Essentia Health

Vital Site Stats

Home Site: Essentia Health
NMS Match Code:111222
Site Emphasis: Community Clinic
Program Length: 1 year
No. of Positions: 2 per year
Site Coordinator: Krista Rouse, PharmD
Additional Preceptors:Danielle MacDonald, Ann Yapel, Cassandra Furr,  Kirsten Stone, Tim Cernohous, Jayson Yapel, Richard Krikava, Stephanie Anderson, Brad Hren, Peter Sandelin, Emily Holmes, Barry Fuchs, Michael Hillmeyer, and Darin Steenerson

Site Profile

Organization: Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, North Dakota and Idaho.

Headquartered in Duluth, Minn., Essentia Health combines the strengths and talents of 15,000 employees, including more than 1,900 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives.

Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Justice, Stewardship and Teamwork. The organization delivers on its promise to be "Here With You" in 15 hospitals, 75 clinics, seven long-term care facilities, two assisted living facilities, four independent living facilities, five ambulance services and one research institute.

Pharmacy Services: Essentia Health pharmacy services include: 19 ambulatory pharmacies, including our prescription service center, the specialty pharmacy, decentralized inpatient pharmacy services, infusion pharmacy, investigational pharmacy, and medication therapy management services. Medication Therapy Management (MTM) services were first offered at the Duluth Clinic internal medicine department in 2004. MTM services continue to be offered in the Internal Medicine department and are also now offered at: Lakewalk Clinic, Lakeside Clinic, Superior Clinic, Virginia Clinic, and the Duluth Family Medicine Clinic. MTM providers may also be asked to see patients in: Pediatrics, Elder Care, Balance Center, and the Pain Clinic. Essentia Health has been a residency site since 2008.

Educational Experience

The resident will develop clinical skills through extensive direct patient care experiences while receiving feedback on performance. The specific program for each resident may vary in structure based upon the resident's entry-level knowledge base, skill and interest. The resident will receive training and develop competence in managing and improving the medication-use process, providing evidence-based, patient-centered medication therapy management with interdisciplinary teams, exercise leadership and practice-management skills, demonstrate project-management skills, and provide medication and practice-related education/training.

The resident will spend 1/2 of the year within the Internal Medicine department and 1/2 of the year at the Duluth Family Medicine Clinic. There will be many opportunities to interact with providers and impact drug therapy decisions while gaining proficiency in all aspects of MTM. The resident may be involved in the expansion of MTM services across the Essentia Health System.
In addition to the longitudinal patient care opportunities in primary care settings, the resident will be expected to participate in several unique educational opportunities, or rotations.

The following three rotations will be required, and other elective rotations (including a general inpatient care rotation) may be designed to suit the resident’s needs and career goals.
• Hospice Care: The resident will provide consulting services to our regional hospice care teams throughout their residency year.
• Teaching: The resident will teach at the University of Minnesota College of Pharmacy, Duluth in the pharmaceutical care learning center one-half day per week. The resident will also provide experiential teaching in their clinical practice environment and serve as a mentor to one pharmacy student per semester. Presentations to medical providers and other teaching opportunities will be offered.
• Management: The resident will meet with the Director of Ambulatory Pharmacy Services, the Ambulatory Pharmacy Clinical Manager and Ambulatory Pharmacy Operations Manager throughout the year to discuss management, leadership, and be guided in project management.

Other activities include:
• Participating in monthly journal club/topic discussions
• Attend monthly residency advisory committee (RAC) meetings
• Attending committee meetings
• Providing drug information and education to physicians and advanced practice providers
• Staffing one day per week at one of the ambulatory care pharmacies

Site Coordinator

 Krista HuotKrista Rouse, Pharm.D, BCACP is the site coordinator and will act as a preceptor during time spent in internal medicine department. She will be responsible for overseeing all of the resident’s practice activities, and ensuring proper and adequate evaluation of the program. She joined Essentia Health in 2011 as a Clinical Pharmacist. Her primary practice site is in the internal medicine department at the Duluth Clinic where she provides medication therapy management services. She also provides MTM services at the Superior and Virginia Clinics. Dr. Rouse serves as a preceptor for Pharm.D. students during their Advanced Pharmacy Practice Experience and is a mentor to first year Pharm.D. students. She received her Bachelor’s degree in biology from St. Mary’s University of Minnesota and her Doctor of Pharmacy (PharmD) degree from the University of Minnesota. She completed her pharmacy PGY1 residency at St. Luke’s hospital where she practiced inpatient pharmacy, but focused her research project on developing ambulatory care services. Her interests include chronic disease management through ensuring patients are educated about proper use of their medications and expanding the role of the pharmacist with the healthcare system.
Email: krista.rouse@essentiahealth.org
Phone: 218-786-2708

Preceptors 

Danielle MacDonald, Pharm.D., BCACP will serve as a preceptor during time spent at the Duluth Family Medicine Clinic. She received her Doctor of Pharmacy degree from the University of Minnesota College of Pharmacy–Duluth in 2007. She completed her ambulatory care pharmacy practice residency with SuperiorHealth Center (SHC) and the University of Minnesota College of Pharmacy in 2007-2008. After residency, Dr. MacDonald continued her employment with SHC (later acquired by Essentia Health) providing both medication therapy management services and community pharmacy-based care. She currently practices at the Lakewalk and Lakeside Family Practice Clinic and the Duluth Family Medicine Clinic. Her interests include optimizing disease management services, mentoring and precepting pharmacy students, and providing continuing education.
Email: danielle.macdonald@essentiahealth.org
Phone: 218-576-0118

Ann Yapel, Pharm.D., BCACP will serve as a preceptor during time spent at the Duluth Family Medicine Clinic and Essentia Health Neighborhood Clinics, Lakewalk and Lakeside. She is a 2001 graduate of the University of Minnesota, College of Pharmacy. Ann worked with the Superior Health clinic system from 2001 until it merged with Essentia Health in April of 2011. Ann currently practices clinical pharmacy at both the Lakewalk and the Duluth Family Medicine Clinic sites. In this role the pharmacist provides Medication Therapy Management Services primarily by direct patient care encounters. Other responsibilities include participation in a health care team, providing education to medical providers and ancillary staff as well as precepting both pharmacy and non-pharmacy students wishing to apply to a pharmacy program. Ann feels strongly that educating patients enhances their medication experience and medical care overall.
Email: ann.yapel@essentiahealth.org
Phone: 218-576-0120

Cassie Furr, Pharm.D, BCACP is a clinical pharmacist within the internal medicine department as well as a staff pharmacist at the Superior East Pharmacy. She has been with Essentia since 2008, joining as a pharmacist in 2014. Her primary clinical practice site is in the internal medicine department at the Duluth Clinic where she provides medication therapy management services. She also provides MTM services at the Hayward Clinic. Dr. Furr serves as a preceptor for Pharm.D. students as well as a mentor to first year Pharm.D. students. She received her Bachelor’s degree in biology from the University of Minnesota - Duluth and her Doctor of Pharmacy (PharmD) degree from the University of Minnesota. She also completed a pharmacy PGY1 residency through the University of Minnesota Ambulatory Care Residency Program practicing at Essentia Health in Duluth in 2014.
Email: cassandra.furr@essentiahealth.org
Phone: 218-786-3337

Kirsten Stone, Pharm.D, is a 2002 graduate from the University of Minnesota, Twin Cities. She has been with Essentia Health since April 2014. She started her career at Essentia Health as a pharmacy manager at the Lakewalk pharmacy. Within a year, she was promoted to her current position as the Clinical Manager of Ambulatory Pharmacy Services. In this position she juggles 3 different roles; supervision of 11 interns dedicated to prescription monitoring program information for Essentia’s Opioid program, oversight of Essentia Health Ambulatory Clinical Pharmacists and lastly the development, implementation and management of clinical services for Essentia’s 19 ambulatory pharmacies. She participates in the Essentia Health System P&T Committee, Immunization Committee, Opioid Steering Committee and Community Opioid Task Force. She greatly enjoys working with the pharmacy residents and appreciates the eagerness to learn, knowledge, variety and experiences that come with their participation.
Email: kirsten.stone@essentiahealth.org
Phone: 218-786-1047

Tim Cernohous, Pharm.D., Ph.D. is a graduate of the University of Minnesota College of Pharmacy. Following his PharmD training, Dr. Cernohous entered the University of Minnesota graduate program completing his PhD in Social and Administrative Pharmacy (SAPh) with an emphasis on consumer behavior. Throughout graduate school Dr. Cernohous practiced MTM and now helps to manage Essentia Health’s MTM practice in Northeastern MN and Northwestern WI as well as their network of Ambulatory Pharmacies. Dr. Cernohous’ graduate work focused on identifying the factors that influence how patients make healthcare decisions. Currently, Dr. Cernohous is the Director of Ambulatory Pharmacy Services at Essentia Health in Duluth and is working to complete his doctoral research. He is the Director of Ambulatory Pharmacy Services at Essentia Health. Dr. Cernohous has responsibility for the 17 ambulatory pharmacies, EH Specialty Pharmacy, EH Prescription Service Center, Medication Therapy Management program and the Patient Assistance Program at Essentia Health.
Email: tim.cernohous@essentiahealth.org
Phone: 218-786- 8516

Jayson Yapel, RPh is a 1993 graduate from the University of Minnesota, Twin Cities. He has been with Essentia Health since April 2011 when the SuperiorHealth Lakewalk Pharmacy was acquired by Essentia Health. He managed the Lakewalk Pharmacy until 2014 at which time he moved into his current role as Ambulatory Pharmacy Operations Manager for the 19 ambulatory pharmacies at Essentia Health. He enjoys not only working with the residents, but also having them as active members of the ambulatory pharmacy team during their residency. Each resident brings with them new ideas and knowledge that help to keep the Essentia Health Ambulatory Pharmacies clinically strong.
Email: Jayson.Yapel@EssentiaHealth.org
Phone: 218-786-5688

Richard Krikava, R.Ph, B.S. Pharm is the Pharmacist in Charge at the Essentia Health 1st Street Ambulatory Pharmacy. He has been practicing Community Pharmacy for 20 years. Areas of special interest include pharmacy management and pharmacy technology solutions. Mr. Krikava has served as a preceptor for PharmD students during their IPPE rotations and as a mentor to first year PharmD students. He received his B.S.Pharm from the University of Minnesota College of pharmacy in 1992 and became certified in Delivering Medication Therapy Management Services.
Email: richard.krikava@essentiahealth.org
Phone: 218-786-1685

Stephanie Anderson, Pharm.D. is the Pharmacist in Charge at the Essentia Health 3rd Street Pharmacy. She has been with Essentia Health since 2010. Her role at the 3rd Street Pharmacy includes staffing, pharmacy management, consulting with the hospice program and precepting PharmD students during their Advanced Pharmacy Practice Experience. Dr. Anderson’s background is in pharmacy compounding, as she spent the first 3 years of her career working at a compounding-only pharmacy. She has a BA in Biology from Moorhead State University. She really enjoys working with pharmacy residents and can clearly see the value they bring to the 3rd Street Pharmacy.
Email: stephaniej.anderson@essentiahealth.org
Phone: 218-786-3483

Bradley Hren, Pharm.D. is the Pharmacist in Charge at the Essentia Health West Duluth Ambulatory Pharmacy. He has been practicing Community Pharmacy for over 20 years. His role at the West Duluth Pharmacy is pharmacy management, patient consultation, and aiding in the training of new employees. The West Duluth Pharmacy also works directly with the Lake Superior Community Health Center in providing affordable prescription access for low income families. Dr. Hren has served as a preceptor for Pharm.D students during their IPPE and APPE rotations and also as a mentor to first year PharmD students. His interests outside of pharmacy include fishing, hiking, golfing and being active in the outdoors. Dr. Hren received his Pharm.D degree from North Dakota State College of Pharmacy in 1995.
Email: brad.hren@essentiahealth.org
Phone: 218-786-3700

Peter Sandelin, PharmD is the pharmacy manager at Essentia Health Lakeside Pharmacy and will act as a preceptor during time spent staffing in an outpatient ambulatory pharmacy setting. He joined Essentia Health in 2008 as a staff Pharmacist primarily at the 3rd St Pharmacy, then transitioned to a manager role in 2011 at the Lakeside Clinic Pharmacy. He earned a Bachelor’s degree in Biology with a Cell/Molecular concentration and a Chemistry minor at the University of Wisconsin-Superior and his Doctor of Pharmacy degree from the University of Minnesota. His interests include patient education and working in a collaborative clinic setting to provide effective and safe medication options.
Email: Peter.Sandelin@essentiahealth.org
Phone: 218-786-3784

Emily Holmes, PharmD is the Pharmacist in Charge at the Essentia Health Lakewalk Pharmacy. Emily has been practicing Community Pharmacy for 7 years. Her role at the Lakewalk Pharmacy includes staffing, pharmacy management, precepting Pharm D students during their IPPE and APPE rotations, as well as consulting for residents at the Interim Vent Care in Duluth, MN.
Email: Emily.holmes@essentiahealth.org
Phone: 218-733-1110

Barry Fuchs, PharmD, MBA is the pharmacy manager at the Essentia Health Specialty Pharmacy located in Superior, WI. He joined Essentia Health in January of 2016 tasked with bringing Specialty Pharmacy services to Essentia. With a background in entrepreneurial, community and long-term care pharmacy leadership roles, he is an active preceptor for PharmD students on APPE and IPPE rotations and serves as a mentor for first-year students. The Specialty Pharmacy delivers unique patient care coordination to patients with specialized diseases in the areas of oncology, hematology, gastroenterology, neurology, dermatology, rheumatology and more. Dr. Fuchs earned a B.S. in Biology with a Chemistry minor at the University of Minnesota Duluth, his Doctor of Pharmacy degree from the University of Minnesota and an MBA from Bethel University in Saint Paul. His interests include facilitating interdisciplinary care delivery, care coordination and efficient pharmacy services in an ACO healthcare model.
Email: Barry.Fuchs@essentiahealth.org
Phone: 715-817-7145

Michael Hillmeyer, RPh is the Pharmacy Manager of the Essentia Health Prescription Service Center. He has been with Essentia Health since 2015. He has worked in Long Term Care pharmacy as well as independent retail pharmacy. His role at the Prescription Service Center includes pharmacy management, working with the other Essentia Health Ambulatory Pharmacies to centralize services, and staffing. He is a graduate of the University of Georgia College of Pharmacy. Michael is a mentor for first year pharmacy students and also a Leadership Network Partner with the UMD College of Pharmacy.
Email: Michael.Hillmeyer@essentiahealth.org
Phone: 715-817-7146

Darin Steenerson, Pharm.D. is the Pharmacist-in-Charge at the Essentia Superior Pharmacy. He earned his Pharm.D. from the University of MN-Duluth in 2012. He went on to complete an Ambulatory Care Residency through the University of MN at Essentia Health. After residency he took over as Pharmacist-in-Charge in Superior. He enjoys the collaborative nature of the Superior clinic/hospital and the relationships that develop with providers and other clinic staff. Along with dispensing, the pharmacy has a discharge delivery service and works with Lake Superior Community Health Center as a contract pharmacy allowing low-income patients access to affordable medications. His interests outside of pharmacy include music, camping, hiking, golfing, and being outdoors.
Email: Darin.Steenerson@EssentiaHealth.org
Phone: 715-817-7880