Board Certified Population Health

Kiara Lorenz, PHARMD, BCPS

Springfield, VA *****

*****.******@*****.***

Phone # 608-***-****

CERTIFICATIONS AND LICENSES

Board Certified Pharmacotherapy Specialist – Credential No. 316****-**** - Present

Licensed Pharmacist, Wisconsin; Active License No. 153**-**-**** - Present

Licensed Pharmacist, Virginia; Active License No. 020******* March 2010 - Present

Advanced Cardiovascular Life Support (ACLS) Certification - 2008 - Present

American Heart Association

American College of Clinical Pharmacists Member 2008 - Present

PROFESSIONAL EXPERIENCE

Focused and highly motivated Board Certified Pharmacist Specialist, with 15+ years of extensive experience as a hospital pharmacist. Holds active ACLS, BLS, and BCPS certifications with ongoing pharmacist licensure in Wisconsin and Virginia.

EMPLOYMENT HISTORY

Cardiology Clinical Pharmacist Specialist March 2010 - Present

VHC Health

Arlington, Virginia

-Clinical Pharmacy Specialist for 60 bed cardiology unit with majority of patients hospitalized for atrial fibrillation, congestive heart failure, and myocardial infarction.

-Monitor, Review and evaluate drug therapy on daily interdisciplinary rounds for rational indications, dosing, adverse drug reactions, and drug interactions

-Design, approve and implement pharmacotherapy based clinical research studies

-Developed Congestive Heart Failure (CHF) Population Health Program with the goal of reducing 30-day hospital readmission rate

oDeveloped CHF Population Health Program by researching and applying 2022 AHA/ACC/HFSA Guideline for the Management of Congestive Heart Failure

oCoordinated CHF Population Health Program Policy and Procedures through collaboration with multidisciplinary team which included physicians, population health team and pharmacy management team

oSinglehandedly performed over 561 CHF medication profile reviews and patient consults starting May 2022

oCollaborated with Epic Willow team to create standardized SmartPhrase documentation method in Epic

oResults: 59% reduction in 30-day hospital readmission rates over 1 year (May 2022 – May 2023). 54% reduction in readmission rates compared with national average (11.63% average readmission rate for our hospital compared with national average of 21.3%).

oReceived recognition by high level management officials for contributions to program

-Responsible for dofetilide monitoring and patient education for entire hospital

oIn 2023, reviewed over 142 dofetilide medication orders for accuracy and completeness and provided verbal and written drug information to patients. Intervened on 58 orders to make therapeutic recommendations based on patient specific renal function, Qtc interval or laboratory abnormalities to prevent adverse drug events and errors

-Created novel sotalol order set for continuation and initiation of sotalol at VHC Health

oResearched proper sotalol initiation doses, frequencies, monitoring parameters, and length of stay

oCreated order set build for Epic using novel outline

oPhysician team leaders approved order set build, and furthermore requested that all order set requests be formatted using my novel outline

-Performed research that led to permanent approval of switching alteplase 2mg/ 2 ml for line occlusions to alteplase 1 mg/ml leading to a 50% cost savings

oTemporary switch to alteplase 1 mg/ml approved due to alteplase shortage

oCollected data for 6 months (3 months prior to switch and 3 months after switch) regarding line re-occlusion incidence, re-dose requests, and restoration of line patency

oPresented data to Pharmacy and Therapeutics committee, receiving approval for a permanent change and cost savings

-Created Venous Thromboembolism Prophylaxis report highlighting patients with no VTE prophylaxis orders

oWorked in a multidisciplinary team including physicians, IT, and pharmacy managers to create report in Epic

oAnalyzed report daily and reached out to providers to either add VTE prophylaxis or document reason for not providing prophylaxis

oRecommendation acceptance rate is 87% with fall outs due to pending surgery or evaluation for bleeding event

-Integrated pharmacy department into Code Blue Committee and Response Team through assertiveness and collaboration with Critical Care physician group

oFormed relationship with ICU physician team, proposed pharmacist response to Code Blues

oMaintained BLS and ACLS certifications

oBegan with solo responses to all Code Blues anywhere in the hospital during my shifts

oExpanded the program to include both ICU pharmacists obtaining ACLS and BLS certifications and responding as second pharmacist at codes

oGoals for the future – expand program even further. Would love to require all hospital pharmacists to obtain ACLS and BLS certifications to expand pharmacist code coverage

-Emerged as a competent and effective educator for APPE pharmacy students and PGY-1 Pharmacy Residents

oGranted Outstanding Preceptor Award from VCU School of Pharmacy (2023)

oAcute Care Cardiology Preceptor to 11 APPE pharmacy students since January 2022, bringing monetary funds directly to pharmacy department

oDeveloped 5-week PGY-1 Cardiology Pharmacy Resident course including topic discussions, journal clubs, and patient case presentations

oCardiology Preceptor to PGY-1 Pharmacy Residents since 2020

-Became leader in statistics education for pharmacy students and residents

oIdentified lack of statistics baseline knowledge in PGY-1 residents

oCreated 4-week statistics course (one day per week) for pharmacy residents

oIncorporated course into orientation of new PGY-1 residents to facilitate research projects

-Instituted daily rounding with Medicine Resident Team 1

oServed as expert pharmacist consultant during daily multidisciplinary rounds for 60 beds

oProvided accurate and timely information on medication renal adjustments, antibiotic selection, laboratory monitoring, and drug interactions

-Developed leadership skills through collecting, analyzing, and presenting data to high level management officials during multidisciplinary team meetings including Pharmacy & Therapeutics, Readmissions Task Force, Cardiac Collaborative, RAC, Code Blue Committee and Operations Committee

-Applied Guideline Directed Medication Therapy (GDMT) recommendations on the Inpatient Cardiology/Telemetry floors. Acquired immeasurable skills in interpreting, integrating and teaching national guidelines

AWARDS AND HONORS

Outstanding Preceptor Award 2023

VCU School of Pharmacy

Friends of Nursing Award Nominee 2023

EPIC Super User 2022 - 2023

Shout Outs from Chief Executive Officer 2022 - 2023

VHC Health

COMPUTER SOFTWARE

-Distant Cerner order verification and dashboard knowledge

-Extensive, in depth experience using Epic system including: creating SmartPhrases, utilizing slicer-dicer, creating unique reports, performing order verification, using Epic chat for communication with providers and navigating Epic dashboards

-Microsoft Word and PDF handout creation for pharmacy staff

-Microsoft Excel for organization and analyzation of data for high level management presentations

-Microsoft PowerPoint tools for creation of presentations incorporating graphs, data and trends

TEACHING EXPERIENCE

Virginia Commonwealth University Preceptor 2021 – Present

Shenandoah University Preceptor 2021 – Present

PGY-1 Pharmacy Residency Preceptor – Cardiology 2020 – Present

Pharmacy Student Preceptor 2020 - Present

VOLUNTEER WORK & COMMUNITY INVOLVEMENT

VHC Health COVID vaccine clinics 2020 – 2022

-Reconstituted and used aseptic technique to prepare hundreds of vaccine doses

-Ensured proper dose, labeling, storage, dispensing and expiration of prepared vaccine doses

Homeward Trails Animal Rescue 2023

-Participate in Trails Up program taking shelter dogs for walks

-Enlist donations during pet adoption events

-Spend time in “Quiet Room” with high needs dogs requiring socialization

REFERENCES

Jennifer Bingham, PharmD, BCPS, BCCCP, MPH

*********@*********.***

Phone # 571-***-****

Erna Groat, PharmD, BCPS

*******@*****.***

Phone # 703-***-****

Brian Caruth, PharmD, BCPS

*****.******@*****.***

Phone # 319-***-****

Contact this candidate