RX for Success: How the Los Angeles Jewish Home Pharmacy Advances Education and Boosts Resident Care

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RX for Success: How the Los Angeles Jewish Home Pharmacy Advances Education and Boosts Resident Care

Feb 17, 2021

As senior residential care facilities nationwide have adapted and developed emergency protocols for administering the coronavirus vaccine, the Los Angeles Jewish Home has been at the forefront. Its secret weapon: an on-site pharmacy in one of its buildings, with a clinical pharmacy residency program that enables the Jewish Home to acquire, dispense, and monitor medications effectively and efficiently for the residents of that building. During the pandemic, the existence of this program has resulted in an organized vaccine clinic, allowing more people to get immunized, at a faster rate, than at many other senior care homes across California and around the country.

"It's unusual for an organization like ours to have in-house pharmacists, but I believe it's the future for all long-term care facilities," says Noah Marco, MD, chief medical officer at the Jewish Home. "Among the many things doctors at a place like the Jewish Home do in caring for patients is prescribing needed medications, and as a physician I think there's no better resource than having a pharmacist stand shoulder-to-shoulder with you to improve care."

Having an established pharmacy gave the Jewish Home an important advantage when it came time to getting the COVID-19 vaccine. "We were well positioned because we have essential equipment like medication refrigeration for the vaccine, and we also meet all the compliance requirements for pharmacies, which means we're able to handle and distribute the medication in the proper way," Dr. Marco says. "Many other facilities that had not invested in that process are currently struggling."

The benefits go well beyond COVID-19, notes Aida Oganesyan, PharmD, the Jewish Home's director of pharmacy services. "The pharmacists are a timely resource for our clinicians where time is often of the essence," she says. "Since caring for Jewish Home residents is our full-time job, we can rapidly and proactively communicate important information when the prescriber and patient need it."

Based at the Jewish Home's Joyce Eisenberg-Keefer Medical Center, Dr. Oganesyan serves the entire organization, across multiple campuses. She got her start at the Home eight years ago, fresh out of pharmacy school.

"I was the Jewish Home's first pharmacy resident, in 2013-14," she recalls. "Geriatrics had always been of interest to me, and when I heard about the program at the Home, I was immediately excited to learn more. As it turns out, I loved it so much, I decided to never leave!"

The pharmacy residency program is a joint effort of the Jewish Home and Western University of Health Sciences (WesternU) College of Pharmacy, located in Pomona. Each year, the program accepts one resident—a recent pharmacy school graduate—who spends 12 months at the Jewish Home gaining critical hands-on experience. WesternU also sends its current pharmacy students to the Jewish Home for six-week clinical rotations during the academic year. The program is run by Janice Hoffman, PharmD, who splits her time between WesternU and the Jewish Home.

Dr. Hoffman says the Jewish Home has been an ideal site for this accredited residency program. "The Home is a special place. You feel part of the family here. And everybody wants to do what's best for the patient, regardless of what that requires. It's not stagnant, everyone is willing to try new ways, and there is a willingness to listen and adapt."

Since the program launched in 2013, the clinical services that pharmacy residents provide at the Jewish Home have continued to grow exponentially. "In the beginning, we were just working with the Auerbach Geriatric Psychiatry Unit (AGPU). Then we created an antibiotic stewardship program for our Joyce Eisenberg-Keefer (JEK) Medical Center residents. Our first project outside of the JEK building was an anticoagulation monitoring program that was developed for all Jewish Home nursing residents. After that, we pioneered a program wherein residents who experience a fall get a comprehensive medication evaluation by our pharmacists. Our current fellow, Rachel Stone, is running our new hypertension medication management program, which we're piloting in JEK to try to reduce the number of medicines seniors take and the number of times they have their blood pressure taken daily and weekly. Most people do not need to have their blood pressure measured as often as it typically is; perhaps once daily or weekly may be enough," Dr. Hoffman says.

For Dr. Stone, who graduated with a PharmD from the Thomas J. Long School of Pharmacy at the University of Pacific in May 2020, being at the Jewish Home is an opportunity to develop her knowledge of geriatric psychiatry, which she plans to make her career specialty. "At AGPU, I'm able to participate in interdisciplinary team rounds with psychiatrists, nurses, social workers, activities coordinators and dieticians. It's great because I get to contribute my recommendations from a pharmacy perspective as I'm learning about the whole continuum of care," she says.

She is also a central part of the Jewish Home's vaccination effort, supervising the pharmacy interns from WesternU and leveraging her expertise to help immunize residents and staff. "I always feel great when someone tells me they didn't feel anything after getting the COVID shot—it means I've done my best with my technique to make sure people don't get hurt!" she says.

Dr. Stone administered the second dose of the vaccine to Dr. Marco. "While she was preparing the shot, I was reflecting on how unique the Jewish Home is," Dr. Marco says. "Through our fellowship and pharmacy, we're simultaneously able to help train up-and-coming professionals and to benefit our residents with access to a fully licensed pharmacist. As far as I'm concerned, it's just another reason the Jewish Home stands heads and shoulders above the rest!"

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May 2

Andrew Berman Celebrated at Los Angeles Jewish Health Circle of Life Gala

Proceeds from Event Expected to Raise $325,000 LOS ANGELES, CA – May 1, 2023) Andrew Berman, Chair of the Board for Los Angeles Jewish Health (LAJH), formerly Los Angeles Jewish Home, was honored recently by The Executives, a Support Group of Los Angeles Jewish Health at their Circle of Life Gala. The evening event held at the Stephen Wise Temple, April 30, included a crowd of community and religious leaders, his loving family and LAJH residents and staﬀ. The tribute celebrated Berman's active participation and numerous contributions to Los Angeles Jewish Health over the years and highlighted his two terms as Chair of the leading non-profit organization where 4,000 seniors are cared for each year. Berman, an entertainment executive, is credited with working to ensure the growth and sustainability of LAJH at a time when many senior care facilities across the country were forced to go out of business over recent years. He was instrumental in helping to ensure LAJH remained on the forefront of excellent care throughout the COVID pandemic taking all measures to keep residents and participants healthy. His eﬀorts helped to quickly start to rebuild the numbers of those served by LAJH as soon as admissions were able to reopen. To ensure the future growth and sustainability of the organization, Berman led the charge for the century old organization to enhance their marketing eﬀorts. This included taking the bold step to update the name from Los Angeles Jewish Home to Los Angeles Jewish Health, a name that better reflects the vast selection of programs, services, and living options oﬀered to older adults from throughout the community. In commenting on Berman's special recognition Dale Surowitz, Chief Executive Officer and President of Los Angeles Jewish Health shared, "I have had the pleasure of working with many volunteer leaders over the years. Andy sets the bar for all who take on the role of Chair for any non-profit organization. He is hands on and his energy and commitment bring out the best in all of us. I consider him a great leader, partner and friend." Andrew Berman with Danny Rosett and Ira Halpern, Gala Co-Chairs. The special evening premiered a new LAJH video showcasing all of the many living options, services and programs available. Then, the highlight of the evening was a tribute video about Berman where staff, volunteer leadership, family members and Rabbi David Woznica of Stephen Wise Temple spoke of the extraordinary contributions of time and talent Berman has made, not only at Los Angele Jewish Health, but throughout the Los Angeles Community throughout his life. Proceeds from the evening are expected to reach $325,000.

From Generation to Generation at Los Angeles Jewish Health

As a leading national expert in the provision of senior care, Los Angeles Jewish Health has found a secret to graceful aging: youth. Through an expanded focus on intergenerational programming, the organization is bringing diverse groups of young people to its San Fernando Valley campuses to lift seniors' spirits and allow them to see the world through new eyes again. It's all part of an ongoing focus at Los Angeles Jewish Health to identify innovative ways to enhance residents' lives. Commenting on the successful program, Chief Executive Officer and President Dale Surowitz says that "The goal is to inspire our seniors and to give them a reason to get excited about each day. I've seen first-hand how interactions with young people can light up our residents and fill them with enthusiasm. It is truly a wonderful thing to behold." The benefit, Dale notes, is mutual. "Our residents get so much from being with younger folks—and the younger folks are also enriched in so many ways," he says. "Hearing about seniors' experiences, and sharing in their wisdom, adds meaning to their lives, as well." Now that many of the pandemic health regulations have lifted, intergenerational in-person events are coming back to Los Angeles Jewish Health in a big way. "We're scheduling visits from youth groups, preschoolers, synagogues, primary schools, and more," says Stacy Orbach, the organization's director of volunteer services. "There's so much going on here; we've never had so many wonderful programs happening on both campuses at once!" Examples of these intergenerational programs abound: In February, to celebrate Sweetheart's Day (Los Angeles Jewish Health's version of Valentine's Day), fifth graders and parents from Brentwood School stopped by to sing to residents and join them in arts and crafts projects. At Purim, preschoolers from a nearby Israeli gan (daycare) came to celebrate, arriving in costume and dancing for residents. Over Passover, a seventh-grade class from Temple Judea visited, chatting with residents and engaging them in activities. That same class returned a few weeks later, for Yom Ha'atzmaut (Israeli Independence Day), playing Israeli bingo with residents and continuing conversations they started during their first visit. "I saw one of the residents hugging a boy from Temple Judea. When I asked her about it later, she said, ‘He remembered me from last time! It made me feel so good, I had to give him a hug.' Those are the moments we're trying to create, helping spark joy for our seniors that brightens up their days," says Julie Lockman-Gold, special programs coordinator. Those moments are also powerful for visiting students. "We had an elementary school class come from Heschel Day School. As the students were leaving, one of them said to me, ‘Don't be surprised when you see me here volunteering when I'm older, because I loved this!'" Stacy says. Members of a music club from Taft High School recently stopped by to perform swing and jazz numbers for the residents. "One of our seniors was just dancing in her chair like crazy," Julie recalls. "She came up to the students afterward and told them, ‘I'm 98, and I'm blind, but I can hear. Many years ago, I was a singer. Your songs are bringing me back, and this is such a treat.' It was incredibly moving." Not all visitors to Los Angeles Jewish Health are part of the under-18 set. The organization's own board chair, Andrew Berman, has launched a weekly program called the Men's Club—a discussion group that enables him to spend time with, and get to know, residents of the skilled nursing facility on Los Angeles Jewish Health's Grancell Village campus. "We talk about a range of subjects, from food to politics to cars. Everyone gets to share their different perspectives, which is so healthy and energizing and therapeutic," Andy says. "It's also really gratifying for me because I learn so much from these guys. I'm just thrilled to be able to do it." Building on our vision of enriching our residents each day, the staff at Los Angeles Jewish Health is committed to ramping up intergenerational programming even more in the near future. "We're doing everything we can to bring enrichment to the lives of our residents," Stacy says. "This is one of the things that differentiates us from every other facility in Los Angeles—we've taken it to a higher level." Reaching that "higher level" has been made possible through gifts from donors and foundations such as the Steven Ohren Foundation, which helps fund the music therapy program and certified therapy dog program at Los Angeles Jewish Health. "People in our community recognize the importance of intergenerational programming and want to contribute to it," says Corey Slavin, senior vice president of the Los Angeles Jewish Health Foundation. "We are grateful for our donors' partnership—and, of course, additional support is always welcome."

A Prescription for Senior Health

On the national landscape of senior care facilities, Los Angeles Jewish Health stands apart. It distinguishes itself on multiple levels: through the quality of its care, the breadth and depth of its expertise, and the warmth and compassion of its dedicated staff. There is also another key differentiator: Unlike most of its peer institutions, Los Angeles Jewish Health has a full-service, on-site pharmacy, raising the bar on excellence in senior health across our community. Located in the Joyce Eisenberg Keefer (JEK) Medical Center on Los Angeles Jewish Health's Grancell Village campus, the pharmacy was licensed in 2007 and can dispense medication to residents in JEK's skilled nursing facility, as well as to individuals in the Auerbach Geriatric Psychiatry Unit (AGPU). Pharmacy director Aida Oganesyan oversees one other pharmacist and four pharmacy technicians, as well as a pharmacy resident in conjunction with Western University of Health Sciences College of Pharmacy (WesternU). "We're a devoted team, and we take pride in our commitment to going above and beyond to meet a broad range of residents' needs," Aida says. "We make it our goal to get to know our patients so we can be active partners in their care." Value of care is a major priority for Aida and her colleagues. "It's something we really emphasize: developing good relationships with providers (whether they're primary care, nurse practitioners, or nurses) and learning the backgrounds of our patients to ensure we're providing the same quality of care we would give our own loved ones," she says. As part of their effort to understand Los Angeles Jewish Health residents' needs, the pharmacy team often interacts with patients and their families. "We do comprehensive medication reviews with residents; we talk to family members if they have questions about residents' medications; and we interact with seniors in the AGPU," Aida says. "We all work collaboratively to advance Los Angeles Jewish Health's signature focus on patient-centered care." This high level of personal attention is a key point of distinction between Los Angeles Jewish Health and other senior care organizations. "Most skilled nursing facilities solely rely on a contracted pharmacist who reviews the residents' medications monthly. At Los Angeles Jewish Health, our pharmacists and pharmacy technicians monitor our residents' medications daily," says Chief Medical Officer Noah Marco, MD. "Aida and her team help our physicians prescribe the right medication, at the right dose, at the right time—all the time." The AHSP-accredited pharmacy residency program is another unique feature of Los Angeles Jewish Health's pharmacy services. "Each year, we precept a yearlong pharmacy resident through our collaboration with WesternU for a year of hands-on learning and mentoring, and they get licensed during their time with us," Aida says. "We're proud to help nurture the next generation of pharmacists." Aida, who became the interim director of pharmacy in 2020 and then took the position permanently in 2021, served as Los Angeles Jewish Health's first pharmacy resident in 2013. "Los Angeles Jewish Health has been my home since the very beginning of my career, and I can say with absolute certainty that this place is truly exceptional," she says. In addition to its role as a training ground for young pharmacy talent, Los Angeles Jewish Health is also a launching pad for innovative initiatives that are advancing the field of pharmacy writ large. "We've developed an antibiotic stewardship program with our providers, and we have a pharmacist-led hypertension management program," Aida says. "Now, we're developing a transitions of care program with the Taper building, where we review medications for short-term rehab patients." These innovations, in conjunction with published research conducted by Los Angeles Jewish Health pharmacists, are expanding the tools pharmacists can use to increase the health and wellness of seniors both locally and nationwide. The bottom line, according to Dr. Marco? "Our pharmacists are making the lives of our residents better and improving outcomes for countless older adults around the country," he says.