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Frank Massaro is pharmacy practice manager at Tufts Medical Center. Dr. Massaro manages clinical programs for the Department of Pharmacy and is responsible for the professional development of the pharmacist staff. He is a member of the General Internal Medicine patient care team and an active member of several interdepartmental performance improvement committees. Dr. Massaro received both a B.S. in pharmacy and a Pharm.D. from the Philadelphia College of Pharmacy and Science. He completed a residency in hospital pharmacy at New England Medical Center. Dr. Massaro's current faculty appointments include Tufts University School of Medicine and Northeastern University's Bouvé College of Health Sciences.

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William A. Gouveia retired in 2008 after serving for 36 years as Director of Pharmacy at Tufts Medical Center. Mr. Gouveia has served the American Journal of Health-System Pharmacists (AJHP) in a number of editorial positions, most recently as Contributing Editor, Pharmacy Practice Management. Mr. Gouveia received his Master of Science Degree in Hospital Pharmacy and Bachelor of Pharmacy Degree from Northeastern University College of Pharmacy. He has been Chairman of the American Society of Health-System Pharmacists Commission on Goals and was named ASHP Fellow in 1993. He received the ASHP Research and Education Foundation Award for Achievement for Sustained Contributions to the Literature and the Outstanding Alumni Award in Health Sciences from Northeastern University. Mr. Gouveia also served on the ASHP Board of Directors from 1986 to 1989. He received The Harvey A. K. Whitney Lecture Award, health-system pharmacy's highest honor, from the ASHP in 1999. Mr. Gouveia's faculty appointments include Tufts University School of Medicine, and Northeastern University's Bouve College of Health Sciences. In 2001, Mr. Gouveia was appointed to the L'Academie National de Pharmacie in Paris, France. He also received the American Pharmacists Association Academy of Pharmacy Practice and Management Distinguished Achievement Award in Hospital and Institutional Practice in 2005. Mr. Gouveia received an honorary Doctor of Humane Letters Degree from Western University of Health Sciences, Pomona, California in May 2006. Gouveia was appointed Inaugural Chair, International Commission Accreditation Council for Pharmacy Education in 2011.

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After completing this chapter, readers should be able to

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  1. Describe a typical organizational chart, management structure, and flow of information for a hospital and a hospital's pharmacy department.

  2. Describe the integration of clinical and managerial roles assumed by pharmacists in the hospital setting.

  3. Identify and describe models for managing clinical pharmacist services in a hospital.

  4. Describe budgetary issues confronting a hospital's pharmacy department. Identify strategies undertaken by the department's director and staff pharmacists to reduce operating costs without compromising patient care.

  5. Identify strategies for managing personnel, including clinical pharmacists, in a hospital pharmacy.

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Every hospital pharmacist is a manager. Every pharmacist must acquire, maintain, and constantly update a unique and specialized body of knowledge. Every pharmacist must learn to direct, support, persuade, discipline, and collaborate with others. Every pharmacist is expected to understand and use the principles of accounting, finance, economics, marketing, and informatics. ...

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