title: Comparison and alignment of an academic medical center's strategic goals with ASHP initiatives.
abstract: OBJECTIVE
  An academic medical center's strategic goals were compared and aligned with the 2015 ASHP Health-System Pharmacy Initiative and the Pharmacy Practice Model Initiative (PPMI).
  
  
  METHODS
  The department's pharmacy practice model steering committee identified potential solutions to narrow prioritized gaps using a modified nominal group technique and a multivoting dot technique.
  
  
  RESULTS
  Five priority solutions were identified and assigned to work groups to develop business plans, which included admission medication history and reconciliation for high-risk patients and those with complex medication regimens, pharmacist provision of discharge counseling to high-risk patients and those with complex medication regimens, improved measurement and reporting of the impact of PPMI programs on patient outcomes, implementation of a departmentwide formalized peer review and evaluation process, and the greeting of every patient at some time during his or her visit by a pharmacy team member. Stakeholders evaluated the business plans based on feasibility, financial return on investment, and anticipated safety enhancements. The solution that received the highest priority ranking and was subsequently implemented was "improved measurement and reporting of the impact of PPMI programs on patient outcomes."
  
  
  CONCLUSIONS
  A defined process was followed for identifying gaps among current practices at an academic medical center and the 2015 ASHP Health-System Pharmacy Initiative and the PPMI. A key priority to better document the impact of pharmacists on patient care was identified for our department by using a nominal group technique brainstorming process and a multivoting dot technique and creating standardized business plans for five potential priority projects.
authors.affiliation: Melanie J. Engels, Pharm.D., is Manager, Process and Service Quality, University of Michigan Hospitals and Health Centers (UMHHC), Ann Arbor, and Adjunct Clinical Instructor, Department of Pharmacy Services, University of Michigan College of Pharmacy (UMCP), Ann Arbor. Bruce W. Chaffee, Pharm.D., is Clinical Pharmacist, Informatics and Outcomes, UMHHC, and Adjunct Clinical Associate Professor, UMCP. John S. Clark, Pharm.D., M.S., BCPS, FASHP, is Director of Pharmacy Services and Postgraduate Year 1 Pharmacy Residency Program Director, UMHHC, and Clinical Associate Professor, Department of Pharmacy Services, UMCP. mengels@med.umich.edu.
authors.forename: Melanie J
authors.initials: MJ
authors.lastname: Engels
authors.affiliation: Melanie J. Engels, Pharm.D., is Manager, Process and Service Quality, University of Michigan Hospitals and Health Centers (UMHHC), Ann Arbor, and Adjunct Clinical Instructor, Department of Pharmacy Services, University of Michigan College of Pharmacy (UMCP), Ann Arbor. Bruce W. Chaffee, Pharm.D., is Clinical Pharmacist, Informatics and Outcomes, UMHHC, and Adjunct Clinical Associate Professor, UMCP. John S. Clark, Pharm.D., M.S., BCPS, FASHP, is Director of Pharmacy Services and Postgraduate Year 1 Pharmacy Residency Program Director, UMHHC, and Clinical Associate Professor, Department of Pharmacy Services, UMCP.
authors.forename: Bruce W
authors.initials: BW
authors.lastname: Chaffee
authors.affiliation: Melanie J. Engels, Pharm.D., is Manager, Process and Service Quality, University of Michigan Hospitals and Health Centers (UMHHC), Ann Arbor, and Adjunct Clinical Instructor, Department of Pharmacy Services, University of Michigan College of Pharmacy (UMCP), Ann Arbor. Bruce W. Chaffee, Pharm.D., is Clinical Pharmacist, Informatics and Outcomes, UMHHC, and Adjunct Clinical Associate Professor, UMCP. John S. Clark, Pharm.D., M.S., BCPS, FASHP, is Director of Pharmacy Services and Postgraduate Year 1 Pharmacy Residency Program Director, UMHHC, and Clinical Associate Professor, Department of Pharmacy Services, UMCP.
authors.forename: John S
authors.initials: JS
authors.lastname: Clark
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D026683:Advisory Committees; D004282:Documentation / Q000379:methods; D006040:Goals; D006801:Humans; D005791:Patient Care / Q000379:methods; D010380:Peer Review / Q000379:methods; D010595:Pharmacists / Q000458:organization & administration*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D012957:Societies, Pharmaceutical / Q000458:organization & administration*; D014481:United States