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Kathleen A. Johnson Pharm.D., M.P.H., Ph.D.Kathleen A. Johnson Pharm.D., M.P.H., Ph.D.Associate Professor, Departments of Pharmacy andAssociate Professor, Departments of Pharmacy and

Pharmaceutical Economics and PolicyPharmaceutical Economics and PolicyVice Chair, Department of PharmacyVice Chair, Department of Pharmacy

Expanding Health Care and Expanding Health Care and Medication Education to Medication Education to

Communities in Los Angeles Communities in Los Angeles

USC School of PharmacyUSC School of Pharmacy

Range of Projects-USC School of Range of Projects-USC School of PharmacyPharmacy

• Community Clinics-Los Angeles (safety net Community Clinics-Los Angeles (safety net clinics)-adults with chronic diseasesclinics)-adults with chronic diseases Improved medication use, education and disease Improved medication use, education and disease

controlcontrol

• Asthma Breathmobile-Orange CountyAsthma Breathmobile-Orange County Urban elementary school children and parentsUrban elementary school children and parents

• Poison Prevention EducationPoison Prevention Education Elementary school children and parentsElementary school children and parents

• Community Health Fairs/Health Education Community Health Fairs/Health Education Communities, LAUSD occupational/skills centersCommunities, LAUSD occupational/skills centers

Service LearningService Learning

• Public Health CoursePublic Health Course Poison prevention educationPoison prevention education Health Fair materials development and deliveryHealth Fair materials development and delivery

• Student Pharmacist Volunteer ProgramStudent Pharmacist Volunteer Program Community ClinicsCommunity Clinics

• Community Clinic educational experiences Community Clinic educational experiences integrated into various elective and required integrated into various elective and required coursework in the pharmacy curriculumcoursework in the pharmacy curriculum

USC Outpatient Pharmaceutical Care TeamUSC Outpatient Pharmaceutical Care Team

• Faculty/Adjunct FacultyFaculty/Adjunct Faculty Melvin F. Baron, Pharm.D., MPAMelvin F. Baron, Pharm.D., MPA Alex Cao, Pharm.D., CDM (UPC, 2 Clinics)Alex Cao, Pharm.D., CDM (UPC, 2 Clinics) Elizabeth Cervantes, Pharm.D. (1 Clinics)Elizabeth Cervantes, Pharm.D. (1 Clinics) Steven W. Chen, Pharm.D., FASHP, CDMSteven W. Chen, Pharm.D., FASHP, CDM Olaf Dominguez, Pharm.D. (2 Clinics)Olaf Dominguez, Pharm.D. (2 Clinics) Jeffrey A. Goad, Pharm.D., MPH, BCPSJeffrey A. Goad, Pharm.D., MPH, BCPS Sally Hur, Pharm.D. (Queens Care)Sally Hur, Pharm.D. (Queens Care) Kathleen Johnson, Pharm.D., MPH, PhDKathleen Johnson, Pharm.D., MPH, PhD Debbie Pham, Pharm.D. (Breathmobile)Debbie Pham, Pharm.D. (Breathmobile)

• ResidentsResidents Kim La, Pharm.D.Kim La, Pharm.D. Joycelyn Mallari, Pharm.D.Joycelyn Mallari, Pharm.D. Ly Nguyen, Pharm.D.Ly Nguyen, Pharm.D.

• Project Coordinator, MS Student Pharmaceutical Project Coordinator, MS Student Pharmaceutical Economics and PolicyEconomics and Policy Gus Aranda, Pharm.D.Gus Aranda, Pharm.D.

USC Outpatient Pharmaceutical Care TeamUSC Outpatient Pharmaceutical Care Team

• StudentsStudents Clerkships (Level IV)Clerkships (Level IV)

• Ambulatory Care (Chen)Ambulatory Care (Chen)

• Community (Cao, Goad)Community (Cao, Goad)

• Administration (Baron) (elective)Administration (Baron) (elective)

Elective Course (Level III)Elective Course (Level III)• Health Care for Special Populations Health Care for Special Populations

(Level 3, Spring semester, 2005)(Level 3, Spring semester, 2005)

Externships (Level I) (Baron)Externships (Level I) (Baron) Volunteers (all levels)Volunteers (all levels)

Safety Net Clinics 

Demographic Characteristics T.H.E. Clinica

Weingart Medical Clinicb

South Central Family Health

Centerc

Los Angeles Countyd

Ethnicity: (%)

Black 59 49 3 10

Hispanic 21 40 96 39

White 1 9 unavailable 40

Asian and Pacific Islander 16 2 1 11

Education and Income:

< 12 years education (%) 56 70 60 31

Median family income $21,038 $2,500 $16,045 $34,965Unemployment rate (%) 12 96 unknown 8

< 100% of Federal poverty level (%)

75 100 99 24

Receiving public assistance (%) 25 100 unknown 20Source: a HRSA Uniform Data System Client Level Data for T.H.E. Clinic, Inc. (2000)b South Central Family Health Center (2002), c Weingart Medical Clinic (2002), d Los Angeles County Department of Health Services, Health District Profiles (1997)

Grant Funding Received by USC Grant Funding Received by USC School of Pharmacy to Support School of Pharmacy to Support

Community ActivitiesCommunity Activities• US Federal Government ($100,000)US Federal Government ($100,000)• Unihealth Foundation Clinics ($405,000)Unihealth Foundation Clinics ($405,000)• Unihealth Foundation Breathmobile Unihealth Foundation Breathmobile

($465,000)($465,000)• Queens Care Foundation Clinics Queens Care Foundation Clinics

($300,000)($300,000)• Merck Foundation Student Volunteer Merck Foundation Student Volunteer

Program ($29,000)Program ($29,000)

Benefits to University and ClinicBenefits to University and Clinic• ClinicClinic

1 pharmacist brings 3-4 different types of pharmacy students-expanding 1 pharmacist brings 3-4 different types of pharmacy students-expanding services (immunizations, health fairs, patient education / counseling, staff services (immunizations, health fairs, patient education / counseling, staff inservice)inservice)

Pharmacist expertise in purchasing, formulary management, dispensary Pharmacist expertise in purchasing, formulary management, dispensary activitiesactivities

Patient care services expandPatient care services expand Improved quality of careImproved quality of care

• UniversityUniversity Training sites for students (experiential / service learning)Training sites for students (experiential / service learning) Research opportunities demonstrating value of pharmacistResearch opportunities demonstrating value of pharmacist Faculty practice sitesFaculty practice sites Innovations in pharmacy practiceInnovations in pharmacy practice