OSHP Best Practice Advancement Success Award

OSHP Best Practice Advancement Success Award

To recognize innovative Ohio Health-Systems who have demonstrated pharmacy practice advancements in accordance with the American Society of Health-Systems Pharmacy (ASHP) Pharmacy Practice Model Initiative (PPMI).
I attest I will notify my employer that work completed as an employee of the organization has been recognized by OSHP if this award is received. Further, I attest that alternative representatives may be preferred by my employer if my employment ends prior to potentially receiving an award.
Organization Name
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organizational Background/Overview and Practice Setting
Description of Pharmacy Practice Model Initiative with Objectives Incorporated
Description of Benefits to Patient Care and Pharmacy Practice
Examples of Utilizing Pharmacists to Improve Medication Use and Optimize Medication Related Outcomes
Examples of Expansion of Technician Roles to Prepare and Distribute Medications
Examples of Promotion of Appropriate Training and Credentialing for Pharmacists and Technicians Aimed at Activities Performed Within the Scope of Practice
Examples of Pharmacy Departments Utilization of Available Automation and Technology to Improve Patient Safety and Workflow Efficacy
Examples of Innovation Within Pharmacy
Description of Outcomes and Future Direction
Description of Sustainability
Nominator Information
Nominator Name*

First NameLast Name
Nominator Employer*
Nominator Phone*

Area CodePhone Number
Nominator Email Address*
example@example.com
Attachments
Additional Evidence #1

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Additional Evidence #2

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Additional Evidence #3

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Additional Evidence #4

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Additional Evidence #5

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Attach Video/Link or Powerpoint Related to Project

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Attach Letter of Support from Director of Pharmacy (see example letter below)*

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Example letter for support for DOP for Best practice award

{Date}

Dear Professional Affairs Division,

Please accept this letter as a sign of support and acknowledgement of the nomination of XXX Health System for the OSHP Best Practice Award. I acknowledge if our organization is selected for this honor that it is a department award, not an individual award. I will work with the award nominator to determine who will come to the OSHP Annual Meeting to receive and be recognized for the award and who will present at the Best Practice Session following the Award Ceremony.

Thank you for consideration of our nomination.

Sincerely,

{Director of Pharmacy Signature}

{Director of Pharmacy Name}
DOP Name*
example@example.com
DOP Phone Number*
example@example.com
DOP Email*
example@example.com
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