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Marsh 1. Preceptor/Pharmacy Information Preceptor(s): Val Berger, R.Ph. Manager of Clinical Services & Outcomes Mike Kneese Pharm.D. Case Manager Site Information: Address: 9800 Crosspoint Blvd. Indpls, IN 46256 Phone: 317.594.2409 office Val 2. Introduction Marsh Supermarkets, Inc., is a leading regional food retailer operating 69 Marsh® Supermarkets, 32 LoBill Foods®, 2 Savin*$ and 193 Village Pantry® convenience stores throughout Indiana and Ohio. In addition, Marsh operates, Crystal Food ServicesSM®, the largest food service operator in Indianapolis. In 2001, Marsh brought the O'Malia's grocery chain under the Marsh umbrella of companies, as well. Marsh Pharmacy’s are located in 35 of the MarshÒ Supermarkets, 5 pharmacies in the LoBill FoodsÒ, and 1 O’Malia’s pharmacy. Marsh pharmacy made a commitment in 1997 to develop a centralized support system for patient focus care programs to be used their pharmacists and patients under the direction of Val Berger R.Ph, manager of Clinical Services & Outcomes. Marsh furthered their commitment by adding a number of pharmacists in various markets to focus on clinical services and outcomes. 3. Student Policies & Procedures Attendance & Absence Policy: Attendance is required for all activities during the rotation. Excused absences during rotations must be made up, as directed by the preceptor. Unexcused absences may result in failure of the rotation. Students may be excused from rotation activities for job interviews and professional meetings, however arrangements must be made to make up the time gone from the rotation site. In the event that a student has to be absent from rotation activities due to illness or some other reason, he/she must call in prior to the scheduled start time for that day. Students should contact the preceptor for the rotation regarding any absence. If there is no answer when calling, messages should be left on voice mail indicating the time of the message, the reason for absence and a number where he/she may be contacted. It will be the student's responsibility to arrange for make-up of any missed activities. Professionalism: Students are expected to display professional conduct at all times during rotations. Failure to do so may result in loss of the privilege to see patients and interact with Marsh pharmacy staff. Students are to wear their name tags that identify them as Pharm.D. candidates. Confidentiality: Respect for confidential information is essential at all times. As students, you will be privy to sales information, tactics and strategies unique to Marsh. Any breach of confidentiality may result in failure of the rotation. All information including papers and computer disks containing any information must not leave the site. Parking: Students should park in the lots away from the main entrance. Immunization Information: During the first week, all students should disclose their immunization status to their preceptor. Dress Code: The dress code applies at all times. Professional attire is required Monday through Thursday. We have a corporate casual day on Friday. No denim, T-shirts, sneakers, and shorts are allowed. A long sleeved white lab coat is required on all screening opportunities and in store activities. Telephone: Telephones are for business use. Please do not tie up these phones for social calls. Internet Usage: Internet connections are to be used for pharmacy activity only. This includes research for DI information, program support, and other professional activities. The primary location should be the computer system in the Marsh Clinical Services and Outcomes area. A secondary site is the laptop in the student area. All Internet connections are subject to scrutiny by internal security. The inappropriate or unprofessional use of the computer and Internet will result in dismissal or the student and failure of this rotation. 4. Description The Clinical/Administration rotation at Marsh Pharmacy is an eight-week rotation. The student will spend a majority of their time in the Marsh Corporate Center working on patient education programs and other projects to advance the Marsh pharmacy practice. A limited amount of time will be spent in the pharmacy to identify patients and implement intervention programs. The student is expected to maintain a very flexible schedule during the eight-week rotation. The student’s scheduled hours will change from day to day. The purpose of this rotation is to facilitate the student’s development of professional judgment, clinical skills, communication skills, creativity and competency. Throughout the rotation, emphasis will be placed on using the student’s knowledge base and communication skills to improve the quality of care that Marsh pharmacists provide for our patients. The student will participate in various administrative and clinical programs. These programs are designed to improve the quality of care of Marsh pharmacy’s patients. These activities may include, compliance interventions, cholesterol screenings, new prescription follow-up, drug information filing system updates, ask the pharmacist programs, patient classes, different monthly disease state programs, program outcomes, vendor presentations, ad development, participate in smoking cessation and weight management programs. The student will also receive a working knowledge of corporate administration including third party issues, management development, store operations, recruiting and retention, liaison to the Indiana Board of Pharmacy, Indiana Pharmacists Alliance, Indiana Retail Council, Indiana Central Association of Diabetes Educators, Indiana Diabetes Collaborative, Purdue University, and Butler University. Assessment of the student’s progress will be assessed daily on an informal basis. Formal discussions will include selected disease states and their practical applications for a community pharmacy. Several presentations will be required during each rotation. Objectives This rotation will expose the Pharm.D. Candidate to: explore and gain an understanding of the development, implementation, and management of a community pharmacy based patient care program through participation in lectures, meetings, readings, and practical experiences develop the assessment and interviewing skills necessary to accurately access a patient’s health condition, therapeutic regimen, and stage of change and to identify potential or present problems discuss the pathophysiology and management of disease states commonly seen in community pharmacy which may include, but not limited to: hypertension diabetes mellitus asthma COPD Dyslipidemia Migraines Arthritis Smoking cessation Weight Management Communicate professionally and effectively with product representatives and health care professionals by participating in a rep shadow and professional organization meetings such as ICADE, Indiana State Board of Pharmacy, Indiana Pharmacists Alliance Discuss and participate in understanding advanced administration principles and techniques important in the management of community chain pharmacy by involvement in planning sessions, on site visits, third party audit preparation, software upgrades, inventories, and human resource issues. Understand the challenges of site management (i.e. workflow issues, DUR issues, technician training) Understand issues in personnel management including recruiting, retention, remuneration, and supervision of professional and supporting personnel Gain exposure to economic principles of chain management as a chain and an industry Participate in monthly corporate screening sessions after discussing the targeted disease states and outcomes measures Gain knowledge in relevant reimbursement systems including private third party, Medicaid and Medicare Develop a workable understanding of all applicable laws and regulations including state, federal, OSHA, and CLIA Receive credentialing in the use of the Cholestech LDX and other technology used in patient programs Participate in monthly experiential meeting with other Pharm.D. candidates and pharmacists Develop and understanding of the role of niche marketing, multi-discipline cooperation, and healthcare advertising Activities-(may include but not limited to:) Participate in a minimum of 4 sessions of the “On Your Weigh to Health” weight management or weight maintenance program and attend all planning sessions of future programs Follow at least 3 patients in our case management program involving various disease states Attend biweekly disease state pathophysiology and patient management presentations Candidates are to select and schedule topics. Attend 1 ICADE meeting, 2 Indiana State Board of Pharmacy meetings, and 3 IPA or PEF meetings. The student will attend all educational opportunities that present themselves during the rotation Attend all vendor sessions and arrange a shadow opportunity with a manufacturer rep Talk to 4 other Marsh pharmacists about their personnel management techniques, operations management techniques, and clinical hours fulfillment Take an active role in new site planning, third party audits, new site openings, technicians reviews, and store site administration Spend at least 3 days with the operations supervisor and staffing supervisor Attend 4 sessions with the pharmacy director focusing on third party operations, computer data base development, new business development, and other pharmacy issues Receive training in the policies and procedures of the cholesterol/CHD assessment program including the check out on the operations of the Cholestech LDX monitor, review of OSHA and CLIA requirements Plan and staff monthly corporate clinic day to develop patient interviewing technique and documentation skills Attend monthly clerkship roundtable with other Marsh students and pharmacists. The student may also attend any sanctioned student presentation program Attend a session with the Chief Operating Officer regarding issues of business budgeting, understanding of an operations statement, and a industry overview The student will research and prepare a presentation biweekly on pharmacy industry topic of their choosing The student will research and prepare a website article on a disease state or patient issue topic The student will contribute to the monthly newsletter for the pharmacy staff The student will be responsible for answering all drug information questions from the store sites and will research and document all interventions University Requirements and Documentation The student will be required to keep up on all university documentation on a timely basis as per their program directives. |
