Activity Overview
Please read the following information about this continuing pharmacy education (CPE) activity before accessing the presentation using the link located at the bottom of this page.
Accreditation for Pharmacists
The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This activity provides 1 hour (0.1 CEU) of continuing pharmacy education credit (ACPE activity #0204-0000-12-416-H04-P).
Methods and Format
This is an online activity consisting of audio and slides for one presentation, an activity assessment (post-test), and a course evaluation. Participants should claim continuing education credit for this internet-based educational activity only if they have not claimed credit for the live activity. Participants must view the entire presentation, take the activity assessment (post-test) and complete the course evaluation to receive continuing pharmacy education credit. A minimum score of 70% is required on the test for credit to be awarded, and participants may print their official statements of continuing pharmacy education credit immediately. The estimated time to complete this activity is 1 hour. This activity is provided free of charge.
Target Audience
This continuing pharmacy education activity was planned to meet the needs of pharmacists in a variety of practice settings, including large and small health systems, outpatient clinics, managed-care organizations, long-term care facilities, and academia. This activity would be particularly beneficial for pharmacists, clinical specialists, managers, leaders, and educators who are interested in quality improvement.
Activity Content
Health-system pharmacists have been challenged to implement practice changes that increase efficiency, decrease waste, and improve patient outcomes. Additionally, the ASHP/ASHP Foundation Pharmacy Practice Model Initiative (PPMI) goal of ensuring that pharmacists are the patient care team member accountable for patients' medication outcomes requires innovative approaches to pharmacy practice. Lean tools are often applied to supply chain and distributive operations in the pharmacy department; however, application to the clinical practice model has not been routinely considered. In this internet-based educational activity, a case-based approach will be used to demonstrate how a Lean toolkit can be applied to the clinical practice model.
Learning Objectives
After participating in this knowledge-based CPE activity, participants should be able to
- Discuss Lean tools that can be applied to the clinical practice model.
- Explain how Lean can be used to identify waste and improve efficiency and effectiveness of a clinical practice model.
Faculty
Joe Maki, Pharm.D.Senior Pharmacy Administration Resident
Wake Forest Baptist Health
Winston-Salem, North Carolina
Joe Maki, Pharm.D., is Senior Pharmacy Administration Resident and is in his final year of a two-year combined Master of Science in Health-System Pharmacy and Health-Systems Pharmacy Administration Residency at Wake Forest Baptist Health in Winston-Salem, North Carolina. Dr. Maki’s master’s degree project is “Restructuring the Pharmacy Practice Model around the Patient.” The focus of this project is around redefining the practice model at Wake Forest Baptist Health in light of the recent Pharmacy Practice Model Initiative (PPMI) recommendations and a focus within the medical center to expand clinical services and improve the quality and safety of patient care. Final results of this project were presented in late April at the 2012 Southeastern Residency Conference in Athens, Georgia.
Dr. Maki is a member of the American Society of Health-System Pharmacists (ASHP) and serves on the ASHP New Practitioner’s Forum Leadership and Career Development Advisory Group. He is also a member of the North Carolina Association of Pharmacy PPMI Committee for 2012.
Dr. Maki received his Doctor of Pharmacy degree from the University of Wisconsin – Madison School of Pharmacy.
Adam Orsborn, Pharm.D., M.S.Assistant Director of Pharmacy
Ambulatory Operations and Continuum of Care
Wake Forest Baptist Health
Winston-Salem, North Carolina
Adam Orsborn, Pharm.D., M.S., is Assistant Director of Pharmacy, Ambulatory Operations and Continuum of Care at Wake Forest Baptist Health in Winston-Salem, North Carolina. Dr. Orsborn’s areas of accountability include transitions of care across the pharmacy enterprise, outpatient pharmacies, specialty pharmacy services, patient assistance programs, clinic distribution services, hematology/oncology infusion clinic services, and affiliate hospital pharmacy services.
He is an active member of the American Society of Health-System Pharmacists (ASHP) Section of Pharmacy Practice Managers and the ASHP Section Advisory Group on Manager Development. Dr. Orsborn is Six Sigma Green Belt Certified and leads selected Lean/Six Sigma certification educational activities at Wake Forest.
Dr. Orsborn received his Doctor of Pharmacy degree from the University of Nebraska and Master of Science from the University of Wisconsin. He also completed the Health-System Pharmacy Administration Residency at the University of Wisconsin Hospital and Clinics.
Disclosure Statement
In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support and the Accreditation Council for Pharmacy Education’s Guidelines for Standards for Commercial Support, ASHP Advantage requires that all individuals involved in the development of activity content disclose their relevant financial relationships. A person has a relevant financial relationship if the individual or his or her spouse/partner has a financial relationship (e.g., employee, consultant, research grant recipient, speakers bureau, or stockholder) in any amount occurring in the last 12 months with a commercial interest whose products or services may be discussed in the educational activity content over which the individual has control. The existence of these relationships is provided for the information of participants and should not be assumed to have an adverse impact on presentations.
All faculty and planners for ASHP Advantage education activities are qualified and selected by ASHP Advantage and required to disclose any relevant financial relationships with commercial interests. ASHP Advantage identifies and resolves conflicts of interest prior to an individual’s participation in development of content for an educational activity.
The faculty and planners report the following relationships:
Joe Maki, Pharm.D.
Dr. Maki declares that he has no relationships pertinent to this activity.
Adam Orsborn, Pharm.D., M.S.
Dr. Orsborn declares that he has no relationships pertinent to this activity.
Erika L. Thomas, M.B.A., B.S.Pharm.
Ms. Thomas declares that she has no relationships pertinent to this activity.
ASHP staff has no relevant financial relationships to disclose.
This activity is supported by an educational grant from Baxter Healthcare Corporation.
Launch Presentation
*Allow additional time to complete the assessment (post-test) and evaluation.
Download Assessment and Handout
Print the assessment (post-test) and handout of slides for your reference; however, your assessment must be submitted online.
Process CE
When you reach the end of the activity, follow instructions to complete the online process (i.e., take assessment test and complete evaluation) and obtain CE credit.
Planned and coordinated by ASHP Advantage and the Center for Health-System Pharmacy Leadership.

Reducing Waste and Increasing Value with Lean: Application to the Clinical Practice Model