Brian Musiak, Pharm.D, MBA, CPEL
Health System Pharmacy Executive
East Greenwich,RI
Summary
Seasoned Health System Pharmacy Executive with 14 years of leadership experience including prior experience in supply chain management. Progressive experience marked by continuous contributions above and beyond requirements and growth in new and challenging areas.
Overview
28
28
years of professional experience
6
6
Certifications
Work History
System Director of Pharmacy
Care New England
7 2020 - Current
- Assumed oversight for pharmacy operations at Kent Hospital, Butler Hospital and Women and Infants Hospital
- Managed $50 million drug budget for three hospitals and 4 affiliated infusion centers
- Implemented numerous cost savings initiatives including biosimilar optimization, WAC reduction, NDC optimization and direct order 340B accounts for all infusion centers
- Served as system lead for pharmacy GPO contracting in NPC Pharmacy Operations group under Vizient
- Assisted with initiation of a retail and specialty pharmacy and with efforts to increase prescription capture
- Led efforts to open renovated USP 800/797 compliant clean rooms at Kent Hospital and Women and Infants Hospital and compliant segregated compounding area at Butler Hospital
- Implemented Dose Edge IV Room workflow software
- Oversaw Pyxis ES upgrade system wide
- Led efforts to establish pharmacy operations at COVID-19 Field Hospital and monoclonal antibody infusion clinic
- Served on Kent Value Analysis Committee
- Oversaw COVID-19 vaccination efforts
- Served as preceptor for multiple APPE Pharmacy students and PGY1 Pharmacy residents annually
- Chaired 2 statewide pharmacy leadership groups for Hospital Association of Rhode Island
- Created and led 3 Drug Diversion Oversight committees in accordance with ASHP guidelines and implemented advanced analytics platform Protenus.
- Oversaw several successful Joint Commission pharmacy surveys.
- Mentored and developed several new leaders.
- Served as Administrator on Call for Kent Hospital.
Hospital Pharmacy Board Member
Rhode Island Department Of Health
05.2018 - Current
- Appointed to serve as board member by Governor Gina Raimondo
- Represented hospital pharmacy practice setting
- Attended monthly board meetings
- Served on disciplinary committee
- Led efforts to update sterile compounding regulations
- Assisted with update of questions for pharmacy law exam
Director of Pharmacy
Kent Hospital
01.2018 - 07.2020
- Served as Director of Pharmacy for 360 bed teaching hospital
- Implemented many initiatives to improve patient safety and regulatory compliance
- Coordinated efforts to build USP 797/800 compliant clean room
- Led efforts to expand pharmacist services by opening pharmacist run anticoagulation clinic, Anti-arrhythmic clinic, Cardiology Pharmacist specialist and a Transition of Care Pharmacist specialist
- Oversaw $18 million drug budget
- Led pharmacy efforts to acquire and onboard independent oncology practice
- Oversaw successful Joint Commission survey with no findings in 2019
- Served as preceptor for multiple APPE Pharmacy students and PGY1 Pharmacy residents annually.
Per-Diem Pharmacist
South County Hospital
07.2009 - 06.2020
- Per-Diem Pharmacist
- Interpreted prescriptions from healthcare providers to properly dispense medications and health products.
- Advised physicians on how to properly dose medications.
Director of Pharmacy and Supply Chain Management
Lawrence and Memorial Healthcare/ Yale New Haven Health
10.2015 - 01.2018
- Assumed leadership for pharmacy departments at Lawrence and Memorial Hospital and Westerly Hospital while retaining duties as Director of Supply Chain
- Transitioned out of Supply Chain in February 2017
- Instituted numerous policies to improve regulatory compliance focusing on improved controlled substance management in pharmacy and inpatient care areas though improved documentation, and enforcement of policies through enhanced auditing
- Implemented anesthesia auditing process
- Revised and enforced policies regarding clean room USP 797 standards
- Recruited new Procurement Manager, Clinical Manager and Operations Manager positions at both hospitals
- Led efforts to integrate department into Yale New Haven Health in calendar year leading up to 9/8/16 affiliation date, which included standardization of many policies, procedures, drug protocols, and drug formulary for both hospitals
- Successfully merged Pharmacy and Therapeutics Committees at Westerly and Lawrence and Memorial
- Oversaw construction of USP 800 compliant clean room at free standing cancer center in Waterford
- Oversaw successful effort to convert to Epic medical record in January 2017
- Optimized inventory by streamlining formulary, reduce duplicative inventory locations, and optimizing inventory in automation systems resulting in more than $700,000 reduction in inventory
- Led efforts to apply for and receive 340B DSH designation
- Once approved led efforts to implement Macrohelix Split Billing software to ensure compliance with 340B regulations resulting in annual savings of $8.5 million
- Work with Yale New Haven Health to set up several contract pharmacy relationships
- Led efforts to establish pharmacist run anticoagulation clinic at Waterford cancer center in July 2017
- Successfully recruited 2 oncology pharmacist positions
- Converted pharmacy wholesaler business to McKesson resulting in over $150,000 in annual savings
- Led initiative to institute daily pharmacy leadership rounds on patient care areas to quickly identify and solve problems
- Oversaw efforts to maintain and strengthen pharmacy led medication history programs at both hospitals, resulting in greater than 90% of admitted patients having pharmacy performed medication history within 24 hours of admission
- Led efforts to identify needed workflow changes to pharmacy automation equipment and negotiated contract to convert to Pyxis ES system from central pharmacy robot based distribution model
- Obtained training in High Reliability Organization principles and ensured that all staff were trained
- Led twice daily safety huddles in pharmacy department
- Participated in Institution Review Board committee
- Directed efforts change insulin dispensing from patient specific vial to common vial resulting in annual savings of $150,000
- Oversaw successful Joint Commission survey in April 2016 with minimal findings
- Advocated for increased use of system specialty pharmacy and drove increased market share
- Initiated use of patient assistance programs for high cost infused medications
- Collaborated with clinical manager and staff to increase number of documented interventions
- Instituted daily recognition of pharmacist work by reporting “Intervention of Day”
- Developed and updated monthly department “Vision Board” with 8 key metrics of department performance visible to staff and senior leadership
- Nominated to serve as Administrator on Call to handle all hospital issues on weekend rotation
- Attended Re-Igniting Spirit of Caring Training.
Director of Supply Chain Management
Lawrence and Memorial Healthcare
08.2014 - 10.2015
- Oversaw purchasing, supply distribution, strategic sourcing, value analysis, couriers, and mail room activities for two hospital system which includes off site surgery center/ED and free-standing community cancer center
- Led cost saving contract negotiations for total joint arthroplasty implants, spinal implants, pacemakers, contrast media, bone/tissue implants, office supplies, cardiac and peripheral stents, biomedical engineering equipment contracts, custom surgical packs, among others as part of Clinical Sustainability Initiative resulting in more than $2 million in cost savings
- Led efforts to extend request for proposal for group purchasing organization, leading to new contract with VHA/Novation, and led efforts to convert contracts and products
- Oversaw Value Analysis Committee which evaluates and implements new products and cost savings initiatives in general medical/surgical supplies
- Started Surgical Value Analysis Committee and Cath/IR Value Analysis Committees which evaluates and implements new products in OR and Cardiac Catheterization and Interventional Radiology spaces respectively
- Oversaw efforts to benchmark supply and implant spend to ensure competitive pricing
- Co-chaired Capital Budget Committee and participated in negotiations for many large dollar capital items and construction projects.
Director of Pharmacy
The Westerly Hospital/Cardinal Health
01.2010 - 08.2014
- Worked as outsourced Director through Cardinal Health January 2010-October 2012, then transitioned to hospital employment
- Oversaw all aspects of pharmacy and anticoagulation clinic operation including financial, clinical, operational, human resources, quality assurance and regulatory
- Led Pharmacy and Therapeutics Committee and Medication Safety Committee
- Participated in numerous clinical and operational committees
- Implemented decentralized staffing model with pharmacist rounding on inpatient areas
- Developed quality assurance protocol and Pyxis inventory list for North Stonington Health Center
- Led efforts to optimize pharmacy inventory in main pharmacy and automated dispensing cabinets
- Revised purchasing practices using max-min system
- Implemented new practices on returns including earlier removal of outdated products and more frequent on-site pickup by reverse distributor
- Put into place numerous quality assurance practices to detect and prevent drug diversion, both in pharmacy and in-patient care areas
- Implemented Controlled Substance Ordering System (CSOS) for electronic ordering of Schedule II drugs
- Led pharmacy through three successful DNV Medication Management Surveys with only minor findings
- Worked with nursing administration to develop plan to create hybrid drug distribution system as part of Patient and Family Centered Partnership
- Created drug library for Baxter Sigma Spectrum Smart IV infusion pumps
- Oversaw implementation of new pharmacy information system, barcode medication administration program and CPOE
- Implemented numerous policy changes including Therapeutic Substitution Protocol, Renal Dosing Protocol, Antibiotic Stewardship Policy, Variable Dosing Policy, Hydromorphone Safety Initiative, Medications from Home, Multi-Dose Vials, IVIG Infusion Protocol and many others
- Oversaw to effort to create team, obtain Certified Diabetes Outpatient Education (CDOE) site designation and conduct first billable class
- Obtained AADE site designation allowing to bill federal payers
- Developed the first comprehensive Pharmaceutical Waste Management program in Rhode Island
- Devised effective medication error reduction program using checkmark annotations in digital imaging software program
- Championed numerous cost saving formulary changes and restrictions, leading to lowered drug acquisition cost
- Oversaw effort to revise all standing orders to comply with Institute for Safe Medication Practices standards
- Enrolled the hospital in Remistart Patient Assistance program to boost hospital revenue
- In process of implementing several other patient assistance programs for high cost injectable drugs
- Implemented several quality improvement programs in anticoagulation clinic including recruitment and hiring of new Medical Director
- Developed and implemented plan to assume responsibility for management of contrast media hospital wide
- Led department through bankruptcy starting 12/2011 and concluding with sale to Lawrence and Memorial Hospital in June 2013.
Clinical Pharmacist
William W. Backus Hospital
07.2008 - 01.2010
- Reviewed and filled medication orders, filled and compounded intravenous and other medications, served as drug information resource for nursing and medical staff
- Staffed an outpatient anticoagulation clinic
- Duties included performing point of care INR testing and adjusting warfarin dosage, assessing the need for bridge therapy with low molecular weight heparin in patients requiring warfarin therapy interruptions, providing extensive patient education, conducting quality assurance audits of clinic performance and patient/physician satisfaction surveys, and marketing the clinic to physicians
- Assisted with precepting duties for Doctor of Pharmacy students from the University of Connecticut
- Documented numerous clinical and cost saving interventions, performed therapeutic drug monitoring for all patients on aminoglycosides, vancomycin, theophylline and digoxin
- Coordinated renal dosing for all renally eliminated medications and intravenous to oral medication interchange program
- Reviewed microbiology culture and sensitivity data for all inpatients, and intervened when appropriate
- Assisted emergency teams with medication preparation, dosing and administration during cardiac arrest and trauma resuscitation attempts.
Per-Diem Pharmacist
Roger Williams Medical Center
05.2008 - 12.2009
- Per-Diem Pharmacist
Clinical Pharmacist
The Westerly Hospital
01.2007 - 07.2008
- Reviewed and filled medication orders, filled and compounded intravenous and other medications, served as drug information resource for nursing and medical staff
- Managed and staffed outpatient anticoagulation clinic
- Duties included performing point of care INR testing and adjusting warfarin dosage, providing extensive patient education, conducting quality assurance audits of clinic performance and patient/physician satisfaction surveys, and marketing clinic to physicians
- Served as preceptor to Doctor of Pharmacy students from University of Rhode Island
- Documented numerous clinical and cost saving interventions, performed therapeutic drug monitoring for all patients on aminoglycosides, vancomycin, theophylline and digoxin
- Coordinated renal dosing for all renally eliminated medications and intravenous to oral medication interchange program
- Reviewed microbiology culture and sensitivity data for all inpatients, and intervened when appropriate
- Assisted emergency teams with medication preparation, dosing and administration during cardiac arrest and trauma resuscitation attempts.
Clinical Pharmacist, Therapeutic Support Center
Brooks/Eckerd Pharmacy
11.2004 - 01.2007
- Responded to drug and health information inquiries from patients, pharmacists and other healthcare providers via phone contact and email
- Supervised up to 15 employees in busy drug information and compliance call center
- Assisted multiple sclerosis patients with medication and health issues through telephone contact in Avonex MS Therapy Support Program
- Assisted hemodialysis patients with medication and health issues through telephone contact in Sensipar Support Program
- Served as clinical support for Medication Therapy Management specialty pharmacists in field
- Assisted patients and store pharmacists with plan selection and education for Medicare Part D rollout
- Wrote and reviewed for clinical accuracy periodic drug information articles for internal and store publication
- Maintained and updated multiple Microsoft Access call databases
- Conducted diabetes and hypertension screenings at corporate events and in community
- Coordinated Biotech Saleable Transfer program for high cost biologic drugs.
- Coordinated medication transfer and shipment as part of “Snowbird” delivery program
- Assisted with training of Doctor of Pharmacy students on rotation from URI
- Served as “Virtual Patient” for email consultations with Doctor of Pharmacy students from URI.
Staff Pharmacist
The Westerly Hospital
05.2001 - 11.2004
- Reviewed and filled medication orders, filled and compounded intravenous and other medications, served as drug information resource for nursing and medical staff
- Documented numerous clinical and cost saving interventions, performed therapeutic drug monitoring, and initiated intravenous to oral medication interchange program
- Assisted ER teams with medication preparation, dosing and administration during cardiac arrest and trauma resuscitation attempts
- Coordinated Drug Use Evaluation program by selecting study drugs and criteria, performing medical record reviews, analyzing data and making quarterly presentations at Pharmacy and Therapeutics Committee meetings
- Supervised pharmacy department on evenings and weekends
- Assisted with maintenance and implementation of Pyxis medication management system and Cerner MS Meds pharmacy system
- Per-Diem pharmacist from November 2004 until January 2007.
Retail Pharmacist
Ocean Pharmacy
09.2000 - 07.2001
- Filled and compounded prescriptions and counseled patients on proper medication usage
- Supervised entire store on weekends.
Drug Information Resident
CVS Clinical Services
10.2000 - 04.2001
- Researched and responded to drug information inquiries from pharmacists, patients and physicians and email inquiries from patients
- Prepared information for and attended pharmacy and therapeutics committee meetings at the Providence VA Medical Center.
Pharmacy Intern
CVS Clinical Services
03.1998 - 07.2000
- Researched and responded to drug information inquiries from pharmacists, physicians and patients.
Pharmacy Intern
CVS/Pharmacy
05.1996 - 03.1998
- Assisted pharmacist in filling and compounding prescriptions and counseling patients on proper medication usage.
Education
MBA - Business Administration
University of Rhode Island
Kingston, RI 05.2001 -
Doctor of Pharmacy - Pharmacy
University of Rhode Island
Kingston, RI 05.2001 -
Skills
Leadership
Certification
Apexus 340B Advanced Operator Certification
Continuing Education Presentations
- USP 797 Updates: RI Society of Health System Pharmacists May 2023
- USP 797/800 Updates: URI Dr Heber Youngken Clinic November 2019
- Extending Venous Thromboembolism Prophylaxis Beyond Hospitalization, 11/2009, University of Connecticut College of Pharmacy, Storrs, CT
- Utilization of Point of Care INR Testing in a Pharmacist Managed Anticoagulation Clinic, 05/2009, Rhode Island Pharmacists Association Spring Seminar, Warwick, RI
- Herbal Products: An Update for Pharmacists, 11/2000, URI faculty members and residency directors at Roger Williams Medical Center, Providence
- IV to PO Antibiotic Interchange, 03/2000, Pharmacy staff at AtlantiCare Hospital, Lynn, MA
- New Developments in the Treatment of Congestive Heart Failure, 02/2000, MIM Health Plans
Other Presentations
- A Career in Hospital Pharmacy, 10/2008, URI College of Pharmacy
- Cardiovascular Medications, 06/2008, Graduating nurses at Westerly Hospital
- Cardiovascular Medications, 04/2008, Graduating nurses at Westerly Hospital
- Pharmacist Managed Anticoagulation, 04/2008, RI state legislators at RI State House
- A Career in Hospital Pharmacy, 09/2007, URI College of Pharmacy
- Medication for Parkinson's Disease, 10/2006, Parkinson's Support group at Newport Hospital, Newport RI
- Medicare Part D Prescription Drug Benefit, 07/2005, Selected non-clinical staff at Brooks/Eckerd headquarters
- A Career in Hospital Pharmacy, 04/2002, Career day at North Providence High School
- Drug Information Resources, 04/2001, Fourth year Doctor of Pharmacy students at Northeastern University, Boston MA
- Assessment of a Pharmacist-Managed Anticoagulation Clinic in a Veterans Affairs Medical Center, 04/2001, Eastern States Residency Conference in Baltimore, MD
Honors And Awards
- Rhode Island Society of Health-System Pharmacist: Board Member of the Year (2015)
- Pharmacists Mutual Outstanding Young Pharmacist of the Year Award (2008)
- Thirty-hour certificate course in anticoagulation completed through University of Florida (2007)
- Pfizer Outstanding Leader Award (2000)
Research
- Effect of a Pharmacist Managed Anticoagulation Clinic on INR Control, Assessment of INR control in a primary care practice before and after implementation of a clinical pharmacist managed dosing and educational service
- Assessment of a Pharmacist Managed Anticoagulation Clinic in a Veterans Affairs Medical Center, A retrospective medical record review evaluating the therapeutic outcomes of a large clinic. Results were compared with those of other pharmacist managed clinics published in the medical literature
References
Available upon request
Accomplishments
Certified Pharmacy Executive Leader ASHP
Timeline
Hospital Pharmacy Board Member
Rhode Island Department Of Health
05.2018 - Current
Director of Pharmacy
Kent Hospital
01.2018 - 07.2020
Director of Pharmacy and Supply Chain Management
Lawrence and Memorial Healthcare/ Yale New Haven Health
10.2015 - 01.2018
Director of Supply Chain Management
Lawrence and Memorial Healthcare
08.2014 - 10.2015
Director of Pharmacy
The Westerly Hospital/Cardinal Health
01.2010 - 08.2014
Per-Diem Pharmacist
South County Hospital
07.2009 - 06.2020
Clinical Pharmacist
William W. Backus Hospital
07.2008 - 01.2010
Per-Diem Pharmacist
Roger Williams Medical Center
05.2008 - 12.2009
Clinical Pharmacist
The Westerly Hospital
01.2007 - 07.2008
Clinical Pharmacist, Therapeutic Support Center
Brooks/Eckerd Pharmacy
11.2004 - 01.2007
MBA - Business Administration
University of Rhode Island
05.2001 -
Doctor of Pharmacy - Pharmacy
University of Rhode Island
05.2001 -
Staff Pharmacist
The Westerly Hospital
05.2001 - 11.2004
Drug Information Resident
CVS Clinical Services
10.2000 - 04.2001
Retail Pharmacist
Ocean Pharmacy
09.2000 - 07.2001
Pharmacy Intern
CVS Clinical Services
03.1998 - 07.2000
Pharmacy Intern
CVS/Pharmacy
05.1996 - 03.1998
System Director of Pharmacy
Care New England
7 2020 - Current
Apexus 340B Advanced Operator Certification
ASHP Revenue Cycle Management Certificate
ASHP Sterile Compounding Certificate
ASHP Medication Safety Certificate
ASHP Certified Pharmacy Executive Leader
ASHP Specialty Pharmacy Certificate
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