Elevating Compliance: Navigating USP <797> with Technology and Standardization

Health systems have worked diligently to ensure that they are in compliance with the revised USP Chapter <797> requirements. This educational activity will demonstrate how health systems of any size can perform a gap analysis of its facility, personnel, policy and procedure development and review, environmental monitoring, and accreditation. Recognizing the important safety features of technologies and standardization of IV compounding, the education will also address how they might be implemented in small, medium, and large institutions.

Tuesday, April 9
2 - 3 p.m. ET


Patricia Kienle

Patricia C. Kienle, RPh, MPA, BCSCP, FASHP, Activity Chair
Director, Accreditation and Medication Safety
Cardinal Health
Wilkes-Barre, Pennsylvania

ashley duty

Ashley M. Duty, PharmD, MS, BCSCP, FASHP
Director of Inpatient Pharmacy Operations
Nationwide Children's Hospital
Columbus, Ohio

Kevin Hansen

Kevin N. Hansen, PharmD, MS, BCSCP
Director, 503B Program
Premier Inc.
Charlotte, North Carolina

Target Audience

This activity was planned to meet the educational needs of pharmacists, pharmacy technicians, and medication safety officers practicing in hospitals and health systems.

Learning Objectives

  • Perform a gap analysis that includes facility, personnel, policy and procedure development and review, environmental monitoring, and accreditation gaps.
  • Identify opportunities to implement technologies and standardization that improve safety of IV compounding in small, medium, and large institutions.


  • 2 p.m. - Welcome and Introductions
    Patricia C. Kienle
  • 2:05 p.m. - Performing a Gap Analysis: Following the Vials Beyond the Pharmacy
    Ashley M. Duty
  • 2:25 p.m. - Maximizing Technology and Standardization to Improve Safety of IV Compounding
    Kevin N. Hansen
  • 2:50 p.m. - Faculty Discussion, Questions and Answers
    All Faculty

Accredited for CPE

ACPE #: 0204-0000-24-403-L07-P, 0204-0000-24-403-L07-T
CE Credit: 1.0 contact hour (0.10 CEU)
Activity Type: Application-based
Activity Fee: No charge

To Claim CE for the webinar, enter the CE code announced during the activity and complete the evaluation.



ACPE logo black and white The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education with Commendation.
ASHP Advantage logo Provided by ASHP.
Supported by an educational grant from Pfizer Inc.
For questions and assistance to participate, contact us.