United States Department of Veterans Affairs

James A. Haley Veterans’ Hospital - Tampa, Florida

Postgradutate Year (PGY2) Informatics - Pharmacy Residency Program

Program Director: Nicholas Coblio, BsPharm, MSEM, Doctoral Candidate in Engineering Science, R.Ph.

This program is pursuing accreditation with the ASHP. The starting point for the program will be the statement of mission established by the American Medical Informatics Association "…to advance the use of health information and communications technology in clinical care and clinical research…" (AMIA Mission, http://www.amia.org*).

For those residents coming from within the VA, special attention will be paid to VA systems and data architecture, with the intent that upon completing the program the resident would be able to function as an ADPAC or Data Manager for any VA facility or VISN.

For those not planning to stay with the VA, the electives will be selected to best meet the needs of the resident. Collaborative arrangements with the University of South Florida are in place to allow the resident to extend their knowledge of data systems and data mining. The facility has a number of robotic systems and a large data warehouse which will allow the resident to get hands on experience in these areas.

Required experiences

Experience 1

  • Learn about human factors engineering
  • Use a knowledge of human factors engineering and the computer human interface to identify problematic areas of cognitive over-load (alarm desensitization) when dealing with system generated alerts, e.g. drug interaction and allergy alerts.
  • Understand the sources, content, and application of standards governing the use of healthcare data in the VA system
  • Explain the sources and application of best practices in pharmacy informatics.
  • Discuss testing and change control of healthcare data

Experience 2

  • Map, analyze, and identify opportunities for improvement of the data flow, the workflow, and the clinical decision-making processes within the pharmacy database and automated systems

Experience 3

  • Ensure the validity of evidence-based data in the knowledge resources, patient information systems, and medication information systems
  • Ensure the accuracy of documentation and communication of medication orders via the development of effective inferaces, an understanding of the organization's data security policies, and a testing plan for data transactional verification/validation

Experience 4

  • Demonstrate working knowledge of available technology and automation systems for the medication management process which includes: inventory management, prescribing, order processing, distribution and dispensing, drug administration, documentation of medication administration, and monitoring
  • Contribute to the resolution of identified operational problems in the medication management process

Experience 5

  • Participate in the planning for acquisition, implementation, and contingency planning of a significant technology or automation initiatives involving the pharmacy department. Also make an effective presentation to an appropriate audience of the outcomes of this implementation
  • Participate in the development of project budget estimates and financial projections of the acquisition, implementation, and maintenance of technology and automation systems

Experience 6

  • Learn about data mining which include creating accurate patient and medication information data sets and reports from databases
  • Learn about common VA network standards and network architectures
  • Participate in constructing or updating strategic plans for technology and automation systems for the organization's medication-use process

Elective experiences

  • Conduct and present a pharmacy informatics research project
  • Participate in the informatics training of other healthcare staffs
  • Attend VISN-level pharmacy benefit management workgroup meetings

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