This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Directly involved in the design, implementation and monitoring of therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas in Home Based Primary Care as outlined in the individual's scope of practice. Maintains an active scope of practice, serving as a pharmacist with advanced scope of practice within the primary care through provision of patient care during new patient and follow up visits for chronic disease states. Has expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings. Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed. Documents and ensure completion of clinical interventions, encounters, alerts and consults in CPRS in a timely and professional manner as appropriate. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate and is accountable for medication reconciliation according to facility policies. Works with other HBPC staff (i.e. Physicians, Nurse Practioner, Physician Assistants, Social Workers, Nurses, Dieticians, etc.) and assists in providing medication management and medication education to patients in both individual and group settings. Performs medication use evaluations on behalf of national, VISN and local medical center initiatives, for assigned patients. Assists with Pharmacy and Therapeutic activities as assigned. Orders, performs, reviews and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Follows up with patients on lab or test results to discuss the plan of therapy (i.e. changes in medication therapy, monitoring and evaluation, additional testing requirements, referral to primary care or specialty care physician) Monitors for and reports drug errors, adverse drug reactions, allergies, and patient compliance issues. Incumbent documents findings per facility procedures. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. Promotes and monitors compliance for established drug therapy policies. Works with providers to ensure compliance with national, VISN, and local initiatives. As required, the HBPC CPS will provide tele-medical health assessments and treatment. Acts as a pharmacist with an advanced scope of practice with specialty training in primary care providing expertise to other providers, pharmacists, nursing and other disciplines as appropriate. Refers patients to another appropriate clinic and/or provider, as appropriate. Educates patients on their drug therapy with respect to compliance and proper administration, signs of toxicity, adverse effects, and interactions with other medications, inquiries about side effects and refill history, evaluates patient's ability to understand instructions, provides verbal and written instructions to promote patient medication adherence, documents all elements of patient consultation. Participates in Professional Peer Evaluation. Recognizes suicide risk factors and understands facility policies regarding suicide prevention, support systems, and referral resources. Work Schedule: Varies Telework: Available Virtual: This is not a virtual position. Functional Statement #: PD521160
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.