Host Site: CentraCare - Paynesville
NMS Match Code: 111235
Emphasis: Rural Health
Program Length: 1 year
No. of Positions: 1 per year
Site Coordinator: Todd Lemke, PharmD
Additional Preceptor(s): CDE; Jennifer Klocker, PharmD
Resident: Meet the current resident(s)
CentraCare Paynesville (CCP) is an ambulatory medication therapy management practice within two rural hospitals and clinics. The practice consists of a two Critical Access Hospital, licensed to operate 25 beds, two Rural Health Clinics attached to the hospital, two provider-based outreach clinics in area communities, assisted living, and senior living apartments. CCP is an affiliate of CentraCare, a not-for-profit health care system that provides comprehensive, high-quality care to people throughout Central Minnesota. CCP serves the central Minnesota areas of Stearns and Meeker counties and surrounding areas. The medication therapy management services for the system are integrated and pharmacists and residents share coverage of provider questions and consults from across the system. A population health-based patient identification process is currently being used to help identify patients for MTM services to improve patient outcomes and decrease health care costs across the service area.
- Mission: CentraCare Paynesville will provide quality care to improve the health and well being of the people and community we serve.
- Vision: CentraCare will be the leader in Minnesota for quality, safety, service and value. CentraCare Paynesville will be the healthcare provider of choice.
- Values: Patient-focused, safety for patients and staff, respect for employees and providers, integrity, social responsibility, fiscal responsibility.
- Pharmacy Services: CCP has a robust history of providing medication management services throughout the health system. The staff includes three PharmDs, the resident PharmD, and two pharmacy technicians on the Paynesville campus and one PharmD and one technician on the Melrose campus. The pharmacy department at CCP has offered complete medication services to the hospital, primary care clinic, and specialty services clinic since 1994. The Melrose site was recently added with the same level of service in 2019. The pharmacists have a broad scope of practice, allowing them to practice ambulatory care pharmacy and comprehensive medication management at the highest level. Current clinical services include diabetes education, comprehensive medication management services, anticoagulation education and monitoring, cardiac rehab medication education, nicotine cessation counseling, and oncology services. The pharmacy staff participates in a variety of committees and is often called upon to provide education to healthcare patrons.
This residency will be centered on the continued enhancement of the medication therapy management clinic,and ADA certified Diabetes Self-Management Education Program. The expectation for the resident will be to spend more than half of the residency hours in direct patient care, including medication therapy management in a clinic setting and meeting hospitalized patients for various needs.
Additional opportunities at CCP include expansion of medication management services across CentraCare using traditional and non-traditional methods of care . The resident will be expected to learn and apply the skills necessary for developing and maintaining a sustainable ambulatory pharmacy clinic and practice under the scope of practice with CCP providers.
Participation in the interdisciplinary care of hospitalized patients will include pharmacist staffing, discharge planning rounds, medication reconciliation, working with 4th year ambulatory and patient care PharmD students, and activities of clinical hospital committees. Opportunities for ACLS certification and others will be offered.
The resident can expect to meet with patients face-to-face for medication management services 3 days of the week. Additional time will be devoted to project management, preparing for presentations, and completing activities set forth by the University of Minnesota. Hospital pharmacy staffing will include approximately one day per week and 12 weekend rotations throughout the year.
Todd Lemke, PharmD, received his PharmD degree from the University of Minnesota in 1999. He completed an ambulatory residency in 2000. Since 2000, he has been a clinical pharmacist first with Paynesville Area Health Care System which changed to CentraCare Paynesville. In 2003, he became director of pharmacy services and has since taken on leadership of the CentraCare Melrose Hospital pharmacy department as well as the system-wide anticoagulation and MTM programs. He is a Certified Diabetes Educator, has certifications in ACLS and insulin pump training. In his clinical practice, he sees patients in the clinic, hospital and long-term care settings through a collaborative scope of practice. As director, he also manages two critical access hospital pharmacy programs which help care for hospital inpatients and outpatients as well as the facilities long term care residents. Todd precepts College of Pharmacy students from Minnesota, Nebraska, South Dakota, and North Dakota. He has held leadership positions with the Minnesota Rural Health Association and the American Society of Health System Pharmacists Section of Inpatient Pharmacists.
Jennifer Klocker, PharmD, graduated from the University of Minnesota College of Pharmacy in 2007. During her first year out of school, she worked to establish a Medication Therapy Management practice in a retail environment. Since 2008, Jennifer has been an ambulatory and hospital clinical pharmacist with CentraCare Paynesville. In 2022, she became the supervisor of pharmacy services for CentraCare Paynesville. She is a diabetes educator and is part of the team for the Medication Therapy Management and anticoagulation clinics. Jennifer is the chair of the Medication Errors Committee for CCP. She is a member of the American Association of Diabetes Educators, Minnesota Pharmacists Association, and American Society of Health-Systems Pharmacists. Jennifer’s pharmacy interests include direct patient care. Her non-pharmacy interests include her family and camping in the BWCA.