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BOARD-CERTIFIED PHARMACISTS Six total, 54 percent of the department’s pharmacists 26 | Cleveland Clinic Pharmacy EnterpriseĢ018 HIGHLIGHTS 71 percent of patients were noted to have been able to tolerate another beta-lactam or cephalosporin agent.

Pharmacists were active in supporting community involvement and participated in health and safety fairs, including the Fitness Challenge and the annual Avon Hospital and Richard E. Pharmacists worked closely with hospitalists and advanced practice provider teams to optimize patient care, as well as incorporating pharmacy students and residents into daily workflow.

Pharmacists participated on several hospital committees, including Pharmacy and Therapeutics, Patient Safety, Antimicrobial Stewardship and Critical Care Operations. Pharmacists provided decentralized services, including medication reconciliation, dosing consults and patient education, and worked as part of the interdisciplinary team. A total of 12,475 surgical cases occurred at Avon, which exceeded projected volumes by 12.8 percent. Avon’s Emergency Department has seen 40,575 patients, which exceeded projected patient volumes by 2.6 percent.

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STRATEGIC CHANGE IN 2018 In the second full year of operations, Avon Hospital admitted 6,465 patients, an increase of 8.5 percent from 2017, and exceeded projected patient volumes by 1.1 percent. Technology at Avon Hospital, including Vocera, Badge- In-Badge-Out and interactive patient television, enhances communication among caregivers and efficiencies to deliver comprehensive patient care. Pharmacists are an integral part of the interdisciplinary team and assist with medication reconciliation, discharge planning and patient education. Pharmacists have an opportunity to provide decentralized clinical patient-centered functions, as well as distributive functions.

The department employs the newest pharmacy technology, including a pharmacy carousel, Pyxis ES and IV room workflow software. Pharmacy specialists are integrated into the Critical Care and Infectious Disease patient care teams. The Pharmacy Department consists of 25 caregivers, including 11 pharmacists, one resident, 10 technicians and three administrative staff members.

Continuing to focus on training pharmacy students and residents while improving patient outcomes Annual Report 2018 | 25Īvon Hospital Avon, Ohio | Founded in 2016 | 126-Bed Hospital First Regional Hospital built by Cleveland Clinic AVON HOSPITAL PHARMACY DEPARTMENT Avon Hospital Department of Pharmacy provides inpatient pharmacy services at a new, state-of-the-art hospital 24 hours a day, seven days a week.

Continuing to improve central workflows and expand the presence of nursing-unit-based pharmacists.

This will further improve medication turnaround times and decrease returns to the pharmacy

Converting automated drug dispensing cabinets from Omnicell to Pyxis ES.

Each of the four sterile compounding areas in off-site locations will also be renovated to assure compliance, safety and efficient workflow to USP 800 standards

Remodeling of the main sterile compounding area to be compliant with the revised USP 797 and USP 800 requirements.

Hired additional technicians to expand “meds to beds” program for patients who are being discharged COMING IN 2019.

Implemented PharmacyKeeper a savings of $17 million on COGS.

Implemented 340B drug discount program, providing.

Completed first Critical Care PGY2 residency accreditation refunds processed in central pharmacy visit from ASHP.

Completed SolVE project to move more medication to nursing units, decreasing drug delivery wait times and.

Redesigned the pharmacy intern program to foster care across the Cleveland Clinic enterprise operational and clinical skills, while also increasing engagement.

Continued formulary standardization, enhancing patient.

Opened a state-of-the-art 62-bed Emergency Department.

Provider based billing physician offices throughout the surrounding communities 24 | Cleveland Clinic Pharmacy Enterprise