Open To Work
CHRISTOPHER MILLER
Harrisburg,MO
Summary
Accomplished pharmacy leader with a track record of enhancing clinical services and operational efficiency. Successfully managed pharmacy operations across multiple facilities, implementing innovative solutions that improved patient outcomes and streamlined processes while overseeing a budget of $90 million.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Chief of Pharmacy Services
United States Veterans Affairs Administration
07.2019 - Current
- Oversaw pharmacy operations and clinical pharmacy duties for multidisciplinary, academic-affiliated hospital system serving 37,000 veterans across 30,000 square miles.
- GS15 rank with 79 FTE involved in all aspects of pharmaceutical care: Outpatient distribution, Inpatient distribution, and clinical pharmacy service that includes LIP like clinical pharmacy practitioners.
- Spearheaded projects to expand clinical pharmacy services, adding 20 clinical pharmacy practitioners and establishing PGY1 Pharmacy Residency program.
- Led active quality improvement project to enhance pharmacy services and outcomes.
- Ensured safe transition through various drug and supply shortages to avoid interruption of service for veterans through development of proprietary software that tracked shortages and allowed for transparent communication with veterans.
- Extensive data analysis that focuses on all aspect of pharmacy distribution as well as health outcomes. Versed in SQL, MS Access, Power BI, Pyramid which are used as tools to create various dashboards, user interfaces and reports.
- Outpatient pharmacy processes ~ 70,000 prescriptions per month to include DME type supplies.
- Oversight of a $90 million budget that encompasses the pharmacy enterprise
- Implemented several robotic and automated workflow projects that include IVX for sterile preparation, Swiss Log Box Pickers, Kitcheck, Pyxis ES
- Converted inpatient distribution workflow from robotic cartfill to cartless fill system.
- Oversaw multiple complex construction projects, ensuring compliance with USP 797 and USP 800 regulations.
- Maintained the tenets of a High Reliability Organization: Weekly Gemba meetings, utilized Scrum methodology to implement change management, utilized ADKAR as a change agent.
- Worked closely with multiple disciplines throughout the enterprise to meet common goals: discharge process redesign, Health outcome (HEDIS) integration of clinical pharmacy services, development of a hem/onc infusion service that would provide service within a community based outpatient care clinic setting.
Associate Chief of Pharmacy Services
US Veterans Affairs Administration - VISN 17
08.2015 - 07.2019
- Company Overview: Oversaw operations as GS-14 within Valley Coastal Bend healthcare system, which includes four main sites servicing 30,000 veterans.
- Direct oversight of 30 clinical pharmacy specialists and assumed acting Chief of Service during absence
- Oversight of all clinical pharmacy functions within an integrated patient centered medical home model
- Clinical pharmacy specialist maintain scopes of practice with prescriptive authority while serving as licensed independent practitioners
- Oversight over 75 employees that include direct report supervisors, clinical pharmacists, technicians, administrative officer and ADPAC
- Developed departmental goals, objectives, standards of performance, and policies to align with organizational mission
- Lead planning and achievement of goals and objectives including regular strategic planning sessions
- Most recent implementations include a hub based anticoagulation service that manages approximately 1000 veterans, decentralized clinical (non-specialist) pharmacist model consisting of PharmD within a medical practice (in addition to clinical specialists with scope of practice)
- Developed a transition of care pharmacist role that is responsible for the safe transition of our veterans from hospital and or long term facility to their medical home
- Implemented 'Scrum' methodology to foster teamwork and drive continuous improvement initiatives
- Successfully prepared for ASHP accreditation inspection for PGY1 resident program (full accreditation granted)
- Recruited, hired, and coached all new clinical pharmacy specialists joining the Valley Coastal Bend team.
- Participated as a voting member and led P&T Committee meetings at the regional and VISN (17) levels.
- Implemented and sustained numerous clinical initiatives driven by real-time dashboards based on evidence-based medicine to promote rational prescribing and compliance with positive health factors.
- Consistently interpret and communicate new and revised policies, initiatives that cascade from national office, to VISN, to the region (VCB)
- Collaborated with departments on quality improvement projects that enhanced veterans' overall care experience
- Maintain a clinical practice in psychiatry whereby a panel of veterans for whom full role of a prescriber is assumed including ability to make referrals such as sleep studies, cardiology, neurology and inpatient care
Director of Primary Care Services
CHRISTUS HEALTH - SPOHN REGION
10.2013 - 05.2015
- Project manager over 5 DSRIP (Delivery System Reform Incentive Payment) projects totaling approximately 150 million dollars over 5 years
- Projects include: 1) Integration of behavioral health services in primary care services 2) Expansion of primary care services including implementation of a new walk in clinic setting 3) Implementation of depression screening services in patients with co-morbid chronic diseases while integrating mental health services within a primary care setting
- 4) Establishment of Psychiatric Nurse Practitioner program in conjunction with University of Texas Health Science Center
- 5) Development of an education program to Family Medicine medical residents that focused on the understanding of the Patient Centered Medical Home
- Oversaw administration of indigent healthcare benefit covering approximately 12,000 lives, ensuring access to essential services.
- Provided all medical services, including dental and pharmacy services.
- Maintain utilization of services under a capitated managed healthcare agreement with the Nueces County Health District
- Have successfully managed inpatient length of stay to below 4 days with a less than 10 percent readmission rate
- Managed the entire revenue cycle, including bill processing, reimbursement, and auditing.
- Maintained medical loss ratio within industry standards through sound utilization management strategies including care management services, benefit delineation, strategic contracting services
- Oversaw five hospital-owned primary care services, including a dental clinic.
- Transformed delivery model to patient-centered medical home, expanding service hours and physical space to enhance patient access and care.
- Oversaw the implementation of the EMR system and a disease state registry.
- Oversaw specialty clinic services for cardiology, ENT, cardiovascular, nephrology, endocrinology, neurology, orthopedics, urology, gynecology, and plastic surgery.
- Served over 10,000 patients annually
- Oversaw Pharmacy Services across two tertiary care hospitals with over 800 beds.
- Specialty services include Level II trauma, Critical Care medicine, Certified Stroke Center, CVICU services, outpatient Cancer Center, Outpatient pharmacy services (~850 Rx's per day)
- Oversaw the PGY1 pharmacy residency program.
- Created a floor based pharmacist model to enhance clinical support and enhance better access to bedside patient care
- Routinely collaborated with department managers to correct problems and improve services
- Managed fiscal operations, including budget planning, expenditure authorization, accounting, service rate establishment, and financial reporting coordination.
- Created and maintained computerized record management systems to record and process data and generate reports
Director of Pharmacy Services
CHRISTUS Health - Spohn Region - Memorial Campus
09.2007 - 09.2013
- Oversight of pharmacy operations within a 397 bed inpatient hospital
- Integration of services within a 1300 bed hospital system
- Developed and implemented a new pharmacy practice model whereby pharmacists reside on units and integrally involved with entire admission to discharge process (Floor Based Pharmacist Model)
- Led software and technology projects to improve operational efficiency.
- Oversaw design, construction, and implementation of USP 797 compliant IV lab, including NIOSH compliant chemotherapy area, enhancing safety and compliance in medication preparation
- Oversaw complete barcoding of pharmacy distribution system including barcoded verification of technician fills, pyxis replenishment verification and medication restocking verification
- Developed a barcoded compounding log verification system for high-alert drugs.
- Developed software to interface between Omnicell horizontal carousel and McKesson's Supply Management software
- Migrated to centralized fill model, achieving 80% fulfillment for all 6 Spohn facilities from central site using carousel software, streamlining pharmacy operations
- Implemented an antibiotic stewardship program while leveraging Theradocs technology while also utilizing ad hoc database queries
- Developed discharge pager service, capturing 95% of discharged patients for counseling and core measure reconciliation while leveraging patient assistance programs and formulary management
- Through collaboration with Clinical Manager, established an ASHP accredited PGY1 Residency program
- Established PGY2 tracks in ambulatory care and medication safety.
- Serve as system clinical coordinator in the psychiatric pharmacy specialty area (110 psychiatric beds distributed amongst system)
- Oversaw 6 clinical rotations per semester in collaboration with Texas A&M Health Science Center School of Pharmacy (TAMUK).
- Based on safety alerts, re-designed heparin weight based protocol to include an ordering instrument that is fully interactive based on patients' individual parameters (adjusted weight calculations, etc) using Acrobat
Director of Pharmacy Services
Circles of Care Inc
05.1995 - 09.2007
- Delivered quality pharmaceutical care in multidisciplinary setting with seventy inpatient beds, partial hospitalization services, group home services, and outpatient services
- Implemented clinical pharmacy services consisting integration with medical staff on Drug Utilization Evaluation studies, Adverse Drug Reaction Surveillance, and clinical research studies
- Developed and implemented two full-service community pharmacies to meet needs of Circles of Care patients and employees
- Designed, wrote and implemented all computerization of pharmacy services including electronic profiling, narcotic tracking, Drug Utilization Review, floor stock, and Adverse Drug Reaction tracking in fourth generation database language
- Facilitated in-service education for staff and community on various psychopharmacology topics
Education
PharmD - Pharmacy
University of Florida
Gainesville, FL05-1999
Bachelor of Science - Pharmacy
University of Texas
Austin, TX05-1989
Bachelor of Arts - Neuropsychology
University of South Florida
Tampa06-1979
Skills
- Drug utilization review
- Pharmacy operations
- Pharmacy automation
- Clinical data analysis
- Data analysis
- Pharmacy budget management
- Budget oversight
- Process management
- Project management
- Strategic development
- Change leadership
- Quality enhancement
- Interdepartmental collaboration
- Problem solving
- Education training
Languages
Spanish
Certification
- Board Certified Psychiatric Pharmacy
- Business Intelligence Tools: MS Access, SQL, Power BI
- Scrum
Work Preference
Job Search Status
Open to workSalary Range
$2/yr - $250000/yrTimeline
Chief of Pharmacy Services
United States Veterans Affairs Administration
07.2019 - Current
Associate Chief of Pharmacy Services
US Veterans Affairs Administration - VISN 17
08.2015 - 07.2019
Director of Primary Care Services
CHRISTUS HEALTH - SPOHN REGION
10.2013 - 05.2015
Director of Pharmacy Services
CHRISTUS Health - Spohn Region - Memorial Campus
09.2007 - 09.2013
Director of Pharmacy Services
Circles of Care Inc
05.1995 - 09.2007
PharmD - Pharmacy
University of Florida
Bachelor of Science - Pharmacy
University of Texas
Bachelor of Arts - Neuropsychology
University of South Florida