Children's Mercy Hospitals (CMH), a 355-bed regional pediatric referral center, is the primary pediatric teaching facility affiliated with the University of Missouri at Kansas City.
Located in the heart of the city on Hospital Hill, CMH provides pediatric care in more than 40 subspecialty areas. Each year there are approximately 13,500 inpatient admissions. Forty percent of the inpatient capacity is reserved for intensive care through the Burn Unit, a level IIIc Neonatal Intensive Care Nursery, and the Pediatric Intensive Care Unit.
CMH has the area's only Level 1 Pediatric Trauma Center, and provides such specialized services as peritoneal and hemodialysis, continuous renal replacement therapy and extracorporeal membrane oxygenation.
Additionally, CMH has kidney, liver, heart and stem cell transplantation programs. The hospital averages about 17,500 inpatient and outpatient surgeries per year. With 158,000 emergency and urgent care visits, and 300,000 outpatient visits per year, the institution operates one of the largest pediatric outpatient centers in the country.
CMH reaches far into the community around the Kansas City area. The Children's Mercy Hospitals and Clinics network includes:
- Children's Mercy Hospital on Hospital Hill in downtown Kansas City, MO
- Children's Mercy Clinics on Broadway in downtown Kansas City, MO
- Children's Mercy South in Overland Park, KS
- Children's Mercy Northland in North Kansas City, MO
- Children's Mercy West in Kansas City, KS
- Children's Mercy East in Independence, MO
- Children's Mercy Home Care serving the entire Kansas City Metro area
The Pharmacy Department
The Pharmacy Department provides 24-hour service, including both distributive and clinical patient care services. On the main campus, inpatient pharmacy services are provided out of the central pharmacy and five satellite pharmacies: pediatric intensive care unit (PICU), neonatal intensive care unit (NICU), operating room (OR), emergency department (ED), and outpatient infusion.
In all of our inpatient pharmacy service areas, we take advantage of technology to advance our safety initiatives. Access to all relevant patient information is provided through a hospital-wide computerized information system. In addition to having an electronic medical record (EMR), and Computerized Physician Order Entry (CPOE), we have implemented Bar Code Medication Administration (BCMA) and utilize the DoseEdge Pharmacy Workflow System in our sterile preparation and oral unit dose areas.
Pharmacists participate as members of several key multidisciplinary teams, including these:
- Code blue
- Critical care (surgical & medical services)
- Stem cell transplantation
- Infectious diseases
- Neonatal intensive care
- Nutrition Support
The Pharmacy Department plays an active role in managing investigational drugs studies. Two full-time pharmacists and a pharmacy technician are devoted to the management of investigational drugs and protocols. Currently, the Investigational Drug Service (IDS) pharmacy is handling more than 100 studies in various stages of development. The pharmacy department also supports a home-care pharmacy and three retail pharmacies.
The Residency Program
Children's Mercy offers three postgraduate year-one (PGY1) positions. The PGY1 program has received American Society of Health-System Pharmacists (ASHP)-accreditation and uses the Residency Learning System (RLS) Model developed by ASHP. The focus of the program is on the provision of pharmaceutical care, with core rotations in general pediatrics, neonatology, critical care, infectious diseases, ambulatory care and other specialty patient care rotations.
Elective rotations are designed to suit the individual needs and interests of the resident and exist for all subspecialty areas of practice. The residents will also be members of the Pharmacy and Therapeutics (P&T) Committee, and will have the opportunity to participate on several other medication-related hospital committees. Teaching experiences, including both didactic and clinical instruction, are gained through interaction with medical and pharmacy students, pediatric residents and hospital staff.
Licensure: Obtaining Missouri licensure is required before beginning the residency.
Distribution: The staffing requirement for the PGY1 residency is 224 hours. Residents will not be pulled from rotations to fill in for others. Extra shifts may be available for the residents to pick-up at pharmacist's salary.
Teaching: If pharmacy students are assigned to the same service as the resident, (s)he will be expected to serve as a role model and assist in precepting clerkship students. The resident will also have the opportunity to serve as the primary preceptor for a pharmacy student on a clinical rotation. In addition, residents may prepare and present a didactic lecture for a pharmacy school class in cooperation with a preceptor.
Research: Each resident will complete a formal research project. A committee of preceptors will be assembled to help the resident with their project. Topics are chosen by the resident in an area of interest. Findings are presented at the Midwest Pharmacy Residency Conference in the Spring. A completed manuscript is required to complete the program.