Mosaic Life Care is a 350 bed community hospital with pharmacy robotics, COPE and a decentralized pharmacy model. Residents are active members of the P and T committee and have the opportunity to participate in the following rotations, critical care, infectious disease, cardiology, mental health, internal medicine, geriatrics and emergency medicine. Pharmacy residents work every third weekend, obtain ACLS certification, and participate in the UMKC teaching certificate program.
Mosaic Life Care (formerly Heartland Regional Medical Center) is a 350-bed community hospital with a highly automated pharmacy containing dispensing robotics (Swiss Log and Box Picker), automated dispensing units (Pyxis) in all patient care and procedural areas, CPOE with Epic, bedside barcoding (closed-loop medication use process), and IV-Prep. The Department of Pharmacy provides vital services to the main hospital located in St. Joseph, MO and Northwest MO hospitals in Albany and Maryville, MO and to Mosaic Life Care & Clinics (in Saint Joseph regional area and Eastern Kansas). The pharmacy provides IPPE and APPE rotational opportunities for the University of Missouri-Kansas City, Drake University, Kansas University, Saint Louis College of Pharmacy and Creighton University.
The pharmacy department is composed of a pharmacy director, assistant director/clinical manager, approximately 30 registered pharmacists (full-time, part-time and PRN), approximately 15 pharmacy technicians, 1 pharmacy buyer, 2 PGY1 pharmacy resident positions, pharmacy volunteers, and pharmacy students. The pharmacy has a non-dispensing decentralized pharmacy model Monday through Friday 7:30-5:30 and a ce...ntralized model for the remaining hours with pharmacy dispensing and clinical services provided 24/7. Decentralized areas that are covered by 8 pharmacists Monday through Friday include: the intensive care unit, cardiology, oncology, surgical step down, internal medicine, geriatrics, orthopedics, psychiatry and infectious disease.
The clinical services provided by the pharmacy include a Pharmacokinetic and TPN consultation service where the department manages 99% of all vancomycin, aminoglycoside and TPN orders. Anticoagulant services offered include a warfarin consult service with 90% managed by pharmacy and all direct oral anticoagulants (DOACs) and enoxaparin doses are renal adjusted by pharmacy. In addition, the pharmacy is responsible for all renal adjustments of antibiotics, antifungals and antivirals as outlined by our Pharmacy and Therapeutics (P and T) Committee. These activities are provided as part of our Medication Therapy Services Certification (each pharmacist is required to acquire an MTS Certificate from the Missouri Board of Pharmacy).
