Development and implementation of procedures for outpatient naloxone prescribing at a large academic medical center.

Purpose: An interprofessional initiative to operationalize outpatient naloxone prescribing at a large academic medical center is described.

Summary: The initiative was carried out by a work group of clinical pharmacists and pharmacy administrators in collaboration with physicians and nursing staff leaders from multiple practice settings. An opioid overdose risk-assessment guide was developed on the basis of literature review and expert opinion.

Expansion of inpatient clinical pharmacy services through reallocation of pharmacists.

Purpose: The redesign of an inpatient pharmacy practice model through reallocation of pharmacy resources in order to expand clinical services is described.

Methods: A pharmacy practice model change was implemented at a nonprofit academic medical center to meet the increasing demand for direct patient care services. In order to accomplish this change, the following steps were completed: reevaluation of daily tasks and responsibilities, reallocation of remaining tasks to the most appropriate pharmacy staff member, determination of the ideal number of positions needed to complete each task, and reorganization of the model into a collection of teams.