Pharmacists leading practice change must develop skills related to business planning and models, infrastructure establishment, and workflow processes. Knowledge of business planning and model development informed by revenue generating opportunities and pharmacist impact on quality indicators is crucial to the development of a sustainable ambulatory clinical pharmacy practice model. Long term success of these practices also requires enhanced provider and patient satisfaction and ongoing demonstration of clinical and economic value.  
With a foundation in these skills and knowledge, ambulatory clinical pharmacists can position themselves as an integral and enduring member of the primary care team. Program participants will develop proficiency in discussing established value-based care models with key stakeholders and will apply business planning concepts to the development and implementation of a sustainable ambulatory care practice. 

Activity Type: Certificate Program  
Target Audience: Pharmacists in all Practice Settings, Residency Program Directors, Directors of Pharmacy and Quality Teams, PGY1 and PGY2 Residents  
Registration Fees: $695 Pharmacists, $595 Duquesne University Preceptors and Alumni, $495 PGY 1 and PGY 2 Residents 
Activity Start Date: April 7, 2024 
Activity End Date: June 1, 2024 
Enrollment: Limited to 30 participants 
Delivery Format: 18 hours Self-Study (Web-Based), 12 hours Live (In-Person via Zoom) 
ACPE UAN: 0055-0000-24-001-B04-P 
Contact Hours: 30 

Register Here

At the completion of this activity, participants will be able to:
  • Describe successful business models in ambulatory care settings including ACO and PCMH environments.
  • Identify the appropriate model, environment, and chronic disease targets given a specific clinic profile.
  • Describe how principles and activities from an ACO or PCMH perspective apply to a given clinic scenario.
  • Identify chronic disease targets and quality metrics potentially impacted by pharmacist services.
  • Describe the quality metrics impacted by a pharmacist given a clinic profile.
  • Identify opportunities for billable services and revenue generation.
  • Define indirect and direct medical costs and cost avoidance compared to revenue generated.
  • Describe opportunities for ROI, Cost Benefit and Billing given a clinic scenario.
  • Describe barriers to reimbursement.
  • Create and present a business plan for a new or existing ambulatory clinical pharmacy service incorporating principles from business planning and project management.
  • Perform a clinical and staffing needs assessment for a specific clinic profile.
  • Determine pharmacist staff ratios and mix of face to face versus telehealth.
  • Prepare a RACI matrix for a given clinic profile.
  • Describe the feasibility and financial value of MTM vs CMM services.
  • Justify the elements of a business plan proposal for a given clinic scenario.
  • Develop collaborative drug therapy management agreements with consideration of current laws and regulations.
  • Describe strategies for developing a collaborative approach to team-based care.
  • Prepare a collaborative practice agreement for services appropriate to a given clinic profile.  
Module 1
Self-Study Portion (April 7, 2024 – April 19, 2024)
  • Pre-Assessment
  • Ambulatory Care Models Ambulatory Care Environments
  • Chronic Disease Targets
  • Quality Models/Metrics
  • ROI and Cost Benefit  

Synchronous Session (April 20, 2024, 9:00am to 12:00pm via Zoom)
  • Introduction to Clinic Examples
  • What model does your clinic fit?
  • What environment is your clinic?
  • What are the chronic disease targets in your clinic?
  • What quality metrics can pharmacist impact based the targets?
  • Is your environment ACO/PCMH or both?
  • What activities in your environment contribute to impact the metrics if in an ACO or PCMH? Define indirect and direct medical costs
  • Define cost avoidance compared to revenue generated.
  • What opportunities for ROI and Cost Benefit exist in your clinic?
  • Post-Assessment

Module 2 

Self-Study Portion (April 21, 2024 – May 3, 2024)     
  • Pre-Assessment
  • Billing Opportunities
  • Service Design/Staffing Metrics
  • Team Based Care

Synchronous Session (May 4, 2024, 9:00am to 12:00pm via Zoom)
  • What is billable?
  • Evaluate your clinic environment and identify billing opportunities and barriers to reimbursement
  • What service design model fits your environment?
  • Clinical and Staffing Needs Assessment
  • Determine your clinic pharmacist staff ratio
  • Determine your mix of face to face/tele
  • RACI Matrix – Roles/Responsibilities of Pharmacist
  • Role playing scenario/Mock Huddle
  • Identify conflicts and Propose solutions
  • Be able to define team vs group
  • Determine your clinic’s model (MTM vs CMM)
  • Feasibility of MTM vs CMM
  • Describe Financial Value of MTP/DTP/MRP
  • Post-Assessment
Module 3
Self-Study Portion (May 5, 2024 – May 17, 2024)
  • Pre-Assessment
  • Collaborative Practice Marketing
  • Business Plan Presentations Pro Forma         
Synchronous Session (May 18, 2024, 9:00am to 12:00pm via Zoom)
  • Group representative will present elevator pitch to “CEO/CFO”
  • Feedback on pitches, marketing flyer
  • Feedback on CPA (via email)
  • Post-Assessment
Module 4
Self-Study Portion (May 19, 2024 – May 31, 2024)
  • Pre-Assessment
  • Group work on Business Plans           
Synchronous Session (June 1, 2024, 9:00am to 12:00pm via Zoom)
  • Business Plan Group Presentations to “CEO/CFO”
  • Post-Assessment
  • Certificate Program Evaluation

Michael Korczynski, Pharm.D.
Ambulatory Care Pharmacist
Pittsburgh, PA

Duquesne University School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. The Ambulatory Care Certificate: A Starter Kit for Developing Sustainable Clinical Pharmacy Services certificate program is approved for a total of 30 contact hours of continuing pharmacy education credit (3.0 CEUs). The ACPE Universal Activity Number (UAN) for this activity is listed below.

UAN: 0055-0000-24-001-B04-P
Release Date: 04/07/2024
Expiration Date: 04/07/2027

To obtain 30 contact hours of CPE credit (3.0 CEUs) and a certificate of completion participants must successfully (receive a passing score of at least 80%) complete the pre-assessments and the self-study requirements, participate in each synchronous session, and complete an overall program evaluation.
Minimum System Requirements:
  • Processor: 1 GHz
  • Hard Drive: 32 GB
  • Memory (RAM): 1 GB
  • Sound Card with Speakers
  • Internet Access: 10 Mbps Download

Supported Browsers:
  • Latest Chrome Version
  • Latest Firefox Version
  • Latest Edge Version
  • Latest Safari Version
  • Internet Explorer 11
Cancellation Policy:
No refunds available once a participant pays the registration fee. The continuing education office reserves the right to take into account special circumstances for a withdrawal request and will determine any refunds and refund amounts on a per participant basis.

Online Attendance Policy: 
Log-in via computer, tablet, or any mobile device 1 hour before synchronous sessions start to ensure properly functioning internet connection, microphone, and camera. Join the synchronous sessions 10 minutes prior to start time for check-in and to adhere to activity schedule. Camera video must be functional and enabled for the duration of the session. Learners must be present and engaged for the entirety of the synchronous sessions and not participating in other activities during the synchronous sessions to be eligible for completion.

Online Etiquette Policy:
Continuing education office staff and activity faculty, at their discretion, reserve the right to remove a learner for distracting or inappropriate behavior. The learner and the registration fee may be transferred to a future offering to complete the activity. However, if a future activity is not available, or it is deemed the participant is not eligible for a transfer, the participant will be removed and the registration fee will not be refunded.

Communications Policy:
All activity communications will be sent to the email address submitted for registration. It is the registrant's responsibility to ensure that the email address submitted is current and correct. If you need to communicate with the continuing education office, please communicate with the email address used for registration. Please note that communications may be delayed during observed university holidays.

Privacy and Confidentiality:
The Duquesne University School of Pharmacy protects the privacy of personal and other information regarding participants and educational collaborators.  Duquesne University School of Pharmacy will not release personally identifiable information to a third party without the individual’s consent, except such information required by ACPE.


Michael Kurilla, MEd

Director, Continuing Education and Certificate Programs

Duquesne University School of Pharmacy