Unit 3: Inspection Ready: Excelling in Sterile Compounding Compliance
Participants will explore the roles of key regulatory agencies and healthcare accreditation organizations involved in pharmacy inspections and survey visits. The course will provide practical guidance on appointing a designated person, preparing staff for inspections, and responding effectively to deficiencies cited in inspection reports. By the end of the session, attendees will have a clear understanding of how to establish and manage competency processes that ensure compliance with USP <797> standards and support excellence in sterile compounding practice.
Learning Objectives:
- Describe the regulatory agencies and accreditation organizations that conduct inspections and surveys.
- Explain the role a designated person plays in preparing staff for inspection day.
- Identify who should draft and submit the official response to deficiencies cited in inspection reports.
- Develop a practical inspection-readiness plan to sustain continuous compliance.
Zoe Glaras, PharmD, BCSCP
Pharmacy Manager, Sterile Compounding Quality & Compliance
Yale New Haven Health
Zoe Glaras attended the University of Connecticut School of Pharmacy where she graduated with her Doctor of Pharmacy. She spent her first decade of sterile compounding in the home infusion industry as an IV Pharmacist eventually advancing to Pharmacy Manager. Her passion for compliance led her to the CT Department of Consumer Protections Drug Control Division where she was a Drug Control Agent responsible for monitoring drugs, cosmetics, and device distribution systems for compliance with State and Federal laws and regulations. Zoe is currently the Pharmacy Manager of Quality and Compliance for the Yale New Haven Health Smilow Oncology Ambulatory sites where she manages the system's Sterile Compounding Quality and Compliance team and provides regulatory support on USP <797> and <800> to the the Smilow Oncology Ambulatory sites.
NHIA Requires planners, faculty, and others who affect the content of this activity to disclose all financial relationships they have with ineligible companies. All relevant financial relationships are thoroughly vetted and mitigated according to policy.
Zoe Glaras has no relevant financial relationships with ineligible companies to disclose.