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


This activity is provided by ASHP. 

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.

Target Audience:

  • Pharmacists

  • Pharmacy Technicians 

  • Medication Safety Officers

Learning Objectives:

Following completion of this activity, participants will be able to:

  1. Perform a gap analysis that includes facility, personnel, policy and procedure development and review, environmental monitoring, and accreditation gaps. 

  2. Identify opportunities to implement technologies and standardization that improve safety of IV compounding in small, medium, and large institutions.   


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

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

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


  • 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

Provided by ASHP. Supported by an educational grant from Pfizer Inc.

CE Accreditation

ACPE #: 0204-0000-24-403-L07-P, 0204-0000-24-403-L07-T
CE Credit: 1.0 contact hours (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.

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. 

If you have any questions, please email [email protected]