Lindsey Amerine, PharmD, MS, BCPS


Director of Pharmacy

Residency Associated Title and Involvement

Health-System Pharmacy Administration First-Year Coordinator; Preceptor for Administration Rotations


Undergraduate: University of Wyoming

School of Pharmacy: University of Wyoming Pharmacy

Additional Education: Master of Science (MS) - UNC Eshelman School of Pharmacy

PGY1: University of North Carolina Hospitals

PGY2: University of North Carolina Hospitals

Rotation Title

Administration - Clinical and Operational

Rotation Description:

This administration rotation is a 4-week rotation that will specifically focus on the clinical and operational management aspects of Infusion Services, Investigational Drug Services, Medication Assistance Program, and Pharmacy Revenue Integrity. This will allow the resident to understand the departmental, institutional, and health system structure. The rotation focuses on pharmacy leadership, human resources, performance improvement, strategic planning, policy development, and project management. Depending on departmental and service line initiatives, the resident may be involved with the planning and implementation of new automation systems or upgrades of existing systems. The resident will become an integral part of the teams and the quality and safety initiatives undertaken by the department.

Infusion services include all the operations (inventory, gravimetric-based technology assisted workflow system, clinical verification, dispensation) of the Therapeutic Infusion Center Chapel Hill (located at Carolina Pointe II in Chapel Hill, NC), Therapeutic Infusion Center Pittsboro (located in Pittsboro, NC), McCreary Cancer Center (located in Lenoir, NC), and Rockingham Cancer Center (located in Eden, NC). Both Therapeutic Infusion Centers serve patients from a number of UNC clinics, including Rheumatology, Allergy, Neurology, Geriatrics, Dermatology, and GI. As evidenced by the McCreary, and Rockingham Cancer Centers, UNC Health Care has expanded its infusion services to reach patients across the state of North Carolina.

Investigational Drug Services is responsible for all non-oncology clinical trials across the medical campus. Research is a core mission for UNC and IDS is at the epicenter of cutting edge trials. IDS manages the distributional operations and billing of over 500 trials. IV Medications are dispensed from the 3West satellite and oral medications are dispensed from the Neurosciences satellite. A centralized IDS model is being structured to service the research mission for UNC Health Care System and all its affiliated entities and clinics.

Pharmacy Revenue Integrity is focused on medical billing audit and denials for UNC Hospitals-based clinics. Any denial from a drug given in a clinic billed through medical benefit, is triaged, assessed, and appealed (if necessary) by the team. The team is also responsible for maintaining charge structures through the Charge Data Master in EPIC.

The PGY2 residents learn about the nuances and specific needs of managing a Infusion Services, Medication Assistance Program, Investigational Drug Services, and Revenue Integrity as well as how they integrate into the overall department, and the use of technology in these settings.

For more information contact:

Kamakshi Rao

Kamakshi Rao, PharmD, BCOP, CPP, FASHP
Assistant Director, Academic Enterprises and Research Programs