Health-System Pharmacy Administration and Leadership/ M.B.A.


Program Type: ASHP accredited two-year residency (PGY1 and PGY2)
ASHP Match Number: 130018

PGY2 Program Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

Program Overview

The specialized residency in Health System Pharmacy Administration and Leadership (HSPAL) with Master’s Degree residency program is organized and conducted to develop expert skills and competency in pharmacy practice leadership. The primary objective of the program is to prepare pharmacists to assume leadership positions in hospitals and integrated health care systems. Graduates of the program will have competencies in assessing and resolving the health needs of the public as it relates to the safe and effective use of medication and will be expected to assume a leadership role in pharmacy practice. The HSPAL residency program is designed to offer a strong foundation for residents including robust PGY1 clinical experiences, as well as diverse operational, clinical, and financial management rotations throughout the health system of Johns Hopkins Medicine including The Johns Hopkins Hospital (JHH), Johns Hopkins Bayview Medical Center (JHBMC), Johns Hopkins Care at Home, Johns Hopkins Howard County Medical Center (JHHCMC), Sibley Memorial Hospital (SMH), and Suburban Hospital (SH).

The program is a two-year experience and combined with a Master of Business Administration (MBA) program in Health Care Management Innovation and Technology (54 credit hours) or the Master of Science (MS) in Health Care Management (36 credit hours) from the Johns Hopkins University Carey Business School. The MBA and MS programs were created and structured specifically for medical professionals including physicians, nurses, pharmacists, other clinicians, senior health care administrators, and medical practice managers. Participants gain the business tools and knowledge to understand and analyze the changing nature of today’s complex medical delivery systems, plus the resources and savvy to anticipate and respond to those changes.

Candidates interested in the combined pharmacy residency with concurrent MBA or MS degree option must apply to each program separately and be accepted by both in order to participate. Candidates will first apply to the Health System Pharmacy Administration and Leadership residency program. The interview will include meetings with faculty from the Carey Business School. Based on a memorandum-of-understanding between the Department of Pharmacy and the Carey Business School, candidates that match for the residency program are admitted to the MBA or MS programs. The necessary paperwork for the MBA or MS program will be completed after the match results have been received. Candidates must have graduated from an accredited college of pharmacy and have obtained the Doctor of Pharmacy (Pharm.D.) degree or equivalent.

Participants in the program will receive a stipend from the Department of Pharmacy for work completed within the Health-System Pharmacy Administration and Leadership specialty residency. Tuition expenses for the MBA or MS program are fully supported via The Johns Hopkins Hospital tuition reimbursement benefit and a salary supplement.

Upon successful completion of the course work and program requirements, participants will be awarded a Master of Business Administration or Master of Science degree. Complete information concerning the program is provided in a separate booklet or online at:

Johns Hopkins University Carey Business School

Upon completion of the residency requirements for each year, a Certificate of Residency Training from The Johns Hopkins Hospital will be awarded at the end of the first year (PGY1 Pharmacy) and the completion of the 2nd year (PGY2 HSPAL).

Please refer to the “Program Overview” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Program Goals

Residents who complete this program will be able to demonstrate proficiency in:

  • Broad-based academic training in quality improvement, healthcare operations, medical economics, finance, accounting, negotiation, marketing, strategic planning, and management theory within complex medical-delivery systems
  • Interdisciplinary problem solving and decision-making skills
  • Organization of integrated health care systems with the pharmacist as an essential component of the health care team
  • Leadership and administrative skills necessary to manage pharmaceutical care and the needs of patients
  • Public health and quality patient care by fostering the optimal and responsible use of drugs
  • Programs and services that emphasize the health needs of the public with respect to the prevention and treatment of disease
  • Knowledge and expertise in managing cost-effective drug utilization through the application of pharmacoeconomic principles
  • Strategies in the prevention of medication errors and adverse events
  • Knowledge to identify, analyze, and evaluate health care trends and development of public policy
  • Role of pharmacy in conducting and supporting drug research
  • Integration of technology with pharmacy practice in order to provide clinically focused, safe, and efficient patient care
  • Human resource management and employee engagement skills through hands-on experience


The Pharmacy Residency Orientation experience provides a comprehensive and coordinated training program designed to provide incoming residents with an understanding of policies, procedures, and expectations for the pharmacy residency experience. During orientation, residents will participate in hospital, department, and division orientation, and will be exposed to department policies and resources.

Hospital and pharmacy department orientation is required for all new pharmacist hires at Johns Hopkins Hospital. The resident is expected to interact with members of the pharmacy department throughout orientation and to attend assigned orientation and training sessions.

Prior to the start of the residency program, residents will be given a full, detailed orientation itinerary.


PGY2 Required Rotations

  • Advanced Leadership and Strategic Planning (longitudinal – one year)
  • Departmental Operations Management – Medication Use Systems and Automation (one month)
  • Decentralized Operations I (AMES/Oncology/Pediatrics) (one month)
  • Decentralized Operations II (AMES/Oncology/Pediatrics) (one month)
  • Patient Care and Population Health Services (one month)
  • Pharmacy Operations (Bayview Campus) (one month)
  • Quality Improvement/Regulatory Affairs (one month)
  • Staffing and Human Resources (longitudinal – one year)
  • Supply Chain Management (one month)

PGY2 Elective Rotations

  • Ambulatory and Transitions of Care (one month)
  • Antimicrobial Stewardship (one month)
  • ASHP Health-System Pharmacy Administration (one month)
  • Central Pharmacy Operations (one month)
  • Contracting and Strategic Alignment – Home and Community Based Services (one month)
  • Health-System Supply Chain Management (one month)
  • Investigational Drug Service (one month)
  • Leadership and System Integration (one month)
  • Medication Quality and Outcomes (one month)
  • Medication Safety (one month)
  • Pharmacy Clinical Informatics (one month)
  • Specialty Pharmacy Business Development (one month)
  • Other elective learning experiences may be developed based on resident interest and preceptor availability

PGY1 Required Rotations

  • Critical Care (1 month)
    Choice of:
    • Cardiac Care Unit (CCU)
    • Cardiovascular Surgical Intensive Care (CVSICU)
    • Medical Intensive Care (MICU)
    • Neurosciences Critical Care (NCCU)
    • Surgical Intensive Care (SICU)
    • Weinberg Intensive Care (WICU)
  • Internal Medicine (1 month)
  • Integrated Practice Rotation (2 months)
  • Leadership Collaborative Rotation (1 month)
  • Ambulatory Care (6 months longitudinal experience)
    • Adult Internal Medicine Clinic (3 months)
    • Anticoagulation Management Clinic (3 months)

PGY1 Elective Rotations (1 month each)

  • Addiction Medicine
  • Adult Hepatology Service
  • Advanced Heart Failure and Heart Transplantation
  • Ambulatory Oncology
  • Antimicrobial Stewardship
  • Benign Hematology and Hemostatic/Antithrombotic Stewardship
  • Bone Marrow Transplantation/Myeloma/Lymphoma
  • Concentrated Leadership
  • Emergency Medicine
  • Epic Willow Inpatient Certification
  • General Adult Infectious Diseases Consults
  • General Cardiology
  • General Pediatrics
  • Hematologic Malignancies
  • Inpatient HIV/AIDS
  • Investigational Drug Service
  • Kidney and Pancreas Transplant
  • Liver Transplant
  • Medical Oncology
  • Medication Quality and Outcomes
  • Medication Safety – Adults
  • Medication Safety - Pediatrics
  • *Neonatal Intensive Care
  • Oncology Clinical Decision Support
  • Pain Management/Palliative Care
  • *Pediatric Cardiac Intensive Care & Heart Transplant
  • *Pediatric Emergency Medicine
  • *Pediatric Infectious Diseases Consult
  • *Pediatric Intensive Care
  • *Pediatric Oncology
  • *Pediatric Nephrology
  • Pharmacy Management & Leadership
  • Psychiatry
  • Surgery Acute Care
  • Transplant Nephrology

Each PGY1 resident will spend two thirds or more of the PGY1 program in direct patient care activities.

Education Components

  • Pharmacotherapy Rounds
    • All residents will provide a 30-minute presentation that is APCE accredited.
    • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.
  • Teaching Required
    • Each Hopkins resident is required to provide educational sessions.
    • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Requirements for Acceptance to the Program

The qualified candidate will have a Doctor of Pharmacy degree from an ACPE accredited school of pharmacy. Prior to the beginning of a PGY2 residency, PGY2 residents must have successfully completed an ASHP-accredited PGY1 pharmacy residency program.

Licensure and Certification Requirements

All residents are expected to obtain a Maryland State Pharmacy License by August 1st.

The resident will arrive at the program already ACLS certified, or will complete certification during the residency year.

Attendance at Professional Meetings

The department will support the resident (expense and leave time) to attend ASHP Conference for Leaders, ASHP Midyear Clinical Meeting, and Eastern States Conference (PGY1 year only). Any additional travel that is to be supported by the department is evaluated on a case-by-case basis.

Please refer to the “Meetings and Conferences” section of the Department of Pharmacy, Johns Hopkins Medicine website.

MUE Project

The resident must complete a self-directed research or quality improvement project. The scope, magnitude, and type of project will vary according to individual interests but must be completed in a manner suitable for presentation and publication.

Please refer to the “Projects” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Drug Class Review (DCR) or Formulary Management Project

The resident will complete a drug class review as part of the formulary management process. This may be achieved through assisting in the determination of formulary additions/deletions by assessing therapeutic merits, safety, redundancies, and the estimated cost impact on the JHHS.

Committee Participation

The resident will be assigned to departmental, hospital, or health-system committee(s) over the course of the year. The HSPAL residents will serve as the Secretary on the following committees:

  • Clinical Practice Council
  • Clinical Practice Council: Credentialing, Privileging and Protocols Subcommittee
  • Clinical Practice Council: Pharmacy Practice Advancement Subcommittee
  • Controlled Substance Review Subcommittee
  • Directors of Pharmacy Network
  • Drug Utilization and Business Intelligence
  • Formulary Management and Medication-Use Policy Committee
  • JHHS Controlled Substance Committee
  • Pharmacy Administration and Leadership Meeting
  • Pharmacy Leadership Rounds
  • Pharmacy Practice Management
  • Policy Review Committee

Staffing Components

Each resident will practice as a pharmacist in a designated area throughout the residency year.

Please refer to the “Staffing Requirements” section of the Department of Pharmacy, Johns Hopkins Medicine.

On-Call Coverage

The resident will participate in clinical on-call services. On-call duties include adult and pediatric code response, trauma and stroke calls, administrative assistance, and other duties. On-call hours are from 4 PM to 10 PM on weekdays and 8 AM to 8 PM on weekends and holidays. The frequency of on-call coverage depends upon the number of residents in the entire program and averages about 15 shifts per year.

Please refer to the “On Call Program” section of the Department of Pharmacy, Johns Hopkins Medicine website.

The PGY2 HSPAL resident will participate in the Administrator On-Call program and be on call for 1 week from Thursday to Thursday approximately 2-4 times a year. As the Administrator On-Call, the resident will lead the JHH Pharmacy Daily Operations and Safety Huddle at 8:15 AM on weekdays, excluding holidays. The resident will also respond to any pages and questions that are sent to the Administrator On-Call pager throughout the week. For the first Administrator On-Call, the Residency Program Coordinator will be the back-up manger on call and the facilitator will serve in this capacity for subsequent on-call shifts.

Paid Time Off (PTO)

Please refer to the “Benefits” section of the Department of Pharmacy, Johns Hopkins Medicine website.


Please refer to the “Preceptors” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Residency Program Director

Todd W. Nesbit, PharmD, MBA, FASHP, CPEL
Vice President for Pharmacy Services, Johns Hopkins Health System
Chief Pharmacy Officer, The Johns Hopkins Hospital
The John Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Phone: (410) 502-7648 (Direct), (410) 955-6874 (Administrative Assistant)
Email: [email protected]

Residency Program Coordinator

Janet Lee, PharmD, MPA, MBA, BCSCP
Operations Manager, Weinberg Oncology Pharmacy, The Johns Hopkins Hospital
The John Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Phone: 443-287-8317
Email: [email protected]

Required Rotation Preceptors

Todd Nesbit, PharmD, MBA, FASHP, CPEL
Vice President of Pharmacy Services, Johns Hopkins Health System
Chief Pharmacy Officer, The Johns Hopkins Hospital

Anand Khandoobhai, PharmD, MS
Division Director, Weinberg Oncology Pharmacy

Jacob Smith, PharmD, MBA
Assistant Director, Medication Safety and Quality, Johns Hopkins Hospital and Health System

Javier Vazquez, PharmD, MS
Director of Pharmacy, Johns Hopkins Bayview Medical Center

John Hill, PharmD, MS, BCPS
Director, Informatics and Medication Use Systems, Johns Hopkins Health System

Meghan Swarthout, PharmD, MBA, BCPS, FASHP, CPEL
Director, Patient Care Services, Johns Hopkins Health System

Michael Veltri, PharmD
Division Director, Pediatric Pharmacy

Sam Culli, PharmD, MPH
Division Director, Adult Medicine, Emergency and Surgery (AMES) Pharmacy

Shirley Geize, RPh
Assistant Director, Purchasing and Contracting for Pharmacy, Johns Hopkins Hospital and Health System

Program Director

Todd W. Nesbit, PharmD, MBA, FASHP

Title: Vice President for Pharmacy Services, Johns Hopkins Health System and Chief Pharmacy Officer, The Johns Hopkins Hospital
Education: B.S. Pharmacy, Ohio Northern University; Pharm. D., The Ohio State University; M.B.A. Johns Hopkins University

Todd W. Nesbit graduated from The Ohio State University Doctor of Pharmacy Program in 1992 and from the Johns Hopkins University Carey Business School in 2008 with an MBA in Medical Services Management. Dr. Nesbit has worked to promote and advance the role of the pharmacist and clinical pharmacy in health-systems through positions held in various hospitals and academic medical centers. He currently serves as Chief Pharmacy Officer for The Johns Hopkins Hospital and Vice President for Pharmacy Services for Johns Hopkins Health Baltimore, Maryland. As Executive Leader for the pharmacy enterprise, he is responsible for directing hospital and health system practice and strategic planning and the implementation of system-wide pharmacy services across the continuum.

Following graduation with a Bachelor of Science degree in pharmacy from Ohio Northern University, Todd began his career in institutional practice in 1984. During his career, Dr. Nesbit has served as preceptor and mentor for numerous pharmacists, pharmacy residents, and pharmacy students. He has been active in various pharmacy organizations, and has served as the Secretary/Treasurer and as President of the Ohio chapter of the American College of Clinical Pharmacy. Dr. Nesbit was recognized as a Fellow of the American Society of Health-System Pharmacists in 2017.

Program Coordinator

 Janet Lee, PharmD, MPA, MBA

Janet Lee, PharmD, MPA, MBA

Title: Operations Manager, Weinberg Oncology Pharmacy, The Johns Hopkins Hospital
Education: B.A. University of Pennsylvania; M.P.A., NYU Wagner Graduate School of Public Service; Pharm.D., University of Maryland School of Pharmacy; M.B.A., Johns Hopkins Carey Business School

Janet Lee received a Bachelor of Arts degree in the Biological Basis of Behavior from the University of Pennsylvania and a Masters of Public Administration in Health Policy and Management from the New York University Wagner Graduate School of Public Service. She then obtained a Doctorate of Pharmacy from the University of Maryland School of Pharmacy. Upon completion of pharmacy school, Dr. Lee completed the PGY1/PGY2 Health-System Pharmacy Administration Residency at The Johns Hopkins Hospital while concurrently completing a Master in Business Administration from the Johns Hopkins Carey Business School.

Dr. Lee currently serves as an Operations Manager in The Johns Hopkins Hospital Weinberg Oncology Pharmacy and supports clinical programs and operations, focusing on ambulatory oncology infusion. She is an active member of the American Society of Health-System Pharmacists (ASHP) and the Maryland Society of Health-System Pharmacy (MSHP). Her professional interests include pharmacy and healthcare policy, advocacy, and student and residency training. Dr. Lee currently serves as a MSHP Board Member and on the ASHP Advocacy and PAC Committee.