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Emergency Medicine Petition BPS 2019

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Emergency Medicine Petition BPS 2019 Dear Mr. Ellis, On behalf of the American College of Clinical Pharmacy and the American Society of Health‐System Pharmacists, it is our privilege to submit the attached petition to the Board of Pharmacy Specialties requesting recognition of emergency medicine pharmacy practice as a specialty. Emergency medicine pharmacists (EMPs) specialize in the delivery of direct patient care at the bedside and care for patients across diverse populations and acuity levels. These specialists are critical members of the interprofessional emergency medicine team, are able to anticipate pharmacotherapy needs in the fast‐paced environment of the emergency department (ED), and have expertise in the management of time‐dependent emergencies, pre‐hospital medicine, emergency preparedness, public health, and toxicology. Emergency medicine pharmacy practice focuses on rapid assessment of available patient data to optimize pharmacotherapy, improve patient safety, increase efficiency and cost‐effectiveness of care, facilitate medication stewardship, educate patients and health care clinicians, and contribute to research and scholarly efforts. EMPs have the specialized knowledge and expertise needed to manage complex patient medication regimens unique to the emergency medicine population, support operational processes and systems within the ED to improve patient care and patient safety, provide support and education for health care professionals and trainees, and counsel patients and caregivers. These critical functions are delivered in a complex and chaotic environment where patient information is often unknown or incomplete. The partnering associations believe there is strong evidence for support of this specialty through analysis of public health needs and trends; review of the role delineation study for pharmacists whose practice includes emergency medicine; survey results from EMPs and employers; evaluation of peer‐ reviewed literature; and discussions with association and practice leaders. Our profession, patients, and society would benefit through the specialty recognition and credentialing of EMPs. We look forward to consideration of this petition by BPS and the profession of pharmacy. Each of us would be willing to answer questions or provide additional insights and information as needed. Sincerely, ‐Nicole M. Acquisto, PharmD, FCCP, BCCCP ‐Vicki Basalyga, PharmD, BCPS, BCPPS ‐Katelyn R. Dervay, PharmD, MPH, BCPS, FASHP ‐Christopher Edwards, PharmD, BCPS ‐Megan E. Musselman, PharmD, MS, BCPS, BCCCP ‐Kathy Pham, PharmD, BCPPS ‐Jann B. Skelton, RPh, MBA A Petition to the Board of Pharmacy Specialties Requesting Recognition of Emergency Medicine Pharmacy Practice as a Specialty Prepared by: Nicole M. Acquisto Vicki Basalyga Katelyn R. Dervay Christopher Edwards Megan E. Musselman Kathy Pham Jann B. Skelton Sponsored by: American College of Clinical Pharmacy (ACCP) American Society of Health-System Pharmacists (ASHP) October 2019 10/17/2019 Page 1 of 450 Table of Contents Task Group on Emergency Medicine Pharmacy Practice Member Roster ..................................... 3 Definition of Emergency Medicine Pharmacists ............................................................................. 4 Executive Summary ......................................................................................................................... 5 Criterion A: Need .......................................................................................................................... 13 Criterion B: Demand ..................................................................................................................... 58 Criterion C: Number and Time ...................................................................................................... 78 Criterion D: Specialized Knowledge and Criterion E: Specialized Tasks/Skills .............................. 84 Criterion F: Education and/or Training ......................................................................................... 85 Criterion G: Transmission of Knowledge ...................................................................................... 95 Appendices Appendix A-1: Domain Comparison Chart ................................................................................. 112 Appendix B-1: Letters of Support ............................................................................................... 124 Appendix C-1: Survey of Emergency Medicine Pharmacists Interested in Board Certification . 166 Appendix F-1: ASHP Required Competency Areas, Goals, and Objectives for Emergency Medicine Postgraduate Year Two (PGY2) Pharmacy Residencies .............................................. 176 Appendix G-1: Emergency Medicine Pharmacy Bibliography .................................................... 204 Appendix G-2: Annotated Literature Review .............................................................................. 218 Appendix G-3: ACPE PLAN Programming – Live Forum; Knowledge Activity ............................. 252 Appendix G-4: ACPE PLAN Programming – Live Forum; Application Activity ............................ 254 Appendix G-5: ACPE PLAN Programming – Home Study; Knowledge Activity .......................... 256 Appendix G-6: ACPE PLAN Programming – Home Study; Application Activity .......................... 258 Appendix G-7: Sample Educational Program Materials ............................................................. 260 Signatures of Support ................................................................................................................. 391 10/17/2019 Page 2 of 450 Task Group on Emergency Medicine Pharmacy Practice Member Roster CLINICAL EXPERTS Nicole M. Acquisto, PharmD, FCCP, BCCCP Megan E. Musselman, PharmD, MS, BCPS, ACCP Clinical Expert BCCCP Emergency Medicine Clinical Pharmacy ACCP Clinical Expert Specialist, Department of Pharmacy Clinical Pharmacy Specialist Associate Professor, Department of Emergency PGY1 Residency Coordinator Medicine North Kansas City Hospital University of Rochester Medical Center 2800 Clay Edwards Drive 601 Elmwood Avenue North Kansas City, MO 64116 Box 638 Office: (816) 691-8975 Rochester, NY 14642 [email protected] Cell: (716) 310-0504 [email protected] STAFF LIAISONS Vicki Basalyga, PharmD, BCPS, BCPPS Katelyn R. Dervay, PharmD, MPH, BCPS, FASHP ASHP Staff Liasion ASHP Clinical Expert Director, Section of Clinical Specialists and Pharmacotherapy Specialist, Emergency Scientists Medicine 4500 East-West Highway, Suite 900 Director, PGY2 Emergency Medicine Residency Bethesda, MD 20814 Tampa General Hospital Office: (301) 664-8713 Pharmacy Department [email protected] 1 Tampa General Circle Tampa, FL 33606 Kathy Pham, PharmD, BCPPS Office: (813) 844-3083 ACCP Staff Liasion Cell: (352) 219-3221 Director, Policy and Professional Affairs [email protected] 1455 Pennsylvania Avenue NW, Suite 400 Washington, DC 20004 Christopher Edwards, PharmD, BCPS Office: (202) 621-1855 ASHP Clinical Expert [email protected] Assistant Professor, Pharmacy Practice and Science Jann B. Skelton, RPh, MBA Clinical Assistant Professor, Emergency Project Consultant Medicine President, Silver Pennies Consulting The University of Arizona 17 Spruce Road College of Pharmacy and College of Medicine North Caldwell, NJ 07006 1295 North Martin Office: (973) 228-3285 PO Box 210202 Cell: (703) 431-4648 Tucson, AZ 85721 [email protected] Office: (520) 626-5404 [email protected] Disclosure: Jann B. Skelton is under contract with the petitioning organizations to coordinate the development and submission of this petition. She received payment for her work on this initiative. 10/17/2019 Page 3 of 450 Definition of Emergency Medicine Pharmacists Emergency medicine pharmacists specialize in the delivery of direct patient care at the bedside across diverse patient populations and acuity levels. These specialists are critical members of the interprofessional emergency medicine team, are able to anticipate pharmacotherapy needs in the fast-paced environment of the emergency department, and have expertise in the management of time-dependent emergencies, pre-hospital medicine, emergency preparedness, public health, and toxicology. Emergency medicine pharmacy practice focuses on rapid assessment of available patient data to optimize pharmacotherapy, improve patient safety, increase efficiency and cost-effectiveness of care, facilitate medication stewardship, educate patients and health care clinicians, and contribute to research and scholarly efforts. 10/17/2019 Page 4 of 450 American College of Clinical Pharmacy (ACCP) American Society of Health-System Pharmacists (ASHP) A Petition to the Board of Pharmacy Specialties (BPS) Requesting Recognition of Emergency Medicine Pharmacy Practice Executive Summary Definition of Emergency Medicine Pharmacists Emergency medicine pharmacists specialize in the delivery of direct patient care at the bedside across diverse patient populations and acuity levels. These specialists are critical members of the interprofessional emergency medicine team, are able to anticipate pharmacotherapy needs in the fast-paced environment of the emergency department, and have expertise in the management of time-dependent emergencies, pre-hospital medicine, emergency preparedness, public health, and toxicology. Emergency medicine pharmacy practice focuses on rapid assessment of available patient data to optimize pharmacotherapy, improve patient safety, increase efficiency and cost-effectiveness of
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