Park Nicollet Health Services
Vital Site Stats
Host Site: Park Nicollet Health Services
NMS Match Code: 111231
Site Emphasis: Primary Care Ambulatory Clinic
Program Length: 1 year
Number of positions: 1 per year
Site Coordinator: Jenifer Morgan, PharmD, BCACP
Additional Preceptors: Molly Ekstrand, RPh, AE-C CDE, Alison Knutson, PharmD, BCACP
Park Nicollet Health Services is a nonprofit, integrated healthcare system based out of St. Louis Park, Minnesota. Park Nicollet Clinic is one of the largest multispecialty clinics in the United States, providing care in more than 55 medical and surgical services through our 29 clinics, and hospital locations in metropolitan and suburban Minneapolis/St. Paul, Minnesota. It is the home of 8 specialty institutes, including the International Diabetes Center. Park Nicollet was deemed a Next Generation Accountable Care Organization (ACO) by the Center for Medicare Services in 2016, allowing for innovative approaches to health care delivery. Park Nicollet Methodist Hospital, a 426 bed facility in St. Louis Park, Minnesota is recognized as an area leader in cancer care, cardiovascular services, maternity care and neuro-rehabilitation medicine.
Park Nicollet Medication Management Services: Medication management (MTM) was first established in 2011. Park Nicollet has 10 MTM pharmacists integrated into the primary care teams at 14 primary care clinics and 1 specialty clinic. The emphasis of the residency program is in primary care clinics, however there is strong value to a cohesive pharmacy services team.
Other Pharmacy Services: Eleven retail pharmacies are located adjacent to the ambulatory clinics, providing dispensing and compounding services. Inpatient services include emergency department services, home infusion, hospice, investigational drugs (IRB participation), clinical specialists – nutrition, oncology, intensive care, clinical education coordinator, anticoagulation management and medication related transitional care projects.
The resident will work collaboratively in a primary care clinic within the medical home team model to optimize patient’s medication related clinical outcomes. We follow the pharmaceutical care model of providing medication management. The resident will see patients in a direct patient care role in an established clinic and manage a patient schedule. The resident will also serve as a resource to the clinic, answering questions, conducting trainings, and participating in quality improvement projects as determined by the clinic team. The resident will further develop and manage the practice, requiring leadership, time-management and self-motivation skills. Training and development will occur on many levels through the year, dependent on the needs and interests of the resident.
The resident will spend 4 days a week providing MTM services at the Park Nicollet Family Medicine Clinic – St. Louis Park. The remaining time will be spent attending management meetings, completing resident and research projects, and optional teaching opportunities. Other required activities include participating in regularly scheduled journal club/topic discussions and attending meetings, including a monthly MTM practitioner meeting, health care home meetings and ACO care conferences.
Being affiliated with the University of Minnesota, College of Pharmacy, the resident will participate in Academic Days and Residency Seminars, select and complete a residency research project, and have teaching opportunities at the College of Pharmacy.
Additional Learning Opportunities
Pharmacy Utilization Rotation: The focus of this rotation is to learn about cost effective medication use throughout the Park Nicollet Health System. This will involve applying the clinical and financial relevancy of drugs and developing clinician education that helps guide decision making. Pharmacy claims data will be followed to understand change over time along with modeling the financial value of that change. This rotation will work with pharmacy benefits, design and drug formularies and how they intertwine with patients, employers, payers, pharmacy benefit management companies and pharmacy providers.
Inpatient Pharmacy Services Rotation: The focus of this rotation is to give the resident exposure to various pharmacist roles in transitions of care. Options include emergency department, decentralized clinical and inpatient pharmacy, transitions of care and discharge planning to help the resident understand the integration of pharmacy services across the continuum of care. Opportunities for collaboration may exist with the inpatient pharmacy residents at Methodist Hospital.
Medical Resident Training Clinic: Ability to work with an MTM pharmacist in a resident training facility, teaching future Family Medicine physicians. There are opportunities for formal education, through noon conference lectures and informal education through precepting in the clinic.
Jenifer Morgan, PharmD, BCACP, is a medication management pharmacist at Park Nicollet. She graduated with her PharmD from the University of Minnesota College of Pharmacy in May 2010. After graduation, she completed a one-year residency at the Community-University Health Care Center, followed by a second year residency at Park Nicollet. She currently works at the Family Medicine clinic in St. Louis Park, where she started the practice, and serves as the primary preceptor for the residency program. Jenifer enjoys working collaboratively with patients and other health care providers to help patients achieve goals of therapy and improve health outcomes and quality of life.
Molly Ekstrand, RPh, BCACP, AE-C has been a medication management pharmacist in Ambulatory Care since 2002, working in both Internal Medicine and Family Medicine. She has provided MTM services to employer groups at General Mills and in the community pharmacy setting as well. Starting several MTM practices, she has seen a great deal of evolution of the practice, writing and adopting collaborative practice agreements, coverage and reimbursement changes for MTM, and most recently the Accountable Care and Medical Home models. She came to Park Nicollet in 2011 to help begin the Medication Management program. Molly has been a leader in the advancement of pharmacy and MTM practice and has served with state and national professional organizations. She has been an APPE preceptor since 1999 and a residency preceptor since 2009. Her interests include medication adherence and The Medication Experience, Motivational interviewing, and chronic disease management.
Alison Knutson, PharmD, BCACP, is a 2010 graduate of the University of Minnesota College of Pharmacy. After graduation, she participated in the University of Minnesota Pharmaceutical Care Leadership Residency. Her first year of residency was spent at Smiley’s Clinic in Minneapolis. Now a medication management pharmacist at Park Nicollet Creekside Family Medicine Clinic, her clinic responsibilities include both teaching and patient care. As a family medicine residency training clinic, Dr. Knutson spends time with the medical residents to discuss complex issues in pharmacotherapy. She also provides medication management to complex patients within the clinic. Her goal is to optimize medication use through direct patient care and provider education in order to improve patient outcomes for all patients at Creekside and within Park Nicollet. Her specific practice interests include mental health, pain management, and transitions in care.