CPO Update

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CPO Update. 2012 COF College Park, MD. USPHS Pharmacy Workforce. Commissioned Corps Pharmacists ~ 1200 PHS Pharmacists (including civil service) ~ 1700. Other = AHRQ, CDC, DOD, CMS, HRSA, NIH, OS, PSC, SAMHSA. 1200 Officers • 15 Agencies/OPDIVS • 4 Departments …and growing. - PowerPoint PPT Presentation

Text of CPO Update

  • CPO Update2012 COFCollege Park, MD

  • USPHS Pharmacy Workforce Other = AHRQ, CDC, DOD, CMS, HRSA, NIH, OS, PSC, SAMHSA Commissioned Corps Pharmacists ~ 1200 PHS Pharmacists (including civil service) ~ 17001200 Officers 15 Agencies/OPDIVS 4 Departmentsand growingLeadership, Service, Integrity, Excellence

    Distribution by Agency







    Total by Agency

















  • USPHS Pharmacy Update PharmPAC leadershipChair: CDR Peter Diak (Peter.Diak@fda.hhs.gov)Chair Elect: CDR Mike Crockett (mcrockett@bop.gov)ReadinessApplication process Recruitment philosophyUSPHS Commissioned Corps Pharmacy input on Department and Agency pharmacy-related initiativesLeadership, Service, Integrity, Excellence

  • HHS Pharmacy-Related Initiatives2011 National Drug Control Strategy: Call-to-Action on Prescription Drug AbuseIllegal Pharmacy Internet UseMedication AdherencePartnership for PatientsMillion Hearts CampaignLeadership, Service, Integrity, Excellence

  • National Prevention StrategyExtensive stakeholder and public inputAligns and focuses on evidence-based prevention and health promotionMoves from focus on sickness and disease to prevention and wellnessU.S. Public Health Service Pharmacy Prevention StrategyLeadership, Service, Integrity, Excellence

  • Administrative UpdateDivision of Commissioned Corps Personnel and Readiness (DCCPR)Consolidation includesOffice 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 CorpsWork directly with RADM Lushniak (DSG) and OSG/OASH on strategic decisions

    Leadership, Service, Integrity, Excellence

  • Accountability StructureLeadership, Service, Integrity, Excellence

  • FY11: had two expected funding streams totaled $23,108,203FY12: one major appropriated funding stream (CCI) was zeroed out. Second funding stream (SSF) also reduced. FY12 available funds for DCCPR/DSI was $14,318,959All funds now consolidated under SSF fund FY13: another $1.1M budget cut funds to ~ $13.4MFunds cut 40% in FY12 Hiring freeze at Corps HQ since May 2010DCCPR FY12/13 Budget ImpactLeadership, Service, Integrity, Excellence

  • DCCPR FTE/Staff History (Oct 1, 2012 represents actual estimated staff count for DCCPR/DSI)Leadership, Service, Integrity, Excellence







    Series 1



    Series 1




    Est. 10-1-1169

    Est. 10-1-1254

    To resize chart data range, drag lower right corner of range.

  • DCCPR FY12 OutcomesLeadership, Service, Integrity, ExcellenceStreamlined functions, consolidated 4 flag offices into one, reduced personnel budgetImplemented Customer Service AimsCAD 5 Focus AreasCompleted/implemented new billet systemContinue with DOD mental health partnershipContinue to maintain functions as best possibleOBC continues, now trained over 2500 officers

  • Domestic Training/Response MissionsCommunity Health and Service-oriented Missions (CHASM) Operation Lone Star: Mission/San Juan, TX, 2011Operation Nexus: Paducah/Pikeville, KY, 2011Operation Foothold: Pine Ridge, SD, 2011Rosebud: Rosebud, SD (July 1-10, 2012)Leadership, Service, Integrity, Excellence

  • 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


  • Next Steps

    Advance the Profession

  • We are moving beyond discussion.

    Reports release and support from Dr. Benjamin has commenced a wave of momentum (and a review of how we practice)Report to the Surgeon General

  • Next Steps

    Report to the Surgeon GeneralIMPACT in 2012CMS regulation amendmentNational Health Service Corps SLRP: 1st timeOrganizationsAPhA policy amendments via House of DelegatesMission/vision statement revision: APhA, ASHP, NASPA, JCPP, AACPState pharmacy associations: actions (e.g., PA provider status) and modeling of language for scopeCDC/APhA Foundation white paper on health policy and public education related to nomenclature/scope

  • Next Steps

    IMPACT (contd) in 2012AcademiaTransformation in pharmacy educationMission statement changes Curriculum adjustmentsStudent 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 impactPotential translation into 6 different languages

  • Next StepsWe are being sought afterSeize opportunity to partner wherever possible on pharmacy initiativesFunction as expert consultants on pharmacy practice leverage your practice environment and take responsibility to connect the dotsUtilize consistent message regarding our expanded scopes Help lead the professionMobilize PHS Pharmacy

  • Expand Partnerships

  • Enhanced partnerships subsequent to the Report to Surgeon GeneralPharmacy professional organizations (within U.S. & international). Ex: NASPA, APhA, ASHP, etc.ALL state pharmacist associationsAcademiaPharmacist-physicianHRSA: Patient Safety & Clinical Pharmacy Services Collaborative4th year, > 170 community-based teams48 states, plus D.C., Puerto Rico, Virgin IslandsExpanded Partnerships

  • IHSIHS-VA Consolidated Mail Outpatient PharmacyIHS-DOD Pharmacy Technician Training ProgramOngoing clinical programs and NCPSBOP: ongoing clinical program expansion (e.g., HIV Pharmacy Program)CDC: pharmacy policy consortium, outreach project on chronic careCMS: regulation amendment naming pharmacists as medical staffFDA: new OTC paradigm initiativeExpanded Partnerships

  • 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

  • Federal Pharmacist Vision & Scope of PracticeScope of Practice Finalized on 10 February 2012Describes state of pharmacy practice when the Federal Pharmacist Vision has been achievedAdopted by PHS, Army, Navy, Air Force, and VAAdopted by APhA Board in guiding policy expansionUpdating OPM federal pharmacist position description standards to align with vision and scope of practice

  • Next Steps

    Recruit and Retain

  • Category Outreach (Publications, Speaking)Letters, certificatesUPOCs (49), student awards (65), OBC (433), etc.Participated in OBC each month in FY12Recruitment model programs (e.g., UPOC, student award initiative with PPAC) Commissioned Corps Pharmacy Mentoring Network (CCPMN)2011: 37 paired Continue to go above and beyondRecruit and Retain

  • Pride and ResponsibilityPerformance is the platformNeed to be diplomatic, responsive, accountableDevelop the right culture for our CorpsKnow our capacity, adapt to the focus/needUnderstand the bigger pictureRemember WHO you are as a uniformed officerInspire it motivatesBuild sincere bridges

  • RADM Scott GibersonU.S. Assistant Surgeon GeneralChief Professional Officer, PharmacyDirector, Commissioned Corps Personnel and Readiness Questions and Answers

    *Data current as of 11-June-2012**

    Partnership for PatientsUSPHS Pharmacy is approximately 5% of 7005 clinicians/providers pledged as of 4 Feb 2012.2 Goals: Keep patients from getting injured or sicker. By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients, with more than 60,000 lives saved over the next three years. Help patients heal without complication. By the end of 2013, preventable complications during a transition from one care setting to another would be decreased so that all hospital readmissions would be reduced by 20% compared to 2010. Achieving this goal would mean more than 1.6 million patients will recover from illness without suffering a preventable complication requiring re-hospitalization within 30 days of discharge.

    Million Hearts: a national initiative to prevent 1 million heart attacks and strokes over five years. Million Hearts brings together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke. *

    **(all but one FTE reduction in staff was officers)*****Released to public on 9 January 2012Support with letter from the U.S. Surgeon General, VADM Regina BenjaminComprehensive evidence-based report on pharmacist-delivered patient careBased on multiple decades of federal pharmacy practice

    Acknowledgement that pharmacist-delivered patient care is effective and evidence-basedRecognition as health care providersCompensation to match level of careMove beyond discussion of model to implementation

    *CMS regulation amendment (42 CFR 482.22; published 16 May 2012): Role of other practitioners on the Medical Staff: We have broadened the concept of medic