Minnesota Community Care
Host site: MInnesota Community Care
NMS Match Code: 111225
Program Length: 1 year
Number of Positions: 2 per year
Site Coordinator: Deanna Gengler, PharmD, BCPS
Additional Preceptors: Justin Anderson Pharm.D., AAHIVP, Lauren LaPinta, Pharm.D, BCACP, Dirk Killelea, Pharm.D., BCACP
Resident: Meet the current resident
Minnesota Community Care is the largest community clinic organization in Minnesota, with multiple locations in the metro area. We provide innovative and multicultural / multilingual health care services and education to immigrant and low-income communities.
Mission: "strengthening the well-being of our community through health care for all".
Patients: In 2015 over 35,000 patients were served. Over 98% were below 200% of poverty, and 41% did not have health insurance. Most (86%) were from communities of color, and 56% had a primary language other than English.
Services: MCC provides comprehensive health care and social services with bilingual/bicultural staff using a sliding fee scale. Besides primary and urgent care, they have specific programs for adolescent health, dental care, diabetes, family planning, family support and mental health counseling, health education, HIV care, nutrition, pharmacy, prenatal care, well child care, and women’s health.
Locations include, East Side Family Clinic, Health Care for the Homeless, Health Start, Helping Hand Dental Clinic, House Calls, La Clinica, McDonough Homes and West Side Dental Clinic. More information is on our website.
Pharmacy Services: Pharmacy services began in 2001 as part of the University of Minnesota residency program. From the beginning, our philosophy has been the pharmaceutical care described by Hepler and Strand. We strive to ensure our patients’ medications are indicated, effective, safe and convenient and that our patients’ understanding, expectations and concerns are addressed.
Our program started with clinical services provided by Dan Rehrauer. A year later, a dispensing pharmacy opened in a 10x12 space. Both services have greatly expanded since then. We now provide MTM at both the West Side and East Side locations. We have a wide array of collaborative practice agreements and are responsible for anticoagulation monitoring, and insulin/injection titration. The clinical pharmacists are also involved with the specialty clinics, including diabetes and HIV. Our role in HIV includes extensive adherence programs and monitoring. Lastly, we serve as a resource to our providers for pharmacotherapy questions and education.
Like our clinical services, the dispensing pharmacy has also grown. Since its first year, it has tripled in size and staff. The dispensing is unique in that we use several programs to increase affordability. Our superb technicians manage most of these programs so that the dispensing pharmacist is able to focus on preventing and solving drug therapy problems.
The MCC resident typically spends four days in clinic, and one day dispensing. Most clinic days have slots for 8 patients at each site. The most common visits include initial MTMs, MTM follow ups, diabetes focused visits and anticoagulation focused visits. Apart from these, we get exposure to a wide range of patients and disease states through referrals from our providers.
The days vary greatly. Residents will have the opportunity to see patients one on one and present their cases to a preceptor before developing and implementing a plan. Case presentations are done periodically to review interesting or complex cases with other pharmacists and residents. Usually, all the pharmacists and students meet weekly for journal clubs, topic discussions or case presentations. Residents are also responsible for answering many of the daily drug information questions from providers as well as providing education at monthly provider meetings.
As the year progresses, residents are given more responsibility precepting students and in specialty clinics (HIV, diabetes). There is also at least one quality improvement project, in addition to a medication use evaluation and formulary or collaborative practice agreement project. The resident may be involved in more administration processes if desired.
In addition to the activities at the University, the resident may elect to teach a lab also. Typically, West Side residents teach in the spring only, but that is up to the resident.
Deanna Gengler, Pharm.D., BCPS has been working at MCC for 15 years. She was the 2nd resident at La Clinica. Deanna is the main preceptor at East Side Family Clinic. In addition to her precepting duties, Deanna also provides MTM. She has always enjoyed working for the underserved population and working with them to find creative solutions to their drug therapy problems. Deanna graduated from the College of Pharmacy at the University of Minnesota in 2002.
Justin Anderson, Pharm.D., AAHIVP has been working at MCC for 5 years and was the La Clinica resident prior to being hired. In addition to being a preceptor at La Clinica, Justin is also the HIV pharmacist on staff. Justin has always had a passion for serving Hispanic patients and feels Westside provides him the perfect opportunity to provide them with clinical pharmacy services. Justin graduated from the College of Pharmacy at the University of Minnesota in 2012.
Lauren LaPinta, Pharm.D, BCACP, has been working at MCC for 4 years and was the La Clinica resident prior to being hired. In addition to being the main preceptor at La Clinica, Lauren also serves our homeless patients at the Dorothy Day Center. Lauren enjoys providing clinical pharmacy services to the underserved population while forming strong relationships and learning each patients story. Lauren graduated from St. John’s University in 2013.
Dirk Killelea, Pharm.D., BCACP, has been working at MCC for 3 years. In addition to being a preceptor, Dirk is also the pharmacy services manager. Dirk has always enjoyed the behind the scenes aspect of pharmacy operations and using this to better the care provided to the underserved population. Dirk graduated from Drake University in 2002.