KADAP recipients (15% increase over FY07)

• $3.98 million net revenue (28% increase over FY07))

Kentucky Clinic Pharmacy

Vaccine Administration

• Zostavax 182 Doses givenFl d P l f W lk i• Flu and Pneumococcal for Walk-ins

• Flu and Pneumococcal Clinic

FY08 KADAP Net Revenue

New Staff Hired - KCP

Travis Albrecht Krista WhalenTristan Fetterhoff Margaret YoungTristan Fetterhoff Margaret Young Heather Hesselson Susan JohnsonSusan JohnsonSharon MackeyAlana MarcrumAlana MarcrumClaire Simpson

Ne Staff Hired InpatientNew Staff Hired - Inpatient• Aaron Abell• Eyob Adane

• Justin McMillan• Gwen MooreEyob Adane

• Amy Agee• Heather Bowman• Lyndsey Caudel

Gwen Moore• Sean Music• Yatin Patel• Leslie Rafferty-Ferrelly y

• Chris Congleton• Rock Daniels• Bonnie Embry

y• Jason Rose• Dustie Rodgers• Philip Schwieterman

• Irene Feltner• Kyle Fletcher• Paul Gannon

L li H d

• Cherelle Shields• Mitch Sloan• Latondra Smith

L T l• Leslie Hammond• Patsy Hudgins• Ryan Kluempke• Seth Larkin

• Lauren Taylor• Morgan Tunnell• Ashley Wedding• Dale Whitby• Seth Larkin

• Amber Lawson• Dale Whitby• Lindsay Wilson

Unforgettable Staff Who Have Left• Josephine Ayayee• Tyler Baker

• Laura Kangas • Jared Patricky

• Cheryle Bowling• Kendra Caudill

• Greg Mateyoke• Ryan Pearcy

• Kim Embry• Kerry & Phil Empey

J i G id

• Margarita Somov• Esen Stephens

A d S i• Justin Grider• Gabe Hardy• Rebecca Johnston

• Amanda Swint• Christy Taylor• Randy Williams• Rebecca Johnston

• LeAnne Ashby• Ines Delambert

• Randy Williams • Jonathan Ho• Casey Whittakeres e be

• Cayci DotsonC sey W e

• Sharon Mackey

Did you know?

• UK Residency Program graduates

• Congratulations to Dr. Hatton the first UK

have more Dean and College Department Chair positions than

“R” to be named Chair at UK!

Chair positions than any other residency program nationallyprogram nationally.

Pharmacy College Admissions• Jonathan Ho• Casey Whittakery• Tyler Lanham

Nursing School AdmissionsNursing School AdmissionsTanita HenryyLindsey Mays

Weddings and New Arrivals• Weddings Lori Proeschel & Steve Dunn

• Babies• Celia Adams

Brian HowellRyan Kluempke

• Tim Clifford • Julie & Jeremy Flynn

Jennifer Richardson • Crystal Martin• Dylan Russell

• Engagements • Katie Carothers

y

Robert P. Rapp Best Practice ppAward Nominees

(PHARMACIST OF THE YEAR)(PHARMACIST OF THE YEAR)•Amber Lawson• Dorathea Andrews

• Mike Torbey

•Amber Lawson• Lucy Wells•Tracy Macaulay

• Amy Billimoria• Julie Chang

•Tracy Macaulay•Lori Proeschel •Cindy Morrisong

• Patience Fort• Amanda Turner

•Cindy Morrison•Amol Mujumdar•Tom SmithAmanda Turner

• Sharon Bertram •Tom Smith

Robert P. Rapp Best Practice Award20082008

Pharmacist of the Year

Tom Smith RPhTom Smith, RPhNight Shift Pharmacist

Coming Soong• Second Emergency Department Pharmacist

PositionPosition– Kyle Weant, PharmD, BCPS (August)

Ph P ti P Di t• Pharmacy Practice Program Director Selection (from Specialists)

• Education and Scholarship Program Director Selection (from Specialists)

UK HealthCareClinical Pharmacist Specialist

Director of Pharmacy Services• CPS –

Cardiothoracic• CPS –

Pulmonary/MICU• CPS Neuroscience p

360º Reporting Structure

Program Director

Associate Director of Pharmacy Services• AD for Decentral

• CPS – TDM/Internal Medicine (2)

• CPS – Hem/Oncology• CPS – BMT

• Tenure Track CPS Faculty

• Oncology

• CPS – Neuroscience• CPS – Infectious

Diseases • CPS – Cardiology

(2)• CPS – Nutritional

Support• CPS – Transplant• CPS - Emergency

Medicine (2)• Tenure Track CPS

Faculty Program Director – Pharmacy

Practice

Program Director – Education and

Scholarship

Director or Associate Director

of Pharmacy ServicesDirector or Assoc Director

FY09 PE Coordinator

gy• AD for KCH • CPS – Pediatric

Hem/Oncology• AD for KCP

• CPS - Ambulatory

Faculty• Trauma• MUP

• Pediatrics

Input From PPS Department Chair

Clinical Pharmacist Pharmacists/

Pharmacy T h i i

Patient Care Managers/ Allied

H l hSelected by SpecialistSelected by SpecialistPharmacist

SpecialistTechniciansHealthSelected by Specialist

Attending Physicians

Fellow/Resident Physicians

Pharmacy Residents

Residency Program DirectorsFor Applicable Programs

(Specialist Served as Preceptor)Selected by Specialist

Residents Preceptored

Revised 7/9/08

Coming Soong• Nutritional Supplements and Formula

dispensing transferred from Food Services todispensing transferred from Food Services to Pharmacy ServicesP i B C d d R filli P• Pyxis Bar Coded Refilling Process– Headed to BCMA in FY10

• Controlled Room Temperature in the Central Pharmacy IV Room– More USP 797 Compliance

• Markey Outpatient Pharmacy Renovationy p y– Window treatment, pass through window and door

Coming Soong• REVISION OF ASHP 2015 Goals and

ObjectivesObjectives– 5 DELTED

5 ADDED– 5 ADDED– 5 REVISED

6 G l 31 Obj ti– 6 Goals, 31 Objectives– ONE PROFESSION

htt // h k d /Ph / df/UK ASHP 2015 df– http://www.hosp.uky.edu/Pharmacy/pdf/UK_ASHP_2015.pdf

Coming Soon g• Opening of the NEW Student Health

Pharmacy (August)Pharmacy (August)• Affiliate Hospital Relationships

G S i i– Good Samaritan Hospital– Clark Regional Medical Center– Markey Cancer Center Affiliates– Others?

• Possible Correctional Facility Pharmacy Services

• Ambulatory Services Strategic Plan

Coming Soong• ICIS Clinical Documentation Modules

Student Access– Student Access• New Computer System for Outpatient

PhPharmacy• Conversion from WORx to Sunrise

Medication Manager (possibly in FY10)

Topping Out Ceremony for the NewTopping Out Ceremony for the New College of Pharmacy Building

• Topping OutAugust 2008

• Target OpeningTarget OpeningJanuary 2010

Coming Soong• Planning the New Hospital

EDPharmD

Peds Adult

i i h i

PharmD

• View coming north on Limestone• ED Opens August 2010

Coming NOW! g• Farewell but not Goodbye

Lucy Wells Associate Director of Pharmacy– Lucy Wells, Associate Director of Pharmacy –KCP

• Recruitment of Assistant Director of Ph S i KCPPharmacy Services - KCP

Coming NOW! g• Appointment of Robert Kuhn, PharmD as

Associate Director of Pharmacy ServicesAssociate Director of Pharmacy Services –Kentucky Children’s Hospital Pharmacy

Th k f i t thThanks for coming to the FY 2008 Annual Reportp