Compliance with USP Chapter <797> in Small and Rural Hospitals

Patricia C. Kienle, RPh, MPA, BCSCP, FASHP, is Director of Accreditation and Medication Safety for Cardinal Health. She received her pharmacy degree from Philadelphia College of Pharmacy and Science and a Master in Public Administration degree from Marywood University in Scranton, Pennsylvania. She is author of The Chapter <795> Answer Book, The Chapter <797> Answer Book, and The Chapter <800> Answer Book and co-author of Meeting Accreditation Standards: A Pharmacy Preparation Guide. With over 600 invited presentations and 100 publications, she has special interests in medication safety, compounding sterile preparations, accreditation, and regulatory issues. 

Orchid Motahari, PharmD, BCSCP, BCOP, is the sterile compounding designated person and clinical oncology pharmacist at Martha’s Vineyard Hospital in Oak Bluffs, MA, where she oversees the sterile compounding operations, provides personnel training and ensures regulatory compliance. 

Michael Ganio, PharmD, MS, BCSCP, FASHP joined the staff at ASHP as Director of Pharmacy Practice and Quality in January of 2018. As a member of the Center on Medication Safety and Quality team, his responsibilities span the practice of pharmacy and include drug shortages, pharmaceutical quality, sterile and non-sterile drug compounding practices, hazardous drug handling, and the ASHP Standardize 4 Safety initiative. Dr. Ganio earned his PharmD from the Rutgers University Ernest Mario School of Pharmacy and his Master’s degree in Health-System Pharmacy Administration from The Ohio State University College of Pharmacy. He completed a PGY1 Pharmacy Practice residency at The Ohio State University Wexner Medical Center. Dr. Ganio is a Board Certified Pharmacotherapy Specialist (BCPS) and a Board Certified Sterile Compounding Pharmacist (BCSCP).

Relevant Financial Relationship Disclosures

The following persons in control of this activity’s content have relevant financial relationships:

• Patricia C. Kienle: BD – Speaker’s Bureau

All other persons in control of content do not have any relevant financial relationships with an ineligible company. As defined by the Standards of Integrity and Independence in Accredited Education definition of ineligible company. All relevant financial relationships have been mitigated prior to the CE activity.

Resources

• Mind the Gaps: Assessing Your Institution’s Compliance with USP Chapter <797>
• Elevating Compliance: Navigating USP <797> with Technology and Standardization
• Frontline Conversations: Enhancing Compliance with USP Chapter <797> in Small and Rural Hospitals
• Frontline Conversations: Targeting Compliance Gaps with USP Chapter <797>

More in this Series

• Demystifying Immediate Use: What’s NOT Category 1, 2, or 3