Pharmacists at Froedtert & the Medical College of Wisconsin health network provide care in a variety of settings:
- Ambulatory clinics
- Emergency department
- Inpatient central operations
- Inpatient decentralized
- Outpatient infusion clinic
- Outpatient oncology clinics
- Outpatient retail and mail order
Other services Include:
- Antimicrobial stewardship
- Anticoagulation stewardship
- Center for medication use
- Investigational drug services
- Pharmacy informatics
Outpatient and Ambulatory Pharmacy
Pharmacists provide medications to patients at five outpatient pharmacies located on the Froedtert Hospital campus as well as six locations throughout the community. The outpatient pharmacies serve patients who are seen in Froedtert & MCW clinics, patients who are discharged from the hospital, Froedtert Health employees and all other patients. In addition to dispensing services, the pharmacies provide home delivery services, medication take-back programs, sharps collection, medication therapy management for specialty and high-risk patients, and immunizations.
Pharmacists practicing in the ambulatory setting evaluate patient medication regimens, monitor lab values, and provide patient counseling in various Froedtert Hospital ambulatory clinics, including the Infectious Disease, Anticoagulation, Endocrine, Metabolic Syndrome, Transplant, Pulmonary, GI, Anemia, Internal Medicine, Primary Care, Cardiology, and Rheumatology Clinics. Pharmacists in the Hematology/Oncology Clinic evaluate medication regimens and provide safe preparation and administration of chemotherapy and supportive agents. Many services are offered pursuant to collaborative practice agreements.
The Central Pharmacy, staffed 24 hours a day, uses advanced technology to fill inpatient medication orders efficiently and safely. The Central Pharmacy uses the latest prescription fulfillment technology, which decreases the likelihood of medication errors with barcode scan verification and dispensing. This technology ensures the right drug is prescribed for the right patient at the right time. The system also manages the drug inventory. Pharmacists in Central Pharmacy are responsible for ensuring the proper preparation of intravenous medications and verification of medication selection. Froedtert Hospital's inpatient pharmacy recently underwent a major renovation completed in early 2015. An additional 900 square feet was added to house a state-of-the-art intravenous compounding area. The existing space was also re-configured to improve operational efficiency and medication distribution.
Pharmacists and technicians in the Cancer Center Day Hospital Pharmacy prepare and dispense chemotherapy and supportive treatments for inpatient and outpatient hematology/oncology areas.
Decentralized Pharmacy Teams (Inpatient Pharmacists)
Our pharmacists are an important part of the specialized inpatient care teams who provide comprehensive clinical services and patient education throughout the hospital. Pharmacists on inpatient teams participate in daily multidisciplinary and patient care rounds, verify physician orders, provide therapeutic drug monitoring, conduct patient medication histories, perform medication reconciliation, and provide discharge counseling.
Decentralized pharmacy teams provide inpatient services throughout the hospital to a wide variety of medical services, including in Blood and Marrow Transplant, Neurosurgical Intensive Care, Surgical Intensive Care, Medical Intensive Care, Cardiovascular Intensive Care, Solid Organ Transplant, Adult Internal Medicine, General Surgery, Orthopedics, Oncology, the Emergency Department and the Operating Room.
Center for Medication Use
The Center for Medication Use is a team dedicated to maintaining the Froedtert & MCW system-aligned formulary, and promoting responsible utilization of medications. Responsibilities include coordination of the Pharmacy & Therapeutics Committee, review of medications for addition to formulary, conducting medication use evaluations, publishing medication guidelines and protocols, maintain medication references and tools, and managing medication shortages across the system. The Center also has specialized teams in the areas of antimicrobial and anticoagulation stewardship to promote the safe and effective use of these agents.
Teaching and Precepting
We partner with several schools of pharmacy throughout the region as a training site for experiential education. We offer a wide-variety of introductory and advanced practice experiences, including our Student Scholars program where P4 students complete the majority of their advanced pharmacy practice experiences on campus. There are many opportunities for pharmacists and residents to teach, precept and mentor pharmacy students.
The pharmacists and technicians on our pharmacy informatics team are responsible for the design and maintenance of technology used throughout the organization to dispense medications and facilitate patient care.
Since 2004, we have used Epic to house its electronic health record. Providers enter medication orders using computerized order entry through Epic in both the inpatient and clinic settings. A core group of pharmacists working on the Epic Willow team ensure that the program works with the Epic electronic medication administration record (eMAR) system to maintain records of all inpatient medications. Our nurses use Epic eMAR for medication documentation and always have up-to-date information on their patients' medications. All inpatient medication orders are electronically transmitted via Epic Willow to either the Central Pharmacy for filling and distribution or directly to automated dispensing cabinets (MedSelect™) located on each unit.
All outpatient retail pharmacies on and off campus utilize a single medication dispensing software that links between pharmacy locations. EnterpriseRx manages resources and information centrally, in real time, for company-wide access and monitoring. EnterpriseRx uses workflow-based processing to enable retail pharmacies to increase prescription volume while enabling labor to be redeployed to facilitate new patient services.
ASHP Best Practices Award
In October 2015, the Froedtert Hospital Pharmacy Department was honored by the American Society of Health System Pharmacists with one of six annual Best Practice Awards in Health System Pharmacy for their submission entitled "Expanding Pharmacy Practice Through the Utilization of Longitudinal Advanced Pharmacy Practice Experience Students." This award program is a national competition that recognizes innovation and outstanding leadership in health-system pharmacy. This is Froedtert Hospital's fourth best practices award. The first, titled "Improving Patient Safety through Implementation of a Pharmacy Conducted Admission Medication History and Multidisciplinary Discharge Medication Reconciliation Process," was awarded in 2007. The second, titled "Project PRIMED (Pharmacist Reconciliation and Medication Education at Discharge)," was awarded in 2011. The third, titled "Institutional and Patient Benefits of a Comprehensive Medication Prior Authorization Service" was awarded in 2013.
We offer the excitement of working at an academic medical center, where teaching and research are integral to patient care. Clinical pharmacists are important members of the team, teaching medical residents, pharmacy students and pharmacy residents. If you are interested in using your skills, growing, learning and being part of an exceptional pharmacy team, we invite you to apply to one of our pharmacy residency programs!