Available Until 9/26/2022

An Organizational Approach to Implementing USP Chapter <800>: Strategies for Success

Planned in cooperation with the ASHP Section of Inpatient Care Practitioners

ACPE Activity Number: 0204-0000-19-550-L03-P / 0204-0000-19-550-L03-T
Release Date: September 26, 2019
Expiration Date: September 26, 2022
Activity Type: Knowledge-based  
CE Credits: 1.0 hour, no partial credit
Activity Fee: Members – Free / Non-Member – Not Available  

This activity is a recording from a live webinar and those that claim credit for the live webinar should not claim credit for this activity.

Activity Overview

While previous regulations around sterile compounding and hazardous medications impacting different parts of a hospital or health system, the pharmacy department owned the majority of facility, workflow, and procedural changes. With the finalizing of the United States Pharmacopeia (USP) Chapter <800>, new standards, requirements and responsibilities for how sterile and non-sterile hazardous medications are to be handled were put in place to provide protection to employees and patients. Unlike previous chapters, USP Chapter <800> includes requirements that influence receiving to disposal of hazardous medications impacting healthcare professionals and staff throughout an organization.

While pharmacy is greatly impacted, the extensive and far-reaching changes necessitate the inclusion of healthcare professionals across an organization, including patient safety, facilities, employee health, human resources, nursing, and leadership among others. This presentation reviews strategies for success related to developing committee structure, membership, and multi-disciplinary implementation related to USP <800>.


The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Target Audience

This activity was planned to meet the educational needs of pharmacists and pharmacy technicians implementing USP Chapter <800> in a hospital or health care setting.

Learning Objectives

  • List suggested multi-disciplinary health care professionals to include in USP Chapter <800> implementation.
  • Identify specific topics or controversial components of USP Chapter <800> that require support and review from other staff and health care professionals.
  • Review strategies to structure and organize committees to support components and overall implementation of USP Chapter <800>.

Schedule of Activities

  • Introduction and Announcements
  • Presentation
  • Questions, Answers, and Discussion


  • Kimberly Mehta, Pharm.D., MPH, Director of Medication Safety & Regulatory, Allegheny Health Network, Pittsburgh, PA
  • Bridget Gegorski, Pharm.D., M.S., Medication Safety Officer, University Hospitals, Cleveland, OH 


In accordance with the ACPE's and ACCME's Standards for Commercial Support, anyone in a position to control the content of an educational activity is required to disclose to the accredited provider their relevant financial relationships. In accordance with these Standards, all potential conflicts of interest have been resolved. An individual has a relevant financial relationship if he or she (or spouse/domestic partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the activity content over which the individual has control.

As defined by ACCME, a commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The Standards for Commercial Support do not consider providers of clinical service directly to patients to be commercial interests. The existence or non-existence of relevant financial relationships will be disclosed to the activity audience. All identified conflicts of interest must be resolved prior to the activity.

  • All planners, presenters, reviewers, and ASHP staff report no financial relationships relevant to this activity.

Methods and CE Requirements

This activity consists of a recordings of faculty slides presentations, active learning activities, discussion, and handouts. Participants must participate in the activity in its entirety to claim continuing pharmacy education credit online at ASHP eLearning Portal. Follow the prompts online to complete the evaluation, claim credit and view the statement of credit immediately after completing the activity.

Per ACPE requirements, CPE credit must be claimed within 60 days of being earned. Claim your CE at http://elearning.ashp.org. Once you have processed and claimed your CE credit, we encourage you to check your NABP eProfile account to verify your credits were transferred successfully before the ACPE 60-day deadline. It is an electronic direct-report process so your credits should appear in your account within a few minutes. After the 60 day deadline, ASHP will no longer be able to report your credit(s) for this activity.