He then transferred to become Assistant Director of Pharmacy Services at Carl Albert Hospital in Ada, Oklahoma in 1981, where he was responsible for all clinical and inpatient pharmacy services. In this position, he was responsible for planning, directing, and evaluating pharmaceutical care for eligible Native Americans in the Oklahoma City Area. Three years ago, CAPT Hope was appointed the Chief Pharmacy Officer at the Agency level for IHS, where he oversees approximately 500 IHS pharmacists, and 200 pharmacies in IHS hospitals and clinics. This program will credential pharmacists to take on a larger role in patient management. Four major specialty areas for credentialing are anticoagulation, lipids, asthma, and diabetes.
Pharmacists receive credentials through local training and competency examinations.
Level I practitioners monitor patients and prescribe medications in a specialty area such as a pharmacy based anticoagulation clinic. Level II practitioners have a broader scope of practice. These IRB reviews ensure the safety of all human subjects who are involved in clinical research programs. For example, he traveled abroad as a Pharmacy Consultant for the Government of Gambia in West Africa for 90 days. This was a project funded by the Pharmaceutical Manufacturer's Association of America and coordinated by Africare.