Program Overview

Program Overview

The Health System Pharmacy Administration and Leadership (HSPAL) residency program is a two-year experience that combines a Master of Business Administration (MBA) or Master of Science (MS) degree in Health Care Management from the Johns Hopkins Carey Business School. The program aims to develop expert skills and competency in pharmacy practice leadership, preparing pharmacists to assume leadership positions in hospitals and integrated health care systems.

Program Goals

Residents who complete this program will be able to demonstrate proficiency in:

• Broad-based academic training in quality improvement, healthcare operations, healthcare economics, finance, accounting, negotiation, marketing, strategic planning, and management theory within complex medical-delivery systems
• Interdisciplinary problem solving and decision-making skills
• Organization of integrated health care systems with the pharmacist as an essential component of the health care team
• Leadership and administrative skills necessary to manage pharmaceutical care and the needs of patients
• Public health and quality patient care by fostering the optimal and responsible use of drugs
• Programs and services that emphasize the health needs of the public with respect to the prevention and treatment of disease
• Knowledge and expertise in managing cost-effective drug utilization through the application of pharmacoeconomic principles
• Strategies in the prevention of medication errors and adverse events
• Knowledge to identify, analyze, and evaluate health care trends and development of public policy
• Role of pharmacy in conducting and supporting drug research
• Integration of technology with pharmacy practice in order to provide clinically focused, safe, and efficient patient care
• Human resource management and employee engagement skills through hands-on experience

Program Structure

The program is a two-year experience, with the first year (PGY1) focusing on clinical experiences and the second year (PGY2) focusing on health system pharmacy administration and leadership. The program includes:

• PGY1 required rotations:
  • Critical Care (1 month)
  • Internal Medicine (1 month)
  • Integrated Practice Rotation (2 months)
  • Leadership Collaborative Rotation (1 month)
  • Ambulatory Care (6 months longitudinal experience)
• PGY1 elective rotations (1 month each):
  • Addiction Medicine
  • Adult Hepatology Service
  • Advanced Heart Failure and Heart Transplantation
  • Ambulatory Oncology
  • Antimicrobial Stewardship
  • Benign Hematology and Hemostatic/Antithrombotic Stewardship
  • Bone Marrow Transplantation/Myeloma/Lymphoma
  • Concentrated Leadership
  • Emergency Medicine
  • Epic Willow Inpatient Certification
  • General Adult Infectious Diseases Consults
  • General Cardiology
  • General Pediatrics
  • Hematologic Malignancies
  • Inpatient HIV/AIDS
  • Investigational Drug Service
  • Kidney and Pancreas Transplant
  • Liver Transplant
  • Medical Oncology
  • Medication Quality and Outcomes
  • Medication Safety Adults
  • Medication Safety - Pediatrics
  • Neonatal Intensive Care
  • Oncology Clinical Decision Support
  • Pain Management/Palliative Care
  • Pediatric Cardiac Intensive Care & Heart Transplant
  • Pediatric Emergency Medicine
  • Pediatric Infectious Diseases Consult
  • Pediatric Intensive Care
  • Pediatric Oncology
  • Pediatric Nephrology
  • Pharmacy Management & Leadership
  • Psychiatry
  • Surgery Acute Care
  • Transplant Nephrology
• PGY2 required rotations:
  • Advanced Leadership and Strategic Planning (longitudinal one year)
  • Departmental Operations Management Medication Use Systems and Automation (one month)
  • Decentralized Operations I (Adult Medicine, Emergency, Surgery-AMES, Oncology, or Pediatrics)(one month)
  • Decentralized Operations II (Adult Medicine, Emergency, Surgery-AMES/Oncology/Pediatrics) (one month)
  • Patient Care and Population Health Services (one month)
  • Pharmacy Informatics Leadership (one month)
  • Quality Improvement/Regulatory Affairs (one month)
  • Staffing and Human Resources (longitudinal one year)
  • Pharmacy Purchasing and Supply Chain Management (one month)
• PGY2 elective rotations:
  • Ambulatory and Transitions of Care (one month)
  • Agency for Healthcare Research and Quality (AHRQ) (one month)
  • Antimicrobial Stewardship (one month)
  • ASHP Health-System Pharmacy Administration (one month)
  • Central Pharmacy Operations (one month)
  • Contracting and Strategic Alignment Home and Community Based Services (one month)
  • Health-System Supply Chain Management (one month)
  • Investigational Drug Service (one month)
  • Leadership and System Integration (one month)
  • Medication Quality and Outcomes (one month)
  • Medication Safety (one month)
  • Pharmacy Clinical Informatics (one month)
  • Specialty Pharmacy Business Development (one month)

Education Components

• Pharmacotherapy Rounds: All residents will provide a 30-minute presentation that is APCE accredited.
• Teaching Requirements: Participate in 1 - 3 teaching sessions at the University of Maryland School of Pharmacy, Notre Dame of Maryland University School of Pharmacy, or Johns Hopkins School of Nursing.
• Prepare & present a minimum of 4 educational in-services, one of which occurs during IPR.
• Write one article for the Writing on the Wall.

Requirements for Acceptance to the Program

• The qualified candidate will have a Doctor of Pharmacy degree from an ACPE accredited school of pharmacy.
• Prior to the beginning of a PGY2 residency, PGY2 residents must have successfully completed an ASHP-accredited PGY1 pharmacy residency program.

Licensure and Certification Requirements

• All residents are expected to obtain a Maryland State Pharmacy License by August 1st.
• The resident will arrive at the program already ACLS certified or will complete certification during the residency year.

Attendance at Professional Meetings

• The department will support the resident (expenses and leave time) to attend ASHP Conference for Leaders, ASHP Midyear Clinical Meeting, and Eastern States Conference (PGY1 year only).

Residency Project

• The resident must complete a self-directed research or quality improvement project.
• The scope, magnitude, and type of project will vary according to individual interests but must be completed in a manner suitable for presentation and publication.

Formulary Management Project or Policy Review

• The resident will complete a drug class review as part of the formulary management process.

Committee Participation

• The resident will be assigned to departmental, hospital, or health-system committee(s) over the course of the year.

Staffing Components

• Each resident will practice as a pharmacist in a designated area throughout the residency year.

On-Call Coverage

• The PGY1 resident will participate in clinical on-call services.
• The PGY2 HSPAL resident will participate in the Administrator On-Call program and be on call for 1 week from Thursday to Thursday approximately 2-4 times a year.

Residency Program Director

• Todd W. Nesbit, PharmD, MBA, FASHP, CPEL
• Vice President for Pharmacy Services, Johns Hopkins Health System
• Chief Pharmacy Officer, The Johns Hopkins Hospital

Residency Program Coordinator

• Michelle Azar, PharmD, MBA, BCPS
• Operations Manager, AMES Ambulatory Pharmacy, The Johns Hopkins Hospital