CPO Update
2012 COF
College Park, MD
USPHS Pharmacy Workforce
• Commissioned Corps Pharmacists ~ 1200
• PHS Pharmacists (including civil service) ~ 1700
Other
8%
BOP
13%
DHS
3%
Other = AHRQ, CDC, DOD, CMS,
HRSA, NIH, OS, PSC, SAMHSA
IHS
47%
FDA
29%
1200 Officers • 15 Agencies/OPDIVS • 4 Departments
…and growing
Leadership, Service, Integrity, Excellence
USPHS Pharmacy Update
• PharmPAC leadership
– Chair: CDR Peter Diak (Peter.Diak@fda.hhs.gov)
– Chair Elect: CDR Mike Crockett (mcrockett@bop.gov)
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Readiness
Application process
‘Recruitment’ philosophy
USPHS Commissioned Corps Pharmacy input on
Department and Agency pharmacy-related
initiatives
Leadership, Service, Integrity, Excellence
HHS Pharmacy-Related Initiatives
• 2011 National Drug Control Strategy: Callto-Action on Prescription Drug Abuse
• Illegal Pharmacy Internet Use
• Medication Adherence
• Partnership for Patients
• Million Hearts Campaign
Leadership, Service, Integrity, Excellence
National Prevention Strategy
• Extensive stakeholder and public
input
• Aligns and focuses on evidencebased 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
Administrative 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
Accountability Structure
Leadership, Service, Integrity, Excellence
DCCPR FY12/13 Budget Impact
• 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
Leadership, Service, Integrity, Excellence
DCCPR FTE/Staff History
(Oct 1, 2012 represents actual estimated staff count for DCCPR/DSI)
Leadership, Service, Integrity, Excellence
DCCPR FY12 Outcomes
• 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
Leadership, Service, Integrity, Excellence
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
CPO Strategic Goals
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1
Advance the profession and position it to
support successful health reform
•
2
Expand and enhance internal and external
pharmacy partnerships
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Recruit, retain and develop future
pharmacists and health leaders
3
Next Steps
Advance the Profession
Report to the Surgeon General
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)
ReportNext
to the Steps
Surgeon General
IMPACT 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
Next(cont’d)
Stepsin 2012
IMPACT
• 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
NextPHS
Steps
Mobilize
Pharmacy
• 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
I challenge all of you to engage and accomplish!
Expand Partnerships
Expanded Partnerships
• 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
• 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
Federal Pharmacist Vision
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 & 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
Next Steps
Recruit and Retain
Recruit and Retain
• 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
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
Questions and Answers
• RADM Scott Giberson
• U.S. Assistant Surgeon General
• Chief Professional Officer, Pharmacy
• Director, Commissioned Corps Personnel and Readiness