CPO Update 2012 COF College Park, MD. USPHS Pharmacy Workforce USPHS Pharmacy Workforce Other =...
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Transcript of CPO Update 2012 COF College Park, MD. USPHS Pharmacy Workforce USPHS Pharmacy Workforce Other =...
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CPO Update2012 COF
College Park, MD
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USPHS Pharmacy WorkforceUSPHS Pharmacy Workforce
Other = AHRQ, CDC, DOD, CMS, HRSA, NIH, OS, PSC, SAMHSA
• Commissioned Corps Pharmacists ~ 1200• PHS Pharmacists (including civil service) ~ 1700
1200 Officers • 15 Agencies/OPDIVS • 4 Departments…and growing
Leadership, Service, Integrity, Excellence
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USPHS Pharmacy Update
• PharmPAC leadership– Chair: CDR Peter Diak ([email protected])– Chair Elect: CDR Mike Crockett ([email protected])
• Readiness• Application process • ‘Recruitment’ philosophy• USPHS Commissioned Corps Pharmacy input on
Department and Agency pharmacy-related initiatives
Leadership, Service, Integrity, Excellence
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HHS Pharmacy-Related Initiatives
• 2011 National Drug Control Strategy: Call-to-Action on Prescription Drug Abuse
• Illegal Pharmacy Internet Use
• Medication Adherence
• Partnership for Patients
• Million Hearts Campaign
Leadership, Service, Integrity, Excellence
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National Prevention Strategy
• Extensive stakeholder and public input
• Aligns and focuses on evidence-based prevention and health promotion
• Moves from focus on sickness and disease to prevention and wellness
• U.S. Public Health Service Pharmacy Prevention Strategy
Leadership, Service, Integrity, Excellence
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Administrative UpdateAdministrative Update
• Division of Commissioned Corps Personnel and Readiness (DCCPR)– Consolidation includes• Office of Force Readiness and Deployment (OFRD)• Office of Commissioned Corps Operations (OCCO)• Office of Commissioned Corps Force Management
(OCCFM)• Office of Reserve Affairs (ORA)
– All operations of the Corps–Work directly with RADM Lushniak (DSG) and
OSG/OASH on strategic decisions
Leadership, Service, Integrity, Excellence
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Accountability Structure
Leadership, Service, Integrity, Excellence
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• FY11: had two expected funding streams totaled $23,108,203
• FY12: one major appropriated funding stream (CCI) was zeroed out. Second funding stream (SSF) also reduced.
• FY12 available funds for DCCPR/DSI was $14,318,959• All funds now consolidated under SSF fund • FY13: another $1.1M budget cut funds to ~ $13.4M• Funds cut 40% in FY12 • Hiring freeze at Corps HQ since May 2010
DCCPR FY12/13 Budget ImpactDCCPR FY12/13 Budget Impact
Leadership, Service, Integrity, Excellence
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DCCPR FTE/Staff History
(Oct 1, 2012 represents actual estimated staff count for DCCPR/DSI)
Leadership, Service, Integrity, Excellence
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DCCPR FY12 Outcomes
Leadership, Service, Integrity, Excellence
• Streamlined functions, consolidated 4 flag offices into one, reduced personnel budget
• Implemented Customer Service Aims• CAD 5 Focus Areas• Completed/implemented new billet system• Continue with DOD mental health partnership• Continue to maintain functions as best possible• OBC continues, now trained over 2500 officers
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Domestic Training/Response Missions
• Community Health and Service-oriented Missions (CHASM) – Operation Lone Star: Mission/San Juan, TX, 2011– Operation Nexus: Paducah/Pikeville, KY, 2011– Operation Foothold: Pine Ridge, SD, 2011
– Rosebud: Rosebud, SD (July 1-10, 2012)
Leadership, Service, Integrity, Excellence
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CPO Strategic Goals CPO Strategic Goals
• Advance the profession and position it to support successful health reform
• Expand and enhance internal and external pharmacy partnerships
• Recruit, retain and develop future pharmacists and health leaders
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2
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Next Steps
Advance the Profession
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We are moving beyond discussion.
Report’s release and support from Dr. Benjamin has commenced a wave of momentum (and a ‘review’ of how we practice)
Report to the Surgeon General
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Next StepsReport to the Surgeon GeneralIMPACT in 2012
• CMS regulation amendment• National Health Service Corps SLRP: 1st time• Organizations–APhA policy amendments via House of Delegates–Mission/vision statement revision: APhA, ASHP,
NASPA, JCPP, AACP• State pharmacy associations: actions (e.g., PA
provider status) and modeling of language for scope• CDC/APhA Foundation white paper on health policy
and public education related to nomenclature/scope
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Next StepsIMPACT (cont’d) in 2012
• Academia– Transformation in pharmacy education–Mission statement changes – Curriculum adjustments– Student pharmacists’ positions on post-graduate
training (APhA-ASP)• Multiple publications: Medscape, U.S. Medicine,
Pharmacy Today, etc.• Speaking engagements (30+): 25 states, 2 countries,
viral impact• Potential translation into 6 different languages
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Next Steps
• We are being sought after…• Seize opportunity to partner wherever possible
on pharmacy initiatives• Function as expert consultants on pharmacy
practice – leverage your practice environment and take responsibility to connect the dots
• Utilize consistent message regarding our expanded scopes
• Help lead the profession
Mobilize PHS Pharmacy
I challenge all of you to engage and accomplish!
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Expand PartnershipsExpand Partnerships
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• Enhanced partnerships subsequent to the Report to Surgeon General– Pharmacy professional organizations (within U.S. &
international). Ex: NASPA, APhA, ASHP, etc.– ALL state pharmacist associations– Academia– Pharmacist-physician
• HRSA: Patient Safety & Clinical Pharmacy Services Collaborative– 4th year, > 170 community-based teams– 48 states, plus D.C., Puerto Rico, Virgin Islands
Expanded Partnerships
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• IHS– IHS-VA Consolidated Mail Outpatient Pharmacy– IHS-DOD Pharmacy Technician Training Program– Ongoing clinical programs and NCPS
• BOP: ongoing clinical program expansion (e.g., HIV Pharmacy Program)
• CDC: pharmacy policy consortium, outreach project on chronic care
• CMS: regulation amendment naming pharmacists as medical staff
• FDA: new OTC paradigm initiative
Expanded Partnerships
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Federal Pharmacists are essential to health care access and delivery in the United States; recognized as health
care providers of patient-centered primary and specialty care, and as trusted public health leaders. As experts in medication use and comprehensive pharmacy services,
we promote wellness, prevent and manage disease, ensure patient safety, and optimize health outcomes in
collaboration with the health care team.
Federal Pharmacist Vision
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Federal Pharmacist Vision & Scope of Practice
• Scope of Practice – Finalized on 10 February 2012– Describes state of pharmacy practice when the
Federal Pharmacist Vision has been achieved
• Adopted by PHS, Army, Navy, Air Force, and VA• Adopted by APhA Board in guiding policy
expansion• Updating OPM federal pharmacist position
description standards to align with vision and scope of practice
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Next Steps
Recruit and Retain
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• Category Outreach (Publications, Speaking)– Letters, certificates• UPOCs (49), student awards (65), OBC (433), etc.
• Participated in OBC each month in FY12• Recruitment model programs (e.g., UPOC,
student award initiative with PPAC) • Commissioned Corps Pharmacy Mentoring
Network (CCPMN)– 2011: 37 paired
• Continue to go above and beyond
Recruit and Retain
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Pride and Responsibility
• Performance is the platform–Need to be diplomatic, responsive,
accountable• Develop the right culture for our Corps–Know our capacity, adapt to the focus/need–Understand the ‘bigger picture’–Remember WHO you are as a uniformed
officer• Inspire – it motivates• Build sincere bridges
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• RADM Scott Giberson• U.S. Assistant Surgeon General
• Chief Professional Officer, Pharmacy• Director, Commissioned Corps Personnel and Readiness
Questions and Answers